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电容电阻透热疗法对腰痛患者的短期疗效:一项前瞻性随机对照试验。

Short term efficacy of capacitive-resistive diathermy therapy in patients with low back pain: a prospective randomized controlled trial.

作者信息

Notarnicola A, Maccagnano G, Gallone M F, Covelli I, Tafuri S, Moretti B

机构信息

Course of Motor and Sports Sciences, Department of Medical Sciences of Basis, Neurosciences and Organs of Sense, Faculty of Medicine and Surgery, University of Study of Bari, Bari, Italy.

Orthopedics Section, Department of Medical Sciences of Basis, Neurosciences and Organs of Sense, Faculty of Medicine and Surgery, University of Study of Bari, General Hospital, Bari, Italy.

出版信息

J Biol Regul Homeost Agents. 2017 Apr-Jun;31(2):509-515.

Abstract

To compare the effectiveness of Doctor Tecar TherapyTM with that of laser therapy in the management of low back pain (LBP), a total of 60 patients with LBP were enrolled. The participants were randomly divided into two groups: a Tecar group (experimental group, 30 subjects), and a laser group (control group, 30 subjects). All the subjects received 10 sessions of therapy: one each day from Monday to Friday and the same again the following week. All the subjects were evaluated for pain (VAS) and disability (Roland and Morris score and Oswestry score) at baseline (T0), and 2 weeks (T1), 1 month (T2) and 2 months (T3) after the end of treatment. The pain and disability presented a trend to improvement over time in both groups. This improvement was statistically significant at all follow-ups (FUs) in the Tecar group but only at T1 for the Laser group (p less than 0.01). Comparing the two methods, there emerged a significant difference in favour of the Tecar group at T2 and T3 (p less than 0.01). The results show that Tecar therapy determined significant improvement already by the end of the treatment. Moreover, at the first and second month FUs, the Tecar therapy showed statistically better results than laser therapy.

摘要

为比较特卡医生疗法(Doctor Tecar TherapyTM)与激光疗法治疗下腰痛(LBP)的效果,共招募了60例下腰痛患者。参与者被随机分为两组:特卡组(实验组,30名受试者)和激光组(对照组,30名受试者)。所有受试者均接受10次治疗:从周一至周五每天1次,下周重复相同治疗。在基线(T0)以及治疗结束后2周(T1)、1个月(T2)和2个月(T3)时,对所有受试者进行疼痛(视觉模拟评分法,VAS)和功能障碍(罗兰-莫里斯评分和奥斯维斯特里评分)评估。两组的疼痛和功能障碍均呈现出随时间推移而改善的趋势。特卡组在所有随访时这种改善均具有统计学意义,但激光组仅在T1时具有统计学意义(p<0.01)。比较两种方法,在T2和T3时特卡组明显占优,差异有统计学意义(p<0.01)。结果表明,特卡疗法在治疗结束时已产生显著改善。此外,在第1个月和第2个月随访时,特卡疗法的统计学结果优于激光疗法。

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