Divandari Nahid, Manshadi Farideh Dehghan, Shokouhi Nasim, Vakili Mahdi, Jaberzadeh Shapour
Physiotherapy Department, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Yas Women Hospital, Tehran University of Medical Sciences, Tehran, Iran.
J Bodyw Mov Ther. 2019 Jul;23(3):678-682. doi: 10.1016/j.jbmt.2017.12.014. Epub 2017 Dec 24.
The present study aimed to investigate the effects of tDCS on pain score in women with Chronic Pelvic Pain (CPP).
MATERIALS & METHODS: A total of 16 women with CPP participated in the present double-blind sham-controlled cross-over study. Each participant received a 20-min 0.3 MA of trans Cranial Direct Stimulation (tDCS) with a current density of 0.1 mA/cm. In addition to the pain intensity, the Quality of Life (QOL), disability, and depression statuses were assessed prior to and one week after the treatment. Shapiro-Wilks goodness-of-fit test for normality, dependent t-Test, and Wilcoxon Signed- Rank Test were used for data analysis. Values of p < .05 were considered statistically significant.
Active tDCS treatment was effective in the reduction of pain (p = .0001), improving QOL (208.938 > 193.313, P = .025), and the disability (22.375 < 30.375, P = .025). The results showed no effect of active or sham treatment on the depression (p ≥ .05).
The positive effects of active tDCS on CPP suggest the need to study the effect of this method on other types of chronic pain.
本研究旨在探讨经颅直流电刺激（tDCS）对慢性盆腔疼痛（CPP）女性疼痛评分的影响。
共有16名患有CPP的女性参与了本双盲假对照交叉研究。每位参与者接受了20分钟、电流强度为0.3毫安的经颅直流电刺激（tDCS），电流密度为0.1毫安/平方厘米。除疼痛强度外，在治疗前和治疗后一周评估生活质量（QOL）、残疾情况和抑郁状态。采用夏皮罗-威尔克正态性拟合优度检验、配对t检验和威尔科克森符号秩检验进行数据分析。p < 0.05的值被认为具有统计学意义。
主动tDCS治疗在减轻疼痛方面有效（p = 0.0001），改善了生活质量（208.938 > 193.313，P = 0.025），并减轻了残疾程度（22.375 < 30.375，P = 0.025）。结果显示，主动或假治疗对抑郁均无影响（p≥0.05）。
主动tDCS对CPP的积极作用表明有必要研究该方法对其他类型慢性疼痛的影响。
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