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联合治疗与红外线辐射对膝骨关节炎患者疼痛、身体功能及生活质量的影响:一项随机对照研究。

Effects of combination therapy and infrared radiation on pain, physical function, and quality of life in subjects with knee osteoarthritis: A randomized controlled study.

作者信息

Usman Zubair, Maharaj Sonill Sooknunan, Kaka Bashir

机构信息

Department of Physiotherapy, Rasheed Shakoni Teaching Hospital, P.M.B. 7200, Dutse Jigawa State, Nigeria.

Department of Physiotherapy, University of KwaZulu-Natal, Private Bag X 54001, Durban 4000, South Africa.

出版信息

Hong Kong Physiother J. 2019 Dec;39(2):133-142. doi: 10.1142/S1013702519500124. Epub 2019 Jul 4.

Abstract

BACKGROUND

Knee osteoarthritis (KOA) is a common degenerative articular disease that causes disability and poor quality of life (QoL) of the individuals. Electrotherapeutic agents such as therapeutic ultrasound (US), interferential current (IFC), and infrared radiation are used in the treatment. It is not clear which of these agents is the best in improving these variables.

OBJECTIVE

The study aimed to compare the effects of the combined application of US and IFC therapies and infrared radiation on pain, functional activities, and QoL in people with KOA.

METHODS

In a randomized controlled study, 60 participants were randomized into two groups, the combination therapy group (CTG) and the infrared radiation group (IRG). Each group received 15-min treatment three times per week for 12 weeks. The visual analog scale (VAS) was used to assess the pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for functional activities and the Short Form Health Survey questionnaire for QoL.

RESULTS

Participants in the CTG had a significant reduction in pain and significant improvement in functional activities and QoL compared to the IRG.

CONCLUSION

The results of this study support the use of the combination of IFC and US therapies to reduce pain and improve function and QoL for KOA patients.

摘要

背景

膝关节骨关节炎(KOA)是一种常见的退行性关节疾病,会导致个体残疾和生活质量(QoL)下降。治疗中会使用电疗手段,如治疗性超声(US)、干扰电流(IFC)和红外线辐射。目前尚不清楚这些手段中哪种在改善这些变量方面效果最佳。

目的

本研究旨在比较联合应用US和IFC疗法以及红外线辐射对KOA患者疼痛、功能活动和生活质量的影响。

方法

在一项随机对照研究中,60名参与者被随机分为两组,即联合治疗组(CTG)和红外线辐射组(IRG)。每组每周接受3次15分钟的治疗,共12周。使用视觉模拟量表(VAS)评估疼痛,使用西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评估功能活动,使用简短健康调查问卷评估生活质量。

结果

与IRG相比,CTG参与者的疼痛显著减轻,功能活动和生活质量显著改善。

结论

本研究结果支持联合使用IFC和US疗法来减轻KOA患者的疼痛,改善其功能和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91de/6900333/001bfa9d1cac/hkpj-39-133-g001.jpg

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