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水电浴对改善慢性非特异性颈部疼痛患者疼痛、功能障碍及生活质量的有效性:一项随机对照试验

Effectiveness of Hydrogalvanic Bath on Improving Pain, Disability, and Quality of Life in Individuals with Chronic Nonspecific Neck Pain: A Randomized Controlled Trial.

作者信息

Alshahrani Mastour Saeed, Tedla Jaya Shanker, Reddy Ravi Shankar, Asiri Faisal

机构信息

Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia.

出版信息

Evid Based Complement Alternat Med. 2020 Oct 6;2020:7974816. doi: 10.1155/2020/7974816. eCollection 2020.

Abstract

BACKGROUND

Neck pain is one of the world's leading factors in years lived with disability. Ambiguity in the effect of electrotherapy modalities for the treatment of chronic nonspecific neck pains (CNSNP) needs to be examined further. This study sought to elucidate the effectiveness of hydrogalvanic bath on improving pain, disability, and quality of life among individuals with CNSNP.

METHODS

Thirty-four individuals with a diagnosis of CNSNP were selected through convenient sampling and randomly divided into two groups by block randomization. The control group treatment underwent low Transcutaneous Electrical Nerve Stimulation (TENS) and exercise, and the experimental group was subjected to hydrogalvanic bath therapy (HGBT) and exercise. Individuals were evaluated for pain using a visual analog scale (VAS), disability with the Neck Disability Index (NDI), and quality of life with Short Form-36 (SF-36). These measures were applied at baseline and after 12 weeks of treatment.

RESULTS

The pretreatment and posttreatment results for VAS, NDI, and SF-36 were compared for both control and experimental groups. We found that all the three variables showed significant differences between the two time points with < 0.05 in both the groups but the experimental group improvements were more significant than the control group with < 0.05.

CONCLUSION

Twelve weeks of low TENS or HGBT along with exercises can decrease pain and neck disability and increase the quality of life in individuals with CNSNP. However, HGBT along with exercise has superior effects relative to low TENS along with exercise. This randomized controlled trial was registered in the International Standard Randomized Controlled Trials Number-ISRCTN29695190 and registered on 05/02/2020. This study is a retrospective registration.

摘要

背景

颈部疼痛是导致全球残疾生存年数的主要因素之一。电疗法治疗慢性非特异性颈部疼痛(CNSNP)的效果尚不明确,需要进一步研究。本研究旨在阐明直流电水浴对改善CNSNP患者疼痛、功能障碍和生活质量的有效性。

方法

通过便利抽样选取34例诊断为CNSNP的患者,采用区组随机化方法将其随机分为两组。对照组接受低强度经皮神经电刺激(TENS)和运动治疗,实验组接受直流电水浴疗法(HGBT)和运动治疗。采用视觉模拟量表(VAS)评估疼痛程度,采用颈部功能障碍指数(NDI)评估功能障碍情况,采用简明健康状况调查问卷(SF-36)评估生活质量。在基线和治疗12周后进行这些测量。

结果

比较对照组和实验组治疗前和治疗后的VAS、NDI和SF-36结果。我们发现,两组在两个时间点这三个变量均有显著差异(P<0.05),但实验组的改善比对照组更显著(P<0.05)。

结论

12周的低强度TENS或HGBT联合运动可减轻CNSNP患者的疼痛和颈部功能障碍,提高生活质量。然而,HGBT联合运动相对于低强度TENS联合运动具有更好的效果。本随机对照试验已在国际标准随机对照试验编号-ISRCTN29695190注册,并于2020年2月5日登记。本研究为回顾性注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/182e/7559532/be875dcd6c2a/ECAM2020-7974816.001.jpg

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