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微电流疗法治疗急性膝关节疼痛的疗效:一项随机双盲对照临床试验。

Efficacy of microcurrent therapy for treatment of acute knee pain: A randomized double-blinded controlled clinical trial.

作者信息

Lawson Daryl, Lee Kevin H, Kang Hyun Bin, Yang Nan, Llewellyn Tracy, Takamatsu Shozo

机构信息

Department of Physical Therapy, Western Michigan University, Kalamazoo, MI, USA.

Department of Statistics, Western Michigan University, Kalamazoo, MI, USA.

出版信息

Clin Rehabil. 2021 Mar;35(3):390-398. doi: 10.1177/0269215520965320. Epub 2020 Oct 23.

Abstract

OBJECTIVE

We would like to determine whether electrotherapy, specifically microcurrent therapy, increases function and decreases pain in people who have acute knee pain.

DESIGN

Randomized, double-blinded, placebo-controlled clinical trial.

SETTING

University laboratory and patient home.

SUBJECTS

A total of 52 subjects (35 females and 17 males) with acute knee pain.

INTERVENTION

Treatment group ( = 26) wore the active microcurrent therapy device at home for 3 hours per day for 4 weeks and the control group ( = 26) wore the placebo for 3 hours per day for 4 weeks.

MAIN MEASURES

Numeric Pain Rating Scale (NPRS) and Short Form 12 (SF-12) health scale were used to measure the pain level and the functionality of the participants. Secondary assessments included musculoskeletal ultrasound imaging (MSK US) and Lower Extremity Functional Scale (LEFS).

RESULTS

A total of 52 subjects completed the study; 26 in the treatment group and 26 in the control group. Microcurrent therapy significantly reduced pain over 4 weeks. Especially week three was significant ( < 0.01) after adjusting for the family-wise error rate. The analysis on SF-12 revealed those with microcurrent therapy showed an increasing trend in the improvement of physical function score until week three.

CONCLUSION

An active microcurrent therapy device decreased knee pain and increased function. Microcurrent therapy may be an alternative or used with a pharmacological approach for people with acute knee pain.

摘要

目的

我们想要确定电疗法,特别是微电流疗法,是否能改善急性膝关节疼痛患者的功能并减轻疼痛。

设计

随机、双盲、安慰剂对照临床试验。

地点

大学实验室和患者家中。

受试者

共有52名急性膝关节疼痛患者(35名女性和17名男性)。

干预措施

治疗组(n = 26)在家中每天佩戴有源微电流治疗仪3小时,持续4周;对照组(n = 26)每天佩戴安慰剂3小时,持续4周。

主要测量指标

使用数字疼痛评分量表(NPRS)和简短健康调查量表(SF - 12)来测量参与者的疼痛程度和功能状况。次要评估包括肌肉骨骼超声成像(MSK US)和下肢功能量表(LEFS)。

结果

共有52名受试者完成了研究;治疗组26名,对照组26名。微电流疗法在4周内显著减轻了疼痛。在调整了族系错误率后,尤其在第3周差异显著(P < 0.01)。对SF - 12的分析显示,接受微电流疗法的患者在第3周前身体功能评分的改善呈上升趋势。

结论

有源微电流治疗仪可减轻膝关节疼痛并改善功能。微电流疗法可能是急性膝关节疼痛患者的一种替代治疗方法,或可与药物治疗联合使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2278/7944428/9e822f8f3c67/10.1177_0269215520965320-fig1.jpg

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