Haile Gebremedhin, Hailemariam Teklehaimanot Tekle, Haile Tsiwaye Gebreyesus
Department of Physiotherapy, School of Medicine, College of Health Sciences and Ayder Comprehensive Specialized Hospital, Mekelle University, Mekelle, Ethiopia.
J Pain Res. 2021 May 17;14:1251-1257. doi: 10.2147/JPR.S277574. eCollection 2021.
Non-specific chronic low back pain is the most common self-reported kind of musculoskeletal ache associated with substantial health and socioeconomic problem and responsible for most years lived with a disability as compared with any other medical condition. So treating chronic non-specific low back pain is one of the main problems faced among physical therapists in the rehabilitation area. The effects of ultrasound for patients with non-specific chronic low back pain remain unknown, however it is commonly used to treat clients with low back pain in rehabilitation setting. Therefore, the main aim of this review was to evaluate the up-to-date confirmation in the efficacy of ultrasound therapy on the treatment of non-specific chronic low back pain. A comprehensive search of four computerized electronic databases was performed to identify the effectiveness of ultrasound therapy on the management of chronic non-specific low back pain. Searching was done through the Google Scholar, PubMed, ScienceDirect, and Physiotherapy Evidence Databases (PEDro) and reported using preferred reporting items for systematic reviews and meta-analyses guidelines. The qualities of articles were appraised by the PEDro scale. The primary outcome measure visual analog scale was used. Six randomized clinical trials with a total sample size of 699 patients from the electronic database published in English were identified. In this review, the effect of UST in five articles was statically significant in reducing the visual analog scale (p<0.05) score. So this systematic review found ultrasound therapy could be an alternative treatment to reduce the intensity of pain in subjects with non-specific chronic LBP.
非特异性慢性下腰痛是最常见的自我报告的肌肉骨骼疼痛类型，与重大的健康和社会经济问题相关，与任何其他疾病相比，它导致的残疾生存年数最多。因此，治疗慢性非特异性下腰痛是康复领域物理治疗师面临的主要问题之一。然而，超声波对非特异性慢性下腰痛患者的影响尚不清楚，但其在康复环境中常用于治疗下腰痛患者。因此，本综述的主要目的是评估超声波疗法治疗非特异性慢性下腰痛疗效的最新证据。对四个计算机化电子数据库进行了全面检索，以确定超声波疗法对慢性非特异性下腰痛管理的有效性。检索通过谷歌学术、PubMed、ScienceDirect和物理治疗证据数据库（PEDro）进行，并按照系统评价和Meta分析的首选报告项目指南进行报告。文章质量由PEDro量表评估。使用主要结局指标视觉模拟量表。从以英文发表的电子数据库中识别出六项随机临床试验，总样本量为699名患者。在本综述中，五篇文章中超声波疗法在降低视觉模拟量表（p<0.05）评分方面具有统计学意义。因此，本系统评价发现，超声波疗法可能是减轻非特异性慢性下腰痛患者疼痛强度的一种替代治疗方法。
