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经皮神经电刺激和干扰电流对非特异性慢性下腰痛患者触觉敏锐度的疗效。

Efficacy of Transcutaneous Electrical Nerve Stimulation and Interferential Current on Tactile Acuity of Individuals With Nonspecific Chronic Low Back Pain.

机构信息

Department of Physiotherapy, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria.

Department of Physiotherapy, Faculty of Allied Medical Sciences, College of Medical Sciences, University of Calabar, Calabar, Cross River, Nigeria.

出版信息

Neuromodulation. 2022 Dec;25(8):1403-1409. doi: 10.1111/ner.13522. Epub 2022 Jun 14.

Abstract

OBJECTIVES

Transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) are pain electrotherapies with questioned efficacy. Studies of their effects on tactile acuity of individuals with nonspecific chronic low back pain (NSCLBP) are limited, hence, this study.

MATERIALS AND METHODS

Thirty-three individuals with NSCLBP randomly allocated into three groups completed this study. Data collected from participants included age, gender, and anthropometric characteristics of height, weight, body mass index, and percentage body fat measured with standard instruments. Also, participants' tactile acuity, pain intensity, and disability were assessed before and after interventions with digital caliper, numerical pain rating scale, and Roland-Morris Disability Questionnaire, respectively. Interventions consisted of stretching, strengthening, and stabilization exercises to all three groups in addition of TENS to group 1 and IFC to group 2, respectively, for five weeks. Descriptive statistics of mean and standard deviation summarized the data. Inferential statistics of paired t-test, independent t-test, and analysis of variance tested the level of significance among variables at p ≤ 0.05.

RESULTS

Tactile acuity was significantly (p < 0.05) increased after TENS intervention only, while pain intensity was significantly (p < 0.05) reduced after the three interventions. The result showed no gender difference in tactile acuity values among the participants.

CONCLUSIONS

TENS increases the tactile acuity of individuals with NSCLBP, whereas IFC demonstrated no significant change in tactile acuity.

摘要

目的

经皮神经电刺激(TENS)和干扰电流(IFC)是两种疗效受到质疑的疼痛电疗方法。关于它们对非特异性慢性下腰痛(NSCLBP)患者触觉敏锐度影响的研究有限,因此开展了这项研究。

材料与方法

33 名 NSCLBP 患者随机分为三组完成了这项研究。收集到的参与者数据包括年龄、性别,以及通过标准仪器测量的身高、体重、体重指数和体脂百分比等人体测量学特征。此外,参与者的触觉敏锐度、疼痛强度和残疾程度分别使用数字卡尺、数字疼痛评分量表和 Roland-Morris 残疾问卷在干预前后进行了评估。三组均接受拉伸、强化和稳定运动干预,同时第 1 组接受 TENS 治疗,第 2 组接受 IFC 治疗,为期五周。数据以平均值和标准差的描述性统计进行总结。采用配对 t 检验、独立 t 检验和方差分析的推断统计检验了 p≤0.05 时变量之间的显著性水平。

结果

仅 TENS 干预后触觉敏锐度显著(p<0.05)增加,而三种干预后疼痛强度均显著(p<0.05)降低。结果显示,参与者的触觉敏锐度值在性别间无差异。

结论

TENS 可提高 NSCLBP 患者的触觉敏锐度,而 IFC 对触觉敏锐度无显著影响。

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