Barassi Giovanni, Mariani Chiara, Supplizi Marco, Prosperi Loris, Di Simone Edoardo, Marinucci Celeste, Pellegrino Raffaello, Guglielmi Vito, Younes Alì, Di Iorio Angelo
Center for Physiotherapy, Rehabilitation and Reeducation (Ce.Fi.R.R.), venue "G. d'Annnunzio" University of Chieti-Pescara, Chieti, Italy.
Antalgic Mini-invasive and Rehab-Outpatients Unit, Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy.
Adv Exp Med Biol. 2022;1375:39-46. doi: 10.1007/5584_2021_692.
Capacitive and resistive electric transfer (TECAR) modes of therapy use radiant energy to generate endogenous heat and are used for musculoskeletal disorders for their analgesic, decontracting, and elasticizing properties. While the capacitive mode is supposed to interact with soft tissues, the resistive mode interacts more with hard tissues. This study aims to investigate whether the successive order of the two modes during their application could make a difference concerning the outcome. The study included 40 patients affected by chronic non-specific low back pain. Patients were assessed using algometry, before and immediately after the therapeutic intervention, and thermal imaging, before, immediately after, and then 30 and 60 min after the intervention. Each patient had two TECAR interventions on different days of a total of 20 min each, with a resistive followed by capacitive mode and conversely, capacitive followed by resistive mode. The capacitive mode alternated with the resistive mode by 10 min during either intervention. Results showed that the effects consisting of temporary increases in the superficial temperature of the lower back and pressure pain threshold were alike for both interventions. We conclude that TECAR therapy reduces low back pain regardless of the operative mode adopted, with only an insignificant advantage when starting the sequence from the resistive application.
电容式和电阻式电转移(TECAR)治疗模式利用辐射能产生内生热,并因其止痛、解除肌肉痉挛和恢复弹性的特性而用于治疗肌肉骨骼疾病。电容式模式被认为与软组织相互作用,而电阻式模式与硬组织的相互作用更强。本研究旨在调查两种模式在应用过程中的先后顺序是否会对治疗结果产生影响。该研究纳入了40例慢性非特异性下腰痛患者。在治疗干预前和干预后立即使用痛觉测量法对患者进行评估,并在干预前、干预后立即以及干预后30分钟和60分钟进行热成像检查。每位患者在不同日期接受两次TECAR干预,每次干预共20分钟,一次是先进行电阻式模式后进行电容式模式,另一次则相反,先进行电容式模式后进行电阻式模式。在每次干预过程中,电容式模式和电阻式模式交替10分钟。结果显示,两种干预方式在下背部表面温度暂时升高和压力疼痛阈值方面的效果相似。我们得出结论,无论采用何种操作模式,TECAR疗法均可减轻下腰痛,从电阻式模式开始治疗序列时仅有微不足道的优势。
Electromagn Biol Med. 2020-10-1
Lasers Med Sci. 2025-5-19
Int J Environ Res Public Health. 2022-9-9
Can Fam Physician. 1986-5
Arch Phys Med Rehabil. 1949-1
Arch Phys Med Rehabil. 1976-3