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电容式和电阻式电转移疗法:非特异性慢性下腰痛治疗操作方法的比较

Capacitive and Resistive Electric Transfer Therapy: A Comparison of Operating Methods in Non-specific Chronic Low Back Pain.

作者信息

Barassi Giovanni, Mariani Chiara, Supplizi Marco, Prosperi Loris, Di Simone Edoardo, Marinucci Celeste, Pellegrino Raffaello, Guglielmi Vito, Younes Alì, Di Iorio Angelo

机构信息

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.

出版信息

Adv Exp Med Biol. 2022;1375:39-46. doi: 10.1007/5584_2021_692.


DOI:10.1007/5584_2021_692
PMID:35147930
Abstract

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.

摘要

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。

相似文献

[1]
Capacitive and Resistive Electric Transfer Therapy: A Comparison of Operating Methods in Non-specific Chronic Low Back Pain.

Adv Exp Med Biol. 2022

[2]
Short-Term Effects of Manual Therapy plus Capacitive and Resistive Electric Transfer Therapy in Individuals with Chronic Non-Specific Low Back Pain: A Randomized Clinical Trial Study.

Medicina (Kaunas). 2023-7-9

[3]
Temperature and current flow effects of different electrode placement in shoulder capacitive-resistive electric transfer applications: a cadaveric study.

BMC Musculoskelet Disord. 2021-2-4

[4]
Thermal and non-thermal effects off capacitive-resistive electric transfer application on the Achilles tendon and musculotendinous junction of the gastrocnemius muscle: a cadaveric study.

BMC Musculoskelet Disord. 2020-1-20

[5]
Effects of capacitive and resistive electric transfer therapy on pain and lumbar muscle stiffness and activity in patients with chronic low back pain.

J Phys Ther Sci. 2022-5

[6]
Effect of electromyographic activity using capacitive and resistive electric transfer on non-specific chronic low back pain: a double-blind randomized clinical trial.

Electromagn Biol Med. 2022-4-3

[7]
Short term efficacy of capacitive-resistive diathermy therapy in patients with low back pain: a prospective randomized controlled trial.

J Biol Regul Homeost Agents. 2017

[8]
The effect of Capacitive and Resistive electric transfer on non-specific chronic low back pain.

Electromagn Biol Med. 2020-10-1

[9]
Effects of Transfer Energy Capacitive and Resistive On Musculoskeletal Pain: A Systematic Review and Meta-Analysis:

Galen Med J. 2022-11-17

[10]
Effect of Adding Transfer Energy Capacitive and Resistive Therapy to Conventional Therapy for Patients With Myofascial Pain Syndrome in Upper Trapezius: A Randomized Clinical Trial.

J Chiropr Med. 2023-12

引用本文的文献

[1]
Assessing thermal changes in the equine thoracolumbar region following different capacitive-resistive electrical transfer protocols.

Front Vet Sci. 2025-5-21

[2]
Impact of TECAR therapy on pain and function in adhesive capsulitis: a randomized controlled trial.

Lasers Med Sci. 2025-5-19

[3]
Effects of monopolar pulsed-capacitive dielectric radiofrequency diathermy in patients with chronic low back pain: a randomised clinical trial.

Sci Rep. 2024-6-18

[4]
Short-Term Effects of Manual Therapy plus Capacitive and Resistive Electric Transfer Therapy in Individuals with Chronic Non-Specific Low Back Pain: A Randomized Clinical Trial Study.

Medicina (Kaunas). 2023-7-9

[5]
The Thermal Influence of an Electromagnetic Field with a Radio Frequency Depending on the Type of Electrode Used.

Int J Environ Res Public Health. 2022-9-9

本文引用的文献

[1]
Short term efficacy of capacitive-resistive diathermy therapy in patients with low back pain: a prospective randomized controlled trial.

J Biol Regul Homeost Agents. 2017

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Can Fam Physician. 1986-5

[3]
The effect of microwave diathermy on the peripheral circulation and on tissue temperature in man.

Arch Phys Med Rehabil. 1949-1

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Is chronic non-specific low back pain chronic? Definitions of a problem and problems of a definition.

Br J Gen Pract. 1999-5

[5]
Heat and stretch procedures: an evaluation using rat tail tendon.

Arch Phys Med Rehabil. 1976-3

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