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低水平激光疗法治疗椎间盘源性腰椎神经根病的疗效:一项双盲随机对照试验。

Effectiveness of Low-Level Laser Therapy in Patients with Discogenic Lumbar Radiculopathy: A Double-Blind Randomized Controlled Trial.

机构信息

University Institute of Physical Therapy, The University of Lahore, Islamabad, Pakistan.

Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

出版信息

J Healthc Eng. 2022 Feb 27;2022:6437523. doi: 10.1155/2022/6437523. eCollection 2022.

DOI:10.1155/2022/6437523
PMID:35265302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8898844/
Abstract

PURPOSE

To determine the effectiveness of low-level laser therapy (LLLT) in patients with discogenic lumbar radiculopathy and correlation among pain intensity, functional disability, and lumbar range of motion (LROM). . A double-blind RCT was conducted at physical therapy departments of different hospitals of Islamabad, Pakistan. The study period was March 2020 to August 2021. . The study comprised 110 patients with acute LBP and unilateral discogenic lumbar radiculopathy. . The outcomes of the treatment were measured on the first day and then after 18 sessions from each patient's pain intensity, functional disability, L-ROM, and straight leg raise by using visual analogue scale, Oswestry disability index, dual inclinometer, and straight leg raise test.

METHODS

A total of 110 participants with a mean age of 38 ± 7.4 years were randomly assigned into two groups of 55 each. The experimental group of 55 patients was treated with LLLT and conventional physical therapy. The control group of 55 patients was treated with conventional physical therapy alone. Both groups had received 18 treatment sessions. The data were analyzed through SPSS-21.0.

RESULTS

The results of the Wilcoxon signed-rank test score as well as Mann-Whitney U test indicated a statistically significant difference in values ( < 0.05 in all instances) within the groups and between the groups, respectively.

CONCLUSIONS

The LLLT is proved as an efficient adjunct therapy to conventional physical therapy for discogenic lumbar radiculopathy.

摘要

目的

评估低水平激光疗法(LLLT)治疗椎间盘源性腰椎神经根病患者的有效性,并探讨疼痛强度、功能障碍和腰椎活动度(LROM)之间的相关性。这是一项在巴基斯坦伊斯兰堡不同医院的物理治疗部门进行的双盲 RCT。研究时间为 2020 年 3 月至 2021 年 8 月。该研究纳入了 110 例急性腰痛和单侧椎间盘源性腰椎神经根病患者。治疗后的第 1 天和 18 次治疗后,使用视觉模拟评分、Oswestry 残疾指数、双测斜仪和直腿抬高试验,评估每位患者的疼痛强度、功能障碍、L-ROM 和直腿抬高情况,以评估治疗效果。

方法

将 110 名平均年龄为 38±7.4 岁的患者随机分为两组,每组 55 名。实验组 55 例患者接受 LLLT 和常规物理治疗,对照组 55 例患者仅接受常规物理治疗。两组均接受 18 次治疗。采用 SPSS-21.0 进行数据分析。

结果

Wilcoxon 符号秩和检验评分以及 Mann-Whitney U 检验结果均表明,组内和组间差异均具有统计学意义(所有情况下均<0.05)。

结论

LLLT 是一种有效的椎间盘源性腰椎神经根病的辅助治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ab/8898844/992f63028482/JHE2022-6437523.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ab/8898844/dde0289dd364/JHE2022-6437523.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ab/8898844/e477c81bbae7/JHE2022-6437523.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ab/8898844/ca552440fd44/JHE2022-6437523.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ab/8898844/992f63028482/JHE2022-6437523.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ab/8898844/dde0289dd364/JHE2022-6437523.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ab/8898844/e477c81bbae7/JHE2022-6437523.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ab/8898844/ca552440fd44/JHE2022-6437523.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ab/8898844/992f63028482/JHE2022-6437523.004.jpg

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