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肌电图活动对非特异性慢性下腰痛的影响:一项双盲随机临床试验。

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

机构信息

Department of Physical Therapy, Biwako Professional University of Rehabilitation: 967 Kitasakacho, Higashiomi, Japan.

Graduate School of Medicine, Nagoya University, Nagoya, Japan.

出版信息

Electromagn Biol Med. 2022 Apr 3;41(2):222-229. doi: 10.1080/15368378.2022.2065681. Epub 2022 Apr 17.

Abstract

Capacitive and resistive electric transfer (CRET) therapy is used to reduce pain and improve functional disability, and the effect on low back pain remains to be investigated. This study aimed to examine the immediate effect on the onset time of the muscles after irradiating CRET therapy for non-specific chronic low back pain (NSCLBP). Thirty patients with NSCLBP were randomly divided into an intervention group (n = 15) and a sham group (n = 15). Participants and statisticians were blinded to participant allocation. The intervention group received one 15-minute session of CRET therapy on their lower back; the sham group similarly received one 15-minute session of sham therapy. Before and immediately after the intervention, the onset time of the trunk and lower limb muscles was measured during prone hip extension, and pain intensity was recorded using a visual analog scale. The intervention group showed a significant reduction in pain and a significantly earlier onset time of the thoracic part of the iliocostalis lumborum, lumbar part of the iliocostalis lumborum, lumbar multifidus, and gluteus maximus. These results showed that CRET therapy not only reduced pain, but also facilitated trunk muscle activity. Improvement in muscle activity patterns may improve activities of daily living. This study was registered at the University Hospital Medical Information Network in Japan (UMIN-CTR: 000046301).

摘要

电容电阻电传递(CRET)疗法用于减轻疼痛和改善功能障碍,但其对慢性非特异性下腰痛(NSCLBP)的疗效仍待研究。本研究旨在探讨 CRET 疗法对非特异性慢性下腰痛(NSCLBP)患者肌肉起始时间的即刻影响。30 名 NSCLBP 患者被随机分为干预组(n = 15)和假治疗组(n = 15)。参与者和统计人员对参与者的分配情况均不知情。干预组接受 15 分钟的 CRET 疗法治疗下背部;假治疗组同样接受 15 分钟的假治疗。在干预前后,分别在俯卧位髋关节伸展时测量躯干和下肢肌肉的起始时间,并使用视觉模拟评分法记录疼痛强度。干预组的疼痛显著减轻,竖脊肌胸段、腰段、多裂肌和臀大肌的起始时间明显提前。这些结果表明,CRET 疗法不仅能减轻疼痛,还能促进躯干肌肉活动。肌肉活动模式的改善可能会提高日常生活活动能力。本研究在日本大学医院医疗信息网络(UMIN-CTR:000046301)注册。

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