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基于经络理论的体外冲击波治疗非特异性腰痛的疗效观察:一项随机对照试验的研究方案。

Observation of curative effect on meridian theory-based extracorporeal shock wave therapy for non-specific low back pain: study protocol for a randomized controlled trial.

机构信息

Henan University of Chinese Medicine, Zhengzhou, 450000, China.

Rehabilitation Center, The First Affiliated Hospital of Henan University of Chinese Medicine, 19# Renmin Road, Jinshui District, Zhengzhou, 450000, Henan Province, China.

出版信息

J Orthop Surg Res. 2022 May 13;17(1):265. doi: 10.1186/s13018-022-03146-w.

Abstract

BACKGROUND

Non-specific low back pain (NLBP) is a major global socioeconomic burden, and the prevalence of NLBP is still on the rise. At present, there is no ideal drug to cure this disease. This may be the reason why patients often use complementary therapies. Among them, extracorporeal shock wave therapy (ESWT) has gradually received more attention and has become the main treatment method for NLBP. The purpose of this study is to provide scientific evidence for the effect and safety of meridian theory-based ESWT on NLBP.

OBJECTIVE

This study aims to evaluate the effect and safety of meridian theory-based ESWT on NLBP. This study will also provide more high-quality experimental evidence for the clinical application of meridian theory-based ESWT for the treatment of NLBP in future.

METHODS

The study design is a single-blind, multi-center, randomized controlled trial. 66 patients with NLBP, aged 18 to 60 years, will be randomly divided into two groups: the experimental group (N = 33), which will receive meridian theory-based ESWT application, and the control group (N = 33) which will receive conventional ESWT treatment. These two applications will be carried out twice a week for two weeks. The primary outcome will be the Visual Analog Scale (VAS), and the secondary outcomes will be Oswestry Disability Index (ODI), Surface Electromyography (sEMG), and Patient Health Questionnaire-15 (PHQ-15). All outcomes will be evaluated at baseline and after the intervention (7 days, 14 days).

DISCUSSION

Results of this trial will contribute to providing rigorous clinical evidence for the efficacy and security of meridian theory-based ESWT for NLBP.

TRIAL REGISTRATION

Chinese Clinical Trial Registry, ChiCTR2100051049. Registered on 10 September 2021, http://www.chictr.org.cn/showproj.aspx?proj=46316 .

摘要

背景

非特异性下腰痛(NLBP)是全球主要的社会经济负担之一,其患病率仍呈上升趋势。目前,尚无理想的药物可以治愈这种疾病。这可能是患者经常使用补充疗法的原因。其中,体外冲击波疗法(ESWT)逐渐受到更多关注,已成为 NLBP 的主要治疗方法。本研究旨在为基于经络理论的 ESWT 治疗 NLBP 的疗效和安全性提供科学依据。

目的

本研究旨在评估基于经络理论的 ESWT 治疗 NLBP 的疗效和安全性。本研究还将为未来基于经络理论的 ESWT 治疗 NLBP 的临床应用提供更多高质量的实验证据。

方法

研究设计为单盲、多中心、随机对照试验。将 66 例 18 至 60 岁的 NLBP 患者随机分为两组:实验组(N=33)接受基于经络理论的 ESWT 应用,对照组(N=33)接受常规 ESWT 治疗。这两种应用将每周进行两次,共两周。主要结局将是视觉模拟评分(VAS),次要结局将是 Oswestry 残疾指数(ODI)、表面肌电图(sEMG)和患者健康问卷-15(PHQ-15)。所有结局均在基线和干预后(7 天、14 天)进行评估。

讨论

该试验的结果将有助于为基于经络理论的 ESWT 治疗 NLBP 的疗效和安全性提供严格的临床证据。

试验注册

中国临床试验注册中心,ChiCTR2100051049。注册于 2021 年 9 月 10 日,http://www.chictr.org.cn/showproj.aspx?proj=46316。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeaf/9107249/bde2e3de9485/13018_2022_3146_Fig1_HTML.jpg

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