随机共振疗法、全身振动和平衡训练对慢性非特异性颈部疼痛患者疼痛感知和感觉运动功能影响的比较：一项随机对照试验方案

A Comparison of the Effects of Stochastic Resonance Therapy, Whole-Body Vibration, and Balance Training on Pain Perception and Sensorimotor Function in Patients With Chronic Nonspecific Neck Pain: Protocol for a Randomized Controlled Trial.

作者信息

Igbokwe Emmanuel Osinachi, Taube Wolfgang, Beinert Konstantin

机构信息

Department of Neurosciences and Movement Science, Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland.

Reha Center Michaeliskarree, Hof, Germany.

出版信息

JMIR Res Protoc. 2022 Jun 24;11(6):e34430. doi: 10.2196/34430.

DOI:10.2196/34430

PMID:35656706

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9270712/

Abstract

BACKGROUND

Neck pain is a prevalent pathological condition, and together with low back pain, it presents as the leading cause of years lived with disability worldwide in 2015 and continues to contribute substantially to the global burden of disease.

OBJECTIVE

This study will investigate and compare the effects of stochastic resonance therapy (SRT), whole-body vibration (WBV), and balance training (BLT) in the management of chronic nonspecific neck pain.

METHODS

In total, 45 participants with chronic neck pain will be randomly allocated into SRT, WBV, and BLT groups. Pain intensity, pressure pain threshold, neck disability, and cervical joint position sense will be measured before, immediately after, and 15 minutes after the first intervention session and after 4 weeks of intervention. A follow-up postintervention measurement would be taken after 4 weeks. The SRT group will train on an SRT device (SRT Zeptor Medical plus noise, Zeptoring). The WBV group will train on a Galileo vibration device (Novotec Medical), while the BLT group will perform balance exercises. All participants shall train 3 times a week for a period of 4 weeks. Mixed ANOVA will be used to determine the main and effects of interactions within (before intervention, post intervention 1, post intervention 2, post intervention 3, and follow-up) and between (SRT, WBV, and BLT) factors on the study outcome variables.

RESULTS

Recruitment of participants started in May 2021, and as of May 2022, a total of 20 patients have been enrolled in the study. All participants are expected to have completed the trial by the end of 2022, and data analysis will commence thereafter.

CONCLUSIONS

The outcome of this study will shed closer light on the effects of SRT, WBV, and BLT on pain and function in patients with chronic neck pain.

TRIAL REGISTRATION

German Clinical Trials Register DRKS00023881; https://tinyurl.com/ycxuhj37.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/34430.

摘要

背景

颈部疼痛是一种常见的病理状况，与下背部疼痛一起，在2015年成为全球残疾生活年限的主要原因，并继续对全球疾病负担产生重大影响。

目的

本研究将调查和比较随机共振疗法（SRT）、全身振动（WBV）和平衡训练（BLT）对慢性非特异性颈部疼痛的治疗效果。

方法

总共45名慢性颈部疼痛患者将被随机分配到SRT、WBV和BLT组。在第一次干预 session 之前、之后立即、之后15分钟以及干预4周后，测量疼痛强度、压痛阈值、颈部残疾和颈椎关节位置觉。干预后4周进行随访测量。SRT组将在SRT设备（SRT Zeptor Medical plus noise，Zeptoring）上进行训练。WBV组将在伽利略振动设备（Novotec Medical）上进行训练，而BLT组将进行平衡练习。所有参与者每周训练3次，为期4周。混合方差分析将用于确定（干预前、干预后1、干预后2、干预后3和随访）和（SRT、WBV和BLT）因素之间的主要和交互作用对研究结果变量的影响。