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伊朗传统按摩(法特法)与物理疗法和针灸治疗慢性腰痛患者的比较:随机对照试验。

Comparison of an Iranian Traditional Massage (Fateh Method) with Physiotherapy and Acupuncture for Patients with Chronic Low Back Pain: a Randomized Controlled Trial.

机构信息

Department of Traditional Medicine, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Department of Physical Medicine and Rehabilitation, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Acupunct Meridian Stud. 2022 Jun 30;15(3):163-173. doi: 10.51507/j.jams.2022.15.3.163.

DOI:10.51507/j.jams.2022.15.3.163
PMID:35770546
Abstract

BACKGROUND

Low back pain (LBP) is currently a major reason for disability worldwide. Therapeutic massage is one of the most popular non-pharmacological methods for managing chronic LBP (CLBP), and the Fateh method is a massage technique based on Iranian Traditional Medicine.

OBJECTIVES

The current study aimed to compare the effects of Fateh massage with those of acupuncture and physiotherapy on relieving pain and disability in CLBP.

METHODS

Eighty-four patients with CLBP were categorized into groups that received Fateh massage, acupuncture, or physiotherapy. Each group included 28 randomly assigned patients who completed 10 sessions of therapy. Visual analogue scale (VAS) scores and Roland-Morris disability scores were evaluated at baseline, after intervention, and four weeks later. The findings were analyzed with SPSS software.

RESULTS

The baseline VAS and Roland-Morris scores of the three study groups did not indicate significant differences ( > 0.05). All three groups showed significant pre-post improvements in both scores ( < 0.05). At the end of the treatment sessions, the three groups showed no significant difference in the reductions in pain intensity and disability score ( > 0.05). Improvements in disability and pain between the first and third time points were significant in all three groups ( < 0.05 for each group). In addition, the results of massage, physiotherapy, and acupuncture groups were not significantly different ( > 0.05). No adverse events occurred in the patients.

CONCLUSION

The effects of Fateh massage were comparable to those of acupuncture and physiotherapy in reducing pain and disability in patients with CLBP.

摘要

背景

下背痛(LBP)目前是全球残疾的主要原因。按摩疗法是治疗慢性下背痛(CLBP)的最受欢迎的非药物方法之一,而 Fateh 按摩是一种基于伊朗传统医学的按摩技术。

目的

本研究旨在比较 Fateh 按摩、针灸和物理疗法对缓解 CLBP 疼痛和残疾的效果。

方法

将 84 例 CLBP 患者分为 Fateh 按摩组、针灸组和物理治疗组,每组 28 例,均接受 10 次治疗。在基线、干预后和 4 周后评估视觉模拟评分(VAS)和 Roland-Morris 残疾评分。采用 SPSS 软件进行数据分析。

结果

三组研究对象的基线 VAS 和 Roland-Morris 评分无显著差异(>0.05)。三组在治疗前后均有显著的 VAS 和 Roland-Morris 评分改善(<0.05)。治疗结束时,三组在疼痛强度和残疾评分的降低方面无显著差异(>0.05)。三组在第一次和第三次治疗时间点的残疾和疼痛改善均有显著差异(每组<0.05)。此外,按摩、物理治疗和针灸组的结果无显著差异(>0.05)。患者未发生不良反应。

结论

Fateh 按摩在减轻 CLBP 患者疼痛和残疾方面的效果与针灸和物理疗法相当。

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