添加监督物理治疗运动方案对光生物调节疗法治疗颈源性躯体感觉性耳鸣的效果：一项随机对照研究。
Effect of adding a supervised physical therapy exercise program to photobiomodulation therapy in the treatment of cervicogenic somatosensory tinnitus: A randomized controlled study.
机构信息
Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Science, Jouf University, Saudi Arabia.
Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
出版信息
Medicine (Baltimore). 2022 Aug 5;101(31):e29946. doi: 10.1097/MD.0000000000029946.
OBJECTIVES
To evaluate the effectiveness of adding a supervised physical therapy exercise program to photobiomodulation therapy (PBMT) in the treatment of cervicogenic somatosensory tinnitus (CST).
METHODS
Forty patients suffering from CST with age 45-55 years were included in the study. They were assigned randomly into 2 groups, 20 per each. (Study group) Group (A) received a supervised physical therapy exercise program in addition to 20 minutes PBMT with a 650-nanometer wavelength and a 5 milliWatt power output, spot size of 1 cm2, and energy density of 6 Joules, 3 sessions per week for 8 consecutive weeks, plus traditional medical treatment. While (control group), group (B) received the same PBMT protocol, 3 sessions per week for 8 consecutive weeks in addition to the traditional medical treatment. Tinnitus visual analog scaling (VAS), tinnitus handicap inventory (THI), and cervical range of motion (ROM) were measured at baseline and after 8 weeks.
RESULTS
Mixed MANOVA showed a statistically significant reduction in tinnitus VAS, THI, and a significant improvement in cervical ROM (flexion, extension, right bending, left bending, right rotation, and left rotation) in favor of Group A (P < .05). There was a significant decrease in posttreatment VAS treatment (P > .001) MD [-2.05(-2.68:-1.41)], and THI relative to pretreatment mean difference [-5.35(-8.51: -2.19)] and a significant increase in posttreatment neck ROM in Groups A and B relative to pretreatment neck ROM (P > .001). Flexion range posttreatment MD[3.65(1.64:5.65)], Extension MD [6.55(1.35:11.75)], right bending MD[3.8(2.51:5.08)], left bending MD[1.75(0.19:3.3)], right rotation MD [3.5(1.28:5.71)] and left rotation [2.75(0.67:4.82)].
CONCLUSIONS
Adding a supervised physical therapy exercise program to PBMT showed positive and beneficial effects in the treatment of CST using VAS, THI, and Cervical ROM assessment tools.
目的
评估在光生物调节疗法（PBMT）治疗中加入监督物理治疗运动方案对颈源感觉性耳鸣（CST）的疗效。
方法
本研究纳入了 40 名年龄在 45-55 岁之间的 CST 患者。他们被随机分为两组，每组 20 人。（研究组）组（A）在接受 650nm 波长、5mW 输出功率、光斑大小 1cm2、能量密度 6J 的 20 分钟 PBMT 治疗的同时，还接受了监督物理治疗运动方案，每周 3 次，连续 8 周，外加传统医疗。而（对照组）组（B）在接受每周 3 次、连续 8 周的相同 PBMT 方案治疗的同时，还接受了传统医疗。在基线和 8 周后，分别测量耳鸣视觉模拟评分（VAS）、耳鸣残疾量表（THI）和颈椎活动度（ROM）。
结果
混合 MANOVA 显示，在 VAS、THI 方面，研究组（A）的耳鸣有统计学意义的降低，颈椎 ROM（屈伸、右弯、左弯、右旋转、左旋转）有显著改善（P <.05）。治疗后 VAS 治疗评分显著下降（P >.001），MD [-2.05(-2.68:-1.41)]，THI 与治疗前相比有显著差异[MD-5.35(-8.51:-2.19)]，且治疗后 A、B 两组颈椎 ROM 与治疗前相比有显著改善（P >.001）。治疗后屈伸范围 MD[3.65(1.64:5.65)]，伸展 MD[6.55(1.35:11.75)]，右弯 MD[3.8(2.51:5.08)]，左弯 MD[1.75(0.19:3.3)]，右旋转 MD[3.5(1.28:5.71)]和左旋转 MD[2.75(0.67:4.82)]。
结论
在 PBMT 治疗中加入监督物理治疗运动方案，使用 VAS、THI 和颈椎 ROM 评估工具，对 CST 的治疗有积极有益的效果。
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