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脉冲刺激斜角肌对背痛、不适和幸福感的影响:一项针对慢性腰痛患者的随机对照试验。

Effects of an Impulse on the Sterno-Cleido-Mastoid Muscle on Back Pain, Discomfort, and Well-Being: A Randomized Controlled Trial in People with Low Back Pain.

机构信息

Institute of Psychology, German Sport University Cologne, Cologne, Germany.

出版信息

Complement Med Res. 2022;29(6):453-464. doi: 10.1159/000526757. Epub 2022 Sep 1.

Abstract

INTRODUCTION

In the treatment of low back pain (LBP), passive regimens (e.g., relaxation) as opposed to active regimens (e.g., muscle training) may be a useful adjunct or, in certain cases, the only possible approach. Passive relaxation may be particularly useful for individuals who have lost the ability to adequately perceive relaxed muscles. The aim of the randomized controlled trial presented here was to investigate a specific and novel treatment for passive relaxation, namely, the Vitametik impulse (VI).

METHODS

Participants (n = 135; 73.3% women; 26.7% men) were individuals with mild to moderate LBP aged from 19 to 76 years (M = 48.8). The participants were randomly assigned to one of four different groups (three different 8-week interventions, one control group). Pain, discomfort, and well-being were measured before and after the intervention period and at an 8-week follow-up.

RESULTS

In the VI group, the decrease in various pain variables and discomfort was higher compared to the control group and compared to an education program (EP). There were no differences between the VI group and a combined VI/EP group. The effects remained stable until follow-up.

CONCLUSION

VI appears to be an effective approach in the treatment of LBP, although the underlying mechanism remains unproven. Future studies should compare VI treatment with specific relaxation techniques or active muscle training. In addition, the results of the study need to be replicated.

摘要

简介

在治疗下背痛(LBP)时,被动疗法(例如放松)可能比主动疗法(例如肌肉训练)更有效,可以作为辅助手段,或者在某些情况下是唯一可行的方法。对于那些已经丧失了充分感知放松肌肉能力的人来说,被动放松可能特别有用。本随机对照试验旨在研究一种针对被动放松的特定而新颖的治疗方法,即 Vitametik 脉冲(VI)。

方法

参与者(n = 135;73.3%女性;26.7%男性)为年龄在 19 至 76 岁(M = 48.8)之间的轻度至中度 LBP 个体。参与者被随机分配到四个不同组中的一个(三个不同的 8 周干预组,一个对照组)。在干预期前后和 8 周随访时测量疼痛、不适和幸福感。

结果

与对照组和教育计划(EP)相比,VI 组各种疼痛变量和不适的减少幅度更高。VI 组与 VI/EP 联合组之间无差异。这些效果一直稳定到随访。

结论

尽管其潜在机制尚未得到证实,但 VI 似乎是治疗 LBP 的有效方法。未来的研究应将 VI 治疗与特定的放松技术或主动肌肉训练进行比较。此外,还需要复制研究结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f21/10664331/e66e7dc10ea6/cmr-0029-0453-g01.jpg

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