Department of Physical Medicine and Rehabilitation, Ankara Bilkent City Hospital, Physical Therapy and Rehabilitation Hospital, Ankara, Turkey.
Pain Pract. 2024 Jul;24(6):839-844. doi: 10.1111/papr.13367. Epub 2024 Mar 8.
The aim was to evaluate the efficacy of ultrasound-guided erector spinae plane (ESP) block and compare with the conventional physical therapy in chronic low back pain (LBP).
This prospective case-controlled study included patients with chronic LBP. Their clinical and demographic data were obtained, and they were divided into two groups for conventional physical therapy and ESP blocks. Prior to treatment, on the first day, the second week, and the third month, the Oswestry Disability Index (ODI) and visual analog scale (VAS) pain score were evaluated.
The study included 43 patients, 21 in the ESP block group and 22 in the conventional physical therapy group. The VAS in movement was higher in the ESP block group at baseline (p = 0.047). On the first day after the treatments, the ESP block group showed lower resting (p < 0.001) and movement (p = 0.001) VAS values than the conventional physical therapy group. At the end of 3 months, both groups had improved VAS and ODI scores (all p < 0.001).
US-guided ESP block might be considered a successful, safe, and technically simple alternative treatment in patients with chronic LBP to control pain and reduce the cost of physical therapy and lost workdays.
评估超声引导竖脊肌平面（ESP）阻滞的疗效，并与常规物理疗法在慢性腰痛（LBP）中的疗效进行比较。
这是一项前瞻性病例对照研究，纳入了慢性腰痛患者。记录了他们的临床和人口统计学数据，并将他们分为常规物理治疗组和 ESP 阻滞组。在治疗前、治疗后第 1 天、第 2 周和第 3 个月，评估了 Oswestry 残疾指数（ODI）和视觉模拟评分（VAS）疼痛评分。
该研究纳入了 43 名患者，其中 21 名患者接受 ESP 阻滞治疗，22 名患者接受常规物理治疗。ESP 阻滞组在基线时的运动 VAS 更高（p=0.047）。在治疗后的第 1 天，ESP 阻滞组的静息（p<0.001）和运动（p=0.001）VAS 值均低于常规物理治疗组。在 3 个月结束时，两组的 VAS 和 ODI 评分均有改善（均 p<0.001）。
超声引导 ESP 阻滞可能是一种成功、安全、技术简单的替代治疗方法，可用于慢性腰痛患者，以控制疼痛并降低物理治疗费用和误工天数。
