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经皮神经调节对伴有下腰痛的压痛瘢痕处皮肤体温正常化及疼痛的影响:最新进展与病例报告

Effect of transcutaneous neuromodulation on normalization of dermal body temperature and pain in a tender scar in the presence of low back pain: An update and case report.

作者信息

Molina-Payá Francisco J, Sánchez Romero Eleuterio A, Fernández-Carnero Samuel, Noguera-Iturbe Yolanda, Selva-Sarzo Francisco

机构信息

Department of Physiotherapy, Faculty of Health Sciences, Universidad Cardenal Herrera-CEU, Elche Campus, Elx, Alicante, Comunitat Valenciana, Spain.

Department of Rehabilitation, Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain.

出版信息

SAGE Open Med Case Rep. 2024 May 14;12:2050313X241249058. doi: 10.1177/2050313X241249058. eCollection 2024.

Abstract

Low back pain affects over 20% of individuals during their lifetime, and in some patients, it may be associated with scar tissue formation after surgery. Small-fiber neuropathy and scar tissue dysfunction can lead to localized pain by affecting signals to the thalamus. Transcutaneous neuromodulation using Tape with Magnetic Particles shows promise in relieving perceived pain, modulating vascularization and the autonomic nervous system, and reducing dermal temperature. In the present case, a 24-year-old woman with L5-S1 disk herniation experienced low back pain and leg pressure. The surgical intervention provided temporary relief, but scar restrictions caused pain recurrence. Tape with Magnetic Particles application initially induced scar hypothermia and pressure tolerance during posteroanterior tests on lumbar spinous processes increased, reducing pain perception for at least 12 h. Transcutaneous neuromodulation with Tape with Magnetic Particles modulated dermal temperature immediately and for 12 h, reducing perceived pain and sustaining improvement thereafter. This highlights the potential of Tape with Magnetic Particles in managing chronic low back pain associated with scar tissue.

摘要

下背痛在一生中影响超过20%的人,在一些患者中,它可能与手术后瘢痕组织形成有关。小纤维神经病变和瘢痕组织功能障碍可通过影响向丘脑的信号而导致局部疼痛。使用带磁颗粒的胶带进行经皮神经调节在缓解感知疼痛、调节血管生成和自主神经系统以及降低皮肤温度方面显示出前景。在本病例中,一名患有L5-S1椎间盘突出症的24岁女性经历了下背痛和腿部压迫感。手术干预提供了暂时缓解,但瘢痕限制导致疼痛复发。在腰椎棘突上进行前后测试时,应用带磁颗粒的胶带最初引起瘢痕体温过低和压力耐受性增加,疼痛感知降低至少12小时。使用带磁颗粒的胶带进行经皮神经调节可立即调节皮肤温度并持续12小时,降低感知疼痛并在此后维持改善。这突出了带磁颗粒的胶带在管理与瘢痕组织相关的慢性下背痛方面的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f28f/11092538/83ac11b22d6b/10.1177_2050313X241249058-fig1.jpg

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