Faculty of Medicine, Department of Physical Medicine and Rehabilitation, University of Health Sciences, Adana City Training and Research Hospital, Adana, Türkiye.
Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Çukurova University, Adana, Türkiye.
Rheumatol Int. 2024 Aug;44(8):1535-1541. doi: 10.1007/s00296-024-05645-x. Epub 2024 Jun 25.
BACKGROUND: Low back pain that lasts longer than three months is called chronic low back pain. Chronic low back pain is among the most common problems in the world, causing severe disability and loss of employment in patients. OBJECTIVE: To investigate the effect of pulse electromagnetic field therapy (PEMFT) added to routine physical therapy on pain and functional status in patients with chronic low back pain. METHODS: This retrospective comparative study included 69 patients with chronic low back pain. The patients were divided into two groups: those who received lumbar transcutaneous electrical nerve stimulation, infrared, and ultrasound treatments, and those who additionally received PEMFT. The files of patients with chronic low back pain were reviewed, and those who had been evaluated using the Quebec Back Pain Disability Scale (QBPDS) in terms of functional capacity and effects of low back pain and the Visual Analogue Scale (VAS) for pain both before and after treatment were included in the study. RESULTS: No significant difference was detected between the two groups' pretreatment VAS and QBPDS scores (p > 0.05). The second-and-third measurement scores of both groups were significantly lower than their first-measurement VAS and QBPDS scores (p ˂ 0.001), but there was no significant difference between their second- and third-measurement scores (p > 0.05). According to the inter-group comparison of the VAS and QBPDS scores, the second and third-measurement scores of the PEMFT group were significantly lower than those of the control group (p ˂ 0.001). CONCLUSIONS: PEMFT seems to be able to alleviate pain intensity and ameliorate disability in patients with chronic low back pain. PEMFT can be considered an effective and safe option that can be added to routine physical therapy modalities for relieving chronic low back pain frequently encountered in clinical practice. Further studies validating the effectiveness of PEMFT could strengthen its position in the management of chronic low back pain.
背景:持续时间超过三个月的腰痛称为慢性腰痛。慢性腰痛是世界上最常见的问题之一,会给患者造成严重的残疾和失业。
目的:研究脉冲电磁场疗法(PEMFT)联合常规物理治疗对慢性腰痛患者疼痛和功能状态的影响。
方法:这是一项回顾性对比研究,纳入了 69 例慢性腰痛患者。患者分为两组:一组接受经皮电神经刺激、红外线和超声治疗,另一组在此基础上还接受 PEMFT 治疗。回顾性分析慢性腰痛患者的病历资料,纳入治疗前后均采用魁北克腰痛残疾量表(QBPDS)评估功能能力和腰痛影响,以及视觉模拟量表(VAS)评估疼痛的患者。
结果:两组治疗前 VAS 和 QBPDS 评分无显著差异(p>0.05)。两组第二次和第三次测量的评分均明显低于第一次测量的 VAS 和 QBPDS 评分(p<0.001),但第二次和第三次测量的评分之间无显著差异(p>0.05)。根据 VAS 和 QBPDS 评分的组间比较,PEMFT 组的第二次和第三次测量评分明显低于对照组(p<0.001)。
结论:PEMFT 似乎能减轻慢性腰痛患者的疼痛强度,改善其残疾程度。PEMFT 可作为一种有效且安全的选择,可添加到常规物理治疗方案中,以缓解临床实践中常见的慢性腰痛。进一步验证 PEMFT 有效性的研究可以增强其在慢性腰痛管理中的地位。
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