Hara Kanshu, Yoshida Hideki, Tanaka Dai
Department of Rehabilitation, Kuroishi General Hospital: 1-70 Kitami, Kuroishi, Aomori 036-0541, Japan.
Department of Comprehensive Rehabilitation Science, Hirosaki University Graduate School of Health Sciences, Japan.
J Phys Ther Sci. 2024 Aug;36(8):415-419. doi: 10.1589/jpts.36.415. Epub 2024 Aug 1.
[Purpose] This study aimed to investigate the effect of the location of electrode attachment in transcutaneous electrical nerve stimulation on pain relief in patients with lumbar vertebral body fractures. [Participants and Methods] This study included 59 patients with lumbar vertebral body fractures, who were randomly assigned to receive transcutaneous electrical nerve stimulation to the lumbar region, lower limbs, or upper limbs, or no treatment, over a 4-week period. Pain, activities of daily living, and pain catastrophizing were assessed. [Results] Compared with the control group, transcutaneous electrical nerve stimulation to the lumbar region or lower limbs significantly reduced pain levels in the first 2 weeks. Although, activities of daily living and pain catastrophizing improved over time, no significant differences were observed between the groups. [Conclusion] Transcutaneous electrical nerve stimulation provides pain relief to patients during the early stages of lumbar vertebral body fractures. However, it had no effect on the activities of daily living, pain catastrophizing, or long-term pain-relief. For lumbar vertebral body fracture pain relief, transcutaneous electrical nerve stimulation electrodes should be attached to the lumbar region or lower limbs.
[目的] 本研究旨在探讨经皮电刺激神经疗法中电极附着位置对腰椎椎体骨折患者疼痛缓解的影响。[参与者与方法] 本研究纳入了59例腰椎椎体骨折患者，将其随机分为四组，分别接受为期4周的对腰部、下肢或上肢进行经皮电刺激神经疗法，或不接受治疗。评估疼痛、日常生活活动能力和疼痛灾难化程度。[结果] 与对照组相比，对腰部或下肢进行经皮电刺激神经疗法在最初2周显著降低了疼痛水平。尽管日常生活活动能力和疼痛灾难化程度随时间有所改善，但各治疗组之间未观察到显著差异。[结论] 经皮电刺激神经疗法在腰椎椎体骨折早期为患者提供了疼痛缓解。然而，它对日常生活活动能力、疼痛灾难化程度或长期疼痛缓解没有影响。对于腰椎椎体骨折的疼痛缓解，经皮电刺激神经疗法的电极应附着于腰部或下肢。
