Yilmaz Menek Merve, Dansuk Emre, Tayboga Umut Islam
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medipol University, 34810 Istanbul, Turkey.
J Clin Med. 2024 Aug 5;13(15):4566. doi: 10.3390/jcm13154566.
Vibration therapy approaches are an effective and safe treatment option for musculoskeletal disorders. This study examines the effects of vibration therapy using a percussion massage gun (PMG) on joint position sense, range of motion, pain, functionality, and kinesiophobia in individuals with cervical disc herniation (CDH). This single-blind randomized controlled trial involved 44 CDH patients divided into a Vibration Group (VG) and a Conventional Group (CG). The CG underwent a standard physiotherapy treatment heat application, Transcutaneous Electrical Nerve Stimulation (TENS), and exercises for range of motion and strengthening. VG received conventional therapy augmented with vibration therapy (VT) via a PMG. Joint position sense (JPS) using the Laser Pointer Assisted Angle Repetition Test; pain intensity with the Visual Analog Scale, kinesiophobia with the Tampa Scale for Kinesiophobia, and cervical dysfunction with the Neck Disability Index were assessed. Both groups showed statistically significant improvements in pain, kinesiophobia, disability, and proprioception after treatment ( < 0.05). When comparing the difference values between groups, the VG was found to be more effective than the CG in the parameters of VAS activity ( = 0.013). The CG had more improvement in JPS neck left rotation than the VG ( = 0.000). VT, when combined with conventional physiotherapy, is effective in improving pain, proprioception, and functionality in individuals with CDH. These findings support the inclusion of VT as a beneficial adjunct therapy. Further research with larger sample sizes and longer follow-ups is recommended to validate these results and explore the long-term effects of VT on CDH.
振动疗法是治疗肌肉骨骼疾病的一种有效且安全的选择。本研究探讨了使用冲击按摩枪(PMG)进行振动疗法对颈椎间盘突出症(CDH)患者的关节位置觉、活动范围、疼痛、功能和运动恐惧的影响。这项单盲随机对照试验纳入了44例CDH患者,分为振动组(VG)和传统组(CG)。CG接受标准物理治疗——热敷、经皮电刺激神经疗法(TENS)以及活动范围和强化训练。VG在接受传统治疗的基础上,通过PMG增加振动疗法(VT)。使用激光指针辅助角度重复测试评估关节位置觉(JPS);使用视觉模拟量表评估疼痛强度,使用坦帕运动恐惧量表评估运动恐惧,使用颈部残疾指数评估颈椎功能障碍。两组在治疗后疼痛、运动恐惧、功能障碍和本体感觉方面均有统计学意义的改善(<0.05)。比较两组之间的差值时,发现VG在视觉模拟量表活动参数方面比CG更有效(=0.013)。CG在JPS颈部左旋方面的改善比VG更多(=0.000)。VT与传统物理治疗相结合,可有效改善CDH患者的疼痛、本体感觉和功能。这些发现支持将VT作为一种有益的辅助治疗方法。建议进行更大样本量和更长随访时间的进一步研究,以验证这些结果并探索VT对CDH的长期影响。
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