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电磁场疗法治疗机械性下腰痛的有效性:一项随机对照试验。

Effectiveness of Electromagnetic Field Therapy in Mechanical Low Back Pain: A Randomized Controlled Trial.

作者信息

Koura Ghada Mohamed Rashad, Elshiwi Ahmed Mohamed Fathi, Alshahrani Mastour Saeed, Elimy Doaa Ayoub, Alshahrani Razan Abdurahman Nasser, Alfaya Fareed F, Alshehri Shaker Hassan S, Hadi Amal A, Alshehri Mohammed Abdullah, Alnakhli Hani Hassan, Ahmad Fuzail, Ahmad Irshad

机构信息

Program of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, 61421, Saudi Arabia.

Consultant and Head of Physical Therapy Department, Saudi German Hospital, Aseer, Saudi Arabia.

出版信息

J Pain Res. 2025 Mar 8;18:1131-1142. doi: 10.2147/JPR.S500698. eCollection 2025.


DOI:10.2147/JPR.S500698
PMID:40078750
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11900790/
Abstract

BACKGROUND: Between half and three quarters of the working-age population in today's industrialized globe suffers from lower back pain. The presence of a myofascial trigger point-a hyperirritable painful area comprised of a small number of muscle fibers-identifies mechanical back pain sufferers as suffering from myofascial pain syndrome, a chronic pain disorder. This research objectives to determine whether mechanical back pain patients' pain severity and functional disabilities are influenced by electromagnetic field therapy. METHODS AND SUBJECTS: Two groups of thirty patients were randomly assigned. The 15 participants in group A underwent conventional physical therapy (including ultrasound, stretches, and strength training for the back muscles), while the 15 participants in group B received a combination of conventional physical therapy and electromagnetic field therapy. Pre- and post-treatment assessments of pain intensity, functional impairment, and lumbar range of motion (including extension, flexion, and right and left side bending) were examined. The variables of interest that were examined at various testing groups and measuring periods were compared using a 2×2 mixed design MANOVA. RESULTS: After treatment, there was a significant difference in all dependent variables between the two groups in terms of between-subject effects (p <0.05). Group B benefited from a significant decrease in pain, right and left side bending, and function disability, as well as an increase in flexion and extension. CONCLUSION: Patients suffering from mechanical back pain can find relief from their discomfort and functional impairment through the use of electromagnetic field therapy, according to the current study's conclusions.

摘要

背景:在当今工业化世界中,有一半到四分之三的劳动年龄人口患有腰痛。肌筋膜触发点的存在——一个由少量肌纤维组成的高度敏感的疼痛区域——将机械性背痛患者识别为患有肌筋膜疼痛综合征,这是一种慢性疼痛障碍。本研究旨在确定电磁场疗法是否会影响机械性背痛患者的疼痛严重程度和功能障碍。 方法与受试者:随机分配两组,每组30名患者。A组的15名参与者接受了传统物理治疗(包括超声波、伸展运动和背部肌肉力量训练),而B组的15名参与者接受了传统物理治疗与电磁场疗法的联合治疗。对疼痛强度、功能障碍和腰椎活动范围(包括伸展、屈曲以及左右侧弯曲)进行治疗前和治疗后的评估。使用2×2混合设计多变量方差分析比较在不同测试组和测量时间段所检查的感兴趣变量。 结果:治疗后,两组之间在所有因变量的受试者间效应方面存在显著差异(p<0.05)。B组在疼痛、左右侧弯曲和功能障碍方面显著减轻,同时屈曲和伸展增加。 结论:根据当前研究的结论,患有机械性背痛的患者可以通过使用电磁场疗法缓解不适和功能障碍。

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引用本文的文献

[1]
Effectiveness of Electromagnetic Field Therapy in Mechanical Low Back Pain: A Randomized Controlled Trial [Letter].

J Pain Res. 2025-8-14

本文引用的文献

[1]
Efficacy of pulsed electromagnetic field therapy on pain and physical function in patients with non-specific low back pain: a systematic review.

Wien Med Wochenschr. 2025-2

[2]
Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021.

J Orthop Sports Phys Ther. 2021-11

[3]
Electromagnetic Field Therapy: A Rehabilitative Perspective in the Management of Musculoskeletal Pain - A Systematic Review.

J Pain Res. 2020-6-12

[4]
Real-world incidence and prevalence of low back pain using routinely collected data.

Rheumatol Int. 2019-3-8

[5]
Mechanical Low Back Pain.

Am Fam Physician. 2018-10-1

[6]
Effect of pulsed electromagnetic field on nonspecific low back pain patients: a randomized controlled trial.

Braz J Phys Ther. 2018-8-21

[7]
Veterinary applications of pulsed electromagnetic field therapy.

Res Vet Sci. 2018-8

[8]
Electromagnetic transduction therapy in non-specific low back pain: A prospective randomised controlled trial.

J Orthop. 2017-6-29

[9]
Electromagnetic fields for treating osteoarthritis.

Cochrane Database Syst Rev. 2013-12-14

[10]
Accuracy of measuring lateral flexion of the spine with a tape.

Clin Biomech (Bristol). 1986-5

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