Pingot Julia, Słupiński Michał, Lipski Adam, Woldańska-Okońska Marta
Department of Nursing, Faculty of Social Sciences, Piotrkowska Academy, 97-300 Piotrków Trybunalski, Poland.
Rehabilika-Centre for Rehabilitation and Adult Age Medicine, 93-029 Lodz, Poland.
Healthcare (Basel). 2025 Sep 8;13(17):2238. doi: 10.3390/healthcare13172238.
: Back pain affects a large number of people and, therefore, represents a significant financial burden for the state. In most cases, it can be treated conservatively. The aim of this study is to evaluate and compare the effects of multiple impulse therapy (MIT), the McKenzie method, axial traction using the Saunders lumbar lift, and NSAID pharmacotherapy in patients with discogenic low back pain (DLBP). : All patients completed a subjective evaluation of pain, both before and immediately after treatment, providing values on the Laitinen and VAS scales. The Schober test was performed in all groups. Pain and mobility were also assessed 30 days after the completion of treatment. : In all groups of patients, a significant improvement was obtained both at the end of treatment and 30 days after the applied therapies. On the Laitinen scale, the best results were obtained with McKenzie therapy and were similar with Saunders traction. On the VAS scale, the best results were observed in the group of patients treated with multiple impulse therapy and according to the Schober test. : Multiple impulse therapy functions as a valuable modality for pain control for treating patients with discogenic low back pain compared to McKenzie MDT and Saunders traction. MIT is well-tolerated by patients, completely safe, and non-invasive. Physiokinetic methods such as Saunders' traction, McKenzie, and MIT showed greater analgesic efficacy when compared to drug treatment in patients with discogenic low back pain.
背痛影响着大量人群，因此给国家带来了巨大的经济负担。在大多数情况下，背痛可以通过保守治疗。本研究的目的是评估和比较多脉冲疗法（MIT）、麦肯齐方法、使用桑德斯腰椎提升器的轴向牵引以及非甾体抗炎药药物疗法对椎间盘源性下腰痛（DLBP）患者的疗效。所有患者在治疗前和治疗后立即完成了疼痛的主观评估，提供了莱蒂宁量表和视觉模拟量表（VAS）的值。所有组均进行了肖伯试验。在治疗完成30天后也评估了疼痛和活动能力。在所有患者组中，在治疗结束时和应用治疗后30天均取得了显著改善。在莱蒂宁量表上，麦肯齐疗法取得了最佳效果，与桑德斯牵引的效果相似。在视觉模拟量表上，多脉冲疗法治疗的患者组以及根据肖伯试验观察到了最佳效果。与麦肯齐MDT和桑德斯牵引相比，多脉冲疗法是治疗椎间盘源性下腰痛患者疼痛控制的一种有价值的方式。多脉冲疗法耐受性良好，完全安全且无创。与药物治疗相比，桑德斯牵引、麦肯齐和多脉冲疗法等物理运动方法在椎间盘源性下腰痛患者中显示出更大的镇痛效果。
