Extracorporeal Shock Wave Therapy Combined With Oral Medication and Exercise for Chronic Low Back Pain: A Randomized Controlled Trial,Archives of Physical Medicine and Rehabilitation

当前位置： X-MOL 学术 › Arch. Phys. Med. Rehabilit. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Extracorporeal Shock Wave Therapy Combined With Oral Medication and Exercise for Chronic Low Back Pain: A Randomized Controlled Trial
Archives of Physical Medicine and Rehabilitation ( IF 3.6 ) Pub Date : 2021-01-14 , DOI: 10.1016/j.apmr.2020.12.008
Parisa Taheri ₁ , Saeed Khosrawi ₁ , Mitra Ramezani ₁

Affiliation

Objective

To compare extracorporeal shock wave therapy combined with oral medication and an exercise program vs sham treatment with medication and exercise for the treatment of chronic low back pain (CLBP).

Design

Randomized controlled trial.

Setting

Outpatient clinic at a university hospital.

Participants

Eligibility criteria were age older than 18 years and duration of CLBP exceeding 3 months. Exclusion criteria were concurrent treatment or history of surgery for CLBP, cancer, fractures, infections, and disk degeneration.

Intervention

The intervention group received extracorporeal shock wave therapy once a week for 4 weeks along with oral medications and an exercise program. The control group received sham extracorporeal shock wave therapy along with oral medications and an exercise program.

Main Outcome Measures

Visual analog scale and Oswestry Disability Index (ODI) were used to assess pain and disability at baseline and after 3 months.

Results

The pain score in the intervention group (N=16) was 6.6 at baseline and 3.0 after 1 month (P<.0001) and 1.8 after 3 months (P<.0001). In the control group (N=16), the pain score was 6.8 at baseline, 4.6 after 1 month (P<.0001), and 1.1 after 3 months (P<.0001). ODI scores decreased significantly in both groups compared with baseline values (first month: P<.001, third month: P<.05). The mean ODI score did not differ significantly between the groups (P=.942).

Conclusion

Extracorporeal shock wave therapy combined with oral medication and exercise was safe and effective in the short-term treatment of chronic low back pain.

中文翻译：

体外冲击波疗法联合口服药物和运动治疗慢性腰痛：一项随机对照试验

客观的

比较体外冲击波治疗联合口服药物和运动计划与假治疗联合药物和运动治疗慢性腰痛 (CLBP)。

设计

随机对照试验。

环境

大学医院的门诊。

参与者

资格标准是年龄超过 18 岁和 CLBP 持续时间超过 3 个月。排除标准是 CLBP、癌症、骨折、感染和椎间盘退变的同时治疗或手术史。

干涉

干预组每周接受一次体外冲击波治疗，持续 4 周，同时接受口服药物和锻炼计划。对照组接受假体外冲击波治疗以及口服药物和锻炼计划。

主要观察指标

视觉模拟量表和 Oswestry 残疾指数 (ODI) 用于评估基线和 3 个月后的疼痛和残疾。

结果

干预组（N=16）的疼痛评分在基线时为 6.6，1 个月后为 3.0（P <.0001），3 个月后为 1.8（P <.0001）。在对照组（N=16）中，基线疼痛评分为 6.8，1 个月后为 4.6（P <.0001），3 个月后为 1.1（P <.0001）。与基线值相比，两组的 ODI 评分均显着下降（第一个月：P <.001，第三个月：P <.05）。各组之间的平均 ODI 评分没有显着差异 ( P =.942)。