Clinical Rehabilitation最新文献

{"title":"Effect of Baduanjin exercise on executive function in older adults with cognitive frailty: A randomized controlled trial.","authors":"Xiaoqian Wang, Jiawei Wu, Haoran Zhang, Guohua Zheng","doi":"10.1177/02692155231215891","DOIUrl":"10.1177/02692155231215891","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effectiveness of Baduanjin exercise on executive function in community-dwelling older adults with cognitive frailty.</p><p><strong>Design: </strong>Randomized controlled trial.</p><p><strong>Setting: </strong>Community residential centers.</p><p><strong>Subjects: </strong>120 eligible older adults.</p><p><strong>Interventions: </strong>Baduanjin training group received supervised Baduanjin training, 60 min sessions three times per week for 24 weeks. The control group did not receive any exercise intervention.</p><p><strong>Main measures: </strong>Primary outcome was executive function, assessed using Clock Drawing Test. Secondary outcomes included the subcomponents of executive function (working memory, inhibitory control and cognitive flexibility), attention and cognitive frailty (global cognitive function, physical frailty) assessed using Verbal Fluency Test, Trail Making Test-A/B, Stroop Test, Montreal Cognitive Assessment and Edmonton Frailty Scale, respectively, at baseline and 24 weeks after intervention.</p><p><strong>Results: </strong>After the 24-week intervention, the scores of Clock Drawing Test and Verbal Fluency Test, the Trail Making Test-B time and the Card correct numbers of Stroop Test in Baduanjin training group showed significant improvement compared with control group (all <i>P </i>< 0.05) with small to moderate effect sizes and the significant interaction effect of group by time in the Clock Drawing Test and Trail Making Test-B test (<i>P </i>= 0.003 and <i>P </i>= 0.043); cognitive frailty variables, including Montreal Cognitive Assessment and Edmonton Frail Scale scores, also showed significant improvement (<i>P </i>= 0.002 and <i>P </i>= 0.004) with a moderate effect sizes and a significant interaction effect (<i>P </i>< 0.001, <i>P </i>= 0.013). No adverse events were reported.</p><p><strong>Conclusion: </strong>Regular Baduanjin training may be an effective and safe intervention to improve cognitive frailty and executive function in community-dwelling older adults with cognitive frailty.</p><p><strong>Trial registration: </strong>Chinese Clinical Trial Registry, ChiCTR2100050857. Data of registration: 8/5/2020, https://www.chictr.org.cn/showproj.html?proj = 133037.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of guided telerehabilitation on functional performance in community-dwelling older adults: A systematic review.","authors":"C J Gamble, Jcm van Haastregt, E F van Dam van Isselt, Smg Zwakhalen, Jmga Schols","doi":"10.1177/02692155231217411","DOIUrl":"10.1177/02692155231217411","url":null,"abstract":"<p><strong>Objective: </strong>To systematically review the effectiveness of guided telerehabilitation on improving functional performance in community-dwelling older adults.</p><p><strong>Data sources: </strong>Articles published in PubMed, Cochrane Library and Embase (Ovid) from 01 January 2010 up to 17 October 2023.</p><p><strong>Review methods: </strong>Included studies had (1) a randomised controlled trial design, (2) an average population age of 65 years or older, (3) a home-based setting and (4) evaluated the effectiveness of functional performance outcome measures. The intervention was considered telerehabilitation when guided by a healthcare professional using video, audio and/or text communication technologies with a minimum frequency of once per week. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020 statement guideline was followed. Methodological quality was appraised using the revised Cochrane Risk of Bias tool.</p><p><strong>Results: </strong>A total of 26 randomised controlled trials were included. Telerehabilitation had superior (<i>N </i>= 15), non-superior (<i>N </i>= 16) or non-inferior (<i>N </i>= 11) effectiveness for improving functional performance outcome measures compared to control interventions. No studies found the control intervention to be superior over telerehabilitation. Between study differences in intervention characteristics contributed to significant clinical heterogeneity. Five studies were found to present an overall 'low' risk of bias, 12 studies to present 'some' risk of bias and 9 studies to present an overall 'high' risk of bias.</p><p><strong>Conclusion: </strong>The findings suggest that telerehabilitation could be a promising alternative to in-person rehabilitation for improving functional performance in community-dwelling older adults. Additional well-designed studies with minimised bias are needed for a better understanding of effective telerehabilitation intervention strategies.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10898211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138444177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of dual-task training on cognitive ability, physical function, and dual-task performance in people with dementia or mild cognitive impairment: A systematic review and meta-analysis.","authors":"Dan Yu, Xun Li, Shutang He, Huina Zhu, Freddy Man Hin Lam, Marco Yiu Chung Pang","doi":"10.1177/02692155231216621","DOIUrl":"10.1177/02692155231216621","url":null,"abstract":"<p><strong>Objective: </strong>To summarize the effect of dual-task training on cognitive, physical function, and dual-task performance in people with mild cognitive impairment or dementia.</p><p><strong>Data sources: </strong>Embase, PEDro, PsycINFO, PubMed, CINAHL, The Cochrane Library, and a forward search conducted via Web of Science have been searched from inception to July 2023.</p><p><strong>Review methods: </strong>Good-quality randomized controlled trials compared dual-task training with no/placebo intervention or single-task training among people with a primary diagnosis of mild cognitive impairment or dementia were included. The PEDro scale was used to evaluate the methodological quality of individual studies. The Grading of Recommendations, Assessment, Development and Evaluations system was adopted to appraise the quality of evidence for each outcome.</p><p><strong>Results: </strong>Eighteen trials (1325 participants) were included, and 17 provided data for meta-analysis. Comparing with no intervention, dual-task training led to significant improvements on attention (mean difference (MD) = -20.66, 95%CI [-39.42, -1.90]), functional mobility (MD = -2.73; 95%CI [-3.98, -1.49]). Compared with single-task training, dual-task training had greater effects on overall cognitive function (standardized mean difference (SMD) = 0.29, 95%CI [0.09, 0.49]), balance (SMD = 0.78, 95%CI [0.40, 1.15]) and functional mobility (MD = -1.17; 95%CI [-1.77, -0.58]). Its effect on dual-task performance remains inconclusive due to the inconsistent results reported.</p><p><strong>Conclusion: </strong>Low- to moderate-quality evidence supports that dual-task training has beneficial effects on cognitive function and physical function in individuals with dementia or mild cognitive impairment. The optimal training protocol of dual-task training on cognitive and physical functions, and dual-task performance remains uncertain. Well-designed, randomized studies with large enough sample sizes are warranted.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138440422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptance and Commitment Therapy is feasible for people with acquired brain injury: A process evaluation of the BrainACT treatment.","authors":"Johanne Cc Rauwenhoff, Yvonne Bol, Frenk Peeters, Caroline M van Heugten","doi":"10.1177/02692155231218813","DOIUrl":"10.1177/02692155231218813","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility of Acceptance and Commitment Therapy for people with acquired brain injury.</p><p><strong>Design: </strong>A process evaluation of the BrainACT treatment was conducted alongside a randomised controlled trial.</p><p><strong>Setting: </strong>Psychology departments of hospitals and rehabilitation centres.</p><p><strong>Subjects: </strong>Tweny-seven participants with acquired brain injury and 11 therapists.</p><p><strong>Intervention: </strong>BrainACT is an Acceptance and Commitment Therapy adapted for the needs and possible cognitive deficits of people with acquired brain injury, provided in eight one-hour face-to-face or video-conference sessions.</p><p><strong>Measurements: </strong>The attendance and compliance rates, engagement, satisfaction, and perceived barriers and facilitators for delivery in clinical practice were investigated using semi-structured interviews with participants and therapists and therapy logs.</p><p><strong>Results: </strong>212 of the 216 sessions in total were attended and 534 of the 715 protocol elements across participants and sessions were delivered. Participants were motivated and engaged. Participants and therapists were satisfied with the intervention and participants reported to have implemented skills in their daily routines acquired during therapy. Key strengths are the structure provided with the bus of life metaphor, the experiential nature of the intervention, and the materials and homework. Participants and therapists often preferred face-to-face sessions, however, when needed video-conferencing is a good alternative.</p><p><strong>Conclusion: </strong>BrainACT is a feasible intervention for people with anxiety and depressive symptoms following acquired brain injury. However, when the content of the intervention is too extensive, we recommend adding two extra sessions.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10898201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mixed methods, single case design, feasibility trial of a motivational conversational agent for rehabilitation for adults with traumatic brain injury.","authors":"Judith Hocking, Anthony Maeder, David Powers, Lua Perimal-Lewis, Beverley Dodd, Belinda Lange","doi":"10.1177/02692155231216615","DOIUrl":"10.1177/02692155231216615","url":null,"abstract":"<p><strong>Objective: </strong>Rehabilitation for adults with traumatic brain injury (TBI) incorporates client-centred goal-setting and motivational support to achieve goals. However, face-to-face rehabilitation is time-limited. New therapy approaches which leverage care are warranted. Conversational agents (CAs) offer a human-computer interface with which a person can converse. This study tested the feasibility, usability and acceptability of using a novel CA - RehabChat - alongside brain injury rehabilitation.</p><p><strong>Design: </strong>Mixed methods, single case design, feasibility pilot trial.</p><p><strong>Setting: </strong>Ambulatory and community brain injury rehabilitation.</p><p><strong>Participants: </strong>Adults with TBI receiving brain injury rehabilitation and clinicians providing this care.</p><p><strong>Intervention: </strong>Following 1:1 training, client-clinician dyads used RehabChat for two weeks alongside usual care.</p><p><strong>Main measures: </strong>Pre-post clinical measures (Motivation for Traumatic Brain Injury Rehabilitation Questionnaire, Rehabilitation Therapy Engagement Scale, Brain Injury Rehabilitation Trust Motivation Questionnaire-Relative, Brain Injury Rehabilitation Trust Motivation Questionnaire-Self) repeated measures (Hospital Anxiety and Depression Scale, researcher-developed wellbeing screening questions); and post-intervention (System Usability Scale (SUS), semi-structured 1:1 interview).</p><p><strong>Results: </strong>Six participants (two clients and four clinicians) completed training. Two client-clinician dyads completed the intervention. Two other clinicians used RehabChat in a mock client-clinician session. SUS scores indicated good usability. Client well-being did not deteriorate. No adverse events were experienced. Interviews indicated RehabChat was feasible, acceptable and easy to use; and supported motivation, goal-setting and completing practice activities.</p><p><strong>Conclusions: </strong>RehabChat was feasible and acceptable to use alongside usual ambulatory and community brain injury rehabilitation, had good usability and supported client needs. Further testing of RehabChat with a larger cohort for longer duration is warranted.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10829423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138497978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Description of massage interventions in randomised clinical trials for neck pain; a review using the TIDieR checklist.","authors":"Iqra Ishaq, Ian W Skinner, Poonam Mehta, Arianne P Verhagen","doi":"10.1177/02692155231210377","DOIUrl":"10.1177/02692155231210377","url":null,"abstract":"<p><strong>Objective: </strong>How interventions are reported can impact the ability to implement these intervention in clinical practice. Therefore, our aim is to assess the reporting of massage interventions in randomised controlled trials for patients with neck pain.</p><p><strong>Data sources: </strong>This manuscript concerns a secondary analysis of trials evaluating massage for neck pain selected for a scoping review. An updated literature search was completed using four databases to 31 July 2023.</p><p><strong>Review methods: </strong>Trials were selected that evaluate massage interventions. Two independent assessors extracted descriptive information, methodological quality (PEDro-scale) and assessed completeness of reporting of the intervention using the Template for Intervention Description and Replication (TIDier-checklist). We present frequencies of the extracted data.</p><p><strong>Results: </strong>We included 35 trials (2840 patients) with neck pain. Most trials (n = 23) included patients with chronic non-specific neck pain. We found a wide variety of massage interventions from Chinese massage, Swedish massage to myofascial release. In addition, the dose, number of sessions and the duration of the intervention varied widely. The methodological quality overall was fair to good (varied between 4-8/10), and we found a moderate completeness of reporting. All trials provided the name of the intervention, 30 (86%) provided a rationale and 26 (74%) trials described details of the massage intervention.</p><p><strong>Conclusion: </strong>The massage interventions were moderately described in trials in patients with neck pain, but provided enough information to guide the decision making for designing future Network Meta-analysis as to what trials need to be considered when grouping massage interventions in a clinically relevant way.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71421349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise treatments for lumbar spinal stenosis: A systematic review and intervention component analysis of randomised controlled trials.","authors":"Christine Comer, Esther Williamson, Suzanne McIlroy, Cynthia Srikesavan, Sally Dalton, G J Melendez-Torres, Sarah E Lamb","doi":"10.1177/02692155231201048","DOIUrl":"10.1177/02692155231201048","url":null,"abstract":"<p><strong>Objective: </strong>To analyse the components used in exercise interventions for people with symptoms of neurogenic claudication due to lumbar spinal stenosis and identify components associated with successful interventions.</p><p><strong>Data sources: </strong>Eligible papers published up to April 2023 from MEDLINE, EMBASE, CINAHL, PEDro, CENTRAL, Web of Science, and trial registry websites.</p><p><strong>Review methods: </strong>Literature searches were performed by an Information Specialist. We searched for randomised trials evaluating exercise interventions for people with neurogenic claudication symptoms (the primary symptom of lumbar spinal stenosis). Two authors independently performed study selection, data extraction, and quality assessments using the Cochrane Risk of Bias tool Version 2 and the TIDieR checklist for intervention reporting. Details of intervention components were extracted, tabulated, and synthesised using an intervention component analysis approach.</p><p><strong>Results: </strong>We found thirteen trials reporting 23 exercise interventions delivered to 1440 participants. These featured 60 different components. Most exercise interventions included supervision and flexion-based exercises. Balance exercises were rarely included. Exercise components featured more frequently in successful interventions included stretches, strength or trunk muscle exercises, fitness exercises, especially cycling, and psychologically informed approaches. Interpretation is limited by low study numbers and heterogeneity. No conclusions could be drawn about exercise supervision or dose.</p><p><strong>Discussion: </strong>Exercise interventions for people with neurogenic claudication typically feature multiple components. Common features such as supervision, lumbar flexion, and aerobic fitness exercises and also less common features such as stretches, strengthening exercises, and psychologically informed approaches warrant consideration for inclusion when designing and optimising exercise interventions for people with lumbar spinal stenosis.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10829420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10261188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare professionals' experiences of delivering a stroke Early Supported Discharge service - An example from Ireland.","authors":"Elaine O Connor, Eamon Dolan, Frances Horgan, Rose Galvin, Katie Robinson","doi":"10.1177/02692155231217363","DOIUrl":"10.1177/02692155231217363","url":null,"abstract":"<p><strong>Objective: </strong>To explore healthcare professionals' experiences of the development and delivery of Early Supported Discharge for people after stroke, including experiences of the COVID-19 pandemic.</p><p><strong>Design: </strong>Qualitative descriptive study using one-to-one semi-structured interviews. Data were analysed using reflexive thematic analysis.</p><p><strong>Setting: </strong>Nine Early Supported Discharge service sites in Ireland.</p><p><strong>Participants: </strong>Purposive sampling identified 16 healthcare professionals.</p><p><strong>Results: </strong>Five key themes were identified (1) Un-coordinated development of services, (2) Staff shortages limit the potential of Early Supported Discharge, (3) Limited utilisation of telerehabilitation post COVID-19 pandemic, (4) Families need information and support, and (5) Early Supported Discharge involves collaboration with people after stroke and their families.</p><p><strong>Conclusions: </strong>Findings highlight how Early Supported Discharge services adapted during the COVID-19 pandemic and how gaps in the service impacts on service delivery. Practice implications include the need to address staff recruitment and retention issues to prevent service shortages and ensure consistent access to psychology services. Early Supported Discharge services should continue to work closely with families and address their information and support needs. Future research on how telerehabilitation can optimally be deployed and the impact of therapy assistants in Early Supported Discharge is needed.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10829421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138497977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Graded motor imagery and its phases for individuals with phantom limb pain following amputation: A scoping review.","authors":"Kierra Jean Falbo, Hannah Phelan, Dawn Hackman, Rebecca Vogsland, Tonya L Rich","doi":"10.1177/02692155231204185","DOIUrl":"10.1177/02692155231204185","url":null,"abstract":"<p><strong>Objective: </strong>Three-phase graded motor imagery (limb laterality, explicit motor imagery, and mirror therapy) has been successful in chronic pain populations. However, when applied to phantom limb pain, an amputation-related pain, investigations often use mirror therapy alone. We aimed to explore evidence for graded motor imagery and its phases to treat phantom limb pain.</p><p><strong>Data sources: </strong>A scoping review was conducted following the JBI Manual of Synthesis and Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews. Thirteen databases, registers, and websites were searched.</p><p><strong>Review methods: </strong>Published works on any date prior to the search (August 2023) were included that involved one or more graded motor imagery phases for participants ages 18+ with amputation and phantom limb pain. Extracted data included study characteristics, participant demographics, treatment characteristics, and outcomes.</p><p><strong>Results: </strong>Sixty-one works were included representing 19 countries. Most were uncontrolled studies (31%). Many participants were male (75%) and had unilateral amputations (90%) of varying levels, causes, and duration. Most works examined one treatment phase (92%), most often mirror therapy (84%). Few works (3%) reported three-phase intervention. Dosing was inconsistent across studies. The most measured outcome was pain intensity (95%).</p><p><strong>Conclusion: </strong>Despite the success of three-phase graded motor imagery in other pain populations, phantom limb pain research focuses on mirror therapy, largely ignoring other phases. Participant demographics varied, making comparisons difficult. Future work should evaluate graded motor imagery effects and indicators of patient success. The represented countries indicate that graded motor imagery phases are implemented internationally, so future work could have a widespread impact.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10860367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41232905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electrical dry needling versus a non-invasive multicomponent intervention in the treatment of myofascial trigger points in patients with chronic low back pain: A randomised clinical trial.","authors":"Inmaculada Carmen Lara-Palomo, Eduardo Antequera-Soler, Manuel Fernández-Sánchez, Adelaida María Castro-Sánchez, Héctor García-López","doi":"10.1177/02692155231201589","DOIUrl":"10.1177/02692155231201589","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effects of electrical dry needling with a non-invasive multi-component intervention in patients with chronic low back pain.</p><p><strong>Design: </strong>A randomised single-blind clinical trial.</p><p><strong>Setting: </strong>Outpatient Physiotherapy Clinic; home.</p><p><strong>Participants: </strong>Sixty-four patients with chronic low back pain aged 30-65 years.</p><p><strong>Interventions: </strong>Six-week electrical dry needling on myofascial trigger points, and a non-invasive multicomponent intervention (home exercise programme, stretching and ischemic compression).</p><p><strong>Main measures: </strong>Pain (Visual Analogue Scale), disability (Roland-Morris Disability Questionnaire and Oswestry Disability Index), kinesiophobia (Tampa Scale of Kinesiophobia), quality of life and sleep (Short Form 36-item Health Survey and Pittsburgh Sleep Quality Index), isometric endurance of trunk flexor muscles (McQuade test), lumbar mobility in flexion (finger-to-floor distance), and pressure pain threshold (algometer) were assessed at baseline, after 6 weeks, and after 2 months.</p><p><strong>Results: </strong>ANOVA showed statistically significant differences in group-by-time interaction for most pain pressure thresholds of myofascial trigger points (<i>P</i> < 0.05), for disability (Roland-Morris Disability Questionnaire: F = 6.14, <i>P</i> = 0.016; and Oswestry Disability Index: F = 7.36, <i>P</i> = 0.009), for trunk anteflexion (F = 10.03, <i>P</i> = 0.002) and for habitual sleep efficacy (F = 6.65, <i>P</i> = 0.012), use of hypnotics (F = 4.77, <i>P</i> = 0.033) and total score of quality of sleep (F = 8.23, <i>P</i> = 0.006).</p><p><strong>Conclusions: </strong>In comparison to a non-invasive multicomponent intervention, electrical dry needling has more positive effects on disability, pain intensity, kinesiophobia, and reducing patients' sensitivity to myofascial trigger points pressure, at post-treatment and at 2 months.</p><p><strong>Clinical trial registration number: </strong>NCT04804228. Registered on May 28th, 2021. Available at https://clinicaltrials.gov/ct2/show/NCT04804228.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10572592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}