交互式远程康复和经皮神经电刺激对非特异性慢性颈痛患者疼痛、功能、残疾和生活质量的疗效研究:一项随机对照试验。

Expert review of medical devices Pub Date : 2025-03-01 Epub Date: 2025-02-26 DOI:10.1080/17434440.2025.2471444
Musa Çankaya, Pariya PourİYamanesh, Sami Küçükşen
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引用次数: 0

摘要

目的:尽管TENS在慢性非特异性颈部疼痛(CNNP)的治疗中得到了广泛的应用,但关于远程康复(TR)的研究很少,也没有研究比较它们在该领域的疗效。计划调查和比较TENS和TR(一种在线康复工具)的有效性。方法:48例CNNP患者(女45例,男3例),年龄36.31 + 12.54岁,随机分为TENS组、TR组和对照组。采用视觉模拟量表(VAS)、伯恩茅斯颈部问卷(NBQ)、颈部残疾指数(NDI)、哥本哈根颈部功能残疾量表(CNFDS)和世界卫生组织生活质量模块(WHOQOL-BREF)确定疼痛严重程度。结果:治疗后VAS、NBQ、NBI、CNFDS Time*Group交互作用变化显著(p = 0.013、p = 0.007、p = 0.022、p = 0.005)。随着时间的推移,这种差异的效应量很大(pη2 = 0.177, pη2 = 0.198, pη2 = 0.156, pη2 = 0.208)。治疗后,TENS患者的VAS和NDI值的平均差异最大(MD:2.656, MD:7.000, p . p .)结论:治疗后,TENS患者的VAS和NBQ值与TR组的NDI、CNFS、WHOQOL-Bref值比治疗前更有效。试验注册:本研究的临床试验注册号为:NCT06206343 (ClinicalTrials.gov)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigation of the effectiveness of interactive telerehabilitation and transcutaneous electrical nerve stimulation on pain, functionality, disability and quality of life in patients with nonspecific chronic neck pain: a randomised controlled trial.

Objectives: Despite the widespread use of TENS in the treatment of chronic nonspecific neck pain (CNNP), there are few studies on Telerehabilitation (TR), and no studies comparing their effectiveness compared to each other in this field. It was planned to investigate and compare the effectiveness of TENS and TR, which is an online rehabilitation tool.

Methods: Forty-eight (female 45, male 3) patients with CNNP, aged 36.31 + 12.54 years, were randomized into TENS, TR or control groups. Pain severity was determined by Visual Analog Scale (VAS), Bournemouth Neck Questionnaire (NBQ), Neck Disability Index (NDI), Copenhagen Neck Functional Disability Scale (CNFDS), and World Health Organization Quality of Life Module (WHOQOL-BREF).

Results: VAS, NBQ, NBI, CNFDS Time*Group interaction showed a significant positive change after treatment (p = 0.013, p = 0.007, p = 0.022, p = 0.005, respectively). The effect size of this difference over time was large (pη2 = 0.177, pη2 = 0.198, pη2 = 0.156, pη2 = 0.208, respectively). Post-treatment, the highest mean difference was found in VAS and NDI values in the TENS (MD:2.656, MD:7.000, p < 0.001), NBQ, CNFDS, WHOQOL-Bref in the TR (MD:13.187, MD:5.312, MD:-9.660, p < 0.001, respectively).

Conclusion: VAS and NBQ in the TENS and NDI, CNFS, WHOQOL-Bref in the TR group were more effective after treatment than before treatment in patients with CNNP.

Trial registration: The clinical trial registration number for this study was: NCT06206343 (ClinicalTrials.gov).

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