物理治疗对腰痛综合征镇痛作用的证据

H. Gutiérrez, L. Ortiz
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引用次数: 5

摘要

腰痛综合征的治疗管理包括许多不同类型的具有镇痛目的的干预措施,其中物理治疗的处方和应用是相当常见的。我们在随机对照试验的系统回顾的基础上综合了物理治疗有效性的证据。目的探讨热电磁理疗干预在临床治疗非特异性腰痛中的镇痛作用是否有科学依据。检索策略检索包括随机对照临床试验(RCCTs)、meta分析(MT)和系统修订(RS)。使用的数据库有:Cochrane Library Plus、DARE、PEDro、MEDLINE/PubMed、PubMed Central、ScienceDirect和Biomed Central。结果入选符合入选标准的RCCTs 13项。结论有中度证据表明热敷能减轻急性腰痛的短期疼痛,而激光和TENS在亚急性和慢性腰痛中的应用存在争议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evidencia del efecto analgésico de la fisioterapia en el síndrome de dolor lumbar

The therapeutic management proposed for Low Back Pain Syndrome includes a many different types of interventions with analgesic purposes, within which prescription and application of Physiotherapies are quite common. We have synthesized the evidence on the effectiveness of Physiotherapy based on a Systematic Review of Randomized controlled Trials.

Objective

To determine if there is scientific evidence to support the analgesic effect of the thermal and electromagnetic physiotherapy interventions used by the physiotherapies for the clinical handling of non-specific low back pain.

Strategy of search

The following were included in the search Randomized Controlled Clinical Trials (RCCTs), Metaanalysis (MT) and Systematic Revisions (RS). The databases used were: Cochrane Library Plus, DARE, PEDro, MEDLINE/PubMed, Pub Med Central, ScienceDirect and Biomed Central.

Results

13 RCCTs that met the eligibility criteria were selected.

Conclusions

There is moderate evidence that Heat-Wraps diminish the short term pain in Acute Low Back Pain and there is controversial evidence regarding the use Laser and TENS in Sub-Acute and chronic Low Back Pain.

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