[Electrical muscle stimulation in combination with heat for patients with chronic, nonspecific low back pain : A randomized, double-blind, stratified, placebo-controlled clinical trial]

Autor: Stefan, Neuwersch-Sommeregger, Markus, Köstenberger, Wolfgang, Pipam, Christian, Breschan, Haro, Stettner, Susanne, Demschar, Brigitte, Trummer, Rudolf, Likar
Jazyk: němčina
Rok vydání: 2019
Předmět:
Zdroj: Schmerz (Berlin, Germany). 34(1)
ISSN: 1432-2129
Popis: Chronic non-specific low back pain (LBP) causes more disability than any other medical condition worldwide. Electrical muscle stimulation in combination with heat (EMS/H) for management of LBP has yet not been properly studied. Our hypothesis was that EMS/H provides better pain relief and improves subjective and objective data compared to standard treatment.Between 2015 and 2017, we conducted a 6 week randomized, double-blind, stratified, placebo controlled clinical trial, comparing two different forms of EMS/H with placebo treatment with a follow-up 12 weeks after randomization. Patients18 years with LBP for6 months and a pain intensity of numerical rating scale (NRS) ≥4/10 were enrolled.A total of 100 patients were recruited. Patients were representative of a LBP population with moderate to severe pain (NRS 5.7/10). After 18 treatments, we found a statistically significant pain reduction, which was also observed at the 12 week follow-up.EMS/H is an effective and safe method for managing LBP. A clinically relevant and persisting pain reduction, a stable decrease in self-perceived disability, an improvement in both mood and affective characterization as well as sensory characterization of pain, muscle strength and endurance may have a significant impact on the management of LBP.
Databáze: OpenAIRE