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The Efficacy of Thermotherapy and Cryotherapy on Pain Relief in Patients with Acute Low Back Pain, A Clinical Trial Study

机译:热疗法和冷冻疗法对急性下腰痛患者的疼痛缓解的临床试验研究

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Introduction: Acute low back pain is one of the most common health problems especially in industrialized countries where 75 per cent of the population develop it at least once during their life. This study examined the efficacy of thermotherapy and cryotherapy, alongside a routine pharmacologic treatment, on pain relief in patients with acute low back pain referring an orthopedic clinic in Shahrekord, Iran. Materials and Methods: This clinical trial study was conducted on 87 patients randomly assigned to three (thermotherapy and cryotherapy as intervention, and naproxen as control) groups of 29 each. The first (thermotherapy) group underwent treatment with hot water bag and naproxen, the second (cryotherapy) group was treated with ice and naproxen, and the naproxen group was only treated with naproxen, all for one week. All patients were examined on 0, 3rd, 8th, and 15th day after the first visit and the data gathered by McGill Pain Questionnaire. The data were analyzed by SPSS software using paired t-test, ANOVA, and chi-square. Results: In this study, mean age of the patients was 34.48 (20?50) years and 51.72 per cent were female. Thermotherapy patients reported significantly less pain compared to cryotherapy and control (p=0.05). In thermotherapy and cryotherapy groups, mean pain in the first visit was 12.70?3.7 and 12.06?2.6, and on the 15th day after intervention 0.75?0.37 and 2.20?2.12, respectively. Conclusion: The results indicated that the application of thermotherapy and cryotherapy accompanied with a pharmacologic treatment could relieve pain in the patients with acute low back pain.
机译:简介:急性下腰痛是最常见的健康问题之一,尤其是在工业化国家,那里75%的人口在一生中至少经历过一次。这项研究参考了伊朗Shahrekord一家骨科诊所,研究了热疗法和冷冻疗法以及常规药物治疗对缓解急性下腰痛患者的疼痛的功效。材料和方法:该临床试验研究是对87位患者进行的,这些患者被随机分为三组(热疗和冷冻疗法为干预,萘普生为对照组),每组29个。第一组(热疗)用热水袋和萘普生治疗,第二组(冷疗)用冰和萘普生治疗,而萘普生组仅用萘普生治疗,共一周。首次访问后的第0、3、8和15天对所有患者进行了检查,并通过McGill Pain问卷调查收集了数据。通过SPSS软件使用配对t检验,ANOVA和卡方检验分析数据。结果:在这项研究中,患者的平均年龄为34.48(20?50)岁,女性为51.72%。与冷冻疗法和对照组相比,热疗患者的疼痛明显减轻(p = 0.05)。在热疗和冷冻疗法组中,首次就诊的平均疼痛分别为12.70?3.7和12.06?2.6,干预后第15天的平均疼痛分别为0.75?0.37和2.20?2.12。结论:结果表明,热疗和冷冻疗法配合药物治疗可减轻急性下腰痛患者的疼痛。

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