一项随机对照研究:选定的物理治疗技术真的能帮助治疗背痛和改善晚期癌症患者的生活质量吗

Q4 Medicine Palliative Medicine in Practice Pub Date : 2023-10-20 DOI:10.5603/pmp.97647
Magdalena Markowska, Szymon Pasiut, Andrzej Markowski, Katarzyna Filar-Mierzwa, Anna Ścisłowska-Czarnecka, Aneta Bac
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引用次数: 0

摘要

背景:现有文献缺乏对运动贴敷(KT)法和握紧放松(HR)技术在晚期癌症患者中的应用研究。患者和方法:该研究涉及72例确诊为晚期癌症的患者(38名女性和34名男性)。将患者随机分为KT组(运动方案和KT)、HR组(运动方案和本体感觉神经肌肉促进法的HR技术- PNF法)或C组(对照组,运动方案)。采用数值评定量表(NRS)和埃德蒙顿症状评估系统-修订版(ESAS-r)评估所选参数。物理治疗方案持续三周,每周五天,每组30分钟。此外,在KT组中,在腰椎的棘旁肌上应用运动带。HR组采用Hold-Relax技术进行治疗。结果:两组患者疼痛减轻,生活质量改善,均有统计学意义。这些变化在KT组明显大于C组和HR组。结论:PNF法的KT技术和HR技术均能有效减轻晚期癌症患者的疼痛,改善患者的生活质量,但KT技术的影响更大。
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Can selected physiotherapeutic techniques really help in treating back pain and improving the quality of life of advanced cancer patients: a randomised controlled study
Background: The available literature lacks studies using the KinesioTaping (KT) method and the hold-relax (HR) technique in working with advanced cancer patients. Patients and methods: The study involved 72 patients (38 women and 34 men), diagnosed with advanced cancer. Patients were randomly assigned either to KT group (exercise programme and KT), HR group (exercise programme and the HR technique of the proprioceptive neuromuscular facilitation — PNF method) or C group (a control group, exercise programme). To assess selected parameters the Numerical Rating Scale (NRS) scale and Edmonton Symptom Assessment System — revised (ESAS-r) were used. The physiotherapeutic programme lasted three weeks and took place 5 days a week for 30 minutes within each group. Additionally, in the KT group, kinesio tapes were applied on the paraspinal muscles of the lumbar spine. In the HR group the therapy with the Hold–Relax technique was applied. Results: There was a statistically significant decrease in pain in all groups and improvement in the quality of life in patients from both experimental groups. Those changes were significantly greater in the KT group than in both the C group and the HR group. Conclusions: Both KT and HR techniques of the PNF method are effective in reducing pain and improving the quality of life in the examined advanced cancer patients, however KT has a stronger impact.
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Palliative Medicine in Practice
Palliative Medicine in Practice Medicine-Medicine (all)
CiteScore
0.80
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