局部微振动(Equistasi®)在慢性疼痛治疗中的潜在作用:一项初步研究。

IF 4.1 2区 医学 Q1 CLINICAL NEUROLOGY Pain and Therapy Pub Date : 2024-02-01 Epub Date: 2023-12-06 DOI:10.1007/s40122-023-00562-6
Pasquale Buonanno, Carmine Iacovazzo, Annachiara Marra, Andrea Uriel de Siena, Tatiana Josu, Maddalena Zampi, Davide Sedda, Giuseppe Servillo, Maria Vargas
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引用次数: 0

摘要

慢性疼痛是医学咨询的主要原因之一,具有显著的心理生理和社会经济影响。焦点微振动(Equistasi®)是一项革命性的技术,将皮肤的热能转化为振动。Equistasi®已被证明可有效治疗帕金森病和多发性硬化症等多种病理条件下的步态和平衡功能障碍。我们的目的是探讨局部微振动治疗慢性疼痛的疗效。方法:将60例不同来源的疼痛患者随机分为两组:实验组(E组)给予Equistasi治疗,对照组(C组)给予标准药物治疗。在基线和7 (T7)、15 (T15)、30 (T30)、60 (T60)和90 (T90)天后,采用简短疼痛量表(BPI)、Oswestry残疾指数(ODI)和工作能力指数(WAI)评估疼痛、残疾和工作能力。结果:根据BPI, E组患者术后24 h平均疼痛和最严重疼痛在T15时明显减轻,并持续至T90;疼痛对一般活动、情绪、行走能力、正常工作、与他人的关系、睡眠和享受生活的干扰在E组减少,与T15相比有显著改善。e组与需求相关的举重活动和工作能力也有显著改善。C组随访期间BPI、ODI和WAI评分无明显变化。结论:局部微振动可作为治疗慢性疼痛的有效工具。
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Potential Role of Focal Microvibration (Equistasi®) in the Management of Chronic Pain: A Pilot Study.

Introduction: Chronic pain is one of the leading causes of medical consultation with a dramatic psychophysical and socioeconomic impact. Focal microvibration (Equistasi®) is a revolutionary technology that converts the thermal energy of the skin into vibration. Equistasi® was shown to be effective in the treatment of gait and balance dysfunction in many pathological conditions such as Parkinson's disease and multiple sclerosis. Our aim was to explore the efficacy of focal microvibration in the management of chronic pain.

Methods: We randomized 60 patients with pain of different origin into two groups: an experimental group (group E) treated with Equistasi, and a control group (group C) treated with standard pharmacological therapy. Pain, disability, and working capacity were evaluated by Brief Pain Inventory (BPI), Oswestry Disability Index (ODI), and Work Ability Index (WAI) at the baseline and after 7 (T7), 15 (T15), 30 (T30), 60 (T60), and 90 (T90) days.

Results: According to BPI, average and worst pain in the last 24 h significantly decreased in group E at T15 and this result persisted up to T90; pain interference on general activity, mood, waling ability, normal work, relations with other people, sleep, and enjoyment of life decreased in group E with a significant improvement from T15. Lifting activity and work ability in relation to demands also significantly improved in group E. No significant changes in BPI, ODI, and WAI scores were recorded in group C during the follow-up.

Conclusions: Focal microvibration can be an effective tool for managing chronic pain in combination with other therapies.

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来源期刊
Pain and Therapy
Pain and Therapy CLINICAL NEUROLOGY-
CiteScore
6.60
自引率
5.00%
发文量
110
审稿时长
6 weeks
期刊介绍: Pain and Therapy is an international, open access, peer-reviewed, rapid publication journal dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of pain therapies and pain-related devices. Studies relating to diagnosis, pharmacoeconomics, public health, quality of life, and patient care, management, and education are also encouraged. Areas of focus include, but are not limited to, acute pain, cancer pain, chronic pain, headache and migraine, neuropathic pain, opioids, palliative care and pain ethics, peri- and post-operative pain as well as rheumatic pain and fibromyalgia. The journal is of interest to a broad audience of pharmaceutical and healthcare professionals and publishes original research, reviews, case reports, trial protocols, short communications such as commentaries and editorials, and letters. The journal is read by a global audience and receives submissions from around the world. Pain and Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of all scientifically and ethically sound research.
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