手法配合运动对尾椎痛患者的疗效:随机对照试验的六个月随访

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Osteopathic Medicine Pub Date : 2024-01-27 DOI:10.1016/j.ijosm.2024.100711
Osman Tufekci , Kamil Yilmaz , Hasan Gercek , Bayram Sonmez Unuvar
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引用次数: 0

摘要

背景有关尾骨痛患者疼痛治疗的长期随访证据有限。本研究旨在探讨将手法和运动相结合作为尾骨痛患者治疗方法的有效性,同时评估其长期疗效。所有参与者每周进行三天锻炼,为期四周;手法治疗每周进行一次,共四次。疼痛程度使用视觉模拟量表(VAS)进行评估,尾椎痛症状使用巴黎问卷进行评估,与疼痛相关的残疾程度使用奥斯韦特里残疾指数(ODI)进行测量。然而,与对照组相比,手法组的参与者在治疗后立即和 6 个月随访时的疼痛、症状和 ODI 评分均有显著改善(p <0.05)。结论这项研究表明,在为期四周的时间里,运动与直肠内手法相结合可显著减轻慢性尾骨痛患者的疼痛、尾骨痛相关症状和残疾评分。然而,在六个月的长期随访中并未观察到治疗效果的优越性。
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The effectiveness of manipulation in combination with exercise for patients with coccydynia: Six months follow-up of a randomized controlled trial

Background

Limited evidence exists concerning the long-term follow-up of pain management in individuals with coccydynia.

Objective

This study aimed to examine the effectiveness of combining manipulation and exercise as a treatment approach for patients with coccydynia, while also assessing its long-term outcomes.

Design

Six months follow-up of a randomized controlled trial.

Setting

This study was conducted in a private hospital.

Methods

The control group (n = 23) received exercise alone, while the experimental group (n = 23) received both exercise and manipulation. All participants performed exercises three days a week for four weeks, and the manipulation sessions were conducted once a week for a total of four sessions. Pain levels were assessed using the Visual Analog Scale (VAS), coccydynia symptoms were evaluated using the Paris questionnaire, and pain-related disability was measured with the Oswestry Disability Index (ODI).

Participants

Forty-six participants were enrolled in the study.

Results

No statistically significant differences were observed in the demographic characteristics between the two groups (p > 0.05). However, participants in the manipulation group showed a statistically significant improvement in pain, symptoms, and ODI scores compared to the control group, both immediately after treatment and at the 6-month follow-up (p < 0.05).

Conclusion

This study demonstrates that the combination of exercise and intrarectal manipulation over a four-week period significantly reduced pain, coccydynia-related symptoms, and disability scores in chronic coccydynia patients. However, no therapeutic superiority was observed in the long-term follow-up of six months.

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来源期刊
CiteScore
2.20
自引率
36.80%
发文量
42
审稿时长
3 months
期刊介绍: The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
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