非手术脊柱减压治疗对腰椎神经根病患者行走时间的影响:一项随机对照试验

Aalap C. Shah, Megha Sheth, D. Shah
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引用次数: 1

摘要

背景:腰神经根病是腰痛患者常见的主诉(12 - 40%)。它引起各种功能限制,如步态偏差和步行时间减少。非手术脊柱减压疗法(DTS)是一项相对较新的技术,它改变了腰椎神经根病的治疗。已发现它可以缓解疼痛,改善神经系统症状,提高椎间盘高度,并降低各种脊柱病变的椎间压力。然而,相对较少的研究试图关注DTS对步行时间的影响。目的:本研究的目的是评估非手术DTS对腰椎神经根病患者行走时间的影响。材料和方法:采用随机数字发生器对80例腰椎神经根病患者进行随机对照试验。每组40名受试者。实验接受20次DTS、经皮神经电刺激、热水刺激、核心稳定练习和下肢强化练习。对照组接受除DTS外的相同干预。结果:两组干预后步行时间均有改善(P < 0.001)。但实验组改善效果优于对照组(P < 0.001)。结论:DTS能有效改善腰椎神经根病患者的行走时间。
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Effect of non-surgical spinal decompression therapy on walking duration in subjects with lumbar radiculopathy: A randomized controlled trial
Background: Lumbar radiculopathy is a prevalent complaint (12–40%) made by subjects with low back pain. It causes various functional limitations such as gait deviations and reduction of walking duration. Non-surgical spinal decompression therapy (DTS) is a relatively newer technology that has changed the management of lumbar radiculopathy. It has been found to relieve pain, improve neurologic symptoms, improve disk height, and reduce intervertebral pressures in various spinal pathologies. There are relatively few studies that have tried to focus on the effect of DTS on walking duration, though. Objectives: The objectives of the study were to evaluate the effect of non-surgical DTS on walking duration in subjects with lumbar radiculopathy. Materials and Methods: A randomized controlled trial using a random number generator was done with 80 subjects having lumbar radiculopathy. Forty subjects were included in each group. The experimental received 20 sessions of DTS, transcutaneous electrical nerve stimulation, hot water fomentation, core stabilization exercises, and lower extremity strengthening exercises. The control group received the same intervention except DTS. Results: Both groups showed improvements in the walking duration post-intervention (P < 0.001). However, the experimental group better improvement than the control group (P < 0.001). Conclusion: DTS is effective in improving walking duration in subjects with lumbar radiculopathy.
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