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Thermal Therapy in Patients Suffering from Non-Specific Chronic Low Back Pain—A Systematic Review

International Journal of Clinical Medicine 2018年第4期9卷 294-314页

作者： selina wittenwiler Rahel Stoop Erich Hohenauer Ron Clijsen Research Rehabilitation 2rLab Department of Business Economics Health and Social Care University of Applied Sciences and Arts of Southern Switzerland Landquart Switzerland THIM University of Applied Sciences Landquart Switzerland Department of Movement and Sport Sciences Vrije Universiteit Brussel Brussels Belgium

Thermal therapy is frequently used as an adjunct to treatment in patients suffering from chronic low back pain. It is also an inherent part of patients’ self-administered pain treatment. This review aims to update the evidence for thermal therapy treatments in non-specific chronic low back pain patients and to rate the methodological quality of the corresponding clinical trials. Previous studies have reported contradictory evidence for the effectiveness of thermal therapy. An electronic search on MEDLINE (PubMed), PEDro, CENTRAL and CINHAL databases was conducted between May 2016 and February 2018. Clinical trials comparing local thermal therapy to conservative or no treatment were assessed for eligibility. Pain, physical function and global health were defined as outcome parameters. A total of n = 9 studies met the inclusion criteria. All of them applied an electrophysical agent as the thermal treatment: continuous ultrasound (n = 6), short-wave diathermy (n = 2), microwave diathermy (n = 1). Out of the n = 6 studies on ultrasound treatment, n = 2 reported significant within and between-group results for pain reduction after 4 to 6 weeks of treatment. Both short-wave diathermy studies demonstrated significant between-group results for pain reduction after 3 weeks of treatment. Contradictory results for all other observed outcome parameters were reported regardless of the intervention. Moreover, significant within-group results for the control groups questioned the effectiveness of the intervention treatments. Therefore, the effect of thermal therapy, (electrophysical agents), is not superior to any control treatment except for ultrasound treatment on short-term pain reduction.

关键词： Electrophysical Agents Heat Application Pain Reduction Physical Function Non-Specific Chronic Low Back Pain Thermal Therapy

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