PDF(Pubmed)
Abstract：
Knee osteoarthritis (KOA) has a significant impact on patients\' quality of life. This study aimed to assess the effectiveness of integrating transcranial direct current stimulation (tDCS) and transcutaneous electrical nerve stimulation (TENS) into an education and exercise program with the aim of decreasing pain and improving physical function in KOA. A randomized controlled trial with 65 KOA patients was conducted. The subjects were assigned to one of the following three groups: education and active exercise plus (1) double active tDCS and TENS, (2) active tDCS and sham TENS, and (3) double sham tDCS and TENS. Sessions were conducted over a 20 min period, whilst data on pain, chronic pain clinical variables, and physical function were collected. Although all groups showed improvement in pain-related symptoms in the short and medium term, the addition of tDCS and/or TENS did not significantly enhance the benefits of the exercise and education program. These findings suggest that an education and active exercise program in the treatment of KOA has a positive effect on pain, with or without the addition of tDCS and/or TENS.
摘要：
膝关节骨性关节炎(KOA)对患者生活质量有显著影响。这项研究旨在评估将经颅直流电刺激（tDCS）和经皮神经电刺激（TENS）整合到教育和锻炼计划中的有效性，目的是减轻疼痛并改善KOA的身体功能。对65例KOA患者进行了一项随机对照试验。受试者被分配到以下三组之一：教育和积极运动加（1）双活动tDCS和TENS，(2)活动tDCS和假TENS，和（3）双重假tDCS和TENS。会议进行了20分钟，而关于疼痛的数据，慢性疼痛临床变量，和身体功能被收集。尽管所有组均显示短期和中期疼痛相关症状的改善，添加tDCS和/或TENS并没有显着增强锻炼和教育计划的益处。这些发现表明，在KOA的治疗中，教育和积极的锻炼计划对疼痛有积极的作用，有或没有添加tDCS和/或TENS。
