PDF(Pubmed)
Abstract：
Introduction: This study was carried out to assess and compare the efficacies of transcutaneous electrical nerve stimulation (TENS) and low-level laser therapy (LLLT) applied to sciatic Valleix points to reduce sciatica in patients with chronic lumbar radiculopathy. Methods: The study population consisted of 164 patients with chronic radicular pain caused by LDH. The remaining 75 patients were studied in three groups. TENS and hotpack were applied to the lower back region of all patients. In addition, group 1 (n=24), group 2 (n=25), and group 3 (n=26) received LLLT (4 J/cm2 for each point), TENS, and sham LLLT, respectively, on sciatic Valleix points five days a week, for three weeks (15 sessions). Outcomes were assessed at the beginning of the treatment, after completion of 3 weeks of treatment, and after three months (follow-up). Results: Post-treatment assessments indicated that all parameters investigated within the scope of the study improved in all three groups, except for the VAS leg pain (VASLP) score in group 3. Post-treatment VASLP and DN4 scores of group 1 were significantly superior to those of group 2 (P˂0.001). Follow-up assessments revealed an improvement only in the VASLP score and in group 1. The VASLP, DN-4, and ODI scores of groups 1 and 2 were significantly superior to those of group 3. There was no significant difference between the groups in the PSQI score and lumbar ROM value. Conclusion: Both LLLT and TENS were found to be effective in treating the sciatic nerve associated with lumbar disk herniation with radiculopathy. LLLT was found to be more effective than TENS in reducing leg and neuropathic pains. Follow-up assessments revealed that the only lasting effect of the treatments, which continued into the third month, was the improvement in leg pain.
摘要：
简介：这项研究旨在评估和比较经皮神经电刺激（TENS）和低水平激光治疗（LLLT）应用于坐骨神经谷点的疗效，以减轻慢性腰椎神经根病患者的坐骨神经痛。方法：研究人群为164例LDH引起的慢性神经根性疼痛患者。其余75例患者在三组中进行研究。TENS和热包应用于所有患者的下背部区域。此外,第1组（n=24），第2组（n=25），第3组（n=26）接受LLLT（每个点4J/cm2），TENS,和假LLLT，分别,一周五天在坐骨神经瓦列瓦点，为期三周（15个疗程）。在治疗开始时评估结果，完成3周治疗后，三个月后（随访）。结果：治疗后评估表明，在研究范围内研究的所有参数在所有三组中均有所改善。除了第3组的VAS腿部疼痛（VASLP）评分。1组治疗后VASLP和DN4评分明显优于2组(P<0.001)。随访评估显示，仅VASLP评分和第1组评分有所改善。VASLP,第1组和第2组的DN-4和ODI评分明显优于第3组。各组间PSQI评分和腰椎ROM值无明显差别。结论：LLLT和TENS均可有效治疗伴有神经根病的腰椎间盘突出症坐骨神经。发现LLLT在减少腿部和神经性疼痛方面比TENS更有效。后续评估显示，治疗的唯一持久效果，持续到第三个月，是腿部疼痛的改善。
