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在多种治疗方案中添加电止痛疗法可以改善慢性非特异性部疼痛患者的临床结果吗? 一个随机的受控试验

Gabriela Nascimento de Santana¹, Aron Charles Barbosa da Silva¹, Patrícia Gabrielle Dos Santos¹

¹Postgraduate Program in Rehabilitation Sciences, Nove de Julho University, São Paulo, Brazil.

European journal of pain (London, England)

|September 5, 2025

概括

将干扰电流 (IFC) 或通过皮肤的电神经刺激 (TENS) 添加到多模式治疗干预计划 (MTIP) 没有改善慢性非特异性部疼痛的结果. 在疼痛和功能方面,标准的MTIP显示了可比或更好的结果.

科学领域:

物理治疗和康复
治疗疼痛
神经肌肉电刺激

背景情况:

慢性非特异性部疼痛 (CNSNP) 是一种广泛影响日常功能的疾病.
目前的治疗方法通常涉及多种方法,但特定电疗模式的附加益处尚不清楚.
评估辅助疗法对于优化CNSNP管理至关重要.

研究的目的:

研究是否将干扰电流 (IFC) 和/或通过皮肤的电神经刺激 (TENS) 添加到多模式治疗干预计划 (MTIP) 中可以改善CNSNP的结果.
为了比较单独使用MTIP与辅助IFC或TENS的疗效.
评估对功能能力,疼痛强度,疼痛灾难化和运动恐惧症的影响.

主要方法:

75名患有CNSNP的人被随机分为三组:MTIP,MTIP+IFC或MTIP+TENS.
干预持续了8周,在基线,干预后和1个月后期进行评估.
主要结果:部残疾指数 (NDI);次要结果:疼痛尺度,灾难化,运动恐惧症和功能尺度.

主要成果:

在初级结局 (NDI) 中没有发现群体之间的显著差异.
在MTIP组中,运动过程中的疼痛 (NPRS-m) 和部功能 (CNFDS) 得到改善.
在随访时,MTIP+TENS显示出一些益处,但总体而言,辅助疗法没有产生临床显著的改善.

结论:

将IFC或TENS添加到MTIP并没有显著改善慢性非特异性部疼痛的临床结果.
标准的MTIP可能与添加这些电疗法同样有效,甚至可能更有效.
这些发现有助于临床医生和研究人员改进CNSNP的多模式治疗策略.

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