Effects of supplemental heat therapy in multimodal treated chronic low back pain patients on strength and flexibility

被引：20
作者：
Freiwald, Juergen [1 ]
Hoppe, Matthias Wilhelm [1 ]
Beermann, Wilhelm [2 ]
Krajewski, Jarek [3 ]
Baumgart, Christian [1 ]
机构：
[1] Univ Wuppertal, Fuhlrottstr 10, D-42119 Wuppertal, Germany
[2] Orthofit Physiotherapy, Sildring Ctr Promenade 1, D-46242 Bottrop, Germany
[3] Univ Appl Sci, Rhein Fachhsch Cologne, Schaevenstr 1a, D-50676 Cologne, Germany
来源：
CLINICAL BIOMECHANICS | 2018年 / 57卷
关键词：
Low back pain; Thermotherapy; Heat wrap; Multimodal treatment; Strength; Flexibility; TRUNK MUSCLE STRENGTH; INTERVERTEBRAL DISC; REPRESENTATIVE OUTCOMES; THORACOLUMBAR FASCIA; EUROPEAN GUIDELINES; TREATMENT PROGRAM; NATIONAL-HEALTH; LOW PH; LUMBAR; MANAGEMENT;
D O I：
10.1016/j.clinbiomech.2018.06.008
中图分类号：
R318 [生物医学工程];
学科分类号：
0831 ;
摘要：
Background: The beneficial effects of thermotherapy on analgesia and relaxation are widely known for various diseases. To date, however, thermotherapy in chronic low back pain is not explicitly recommended in international guidelines. The effects of thermotherapy on biomechanical parameters within a multimodal back pain treatment concept are also unknown. Methods: Within a multimodal treatment concept, 176 patients with chronic low back pain were treated either with or without supplemental heat wrap therapy. The range of movement and strength parameters of the trunk in flexion, extension, lateral flexion and rotation were measured before and after 12 weeks of treatment. Findings: The range of movement as well as strength parameters of the trunk improved on average within the multimodal treatment. Patients receiving additional thermotherapy supplemental to basic multimodal treatment showed a further improvement of strength parameters regarding extension (P = 0.09, 1 - beta = 0.41), rotation to the right (P = 0.09, 1 - beta = 0.41) and rotation to the left (P = 0.08, 1 - beta = 0.42) in comparison to those conducting only the multimodal treatment. No group differences were detected in flexibility. Interpretation The implementation of thermotherapy for several hours a day (heat wrap therapy) in daily clinical practice additional to an individualized, evidence-based multimodal treatment concept can be recommended to enhance strength parameters. The potential causes of improved strength parameters as well as the meaning for the patients in activity of daily living are discussed.
引用
收藏
页码：107 / 113
页数：7
相关论文
共 74 条
  • [1] Adams Michael A, 2004, Acupunct Med, V22, P178
  • [2] Chapter 4 - European guidelines for the management of chronic nonspecific low back pain
    Airaksinen, O.
    Brox, J. I.
    Cedraschi, C.
    Hildebrandt, J.
    Klaber-Moffett, J.
    Kovacs, F.
    Mannion, A. F.
    Reis, S.
    Staal, J. B.
    Ursin, H.
    Zanoli, G.
    [J]. EUROPEAN SPINE JOURNAL, 2006, 15 (Suppl 2) : S192 - S300
  • [3] Albright J, 2001, PHYS THER, V81, P1641
  • [4] Alfuth M, 2016, ORTHOPADE, V45, P579, DOI 10.1007/s00132-016-3233-1
  • [5] Alfuth M, 2017, ORTHOPADE, V46, P522, DOI 10.1007/s00132-017-3390-x
  • [6] Alter M.J., 2004, SCI FLEXIBILITY
  • [7] [Anonymous], MODALITIES THERAPEUT
  • [8] Trunk muscle strength in flexion, extension, and axial rotation in patients managed with lumbar disc herniation surgery and in healthy control subjects
    Arja, H
    Tiina, K
    Ulla, T
    Jari, Y
    [J]. SPINE, 2003, 28 (10) : 1068 - 1073
  • [9] Baerga-Varela Luis, 2006, Bol Asoc Med P R, V98, P56
  • [10] Non-specific low back pain
    Balague, Federico
    Mannion, Anne F.
    Pellise, Ferran
    Cedraschi, Christine
    [J]. LANCET, 2012, 379 (9814) : 482 - 491
12345678