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Neuwersch-Sommeregger, S; Köstenberger, M; Pipam, W; Breschan, C; Stettner, H; Demschar, S; Trummer, B; Likar, R.
[Electrical muscle stimulation in combination with heat for patients with chronic, nonspecific low back pain : A randomized, double-blind, stratified, placebo-controlled clinical trial].
Schmerz. 2020; 34(1):65-73 Doi: 10.1007/s00482-019-00431-2
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Führende Autor*innen der Med Uni Graz
Neuwersch-Sommeregger Stefan Matthias
Co-Autor*innen der Med Uni Graz
Breschan Christian
Köstenberger Markus
Likar Rudolf
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Abstract:
BACKGROUND: Chronic non-specific low back pain (LBP) causes more disability than any other medical condition worldwide. Electrical muscle stimulation in combination with heat (EMS/H) for management of LBP has yet not been properly studied. Our hypothesis was that EMS/H provides better pain relief and improves subjective and objective data compared to standard treatment. METHODS: Between 2015 and 2017, we conducted a 6 week randomized, double-blind, stratified, placebo controlled clinical trial, comparing two different forms of EMS/H with placebo treatment with a follow-up 12 weeks after randomization. Patients >18 years with LBP for >6 months and a pain intensity of numerical rating scale (NRS) ≥4/10 were enrolled. RESULTS: A total of 100 patients were recruited. Patients were representative of a LBP population with moderate to severe pain (NRS 5.7/10). After 18 treatments, we found a statistically significant pain reduction, which was also observed at the 12 week follow-up. CONCLUSION: EMS/H is an effective and safe method for managing LBP. A clinically relevant and persisting pain reduction, a stable decrease in self-perceived disability, an improvement in both mood and affective characterization as well as sensory characterization of pain, muscle strength and endurance may have a significant impact on the management of LBP.
Find related publications in this database (using NLM MeSH Indexing)
Chronic Pain - therapy
Double-Blind Method - administration & dosage
Electric Stimulation Therapy - administration & dosage
Hot Temperature - administration & dosage
Humans - administration & dosage
Hyperthermia, Induced - administration & dosage
Low Back Pain - therapy
Muscle Strength - administration & dosage
Treatment Outcome - administration & dosage

Find related publications in this database (Keywords)
EMS
EMS
W
Low back pain
Muscle stimulation
Heat
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