低频经皮神经电刺激治疗腰部训练疼痛的效果研究  

The study on the effects of low-frequency transcutaneous electrical nerve stimulation in treating lumbar training pain

作　　者：魏恒旭 陶宇洪 王之辉 王鼎凯 王俊豪 高攀 刘成榕 李琳[2] 李楠[2] 齐瑞波 黄鹏[1] Wei Hengxu;Tao Yuhong;Wang Zhihui;Wang Dingkai;Gao Pan;Li Lin;Li Nan;Qi Ruibo;Huang Peng(First Medical Center Orthotics,PLA General Hospital,Beijing;Fourth Medical Center,PLA General Hospital,Beijing;Beijing Jingcai intelligent Technology Co.,LTD,Beijing)

机构地区：[1]解放军总医院第一医学中心骨科,北京 [2]解放军总医院第四医学中心骨科,北京 [3]北京睛采智能科技有限公司,北京

出　　处：《运动科学与健康研究》2025年第1期44-49,共6页Research on Sports Science and Health

摘　　要：背景:训练引起的腰痛是一个常见的问题。经皮神经电刺激(TENS)是一种新型无创的镇痛工具,其主要的原理是以电流作用于电极片最终产生震动从而松解疼痛部位的肌肉。传统的经皮电刺激已在临床上广泛应用,但将低频电流经皮神经电刺激用于训练导致腰部疼痛的报道少见。目的:本研究旨在评估低频经皮神经电刺激用于对训练引起腰痛的缓解程度、腰椎功能的影响,并分析该种方法的临床效果。方法:选取2024年7~10月收治的77例存在腰痛症状的受训战士展开研究,并应用低频经皮电神经刺激进行治疗。分析此77名战士在低频经皮电刺激治疗前后的视觉模拟评分法(VAS)、Oswestry功能障碍指数问卷表(ODI)评分,以探索低频经皮神经电刺激治疗训练导致腰痛的效果。结果:使用自身对照,视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)均较治疗前明显降低,差异有统计学意义(P<0.05)。结论:低频经皮神经电刺激治疗可以有效缓解训练所致的腰痛,具有治疗时间短、效果明显的特点,相比于其他传统保守治疗的方法,具有一定优势,值得临床推广。Background:Training-induced lower back pain is a common issue.Transcutaneous Electrical Nerve Stimulation(TENS)is a novel,non-invasive pain relief tool that primarily works by applying electrical currents to electrodes,which ultimately produce vibrations to relax the muscles in the painful area.Traditional transcutaneous electrical stimulation has been widely used in clinical settings,but reports on the use of low-frequency TENS for training-induced lower back pain are rare.Objective:This study aims to evaluate the extent to which low-frequency TENS alleviates training-induced lower back pain,its impact on lumbar function,and to analyze the clinical effectiveness of this method.Methods A study was conducted on 77 soldiers with symptoms of lower back pain,who were treated with low-frequency TENS from July to October 2024.Visual Analog Scale(VAS)scores and Oswestry Disability Index(ODI)scores were analyzed before and after the low-frequency TENS treatment to explore its effectiveness in treating training-induced lower back pain.Results:Using self-control,both VAS and ODI scores were significantly lower after treatment compared to before,with statistically significant differences(P<0.05).Conclusion:Low-frequency TENS treatment can effectively alleviate training-induced lower back pain.It has the advantages of short treatment time and significant effects,making it superior to other traditional conservative treatments and worthy of clinical promotion.

关 键 词：经皮神经电刺激 TENS 非特异性下腰痛 军事训练伤 腰椎功能康复 

分 类 号：R459.9[医药卫生—治疗学] R496[医药卫生—临床医学] R454.1