肌筋膜触发点电刺激对下肢截肢后幻肢痛的效果

doi:10.3969/j.issn.1006-9771.2021.11.016

Abstract

Abstract:

Objective To explore the clinical efficacy of myofascial trigger point electric stimulation based on mirror therapy on phantom limb pain after lower limb amputation.Methods From May to November, 2020, 50 patients with phantom limb pain after lower limb amputation were randomly divided into control group (n = 25) and experiment group (n = 25). Both groups accepted mirror therapy, while the experiment group received myofascial trigger point electric stimulation before mirror therapy, for four weeks. They were assessed with short-form of McGill Pain Questionnaire (SF-MPQ), Pittsburgh Sleep Quality Index (PSQI), Hamilton Anxiety Scale (HAMA), Timed 'Up & Go' Test (TUGT) and 6-minute walk test (6MWT) before and after treatment.Results All the indexes improved in both groups after treatment (|t| > 8.210, P < 0.001), and improved more in the experiment group than in the control group (|t| > 5.103, P < 0.001), except the present pain intensity of SF-MPQ.Conclusion Mirror therapy is effective on phantom limb pain after lower limb amputation in terms of pain, sleep, anxiety and walking, and the effect could be stronger after myofascial trigger point electric stimulation.

Key words: phantom limb pain, amputation, mirror therapy, myofascial trigger point, transcutaneous electric nerve stimulation

LI Ya-xi,FEI Ruo-nan,QIN Xiu-nan,WANG Ya-ping,XIAO Yan-ying. Effect of Myofascial Trigger Points Electric Stimulation on Phantom Limb Pain after Lower Limb Amputation[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1340-1345.

Figures/Tables 8

References 36

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组别	n	性别(男/女, n)	年龄(岁)	病程(月)	截肢位置(大腿/小腿, n)
对照组	25	18/7	54.6±13.7	2.5±1.4	8/17
试验组	25	16/9	56.1±15.6	2.3±1.2	10/15
χ²/t值		0.368	-0.357	0.439	0.347
P值		0.544	0.723	0.663	0.556

组别	n	治疗前	治疗后	t值	P值
对照组	25	18.4±4.1	9.0±2.7	16.948	< 0.001
试验组	25	17.1±3.9	5.7±1.9	14.794	< 0.001
t值		1.133	5.103
P值		0.263	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	25	7.4±0.9	3.4±1.4	10.445	< 0.001
试验组	25	7.5±1.0	1.5±0.9	22.573	< 0.001
t值		-0.442	5.693
P值		0.661	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	25	3.2±0.7	1.0±0.6	10.461	< 0.001
试验组	25	3.3±0.7	0.8±0.5	16.098	< 0.001
t值		-0.757	1.295
P值		0.453	0.202

组别	n	治疗前	治疗后	t值	P值
对照组	25	13.2±2.8	8.3±1.8	11.068	< 0.001
试验组	25	13.5±3.9	5.3±2.0	12.653	< 0.001
t值		-0.376	5.521
P值		0.708	< 0.001

Effect of Myofascial Trigger Points Electric Stimulation on Phantom Limb Pain after Lower Limb Amputation

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组别	n	治疗前	治疗后	t值	P值
对照组	25	17.4±4.4	12.1±3.7	8.210	< 0.001
试验组	25	16.9±4.0	7.2±1.9	13.372	< 0.001
t值		0.436	5.862
P值		0.665	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	25	62.3±10.4	31.4±9.6	22.981	< 0.001
试验组	25	60.0±8.7	16.8±5.6	23.535	< 0.001
t值		0.840	6.544
P值		0.405	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	25	117.4±15.1	224.2±33.7	-14.642	< 0.001
试验组	25	121.2±15.7	329.9±26.2	-38.517	< 0.001
t值		-0.872	-12.385
P值		0.387	< 0.001

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