Abstract
BackgroundChronic nonspecific low back pain (CNSLBP) troubles approximately 30% of people worldwide. Silver needle therapy (SNT) is a treatment method to relieve soft tissue pain through heating. Therefore, this study aimed to observe the effects of SNT on CNSLBP.MethodsIn this study, 100 patients were randomly divided into 2 groups: silver needle (SN) group and control group (n = 50). In the SN group, patients received SNT and physiotherapy, while patients received physiotherapy alone in the control group. At the 6-month follow-up, the numerical rating scale (NRS), Oswestry Disability Index (ODI), Short-Form 12 of quality of life (SF-12), the natural logarithms of low-frequency measurement (InLF), and the natural logarithms of high-frequency measurement (InHF) of heart rate variability (HRV) were recorded.ResultsIn both groups, NRS, ODI, SF-12 scores, and HRV at 2 weeks after treatment were improved and maintained for 6 months. Compared with the control group, more significant improvements were observed in the NRS and SF-12 scores at 1, 2, 3, and 6 months and in the ODI scores at 1 and 2 months in the SN group (P < 0.05). However, there was no significant difference between the groups in the ODI scores at 3 and 6 months. InLF and InHF in the SN group were higher than those in the control group at 3 and 6 months (P < 0.05).ConclusionsSNT relieved pain and improved quality of life and autonomic nerve activity, especially parasympathetic nerve, in patients with CNSLBP, without serious complications.Trial registrationChinese Clinical Trial Registry No. ChiCTR-OOC-17013237. Registered on November 11, 2017.
Highlights
Low back pain induced by fasciitis and facets mostly is a worldwide growing problem affecting the quality of life of 30% of the population, with 85% cases categorized as nonspecific low back pain [1]
8% develop into chronic nonspecific low back pain (CNSLBP), defined as low back pain that lasts more than 3 months [2, 3] and that may lead to life inconvenience and psychological problems, such as pain-related disability, poor sleep, depression, and anxiety [4]
From November 2017 to April 2018, patients who were diagnosed with Chronic nonspecific low back pain (CNSLBP) [12] in the Department of Pain Management of the Affiliated Hospital of Qingdao University were recruited in this study and divided into 2 groups using the Stratified Blocked Randomization method: silver needle group (SN group) and control group (C group)
Summary
Low back pain induced by fasciitis and facets mostly is a worldwide growing problem affecting the quality of life of 30% of the population, with 85% cases categorized as nonspecific low back pain [1]. Physical therapy [5], pulsed electromagnetic field therapy [6], opioid therapy [7], and nonsteroidal anti-inflammatory drugs (NSAIDs) [8] are used for CNSLBP. These methods still could not achieve good effects. Silver needle therapy (SNT) is a treatment method to relieve soft tissue pain through heating. This study aimed to observe the effects of SNT on CNSLBP
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