Volume 31, Issue 4 (Avicenna Journal of Clinical Medicine-Winter 2025)
Avicenna J Clin Med 2025, 31(4): 237-244 |
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Heydari Nasir M, Hedayati R, Asadi M R, Pak Nazar F. Effect of Tecar Therapy on Pain and Functional Disability in Patients with Chronic Non-specific Low Back Pain. Avicenna J Clin Med 2025; 31 (4) :237-244
URL: http://sjh.umsha.ac.ir/article-1-3147-en.html
URL: http://sjh.umsha.ac.ir/article-1-3147-en.html
1- Department of Physiotherapy, Semnan University of Medical Sciences, Semnan, Iran
2- Department of Physiotherapy, Semnan University of Medical Sciences, Semnan, Iran ,rosehed@yahoo.com
3- Department of Physiotherapy, Hamadan University of Medical Sciences, Hamadan, Iran
4- Social Determinants of the Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
2- Department of Physiotherapy, Semnan University of Medical Sciences, Semnan, Iran ,
3- Department of Physiotherapy, Hamadan University of Medical Sciences, Hamadan, Iran
4- Social Determinants of the Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
Abstract: (291 Views)
Background and Objective: Chronic non-specific low back pain (CNLBP) is among the main causes of disability and affects people of any age. One of the modalities that have been proposed for musculoskeletal disorders in recent years is Tecar therapy. This study aimed to evaluate the effects of Tecar therapy on the pain and disability of patients with CNLBP.
Materials and Methods: In this clinical trial, 32 patients with CNLBP were randomly divided into two groups. The intervention group received 10 sessions of Tecar therapy, five times a week, along with routine physical therapy, while the placebo group received placebo Tecar therapy and routine physical therapy. The level of pain was assessed using the visual analog scale and disability using the Oswestry Disability Index. The variables were evaluated before the treatment, at the end of the 10th session, and also one month later. An analysis of variance test was used to analyze the data obtained.
Results: Based on the paired t-test, the pain severity and functional disability scale showed a significant decrease in both groups after 10 intervention sessions and one-month follow-up (P<0.001 and P<0.001, respectively). The comparison between the two groups showed that after 10 sessions of Tecar therapy, the intensity of pain and functional disability in the Tecar therapy group decreased significantly compared to the placebo group (P<0.05); however, the difference between the two groups was not statistically significant at the one-month follow-up (P<0.05).
Conclusion: According to the obtained results, it can be concluded that Tecar therapy is an effective method to reduce pain and improve functional disability in patients with CNLBP in a short-term period.
Materials and Methods: In this clinical trial, 32 patients with CNLBP were randomly divided into two groups. The intervention group received 10 sessions of Tecar therapy, five times a week, along with routine physical therapy, while the placebo group received placebo Tecar therapy and routine physical therapy. The level of pain was assessed using the visual analog scale and disability using the Oswestry Disability Index. The variables were evaluated before the treatment, at the end of the 10th session, and also one month later. An analysis of variance test was used to analyze the data obtained.
Results: Based on the paired t-test, the pain severity and functional disability scale showed a significant decrease in both groups after 10 intervention sessions and one-month follow-up (P<0.001 and P<0.001, respectively). The comparison between the two groups showed that after 10 sessions of Tecar therapy, the intensity of pain and functional disability in the Tecar therapy group decreased significantly compared to the placebo group (P<0.05); however, the difference between the two groups was not statistically significant at the one-month follow-up (P<0.05).
Conclusion: According to the obtained results, it can be concluded that Tecar therapy is an effective method to reduce pain and improve functional disability in patients with CNLBP in a short-term period.
Type of Study: Original |
Subject:
Physical Therapy
References
1. Waddell G. The back pain revolution: Elsevier Health Sciences; 2004. Link
2. Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356-67. PMID: 29573870 DOI: 10.1016/S0140-6736(18)30480-X
3. Andersson GB. Epidemiological features of chronic low-back pain. lancet. 1999;354(9178):581-585. PMID: 10470716 DOI: 10.1016/S0140-6736(99)01312-4
4. Schofield DJ, Shrestha RN, Percival R, Callander EJ, Kelly SJ, Passey ME. Early retirement and the financial assets of individuals with back problems. Eur Spine J. 2011;20(5):731-736. PMID: 21132556 DOI: 10.1007/s00586-010-1647-8
5. Haile G, Hailemariam TT, Haile TG. Effectiveness of Ultrasound Therapy on the Management of Chronic Non-Specific Low Back Pain: A Systematic Review. J Pain Res. 2021;14:1251. PMID: 34040429 DOI: 10.2147/JPR.S277574
6. Malfliet A, Ickmans K, Huysmans E, Coppieters I, Willaert W, Van Bogaert W, et al. Best evidence rehabilitation for chronic pain part 3: low back pain. J Clin Med. 2019;8(7):1063. PMID: 31331087 DOI: 10.3390/jcm8071063
7. Weintraub MI, Herrmann DN, Smith AG, Backonja MM, Cole SP. Pulsed electromagnetic fields to reduce diabetic neuropathic pain and stimulate neuronal repair: a randomized controlled trial. Arch Phys Med Rehabil. 2009;90(7):1102-1109. PMID: 19577022 DOI: 10.1016/j.apmr.2009.01.019
8. Cameron MH. Physical agents in rehabilitation: from research to practice: Elsevier Health Sciences; 2012. Link
9. Costantino C, Vulpiani M, Romiti D, Vetrano M, Saraceni V. Cryoultrasound therapy in the treatment of chronic plantar fasciitis with heel spurs. A randomized controlled clinical study. Eur J Phys Rehabil Med. 2014;50(1):39-47. PMID: 24172641
10. Ganzit GP, Stesina L, Stesina G. Tecar® therapy in the treatment of acute and chronic pathologies in sports. FMSI(Italian Sports Medicine Federation) -CONI Institute of Sports Medicine, Torino, 2000. Link
11. Kim JS, Oh DW. Effects of high-frequency current therapy on abdominal obesity in young women: a randomized controlled trial. J Phys Ther Sci. 2015;27(1):31-33. PMID: 25642031 DOI: 10.1589/jpts.27.31
12. Kim J-h, Park J-h, Yoon H-b, Lee J-h, Jeon H-s. Immediate effects of high-frequency diathermy on muscle architecture and flexibility in subjects with gastrocnemius tightness. Phys Ther Korea. 2020;27(2):133-139. DOI:10.12674/ptk.2020.27.2.133
13. Kwon K, Kim CM, Park SJ. The effect of diathermy treatment through physiotherapist's hand on the pain and disability index in chronic lumbar pain patients. J Korea Convergen Soc. 2018;9(2):289-294. DOI: 10.15207/JKCS.2018.9.2.289
14. Prouza O, Campos Gonzalez A. Targeted radiofrequency therapy for training induced muscle fatigue-effective or Not? Int J Physiothe. 2016;3(6):657-660. DOI:10.15621/ijphy/2016/v3i6/124734
15. Tashiro Y, Hasegawa S, Yokota Y, Nishiguchi S, Fukutani N, Shirooka H, et al. Effect of capacitive and resistive electric transfer on haemoglobin saturation and tissue temperature. Int J Hyperthermia. 2017;33(6):696-702. PMID: 28139939 DOI: 10.1080/02656736.2017.1289252
16. Kumaran B, Watson T. Thermal build-up, decay and retention responses to local therapeutic application of 448 kHz capacitive resistive monopolar radiofrequency: A prospective randomised crossover study in healthy adults. Int J Hyperthermia. 2015;31(8):883-895. PMID: 26524223 DOI: 10.3109/02656736.2015.1092172
17. Lohrer H, David S, Nauck T. Surgical treatment for achilles tendinopathy–a systematic review. BMC Musculoskelet Disord. 2016;17(1):1-10. PMID: 27165287 DOI: 10.1186/s12891-016-1061-4
18. Notarnicola A, Maccagnano G, Gallone M, Covelli I, Tafuri S, Moretti B. Short term efficacy of capacitive-resistive diathermy therapy in patients with low back pain: a prospective randomized controlled trial. J Biol Regul Homeost Agents. 2017;31(2):509-515. PMID: 28685560
19. Barassi G, Mariani C, Supplizi M, Prosperi L, Di Simone E, Marinucci C, et al. Capacitive and resistive electric transfer therapy: a comparison of operating methods in non-specific chronic low back pain. Adv Exp Med Biol (Integrative Clinical Research). 2022;1375:39-346. PMID: 35147930 DOI: 10.1007/5584_2021_692
20. Van Middelkoop M, Rubinstein SM, Verhagen AP, Ostelo RW, Koes BW, van Tulder MW. Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Clin Rheumatol. 2010;24(2):193-204. PMID: 20227641 DOI: 10.1016/j.berh.2010.01.002
21. Frymoyer JW, Wiesel SW. The adult and pediatric spine: Lippincott Williams & Wilkins; 2004. Link
22. Hua NK, Van der Does E. The occurrence and inter-rater reliability of myofascial trigger points in the quadratus lumborum and gluteus medius: a prospective study in non-specific low back pain patients and controls in general practice. Pain. 1994;58(3):317-323. PMID: 7838580 DOI: 10.1016/0304-3959(94)90125-2
23. Kamali F, Panahi F, Ebrahimi S, Abbasi L. Comparison between massage and routine physical therapy in women with sub acute and chronic nonspecific low back pain. J Back Musculoskelet Rehabil. 2014;27(4):475-480. PMID: 24867893 DOI: 10.3233/BMR-140468
24. Eliav E, Gracely RH. Measuring and assessing pain. Orofacial Pain and Headache(Amsterdam: Elsevier). 2008:45-56. DOI:10.1016/B978-0-7234-3412-2.10003-3
25. Davidson M, Keating J. Oswestry disability questionnaire (ODQ). Aust J Physiother. 2005;51(4):270. PMID: 16358452 DOI: 10.1016/s0004-9514(05)70016-7
26. Fritz JM, Irrgang JJ. A comparison of a modified Oswestry low back pain disability questionnaire and the Quebec back pain disability scale. Phys Ther. 2001;81(2):776-788. PMID: 11175676 DOI: 10.1093/ptj/81.2.776
27. Tashiro Y, Suzuki Y, Nakayama Y, Sonoda T, Yokota Y, Kawagoe M, et al. The effect of Capacitive and Resistive electric transfer on non-specific chronic low back pain. Electromagnetic Biol Med. 2020;39(4):437-444. PMID: 33021115 DOI: 10.1080/15368378.2020.1830795
28. Diego IMA, Fernández-Carnero J, Val SL, Cano-de-la-Cuerda R, Calvo-Lobo C, Piédrola RM, et al. Analgesic effects of a capacitive-resistive monopolar radiofrequency in patients with myofascial chronic neck pain: a pilot randomized controlled. Rev Assoc Med Bras. 2019; 65:156-164. PMID: 30892438 DOI: 10.1590/1806-9282.65.2.156
29. Kasimis K, Iakovidis P, Lytras D, Koutras G, Chatziprodromidou IP, Fetlis A, et al. Short-term effects of manual therapy plus capacitive and resistive electric transfer therapy in individuals with chronic non-specific low back pain: a randomized clinical trial study. Medicina. 2023;59(7):1275. PMID: 37512085 DOI: 10.3390/medicina59071275
30. Avramova M, Mitova S, Karashtranova E. Capacitive and resistive electrical transfer method for athletes with non-specific low back pain. J Phys Educ Sport. 2024;24 (11):2001-2010. DOI:10.7752/jpes.2024.11298
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