Temperature-Controlled Self-heated Pain Relief Plaster for Chronic Nonspecific Lower Back Pain: A Prospective Randomized Controlled Trial_Chinese Journal of Evidence-Based Medicine

Authors：

 PENGYi-liang , WUQing-man , LIYong-feng , MUChun-yan , HUAn-hui , ZHANGYan

Department of Orthopedics, General Hospital of Chongqing Armed Police, Chongqing 400061, China;

Corresponding?author：

Keywords：

Chronic nonspecific lower back pain; Pain relief plaster; Efficacy; Quality of life; Randomized controlled trial

DOI：

10.7507/1672-2531.20140025

Video：

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Objective To observe the clinical efficacy of temperature-controlled self-heated pain relief plasters in the treatment of chronic nonspecific lower back pain, and to investigate the quality of life of patients. Methods Patients with chronic nonspecific lower back pain were randomly divided into a trial group and a control group. The trial group was treated with temperature-controlled self-heated pain relief plasters, while the control group was treated with meloxicam tablets for oral use. The outcome measures including the visual analogue pain scale (VAS), Japanese Orthopedic Association (JOA) scores for the management of lower back pain, and Oswestry disability index (ODI score) were collected before treatment and after 6-month follow-up. SPSS 13.0 software was used for statistical analysis. Results A total of 96 patients was included (48 patients in each group), of which 68 patients (36 in the trial group and 32 in the control group) completed the treatment. The results of intention-to-treat (ITT) and per-protocol (PP) analyses showed that the total effectiveness rate of the trial group was higher than that of the control group with significant differences (all P values < 0.05). Compared with those before treatment, the JOA scores and ODI scores of the two groups were all improved after 6-month follow-up (all P values < 0.05). But no significant difference was found between the two groups in the two scores after 6-month follow-up (all P values > 0.05). During the follow-up, there were 3 and 8 patients with recurrence of lower back pain in the trial group and the control group, respectively. Conclusion The clinical effect of temperature-controlled self-heated pain relief plasters in the treatment of chronic nonspecific lower back pain is satisfactory, the quality of life of patients is improved obviously, and the therapy is simple, safe, inexpensive, and worthy of clinical promotion.

Citation： PENGYi-liang, WUQing-man, LIYong-feng, MUChun-yan, HUAn-hui, ZHANGYan. Temperature-Controlled Self-heated Pain Relief Plaster for Chronic Nonspecific Lower Back Pain: A Prospective Randomized Controlled Trial. Chinese Journal of Evidence-Based Medicine, 2014, 14(2): 147-151. doi: 10.7507/1672-2531.20140025 Copy

1.	Craig Liebenson, 著.洪毅, 海涌, 李建軍, 譯.脊柱康復醫學.第2版.北京:人民軍醫出版社, 2012:19-26.
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6.	胡鳶, 秦江, 唐金樹.腰椎穩定性訓練治療慢性非特異性腰痛的研究.中國疼痛醫學雜志, 2011, 17(3):146-149.
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11.	Manchikanti L, Boswell MV, Datta S, et al. Comprehensive review of therapeutic interventions in managing chronic spinal pain. Pain Physician, 2009, 12(4):E123-198.
12.	侯樹勛, 吳葉.腰痛治療的選擇.中國疼痛醫學雜志, 2011, 17(3):129-130.
13.	王亮, 王瑩瑩, 楊金生.腰痛中醫外治療法臨床研究.世界中醫藥, 2013, 8(4):472-476.
14.	王劍龍, 唐永祥.奇正消痛貼膏聯合青鵬膏劑治療慢性腰痛的臨床研究.中國醫藥指南, 2012, 10(14):261-262.
15.	王李麗, 劉延青.低能量半導體激光治療慢性腰痛的臨床觀察.中國疼痛醫學雜志, 2012, 18(5):320.
16.	孫磊, 寧志杰.慢性非特異性腰痛.中國矯形外科雜志, 2010, 18(23):1967-1969.
17.	伍驥, 吳迪, 黃蓉蓉, 等.腰痛的診斷與治療.中國脊柱脊髓雜志, 2012, 22(1):88-91.
18.	朱毅, 朱黎婷, 徐丹, 等.康復醫學在多學科疼痛治療發展中的作用.中國康復醫學雜志, 2012, 27(7):675-678.
19.	尤陽.中藥熱敷配合電針治療寒濕型腰肌勞損的療效觀察.中國療養醫學, 2012, 21(8):713.
20.	邵松濤, 楊利學.熱敷散外敷配合手法治療腰三橫突綜合征86例臨床觀察.甘肅中醫學院學報, 2012, 29(1):44.

1. Craig Liebenson, 著.洪毅, 海涌, 李建軍, 譯.脊柱康復醫學.第2版.北京:人民軍醫出版社, 2012:19-26.
2. 于長隆.骨科康復學.第1版.北京:人民衛生出版社, 2010:459-471.
3. 關驊, 張光鉑.中國骨科康復學.第1版.北京:人民軍醫出版社, 2011:343-345.
4. 劉穎, 楊少峰, 陳麗霞.慢性腰痛患者功能障礙與生存質量的研究.中國康復醫學雜志, 2010, 25(1):31-34.
5. 郭險峰, 張大成, 陶莉. 216例慢性非特異性腰痛患者的康復療效觀察.中國康復理論與實踐, 2010, 16(6):556-559.
6. 胡鳶, 秦江, 唐金樹.腰椎穩定性訓練治療慢性非特異性腰痛的研究.中國疼痛醫學雜志, 2011, 17(3):146-149.
7. Pinheiro J, Figueiredo P, Branco J, et al. Nonspecific chronic low back pain and function:a clinical study in a physical medicine and rehabilitation consultation. Acta Med Port, 2011, 24(S2):287-292.
8. Licciardone JC, Kearns CM, Hodge LM, et al. Associations of cytokine concentrations with key osteopathic lesions and clinical outcomes in patients with nonspecific chronic low back pain:results from the OSTEOPATHIC Trial. J Am Osteopath Assoc, 2012, 112(9):596-605.
9. Iles RA, Taylor NF, Davidson M, et al. Patient recovery expectations in non-chronic non-specific low back pain:a qualitative investigation. J Rehabil Med, 2012, 44(9):781-787.
10. Rozenberg S, Foltz V, Fautrel B. Treatment strategy for chronic low back pain. Joint Bone Spine, 2012, 79(6):555-559.
11. Manchikanti L, Boswell MV, Datta S, et al. Comprehensive review of therapeutic interventions in managing chronic spinal pain. Pain Physician, 2009, 12(4):E123-198.
12. 侯樹勛, 吳葉.腰痛治療的選擇.中國疼痛醫學雜志, 2011, 17(3):129-130.
13. 王亮, 王瑩瑩, 楊金生.腰痛中醫外治療法臨床研究.世界中醫藥, 2013, 8(4):472-476.
14. 王劍龍, 唐永祥.奇正消痛貼膏聯合青鵬膏劑治療慢性腰痛的臨床研究.中國醫藥指南, 2012, 10(14):261-262.
15. 王李麗, 劉延青.低能量半導體激光治療慢性腰痛的臨床觀察.中國疼痛醫學雜志, 2012, 18(5):320.
16. 孫磊, 寧志杰.慢性非特異性腰痛.中國矯形外科雜志, 2010, 18(23):1967-1969.
17. 伍驥, 吳迪, 黃蓉蓉, 等.腰痛的診斷與治療.中國脊柱脊髓雜志, 2012, 22(1):88-91.
18. 朱毅, 朱黎婷, 徐丹, 等.康復醫學在多學科疼痛治療發展中的作用.中國康復醫學雜志, 2012, 27(7):675-678.
19. 尤陽.中藥熱敷配合電針治療寒濕型腰肌勞損的療效觀察.中國療養醫學, 2012, 21(8):713.
20. 邵松濤, 楊利學.熱敷散外敷配合手法治療腰三橫突綜合征86例臨床觀察.甘肅中醫學院學報, 2012, 29(1):44.

Chinese Journal of Evidence-Based Medicine

Temperature-Controlled Self-heated Pain Relief Plaster for Chronic Nonspecific Lower Back Pain: A Prospective Randomized Controlled Trial

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