Continuous low-level heat wrap therapy for the prevention and early phase treatment of delayed-onset muscle soreness of the low back: A randomized controlled trial
Continuous low-level heat wrap therapy for the prevention and early phase treatment of delayed-onset muscle soreness of the low back: A randomized controlled trial
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DOI：
10.1016/j.apmr.2006.07.259
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发表时间：
2006-10-01
影响因子：
4.3
通讯作者：
Leggett, Scott
中科院分区：
文献类型：
--
作者：
Mayer, John M.;Mooney, Vert;Leggett, Scott
目的：目的评价持续低强度热包裹治疗对预防和早期治疗的作用设计：两项前瞻性随机对照试验，设置：门诊医疗机构，参与者：67名无背痛症状且总体健康状况良好的受试者（平均年龄，23.5 +/-6.6岁）。干预：参与者进行剧烈的离心运动以实验性地诱导下背部DOMS。参与者被分配到2个子研究（预防和治疗）中的1个，并在每个子研究中随机分配到2个治疗组中的1个：预防研究（热包裹，n=17;对照[非目标肌肉拉伸]，n=18）和治疗研究（热包裹，n=16;冷敷，n=16）。干预前4小时和运动后4小时的预防研究和18至42 postexercise之间的治疗study.Main结果措施：为了符合预期发生的高峰期症状与运动引起的下背部DOMS，24小时postexercise被认为是主要的。疼痛强度（预防）和疼痛缓解（治疗）是主要的测量指标，自我报告的身体功能和残疾是次要的测量指标。结果：在预防研究中，在运动后24小时，使用热包裹的受试者的疼痛强度、残疾和自我报告的身体功能缺陷减少了47%（P
Objective: To evaluate the effects of continuous low-level heat wrap therapy for the prevention and early phase treatment (ie, 0-48h postexercise) of delayed-onset muscle soreness (DOMS) of the low back.Design: Two prospective randomized controlled trials.Setting: Outpatient medical facility.Participants: Sixty-seven subjects asymptomatic of back pain and in good general health (mean age, 23.5 +/- 6.6y).Interventions: Participants performed vigorous eccentric exercise to experimentally induce low back DOMS. Participants were assigned to 1 of 2 substudies (prevention and treatment) and randomized to 1 of 2 treatment groups within each substudy: prevention study (heat wrap, n=17; control [nontarget muscle stretch], n=18) and treatment study (heat wrap, n=16; cold pack, n=16). Interventions were administered 4 hours before and 4 hours after exercise in the prevention study and between hours 18 to 42 postexercise in the treatment study.Main Outcome Measures: To coincide with the expected occurrence of peak symptoms related to exercise-induced low back DOMS, hour 24 postexercise was considered primary. Pain intensity (prevention) and pain relief (treatment) were primary measures, and self-reported physical function and disability were secondary measures.Results: In the prevention study, at hour 24 postexercise, pain intensity, disability, and deficits in self-reported physical function in subjects with the heat wrap were reduced by 47% (P