Does microwave diathermy have an effect on clinical parameters in chronic low back pain? A randomized-controlled trial

Durmuş, Dilek; Ulus, Yasemin; Alaylı, Gamze; Akyol, Yeşim; Bilgici, Ayhan; Yazıcıoğlu, Kamil; Kuru, Ömer

doi:10.3233/bmr-140464

Cited by 11 publications

(15 citation statements)

References 37 publications

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“…group alone (p > 0.05) [36], as well as for 6MWT performance and all reported questionnaire outcomes (p > 0.05) [36].…”

Section: Treatment Effects On Outcome Parametersmentioning

confidence: 91%

“…The findings of this review, for a fraction of electrophysical agents only (continuous ultrasound, short-wave diathermy and microwave diathermy), was that all observed treatment interventions except microwave diathermy [36] significantly improved pain symptoms, with only two studies documenting the intake of oral pain killers [34] [35]. The ineffectiveness of microwave diathermy on pain relief is supported by a study on non-specific chronic neck pain patients [39].…”

Section: Evidence For Thermal Therapymentioning

confidence: 91%

“…All included studies exclusively applied electrophysical agents as intervention treatment; n = 6 studies used ultrasound treatment [28]- [33], n = studies applied short-wave diathermy [34] [35] and n = 1 study microwave diathermy [36] (see Figure 4 for detailed overview on the results). All studies, except…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Out of n = 6 studies on ultrasound treatment [28]- [33] a significant within and S. Wittenwiler et al between-group pain reduction was reported by n = 2 studies, compared to exercise training alone (p = 0.012) [30] or to manipulation treatment (p = 0.001) [33]. [36] of which all reported flexion mobility with n = 1 study including lateral flexion [28] and n = 3 studies evaluating extension mobility [28] [31] [33]. Three studies reported significant within-group ROM improvements in flexion [29] [30] [33] for both the intervention and the control group.…”

Section: Treatment Effects On Outcome Parametersmentioning

confidence: 99%

“…The SF-36 subscale items showed significant within-group differences for all items (p = 0.001) [29] [30] with significant between-group results for "physical function" (p = 0.009) [29], "social function" (p = 0.016) [29] and "physical function" (p = 0.021) [30], "pain" (p = 0.046) [30] and "energy" (p = 0.009) [ [35]. Non-significant between-group results for microwave diathermy combined with exercise versus exercise alone (p = 0.496) were mentioned [36]. Trunk mobility in flexion showed no significant difference between the microwave diathermy and exercise group compared to the exercise S. Wittenwiler et al…”

Section: Treatment Effects On Outcome Parametersmentioning

confidence: 99%

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Thermal Therapy in Patients Suffering from Non-Specific Chronic Low Back Pain—A Systematic Review

Wittenwiler¹,

Stoop²,

Hohenauer³

et al. 2018

IJCM

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Thermal therapy is frequently used as an adjunct to treatment in patients suffering from chronic low back pain. It is also an inherent part of patients' self-administered pain treatment. This review aims to update the evidence for thermal therapy treatments in non-specific chronic low back pain patients and to rate the methodological quality of the corresponding clinical trials. Previous studies have reported contradictory evidence for the effectiveness of thermal therapy. An electronic search on MEDLINE (PubMed), PEDro, CENTRAL and CINHAL databases was conducted between May 2016 and February 2018. Clinical trials comparing local thermal therapy to conservative or no treatment were assessed for eligibility. Pain, physical function and global health were defined as outcome parameters. A total of n = 9 studies met the inclusion criteria. All of them applied an electrophysical agent as the thermal treatment: continuous ultrasound (n = 6), shortwave diathermy (n = 2), microwave diathermy (n = 1). Out of the n = 6 studies on ultrasound treatment, n = 2 reported significant within and between-group results for pain reduction after 4 to 6 weeks of treatment. Both shortwave diathermy studies demonstrated significant between-group results for pain reduction after 3 weeks of treatment. Contradictory results for all other observed outcome parameters were reported regardless of the intervention. Moreover, significant within-group results for the control groups questioned the effectiveness of the intervention treatments. Therefore, the effect of thermal therapy, (electrophysical agents), is not superior to any control treatment except for ultrasound treatment on short-term pain reduction.

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“…group alone (p > 0.05) [36], as well as for 6MWT performance and all reported questionnaire outcomes (p > 0.05) [36].…”

Section: Treatment Effects On Outcome Parametersmentioning

confidence: 91%