- 期刊
顱薦動力治療對改善醫療人員下背痛之前驅研究
The effect of craniosacral therapy on alleviating lower back pain in medical staff: A preliminary study
摘要
下背痛是一種常見骨骼肌肉之病痛，下背痛的處理以物理治療和藥物治療為主。近年亦有探討輔助療法於下背痛應用的研究，國外研究指出顱薦椎療法（craniosacral therapy）能降低慢性下背痛患者的疼痛感受，惟國內目前仍鮮少顱薦椎療法的相關研究，故本前驅研究旨在探討顱薦椎療法對改善醫療人員下背痛的成效。研究對象為東部某區域教學醫院之自訴下背痛醫療人員，共計15位女性。採單組前後測設計，對研究對象施行每次20分鐘、每週二次、持續12週之顱薦椎療法介入。疼痛水平以視覺類比量表評量於每次進行治療前後由研究對象自行填寫。資料以廣義估計方程式進行分析。結果顯示研究對象經過24次的介入，整體視覺類比量表得分從第1次到第24次並沒有呈現顯著差異（p＝0.246），但在每一次介入前後測，疼痛水平則呈現顯著下降（p＜0.001），平均下降分數為0.71分。整體而言，顱薦椎療法介入具有即時舒緩下背痛疼痛的效果，但持續12週、每週2次的療程並未明顯帶來額外長期改善效果。未來研究建議除了採用隨機對照實驗外，亦可評估顱薦椎療法對不同下背痛嚴重度者的效果是否存在差異。
並列摘要
Lower back pain is a common musculoskeletal disorder and is mainly treated with physiotherapy and medication. In recent years, there has been research on the application of complementary therapies for lower back pain. Studies have shown that craniosacral therapy could reduce the pain level of patients with chronic lower back pain, but there are still few studies on craniosacral therapy in Taiwan. In this study, 15 women who complained of lower back pain working in a regional teaching hospital in eastern Taiwan were enrolled. A single-group pre and post-test design was used in this study. The craniosacral therapy intervention consisted of a 20-minute session twice a week for 12 weeks. Pain levels were assessed by a visual analog scale and self-administered by the participants before and after each session. Data were analyzed using generalized estimating equation. The results showed no significant difference in the overall pain score from the first to the 24^(th) session (p = 0.246). However, a significant decrease in pain level (p ＜ 0.001) was observed before and after each session, with a mean decrease of 0.71 points. Overall, the craniosacral therapy intervention was found to be effective in providing a quick relief of lower back pain, but the 12-week, twice a week intervention did not provide additional long-term improvement in lower back pain reduction. Future research may want to employ a randomized controlled trial design, and to evaluate the effectiveness of craniosacral therapy in people with different severity of lower back pain.