Comparaison entre la Mésothérapie et la Stimulation Électrique Transcutanée (TENS) dans la Prise en Charge de la Lombalgie Chronique Commune : Essai Clinique Randomisé
DOI :
https://doi.org/10.62438/tunismed.v103i1.5187Mots-clés :
Lombalgie chronique, Mésothérapie, Neurostimulation transcutanée (TENS), RéhabilitationRésumé
Introduction-Objectif : La lombalgie chronique, affectant 80 % des individus à un moment donné de leur vie, a un impact socio-économique significatif. L'objectif de cette étude est de comparer l'efficacité de la mésothérapie à celle de la neurostimulation transcutanée (TENS) dans le traitement des lombalgies chroniques.
Méthodes : Étude randomisée menée à l’Hôpital Militaire Principal d’Instruction de Tunis et à la Polyclinique Militaire Multidisciplinaire de Mefeteh Saadallah entre août 2023 et juin 2024. Soixante patients (40 hommes, 20 femmes) souffrant de lombalgie chronique ont été inclus. Le groupe 1 (TENS) a reçu 6 séances de neurostimulation, 2 fois par semaine pendant 3 semaines. Le groupe 2 (mésothérapie) a reçu 3 séances de mésothérapie. Les mesures incluaient la douleur, la consommation d'antalgiques, l'examen physique, le questionnaire d'Oswestry, le score HAD pour l'anxiété et la dépression, et la satisfaction des patients.
Résultats : Sur 293 patients consultés, 60 ont été inclus et randomisés. Les deux groupes ont montré une amélioration significative de la douleur (p<0,001), sans différence notable entre eux (p=0,05). La consommation d'antalgiques a diminué davantage avec la mésothérapie (p<0,001). Les améliorations dans l'examen physique, le score d'Oswestry et le score HAD étaient significatives dans les deux groupes, sans différence significative entre eux. La satisfaction des patients était élevée dans les deux groupes, avec un score moyen de 88/100 pour TENS et 77/100 pour la mésothérapie (p=0,154).
Discussion : La mésothérapie et le TENS sont efficaces pour traiter la lombalgie chronique, réduisant la douleur et améliorant les scores fonctionnels ...( résumé tronqué à 250 mots).
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