Email this article Application of pulse magnetotherapy in integrated treatment of patients with gonartrosis
- Authors: Byalovsky Y.Y.1, Rakitina I.S.1, Gerasimenko M.Y.2, Zaitseva T.N.2
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Affiliations:
- Federal State Budgetary Educational Institution of Higher Education “Ryazan State Medical University” of the Ministry of Health of Russia
- Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation
- Issue: Vol 2, No 3 (2020)
- Pages: 217-224
- Section: ORIGINAL STUDY ARTICLE
- URL: https://journal-vniispk.ru/2658-6843/article/view/25834
- DOI: https://doi.org/10.36425/rehab25834
- ID: 25834
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Abstract
Background. Osteoarthritis is a joint disease that has a severe progressive nature, which leads to a violation of a number of functions and a limitation of professional capabilities.
Aims: to evaluate the effectiveness of the pulsed magnetic field from the ALMAG+ apparatus with parameters that activate stress-limiting mechanisms, as part of the complex treatment of painful osteoarthritis.
Methods. The study included 75 patients with stage I–III knee оsteoarthritis, who were divided into the main and control groups using simple randomization. All patients received basic therapy, including the use of non-steroidal anti-inflammatory drugs (Diclofenac 25 mg/3 times a day, course — 15 days). Patients of the main group were additionally prescribed treatment with a running pulsed magnetic field (BIMP) from the ALMAG+ apparatus.
Results. In the control group for patients with NSAIDs, positive dynamics of functional indices and pain indices were observed only immediately after treatment. After 3 months after the course of treatment, the intensity of pain and impairment of function returned to the original level. After completing the course of treatment for BIMP in the main group of patients, there was a marked decrease in all of the relevant indices and the degree of expression of the patients. After 3 months after the end of the treatment course in patients of the main group, a marked improvement in the previous effect was achieved according to the LI and Richi tests. By the 6th month, a regression of symptoms occurred — a reliably aggravated pain syndrome and deteriorated functional capabilities when assessed by the Lee index. The intensity of penetration had a tendency to growth.
Conclusions. The use of a pulsed magnetic field from the ALMAG+ apparatus with parameters that activate stress-limiting mechanisms contributed to a significant increase in the therapeutic efficacy of the applied treatment complex, contributing not only to a significant reduction, but in some cases complete relief of the pain syndrome, but also to an increase in functional activity affected knee joints.
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##article.viewOnOriginalSite##About the authors
Yury Yu. Byalovsky
Federal State Budgetary Educational Institution of Higher Education “Ryazan State Medical University” of the Ministry of Health of Russia
Email: b_uu@mail.ru
ORCID iD: 0000-0002-6769-8277
SPIN-code: 6389-6643
MD, PhD, Professor
Russian Federation, RyazanIrina S. Rakitina
Federal State Budgetary Educational Institution of Higher Education “Ryazan State Medical University” of the Ministry of Health of Russia
Email: rakitina62@gmail.com
ORCID iD: 0000-0002-9406-1765
SPIN-code: 8427-9471
MD, PhD
Russian Federation, RyazanMarina Yu. Gerasimenko
Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: mgerasimenko@list.ru
ORCID iD: 0000-0002-1741-7246
SPIN-code: 7625-6452
MD, PhD, Professor
Russian Federation, MoscowTatiana N. Zaitseva
Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation
Email: zaytn@mail.ru
ORCID iD: 0000-0001-7123-1568
SPIN-code: 9416-4428
MD, PhD
Russian Federation, MoscowReferences
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