Krukowska Jolanta, Woldańska-Okońska Marta, Jankowska Katarzyna, Kwiecień-Czerwieniec Ilona, Czernicki Jan
Klinika Rehabilitacji i Medycyny Fizykalnej, I Katedra Rehabilitacji, Wydział Wojskowo-Lekarski Uniwersytetu Medycznego w Łodzi.
Wiad Lek. 2010;63(4):265-75.
Low back pain syndromes most often occur due to overloading of the musculoskeletal system. The cause is a frequent, improper lifting of heavy objects, most commonly by those working physically, with repetitive movements of bending and straightening of the trunk (turning and bending with load). This problem affects not only adults but also children and adolescents. There is a growing interest in new forms of analgesic therapy nowadays, especially in those that exhibit synergistic therapeutic effects. The aim of this work is to evaluate the analgesic efficacy of magnetoledotherapy in patients with lumbar--sacrum spinal pain syndromes caused by joints degenerative changes.
The examination was carried out in 66 patients of both sexes aged 30 to 76 (average 54.7 +/- 13.8) with low back pain syndrome caused by spinal degenerative changes. The patients were divided into three groups according to the applied analgesic therapy (magnetoledotherapy, magnetostimulation, TENS currents). Level of pain has been evaluated four times in all patients--before the start of therapy and after 5, 10 and 15 applications with the use of the modified Laitinen Questionnaire and Visual-Analoque Scale (VAS).
Post therapy levels of pain in the studied patients decreased significantly. According to Laitinen questionnaire, the greatest improvement was observed in the group treated with magnetoledotherapy and TENS currents and the smallest improvement was observed in the group treated with magnetostimulation.
下背痛综合征最常因肌肉骨骼系统负荷过重而发生。其病因通常是频繁、不正确地搬运重物，多见于从事体力劳动且躯干反复进行弯曲和伸直动作（负重时转身和弯腰）的人群。这一问题不仅影响成年人，也影响儿童和青少年。如今人们对新型镇痛疗法的兴趣与日俱增，尤其是那些具有协同治疗效果的疗法。本研究旨在评估磁光疗法对因关节退行性变引起的腰骶部脊柱疼痛综合征患者的镇痛效果。
对66例年龄在30至76岁（平均54.7±13.8岁）、因脊柱退行性变引起下背痛综合征的患者进行了检查。根据所应用的镇痛疗法（磁光疗法、磁刺激、经皮电刺激神经疗法）将患者分为三组。在所有患者中，于治疗开始前以及治疗5次、10次和15次后，使用改良的莱蒂宁问卷和视觉模拟评分法（VAS）对疼痛程度进行了四次评估。
研究患者治疗后的疼痛程度显著降低。根据莱蒂宁问卷，在接受磁光疗法和经皮电刺激神经疗法治疗的组中观察到最大改善，而在接受磁刺激治疗的组中观察到最小改善。
