Physical Therapy and Rehabilitation Department, Rentıp Hospital, Bursa, Turkey.
Complement Ther Med. 2013 Dec;21(6):603-8. doi: 10.1016/j.ctim.2013.08.004. Epub 2013 Sep 8.
To evaluate the effectiveness of magnetotherapy in the treatment of hand osteoarthritis (HO).
In this randomized controlled single-blind follow-up study, patients with HO were randomly assigned into 2 groups (G1 and G2). The subjects in G1 (n=25) received 25Hz, 450 pulse/s, 5-80G, magnetotherapy of totally 10 days and 20 min/day combined with active range of motion/strengthening exercises for the hand. G2 (n=25) received sham-magnetotherapy for 20 min/day for the same duration combined with the same hand exercises. Outcome measures were pain and joint stiffness evaluation, handgrip and pinchgrip strength (HPS), Duruöz and Auscan Hand Osteoarthritis Indexes (DAOI) and Short Form-36 Health Questionnaire (SF-36) administered at baseline, immediately after treatment and at the follow up.
When the groups were compared with each other, improvement observed in SF-36 Pain (p<0.001), SF-36 Social Function (p=0.030), SF-36 Vitality (p=0.002), SF-36 General Health (p=0.001), Pain at rest (p<0.001), Pain at motion (p<0.001), Joint stiffness (p<0.001), DAOI (p<0.001) were in favor of G1.
Changes in pain, function and quality of life scores showed significant advantage in favor of the applied electromagnetic intervention in patients with HO.
评估磁疗治疗手部骨关节炎（HO）的疗效。
在这项随机对照单盲随访研究中，将 HO 患者随机分为 2 组（G1 和 G2）。G1 组（n=25）接受 25Hz、450 脉冲/s、5-80G 的磁疗，共 10 天，每天 20 分钟，并结合手部主动活动/增强运动。G2 组（n=25）接受 20 分钟/天的假磁疗，持续 10 天，并进行相同的手部运动。在基线、治疗结束后和随访时评估疼痛和关节僵硬评估、手握力和捏力（HPS）、Duruöz 和 Auscan 手部骨关节炎指数（DAOI）以及 36 健康调查问卷简表（SF-36）。
当组间比较时，SF-36 疼痛（p<0.001）、SF-36 社会功能（p=0.030）、SF-36 活力（p=0.002）、SF-36 总体健康（p=0.001）、静息时疼痛（p<0.001）、运动时疼痛（p<0.001）、关节僵硬（p<0.001）、DAOI（p<0.001）改善情况均有利于 G1 组。
疼痛、功能和生活质量评分的变化表明，电磁干预对 HO 患者具有显著优势。
