Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey,
Rheumatol Int. 2014 Mar;34(3):357-65. doi: 10.1007/s00296-013-2941-7. Epub 2014 Jan 8.
This double-blind, randomized controlled study was conducted with the aim to investigate the effect of magnetic field therapy applied to the hip region on clinical and functional status in ankylosing spondylitis (AS) patients. Patients with AS (n = 66) who were diagnosed according to modified New York criteria were enrolled in this study. Patients were randomly divided in two groups. Participants were randomly assigned to receive magnetic field therapy (2 Hz) (n = 35), or placebo magnetic field therapy (n = 31) each hip region for 20 min. Patients in each group were given heat pack and short-wave treatments applied to bilateral hip regions. Both groups had articular range of motion and stretching exercises and strengthening exercises for surrounding muscles for the hip region as well as breathing and postural exercises by the same physical therapist. These treatment protocols were continued for a total of 15 sessions (1 session per day), and patients were examined by the same physician at months 1, 3 and 6. Visual analogue scale (VAS) pain, VAS fatigue, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Metrologic Index (BASMI), DFI, Harris hip assessment index and Ankylosing Spondylitis Quality of Life scale (ASQOL) were obtained at the beginning of therapy and at month 1, month 3 and month 6 for each patient. There were no significant differences between groups in the VAS pain, VAS fatigue, morning stiffness, BASDAI, BASFI, BASMI, DFI, Harris hip assessment index and ASQoL at baseline, month 1, month 3 or month 6 (p > 0.05). Further randomized, double-blind controlled studies are needed in order to establish the evidence level for the efficacy of modalities with known analgesic and anti-inflammatory action such as magnetotherapy, particularly in rheumatic disorders associated with chronic pain.
这项双盲、随机对照研究旨在探讨磁场疗法应用于髋关节区域对强直性脊柱炎（AS）患者的临床和功能状态的影响。符合改良纽约标准的 AS 患者（n = 66）被纳入本研究。患者被随机分为两组。一组（n = 35）接受磁场疗法（2 Hz），另一组（n = 31）接受安慰剂磁场疗法，均应用于双侧髋关节区域，每次 20 分钟。两组患者均接受热包和短波治疗应用于双侧髋关节区域。两组患者均进行髋关节关节活动度和伸展运动以及周围肌肉的强化运动，以及呼吸和姿势运动，均由同一位物理治疗师进行。这些治疗方案共持续 15 次（每天 1 次），每位患者在第 1、3 和 6 个月由同一位医生进行检查。在治疗开始时和第 1、3 和 6 个月时，每位患者均获得视觉模拟量表（VAS）疼痛、VAS 疲劳、Bath 强直性脊柱炎疾病活动指数（BASDAI）、Bath 强直性脊柱炎功能指数（BASFI）、Bath 强直性脊柱炎计量学指数（BASMI）、DFI、Harris 髋关节评估指数和强直性脊柱炎生活质量量表（ASQOL）。在基线、第 1 个月、第 3 个月或第 6 个月时，两组患者的 VAS 疼痛、VAS 疲劳、晨僵、BASDAI、BASFI、BASMI、DFI、Harris 髋关节评估指数和 ASQOL 均无显著差异（p > 0.05）。需要进一步进行随机、双盲对照研究，以确定磁场疗法等具有已知镇痛和抗炎作用的治疗方法的疗效证据水平，特别是在与慢性疼痛相关的风湿性疾病中。
