Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey
Turk J Med Sci. 2019 Aug 8;49(4):1095-1101. doi: 10.3906/sag-1901-65.
BACKGROUND/AIM: In this study, it was aimed to investigate the effects ofpulsed electromagnetic field(PEMF) therapy on pain, disability, psychological state, and quality of life in cervical disc herniation.
Patients were randomly divided into two groups, including Group 1, which received a therapy consisting of transcutaneous electrical nerve stimulation (TENS), hot pack (HP), and PEMF, and Group 2, which received a magnetic field (sham magnetic field) without current flow in addition to TENS and HP therapy. Pain was assessed by a visual analog scale (VAS, 0–10 cm). The other outcome measures were function (Neck Pain and Disability Scale), anxiety-depressive mood (Hospital Anxiety and Depression Scale), and quality of life (Nottingham Health Profile). All evaluations were performed at baseline, in the 3rd week, and in the 12th week after treatment.
A significant improvement was found in the neck pain, disability, depression, anxiety, and quality of life scores of both groups after treatment when compared to those before treatment. However, in the comparison between changes within groups, significant improvements were determined only in the VAS and Nottingham Health Profile sleep subparameter in the 12th week after treatment compared to those before treatment.
PEMF therapy in cervical disc herniation can be used safely in routine treatment in addition to conventional physical therapy modalities.
背景/目的:本研究旨在探讨脉冲电磁场(PEMF)治疗对颈椎间盘突出症患者疼痛、残疾、心理状态和生活质量的影响。
患者被随机分为两组,组 1 接受经皮电神经刺激(TENS)、热敷(HP)和 PEMF 联合治疗,组 2 除 TENS 和 HP 治疗外,还接受无电流的磁场(假磁场)治疗。疼痛采用视觉模拟评分(VAS,0-10cm)进行评估。其他评估指标包括功能(颈痛和残疾量表)、焦虑抑郁情绪(医院焦虑抑郁量表)和生活质量(诺丁汉健康状况量表)。所有评估均在治疗前、治疗后第 3 周和第 12 周进行。
与治疗前相比,两组患者在治疗后颈痛、残疾、抑郁、焦虑和生活质量评分均显著改善。然而,在组内变化比较中,与治疗前相比,仅在治疗后第 12 周时 VAS 和诺丁汉健康状况量表睡眠亚量表的评分显著改善。
除常规物理治疗方法外,PEMF 治疗在颈椎间盘突出症的常规治疗中也可安全使用。