Physiotherapy Laboratory, J. Struś Municipal Hospital, Poznań, Poland.
Department of Physical Therapy and Sports Recovery, Poznań University of Physical Education, Poznań, Poland.
Biomed Res Int. 2020 Feb 25;2020:6849352. doi: 10.1155/2020/6849352. eCollection 2020.
To assess whether pulsed electromagnetic field therapy during cast immobilization of distal radius fractures has beneficial effects on pain and limb function, the study included 52 patients (mean age 60.8 ± 15.0 years) with distal radius fractures treated with cast immobilization. Patients were allocated to a pulsed electromagnetic field group ( = 27) or a control group ( = 25). Pain; forearm and arm circumference; range of motion; disabilities of the arm, shoulder, and hand score; and touch sensation were evaluated on the day of the plaster cast dressing and 3 and 6 weeks after. In comparison to the control group, the pulsed electromagnetic field group reported significant changes after 3 and 6 weeks of treatment: lower pain levels (=0.0052; < 0.0001, respectively), greater mobility of upper-limb joints, improvement in exteroceptive sensation, and reduction in disability of the upper limb (disabilities of the arm, shoulder, and hand) (=0.0003; < 0.0001, respectively). Our results suggest that early addition of pulsed electromagnetic field treatment, during cast immobilization of distal radius fractures, has beneficial effects on the pain, exteroceptive sensation, range of motion, and daily functioning of patients.
为了评估脉冲电磁场治疗在桡骨远端骨折石膏固定期间对疼痛和肢体功能是否有益，这项研究纳入了 52 名（平均年龄 60.8±15.0 岁）接受石膏固定治疗的桡骨远端骨折患者。患者被分配到脉冲电磁场组（n=27）或对照组（n=25）。在石膏固定包扎当天以及 3 周和 6 周后，评估疼痛、前臂和手臂周长、关节活动度、手臂、肩和手的残疾评分以及触觉。与对照组相比，脉冲电磁场组在治疗 3 周和 6 周后报告了显著变化：疼痛程度较低（=0.0052； < 0.0001），上肢关节活动度更大，本体感觉改善，上肢残疾（手臂、肩和手的残疾）减轻（=0.0003； < 0.0001）。我们的结果表明，在桡骨远端骨折石膏固定期间早期添加脉冲电磁场治疗对患者的疼痛、本体感觉、关节活动度和日常功能有有益影响。
