Paolucci Teresa, Pezzi Letizia, Centra Antonello Marco, Giannandrea Niki, Bellomo Rosa Grazia, Saggini Raoul
Department of Medical Oral Sciences and Biotechnology (DiSmob), Physical Medicine and Rehabilitation Unit, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy.
Department of Biomolecular Sciences, University of Study of Urbino Carlo Bo, Urbino, Italy.
J Pain Res. 2020 Jun 12;13:1385-1400. doi: 10.2147/JPR.S231778. eCollection 2020.
Electromagnetic fields (EMFs) provide a non-invasive, safe, and easy method to treat pain with respect to musculoskeletal diseases. The purpose of this systematic review was to describe the use of electromagnetic therapy in the rehabilitation field by investigating the efficacy in acute and chronic pain in the musculoskeletal disorders. A database search was conducted using the following resources: PubMed, Cochrane, PEDro, SCOPUS, and WoS. The following MESH terms were used: [Electromagnetic field AND/OR Rehabilitation], [Electromagnetic field AND/OR Pain], [Pulsed Magnetic field AND/OR Rehabilitation] and [Pulsed Magnetic field AND/OR Pain], [Pulsed Electromagnetic field AND/OR Rehabilitation] and [Pulsed Electromagnetic field AND/OR Pain], per the guidelines of the PRISMA statement. Articles published between January 1, 2009 and December 31, 2018 were included as assessment of musculoskeletal pain conditions, randomized clinical trial including crossover and prospective design studies, full English text available, population age > 18 years; instead were excluded neurological randomized clinical trials, transcranial magnetic stimulation application, neuropathic pain, animal/in vitro studies, and articles without English abstract or English full text. Three independent investigators (AMC, NG, and LP) retrieved all the information. Twenty-one RTC (N=21) were considered for the inclusion and exclusion criteria. The results showed as pulsed magnetic fields at low intensity and frequency (from 1 Hz up to 100 Hz) are commonly used with efficacy in resolving musculoskeletal pain. EMFs therapy is a well tolerated, effective with no negative side effects, which can be integrated with rehabilitation for the treatment of chronic and acute pain in musculoskeletal diseases, but further studies are needed to examine the use of more standardized protocols.
对于肌肉骨骼疾病，电磁场（EMF）提供了一种非侵入性、安全且简便的疼痛治疗方法。本系统评价的目的是通过研究电磁疗法对肌肉骨骼疾病急性和慢性疼痛的疗效，来描述其在康复领域的应用。使用以下资源进行数据库检索：PubMed、Cochrane、PEDro、SCOPUS和WoS。根据PRISMA声明的指南，使用了以下医学主题词：[电磁场与/或康复]、[电磁场与/或疼痛]、[脉冲磁场与/或康复]以及[脉冲磁场与/或疼痛]、[脉冲电磁场与/或康复]以及[脉冲电磁场与/或疼痛]。纳入2009年1月1日至2018年12月31日期间发表的文章，作为肌肉骨骼疼痛状况的评估，包括交叉和前瞻性设计研究的随机临床试验，有完整英文文本，人群年龄>18岁；排除神经随机临床试验、经颅磁刺激应用、神经性疼痛、动物/体外研究以及无英文摘要或英文全文的文章。三位独立研究者（AMC、NG和LP）检索了所有信息。21项随机对照试验（N = 21）符合纳入和排除标准。结果显示，低强度和频率（从1Hz到100Hz）的脉冲磁场常用于缓解肌肉骨骼疼痛且具有疗效。电磁场疗法耐受性良好、有效且无负面副作用，可与康复相结合用于治疗肌肉骨骼疾病的慢性和急性疼痛，但需要进一步研究以检验更标准化方案的应用。
