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重复外周磁刺激(rPMS)治疗腰椎神经根病患者:肌电图引导的前瞻性随机研究。

Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Lumbar Radiculopathy: An Electromyography-guided Prospective, Randomized Study.

机构信息

Department of Physical and Rehabilitation Medicine, "Elias" Emergency University Hospital, Bucharest, Romania.

Department of Oncologic Dermatology, "Elias" Emergency University Hospital, Bucharest, Romania;

出版信息

In Vivo. 2021 Jan-Feb;35(1):623-627. doi: 10.21873/invivo.12300.


DOI:10.21873/invivo.12300
PMID:33402518
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7880783/
Abstract

BACKGROUND/AIM: Lumbar radiculopathy refers to the disruption of one or more lumbosacral nerve root functions, usually causing radiating pain and functional impairments. PATIENTS AND METHODS: We aimed to analyze the role of repetitive peripheral magnetic stimulation (rPMS) alone or in association with physiokinesiotherapy (PKT) in treating lumbar radiculopathy. A total of 41 patients diagnosed with lumbar radiculopathy were randomly allocated to the rPMS group and the rPMS plus PKT group. Subjects were then administered a total of 10 treatment sessions. RESULTS: A statistically significant improvement was highlighted in both groups in terms of pain score, and electromyography (EMG) analysis depicted a far superior functional recovery in the rPMS plus PKT group. CONCLUSION: rPMS can constitute an effective treatment for subjects with lumbar radiculopathy and its association with a complex physical rehabilitation program could improve the outcome in these patients.

摘要

背景/目的:腰椎神经根病是指一个或多个腰骶神经根功能紊乱,通常会导致放射性疼痛和功能障碍。

患者和方法:我们旨在分析单独使用或联合物理康复治疗(PKT)的重复外周磁刺激(rPMS)在治疗腰椎神经根病中的作用。共 41 名被诊断为腰椎神经根病的患者被随机分配到 rPMS 组和 rPMS 联合 PKT 组。然后,两组患者均接受了 10 次治疗。

结果:两组患者的疼痛评分均有显著改善,肌电图(EMG)分析显示 rPMS 联合 PKT 组的功能恢复更优。

结论:rPMS 可作为腰椎神经根病患者的有效治疗方法,其与复杂的物理康复方案联合应用可改善此类患者的治疗效果。

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[1]
Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Lumbar Radiculopathy: An Electromyography-guided Prospective, Randomized Study.

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本文引用的文献

[1]
Repetitive Peripheral Magnetic Nerve Stimulation (rPMS) as Adjuvant Therapy Reduces Skeletal Muscle Reflex Activity.

Front Neurol. 2019-8-27

[2]
Nanomaterial-Based Approaches for Neural Regeneration.

Pharmaceutics. 2019-6-8

[3]
Prognostic Factors for Physical Functioning After Multidisciplinary Rehabilitation in Patients With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis.

Clin J Pain. 2019-2

[4]
Evaluation of pulsed electromagnetic field therapy for the treatment of chronic postoperative pain following lumbar surgery: a pilot, double-blind, randomized, sham-controlled clinical trial.

J Pain Res. 2018-6-22

[5]
The effectiveness of therapeutic strategies for patients with radiculopathy: A network meta-analysis.

Mol Pain. 2018

[6]
Advances in understanding nociception and neuropathic pain.

J Neurol. 2017-10-14

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Neuropathic Pain Assessment with the PainDETECT Questionnaire: Cross-Cultural Adaptation and Psychometric Evaluation to Hindi.

Pain Pract. 2017-11

[8]
Repetitive peripheral magnetic stimulation to reduce pain or improve sensorimotor impairments: A literature review on parameters of application and afferents recruitment.

Neurophysiol Clin. 2015-9

[9]
Electromagnetic fields in medicine - The state of art.

Electromagn Biol Med. 2016

[10]
Impulse magnetic stimulation facilitates synaptic regeneration in rats following sciatic nerve injury.

Neural Regen Res. 2012-6-15

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