Department of Internal Medicine, Rehabilitation and Physical Medicine, Medical University, 90-419 Łódź, Poland.
Neuroorthopedics and Neurology Clinic and Polyclinic, National Institute of Geriatrics, Rheumatology and Rehabilitation, 02-637 Warsaw, Poland.
Int J Environ Res Public Health. 2023 Feb 19;20(4):3696. doi: 10.3390/ijerph20043696.
(1) Background: The aim of the study is to evaluate the analgesic effectiveness of a physical therapy regimen that combines the use of an electromagnetic field with light radiation emitted by LEDs, along with the use of Traumeel S ointment, in patients with gonarthrosis. (2) Methods: The study included 90 patients with knee osteoarthritis (grade 2 Kellgren and Lawrence osteoarthritis). They were divided into three groups: Group I, 30 patients treated with magnetic stimulation plus LED therapy; Group II, 30 patients treated with Traumeel S ointment; and Group III, 30 patients treated with magnetic stimulation plus LED therapy with Traumeel S ointment. Pain intensity was assessed using the VAS and Laitinen scales before and after a series of treatments. (3) Results: Significant results in terms of pain reduction before and after treatment were obtained in each of the study groups, as there were significant differences in the VAS pain intensity scores before and after the procedures between the groups. In group I, with electromagnetic field and LED light treatment, the difference was 35.5; in group II, which received Traumeel S ointment, the difference was 18.5; and in group III, with electromagnetic field and LED light treatment as well as Traumeel S ointment, the difference was 26.5. In the Laitinen scale, the differences were insignificant, although the size distribution was similar. (4) Conclusions: The therapy used in this study showed that magnetic stimulation plus LED therapy and the use of Traumeel S ointment gave positive results in terms of pain reduction in each of the study groups. The strongest analgesic factor seems to be magnetic and LED therapies used separately. Traumeel S in magnetoledophoresis does not work synergistically with the magnetic field of LED light, and even worsens the effect of the therapy used.
（1）背景：本研究旨在评估一种物理治疗方案的镇痛效果，该方案结合使用电磁场和 LED 光辐射，同时使用 Traumeel S 软膏，治疗膝骨关节炎患者。（2）方法：本研究纳入 90 例膝骨关节炎（Kellgren 和 Lawrence 骨关节炎 2 级）患者，分为三组：组 I，30 例患者接受磁刺激加 LED 治疗；组 II，30 例患者接受 Traumeel S 软膏治疗；组 III，30 例患者接受磁刺激加 LED 治疗加 Traumeel S 软膏治疗。在一系列治疗前后，使用 VAS 和 Laitinen 量表评估疼痛强度。（3）结果：每组患者在治疗前后的疼痛缓解方面均取得了显著结果，因为各组之间在治疗前后 VAS 疼痛强度评分方面存在显著差异。在组 I 中，电磁场和 LED 光治疗的差异为 35.5；在组 II 中，接受 Traumeel S 软膏治疗的差异为 18.5；在组 III 中，电磁场和 LED 光治疗以及 Traumeel S 软膏治疗的差异为 26.5。在 Laitinen 量表中，差异不显著，尽管分布大小相似。（4）结论：本研究中使用的治疗方法表明，磁刺激加 LED 治疗和 Traumeel S 软膏的使用在每组患者中均显示出减轻疼痛的积极效果。最强的镇痛因素似乎是单独使用磁场和 LED 光治疗。Traumeel S 在磁动电流疗法中与 LED 光的磁场没有协同作用，甚至会恶化治疗效果。
