Yerköy Public Hospital, Department of Physical Medicine and Rehabilitation, Yozgat, Turkey.
Afyonkarahisar Health Sciences University, Department of Physical Medicine and Rehabilitation, Turkey.
Arch Phys Med Rehabil. 2024 Feb;105(2):199-207. doi: 10.1016/j.apmr.2023.09.020. Epub 2023 Oct 31.
To evaluate the 3-month effects of pulsed electromagnetic field therapy (PEMF) in the treatment of subacromial impingement syndrome (SIS).
Planned analysis of a randomized controlled trial with 4- and 12-week follow-ups.
Physical medicine and rehabilitation clinic, treatment unit.
Of the 250 individuals screened for eligibility, participants with a diagnosis of SIS (N=80) were randomized to intervention or control groups.
The first group received PEMF + exercise and the second group received sham PEMF + exercise 5 days a week for a total of 20 sessions.
Visual Analog Scale (VAS), Constant Murley Score (CMS), Shoulder Pain and Disability Index (SPADI), Short Form-36 (SF-36) Quality of Life Questionnaire, and shoulder muscle strength measurement with an isokinetic dynamometer. Evaluations were performed before treatment (T0), after treatment (T1), and 12th week (T2).
Evaluation at T1 and T2 showed improvement in most parameters in both groups compared with baseline. In the comparison between the 2 groups at T1 and T2, more improvement was found in the PEMF group in most parameters.
In our study, PEMF was found to be superior to sham PEMF in terms of pain, ROM, functionality, and quality of life at the first and third months.
评估脉冲电磁场疗法（PEMF）治疗肩峰下撞击综合征（SIS）的 3 个月疗效。
一项随机对照试验的计划分析，随访 4 周和 12 周。
物理医学和康复诊所，治疗单元。
在筛选出的 250 名符合条件的个体中，患有 SIS 的参与者（N=80）被随机分为干预组和对照组。
第一组接受 PEMF+运动治疗，第二组接受假 PEMF+运动治疗，每周 5 天，共 20 次。
视觉模拟评分（VAS）、Constant-Murley 评分（CMS）、肩痛和残疾指数（SPADI）、短式健康状况调查问卷 36 项（SF-36）生活质量问卷，以及等速测力计测量肩部肌肉力量。评估在治疗前（T0）、治疗后（T1）和第 12 周（T2）进行。
T1 和 T2 的评估显示，与基线相比，两组的大多数参数均有改善。在 T1 和 T2 时两组之间的比较中，PEMF 组在大多数参数方面的改善更为明显。
在我们的研究中，PEMF 在治疗后的第 1 个月和第 3 个月在疼痛、ROM、功能和生活质量方面均优于假 PEMF。
