Cianni Luigi, Di Gialleonardo Emidio, Coppola Donato, Capece Giacomo, Libutti Eugenio, Nannerini Massimiliano, Maccauro Giulio, Vitiello Raffaele
Orthopaedics and Trauma Surgery Unit, Catholic University of the Sacred Heart, 00168 Rome, Italy.
Department of Ageing, Neurosciences, Head-Neck and Orthopedics Sciences, Orthopedics and Trauma Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
J Clin Med. 2024 Mar 28;13(7):1959. doi: 10.3390/jcm13071959.
(1) Osteoarthritis (OA) significantly impacts patients' quality of life and negatively affects public healthcare costs. The aim of this systematic review is to identify the effectiveness of pulsed electromagnetic fields (PEMFs) in OA treatment across different anatomical districts, determining pain reduction and overall improvement in the patient's quality of life. (2) In this systematic review following PRISMA guidelines, PubMed and Google Scholar were searched for randomized controlled trials involving patients with osteoarthritis undergoing PEMF therapy. Seventeen studies (1197 patients) were included. (3) PEMF therapy demonstrated positive outcomes across various anatomical districts, primarily in knee osteoarthritis. Pain reduction, assessed through VAS and WOMAC scores, showed significant improvement (60% decrease in VAS, 42% improvement in WOMAC). The treatment duration varied (15 to 90 days), with diverse PEMF devices used. Secondary outcomes included improvements in quality of life, reduced medication usage, and enhanced physical function. (4) Diverse PEMF applications revealed promising results, emphasizing pain reduction and improvement in the quality of life of patients. The variability in the treatment duration and device types calls for further investigation. This review informs future research directions and potential advancements in optimizing PEMF therapies for diverse osteoarthritic manifestations.
(1) 骨关节炎（OA）显著影响患者的生活质量，并对公共医疗成本产生负面影响。本系统评价的目的是确定脉冲电磁场（PEMF）在不同解剖部位的OA治疗中的有效性，确定疼痛减轻情况以及患者生活质量的整体改善情况。(2) 在遵循PRISMA指南的本系统评价中，检索了PubMed和谷歌学术，以查找涉及接受PEMF治疗的骨关节炎患者的随机对照试验。纳入了17项研究（1197名患者）。(3) PEMF治疗在各个解剖部位均显示出积极效果，主要是在膝关节骨关节炎方面。通过视觉模拟评分法（VAS）和西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分评估的疼痛减轻情况显示出显著改善（VAS降低60%，WOMAC改善42%）。治疗持续时间各不相同（15至90天），使用了多种PEMF设备。次要结果包括生活质量改善、药物使用减少和身体功能增强。(4) 不同的PEMF应用显示出有前景的结果，强调了患者疼痛减轻和生活质量改善。治疗持续时间和设备类型的变异性需要进一步研究。本评价为未来的研究方向以及优化针对不同骨关节炎表现的PEMF治疗的潜在进展提供了信息。
