Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 2.1 (5-Year IF – 2.0)
Journal Citation Indicator (JCI) (2023) – 0.4
Scopus CiteScore – 3.7 (CiteScore Tracker – 4.0)
Index Copernicus  – 171.00; MNiSW – 70 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

Download original text (EN)

Advances in Clinical and Experimental Medicine

2018, vol. 27, nr 5, May, p. 649–666

doi: 10.17219/acem/68690

Publication type: original article

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Impact of selected magnetic fields on the therapeutic effect in patients with lumbar discopathy: A prospective, randomized, single-blinded, and placebo-controlled clinical trial

Jakub Taradaj1,2,A,B,C,D,E,F, Marcin Ozon3,A,B,C,D,E,F, Robert Dymarek4,B,C,D,E, Bartosz Bolach5,C,D,E, Karolina Walewicz6,A,B,C,D,E, Joanna Rosińczuk4,B,C,D,E

1 Department of Physiotherapy Basics, Academy of Physical Education in Katowice, Poland

2 College of Rehabilitation Sciences, University of Manitoba in Winnipeg, Canada

3 Private Physiotherapy Practice “OzonMedica Clinic”, Gorlice, Poland

4 Department of Nervous System Diseases, Wroclaw Medical University, Poland

5 Department of Sport Didactics, University School of Physical Education in Wroclaw, Poland

6 Institute of Physiotherapy, Public Higher Medical Professional School in Opole, Poland

Abstract

Background. Interdisciplinary physical therapy together with pharmacological treatment constitute conservative treatment strategies related to low back pain (LBP). There is still a lack of high quality studies aimed at an objective evaluation of physiotherapeutic procedures according to their effectiveness in LBP.
Objectives. The aim of this study is to carry out a prospective, randomized, single-blinded, and placebocontrolled clinical trial to evaluate the effectiveness of magnetic fields in discopathy-related LBP.
Material and Methods. A group of 177 patients was assessed for eligibility based on inclusion and exclusion criteria. In the end, 106 patients were randomly assigned into 5 comparative groups: A (n = 23; magnetic therapy: 10 mT, 50 Hz); B (n = 23; magnetic therapy: 5 mT, 50 Hz); C (n = 20; placebo magnetic therapy); D (n = 20; magnetic stimulation: 49.2 μT, 195 Hz); and E (n = 20; placebo magnetic stimulation). All patients were assessed using tests for pain intensity, degree of disability and range of motion. Also, postural stability was assessed using a stabilographic platform.
Results. In this study, positive changes in all clinical outcomes were demonstrated in group A (p < 0.05). The most effective clinical effect was observed for pain reduction (p < 0.05), improvement of the range of motion (p < 0.05) and functional ability of the spine (p <0.05). It is also worth noting that the effects in the majority of the measured indicators were mostly short-term (p > 0.05).
Conclusion. It was determined that the application of magnetic therapy (10 mT, 50 Hz, 20 min) significantly reduces pain symptoms and leads to an improvement of functional ability in patients with LBP.

Key words

low back pain, clinical assessment, lumbar discopathy, stabilometric platform, magnetic field therapy

References (34)

  1. Krismer M, van Tulder M.; Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project. Strategies for prevention and management of musculoskeletal conditions: Low back pain (non-specific). Best Pract Res Clin Rheumatol. 2007;21:77–91.
  2. Calvo-Muñoz I, Gómez-Conesa A, Sánchez-Meca J. Prevalence of low back pain in children and adolescents: A meta-analysis. BMC ­Pediatr. 2013;13:14.
  3. Borenstein DG. Epidemiology, etiology, diagnostic evaluation, and treatment of low back pain. Curr Opin Rheumatol. 2001;13:128–134.
  4. Hoy D, Bain C, Williams G, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012;64:2028–2037.
  5. Meucci RD, Fassa AG, Faria NMX. Prevalence of chronic low back pain: Systematic review. Rev Saúde Pública. 2015;49:1. doi:10.1590/S0034-8910.2015049005874
  6. Zhang Y, Guo T, Guo X, Wu S. Clinical diagnosis for discogenic low back pain. Int J Biol Sci. 2009;5:647–658.
  7. Garg A, Gerr F, Katz JN, Marras WS, Silverstein B. Low back pain and the workplace. JAMA. 2007;298:403–404.
  8. Morton M. Spinal pain syndromes. Przew Lek. 2008;5:45–55.
  9. Elder BD, Witham TF. Low back pain and spondylosis. Semin Neurol. 2016;36:456–461.
  10. Allegri M, Montella S, Salici F, et al. Mechanisms of low back pain: A guide for diagnosis and therapy. F1000 Research. 2016;5. doi:10. 12688/f1000research.8105
  11. Hoozemans MJM, Koppes LLJ, Twisk JWR, van Dieën JH. Lumbar bone mass predicts low back pain in males. Spine. 2012;37:1579–1585.
  12. Golob AL, Wipf JE. Low back pain. Med Clin North Am. 2014;98: 405–428.
  13. Goubert D, Oosterwijck JV, Meeus M, Danneels L. Structural changes of lumbar muscles in non-specific low back pain: A systematic review. Pain Physician. 2016;19:985–1000.
  14. Furlan AD, Pennick V, Bombardier C, van Tulder M; Editorial Board, Cochrane Back Review Group. 2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group. Spine. 2009;34:1929–1941.
  15. Furlan AD, Yazdi F, Tsertsvadze A, et al. A systematic review and meta-analysis of efficacy, cost-effectiveness, and safety of selected complementary and alternative medicine for neck and low-back pain. Evid-Based Complement Altern Med ECAM. 2012;953139. doi: 10.1155/2012/953139
  16. Chou R, Huffman LH; American Pain Society, American College of Physicians. Nonpharmacologic therapies for acute and chronic low back pain: A review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med. 2007;147:492–504.
  17. Koes BW, van Tulder MW, Thomas S. Diagnosis and treatment of low back pain. BMJ. 2006;332:1430–1434.
  18. Kuryliszyn-Moskal A. Management of low back pain: Treatment strategies. Rheumatology. 2009;47(6):368–371.
  19. Rubinstein SM, van Middelkoop M, Kuijpers T, et al. A systematic review on the effectiveness of complementary and alternative medicine for chronic non-specific low-back pain. Eur Spine J. 2010;19: 1213–1228.
  20. Delitto A, George SZ, Van Dillen LR, et al.; Orthopaedic Section of the American Physical Therapy Association. Low back pain. J Orthop Sports Phys Ther. 2012;42(4):A1–A57.
  21. McCaskey MA, Schuster-Amft C, Wirth B, Suica Z, de Bruin ED. Effects of proprioceptive exercises on pain and function in chronic neck- and low back pain rehabilitation: A systematic literature review. BMC Musculoskelet Disord. 2014;15:382.
  22. Standaert CJ, Friedly J, Erwin MW, et al. Comparative effectiveness of exercise, acupuncture, and spinal manipulation for low back pain. Spine. 2011;36:120–130.
  23. Bouche K, Stevens V, Cambier D, Caemaert J, Danneels L. Comparison of postural control in unilateral stance between healthy controls and lumbar discectomy patients with and without pain. Eur Spine J. 2006;15:423–432.
  24. Salavati M, Mazaheri M, Negahban H, et al. Effect of dual-tasking on postural control in subjects with nonspecific low back pain. Spine. 2009;34:1415–1121.
  25. Mazaheri M, Coenen P, Parnianpour M, Kiers H, van Dieën JH. Low back pain and postural sway during quiet standing with and without sensory manipulation: A systematic review. Gait Posture. 2013;37:12–22.
  26. Ruhe A, Fejer R, Walker B. Center of pressure excursion as a measure of balance performance in patients with non-specific low back pain compared to healthy controls: A systematic review of the literature. Eur Spine J. 2011;20:358–368.
  27. Omar AS, Awadalla MA, El-Latif MA. Evaluation of pulsed electromagnetic field therapy in the management of patients with discogenic lumbar radiculopathy. Int J Rheum Dis. 2012;15:101–108.
  28. Thuile C, Walzl M. Evaluation of electromagnetic fields in the treatment of pain in patients with lumbar radiculopathy or the whiplash syndrome. NeuroRehabilitation. 2002;17:63–67.
  29. Oke KI, Umebese PFA. Evaluation of the efficacy of pulsed electromagnetic therapy in the treatment of back pain: A randomized controlled trial in a tertiary hospital in Nigeria. West Indian Med J. 2013;62: 205–209.
  30. Ratajczak B, Ryfa R, Boerner E, Kuciel-Lewandowska J, Hawrylak A, Demidaś A. Assessment the influence of the lasertherapy and magnetotherapy in connection with kinesitherapy used by patients with the degenerative low back disease. Adv Rehabil. 2013;25:13–18.
  31. Janiszewski M. Wpływ terapeutycznego systemu magnetostymulacyjnego (MRS 2000) na niektóre wskaźniki biomechaniczne narządu ruchu u pacjentów z chorobą zwyrodnieniową stawów. Acta Bio-Opt Inf Med. 1998;4:73–75.
  32. Pasek J, Pasek T, Sieroń A. Some practical recommendations on the use of magnetic fields and light in physical medicine. Acta Bio-Opt Inform Medica. 2007;13:284–285.
  33. Pasek J, Kwiatek P, Pasek T, Szajkowski S, Szewc A, Sieroń A. Application of magnetic field and visible light in the treatment of low back pain and sciatic neuralgia. Curr Neurol. 2012;12:65–68.
  34. Kapłun E, Kapłun D, Majcher P, Fatyga M. Evaluation of magnetstimulation usefulness using VIOFOR JPS in rehabilitation of patients after stroke. Adv Rehabil. 2004;18.
© Wroclaw Medical University