Clinical Study of Applied High-induction Electromagnetic Field on Painful Conditions
Authors:
E. Šťastný 1,2; O. Prouza 3
Authors‘ workplace:
Ortopedie Šťastný, s. r. o., Praha-Řepy
1; Klinika dětské a dospělé ortopedie a traumatologie, FN Motol, Praha
2; Univerzita Karlova, Fakulta tělesné výchovy a sportu, Praha
3
Published in:
Rehabil. fyz. Lék., 23, 2016, No. 3, pp. 142-148.
Category:
Original Papers
Overview
Background:
A new approach to pain management appeared in a physical therapy. It is technology based on the effect of strong pulsed electromagnetic field in human tissue (the value of induction is in the order of units of tesla). This pilot study examines the analgesic effect of this technology with different diagnoses.
Objective:
Verification of an analgesic effect of a strong pulsed electromagnetic field on a sufficient statistical sample in a clinical practice.
Methods:
The therapy was performed with 57 randomly selected patients with chronic and acute pain of musculoskeletal system. Patients had 6 therapies in average, 1-2 times per week, 10-15 minutes according to the selected protocol. We used the combination of the Visual Analog Scale (VAS) and the Verbal Numerical Rating Scale (VNRS) to determine the analgesic effect.
Results:
Regardless of diagnoses the overall decrease of pain was 37.5%. There was significant release of pain at 46 patients. There was neither improvement nor worsening of pain in 4 of the 50 patients. Seven patients were excluded from the study.
Conclusion:
We have demonstrated the analgesic effect of a strong pulsed electromagnetic field on musculoskeletal pain.
Keywords:
FMS, electromagnetic induction, analgesic effect, musculoskeletal system
Sources
1. ABBRUZZESE, G. et al.: Abnormalities of sensorimotor integration in focal dystonia: A transcranial magnetic stimulation study. Brain, 124, 2001, 3, s. 537-545.
2. BASTIAN, A. J. et al.: Different effects of unilateral versus bilateral subthalamic nucleus stimulation on walking and reaching in parkinson’s disease. Movement Disorders, 18, 2003, 9, s. 1000-1007.
3. BAWA, P. et al.: Responses of ankle extensor and flexor motoneurons to transcranial magnetic stimulation. Journal of Neurophysiology, 88, 2002, 1, s. 124-132.
4. BERARDELLI, A., RONA, S., INGHILLERI, M., MANFREDI, M.: Cortical inhibition in Parkinson‘s disease A study with paired magnetic stimulation. Brain, Journal of Neurology, 119, 1996, 1, s. 71-77.
5. BUSTAMANTE, V., LOPEZ DE SANTA MARIA, E., GOROSTIZA, A., JIMENEZ, U., GALDIZ, J. B.: Muscle training with repetitive magnetic stimulation of the quadriceps in severe COPD patients. Respiratory Medicíně, 104, 2010, s. 237-245.
6. CARESS, J. B., BASTINGS, E. P., HAMMOND, G. L., WALKER, F. O.: A novel method of inducing muscle cramps using repetitive magnetic stimulation. Muscle and Nerve, 23, 2000, s. 126-128.
7. CLAUS, D. et al.: Central motor conduction in degenerative ataxic disorders: a magnetic stimulation study. Journal of Neurology, Neurosurgery and Psychiatry, 21, 1988, 6, s. 790-795.
8. CRACCO, R. Q. et al.: Cerebral function revealed by transcranial magnetic stimulation. Journal of Neuroscience Methods, 86, 1999, 2, s. 209-219.
9. DASKALAKIS, Z. J. B. K., CRISTENSEN, R., CHEN, P., FITZGERALD, B., ZIPURSKY, R. B., KAPUR, S.: Evidence for impaired cortical inhibition in schizophrenia using transcranial magnetic stimulation. Archives of General Psychiatry, 59, 2002, 4, s. 347-354.
10. ELLAWAY, P. H. et al.: Variability in the amplitude of skeletal muscle responses to magnetic stimulation of the motor cortex in man. Electroencephalography and Clinical Neurophysiology, 109, 1998, 2, s. 104-113.
11. ENTICOTT, P. G. H., KENNEDY, A., ZANGEN, A., FITZ-GERALD, P. B.: Deep repetitive transcranial magnetic stimulation associated with improved social functioning in a young woman with an autism spectrum disorder. Journal of ECT, 27, 2010, 1, s. 41-43.
12. GARCIA-LARREA., L., PEYRON, R., MERTENS, P.: Electrical stimulation of the motor cortex for pain control: a combined PET scan and electrophysiological study. Pain, 83, 1999, 2, s. 259-273.
13. GEORGE, M. S. et al.: Daily left prefrontal transcranial magnetic stimulation therapy for major depressive disorder. Archives of General Psychiatry, 67, 2010, 5, s. 507-516.
14. HARRIS, M. L. Y. M. LUO, A. C. WATSON, G. F. RAFFERTY, M., POLKEY, I., GREEN, M., MOXHAM, J.: Adductor pollicis twitch tension assessed by magnetic stimulation of the ulnar nerve. American Journal of Respiratory and Critical Care Medicíně, 162, 2000, 1, s. 240-245.
15. HUMMEL, F. C., COHEN I.: Non-invasive brain stimulation: a new strategy to improve neurorehabiltation after stroke?. The Lancet Neurology, 5, 2006, 8, s. 708-712.
16. CHIEFFO, R. et al.: Excitatory deep transcranial magnetic stimulation with H-coil over the right homologous Broca‘s region improves naming in chronic post-stroke aphasia. Neurorehabilitation and Nerve Repair, 28, 2014, 3, s. 291-298.
17. INGRAM, D. A., THOMPSON, J., SWASH, M.: Central motor conduction in multiple sclerosis: evaluation of abnormalities revealed by transcutaneous magnetic stimulation of the brain. Journal of Neurology, Neurosurgery and Psychiatry, 21, 1988, 4, s. 487-494.
18. ISSERLESS, M. et al.: Cognitive–emotional reactivation during deep transcranial magnetic stimulation over the prefrontal cortex of depressive patients affects antidepressant outcome. Journal of Affective Disorders, 128, 2011, 3, s. 235-242.
19. ISSERLESS, M. A., SHALEV, Y., ROTH, Y., PERI, T., KUTZ, I., ZLOTNICK, E., ZANGEN, A.: Effectiveness of deep transcranial magnetic stimulation combined with a brief exposure procedure in post-traumatic stress disorder – A pilot study. Brain Stimulation, 6, 2012, 3, s. 377-383.
20. KAYSER, S. B., H. BEWERNICK, CH., GRUBERT, B. L., HADRYSIEWICZ, N., AXMACHER, SCHLAEPFER T. E.: Antidepressant effects, of magnetic seizure therapy and electroconvulsive therapy, in treatment-resistant depression. Journal of Psychiatric Research, 45, 2011, 5, s. 569-576.
21. KHEDR, E. M. et al.: Longlasting antalgic effects of daily sessions of repetitive transcranial magnetic stimulation in central and peripheral neuropathic pain. Journal on Neurology, Neurosurgery and Psychiatry, 76, 2005, 6, s. 833-838.
22. KIM, Y. H. et al.: Repetitive transcranial magnetic stimulation-induced corticomotor excitability and associated motor skill acquisition in chronic stroke. Stroke, 87, 2006, 6, s. 1471-1476.
23. KNOTKOVA, H. R. A., CRUCIANI, V., TRONNIER, M., RASCHE, D.: Current and future options for the management of phantom-limb pain. Journal of Pain Research, 2012, 5, s. 39-49.
24. KRANZ, G. et al.:Transcranial magnetic brain stimulation modulates blepharospasm: A randomized controlled study. Neurology, 75, 2010, 16, s. 1465-1471.
25. KYROUSSIS, D., MILLS, G. H., POLKEY, M. I., HAMNEGARD, C. H.: Abdominal muscle fatigue after maximal ventilation in humans. J. Appl. Physiol., 81, 1996, s. 1477-1483.
26. LEE, P. B. Y., C., KIM, Y. J,. LIM, C. J,. LEE, S. S., CHOI, S., PARK, H., LEE, J. G., LEE, S. C.:. Efficacy of pulsed electromagnetic therapy for chronic lower back pain: a randomized, double-blind, placebo-controlled study. The Journal of International Medical Research, 2006, 34, s. 160-167.
27. LEVKOVITZ, Y. et al.: Deep transcranial magnetic stimulation over the prefrontal cortex: Evaluation of antidepressant and cognitive effects in depressive patients. Brain Stimulation, 2, 2009, 4, s. 188-200.
28. LEVKOVITZ, Y. L., RABANY, E., HAREL, V., ZANGEN, A.: Deep transcranial magnetic stimulation add-on for treatment of negative symptoms and cognitive deficits of schizophrenia: a feasibility study. International Journal of Neuropsychopharmacology, 14, 2011, 7, s. 1-6.
29. LIN, V. W. I., HSIAO, N., ZHU, E., PERKASH, I..: Functional magnetic stimulation for conditioning of expiratory muscles in patients with spinal cord injury. Archives of Physical Medicine and Rehabilitation, 82, 2001, 2, s. 162-166.
30. MORRIS, A. R. et al.:Extracorporeal magnetic stimulation is of limited clinical benefit to women with idiopathic detrusor overactivity: A randomized sham controlled trial. European Urology, 52, 2007, 3, s. 876-883.
31. MUNCHAU, A. et al.: Functional connectivity of human premotor and motor cortex explored with repetitive transcranial magnetic stimulation. The Journal of Neuroscience. 22, 2002, 2.
32. NAESER, M. A. et al.: Transcranial magnetic stimulation and aphasia rehabilitation. Archives of Physical Medicine and Rehabilitation, 93, 2012, 1, s. 26-34.
33. NÄSI, T. et al.: Magnetic-stimulation-related physiological artifacts in hemodynamic near-infrared spectroscopy signals. Public Library of Science, 6, 2011, 8, s. 1-8.
34. NAUCZYCIEL, C., NAUDET, F., DOUABIN S., ESQUEVIN, A., VÉRIN, M., DONDAINE, T., ROBERT, G., DRAPIER, D., MILLET, B.: Repetitive transcranial magnetic stimulation over the orbitofrontal cortex for obsessive-compulsive disorder: a double-blind, crossover study. Translational Psychiatry, 2014, 4.
35. NIELSEN, J. F., SINKJAER, T., JAKOBSEN, J.:. Treatment of spasticity with repetitive magnetic stimulation; a double-blind placebo-controlled study. Multiple Sclerosis, 2, 1996, 5, s. 227-232.
36. PASCUAL-LEONE, A. et al.: Transcranial magnetic stimulation and neuroplasticity. Neuropsychologia, 37, 1999, 2, s. 207-217.
37. PODĚBRADSKÝ, J., PODĚBRADSKÁ, R.: Clinical study of high-induction electromagnetic stimulator SALUS talent. Rehabilitation and Physical Medicine. [online], 17, 2010, 3, s. 95-100.
38. PŘIKRYL, R.: Postavení repetitivní transkraniální magnetické stimulace v léčbě obsedantně-kompulzivní poruchy. Česká a slovenská psychiatrie, 109, 2013, 11, s. 11-19.
39. REIS, J. et al.: Consensus: “Can tDCS and TMS enhance motor learning and memory formation?”. Brain Stimulation, 1, 2008, 4, s. 363-369.
40. ROSENBERG, O., ROTH, Y., KOTLER, M., ZANGEN, A., DANNON, P.: Deep transcranial magnetic stimulation for the treatment of auditory hallucinations: a preliminary open-label study. Annals of General Psychiatry. 10, 2011, 3, s. 1-6.
41. SHORT, E. B., J., J. BORCKARDT, B. S., ANDERSON, H., FROHMAN, W.,BEAM, S., REEVES, T., GEORGE, M. S.: 10 Sessions of adjunctive left prefrontal rTMS significantly reduces fibromyalgia pain: A randomized, controlled, pilot study. Pain, 152, 2011, 11, s. 2477-2484.
42. TREBBASTONI, A. et al.: Repetitive deep transcranial magnetic stimulation improves verbal fluency and written language in a patient with primary progressive aphasia-logopenic variant (LPPA). Brain Stimulation, 6, 2013, 4, s. 545-553.
43. TREISTER, R., M., LANG, M. M., KLEIN, A., OAKLANDER, L.: Non-invasive transcranial magnetic stimulation (TMS) of the motor cortex for neuropathic pain—At the tipping point?. Rambam Maimonides Medical Journal, 4, 2013, 4, s. 1-11.
44. UHER, E., SCHNEIDER, R., WEWALKA, M., SCHUHFRIED, O.: Pilot study of musculoskeletal diseases with low effective high-energy electromagnetic stimulation. Physical Medicine, Rehabilitation Medicíně, 2012, 1, s. 22-30.
45. VOORHAM, P. J. et al.: Effects of magnetic stimulation in the treatment of pelvic floor dysfunction. BJU International, 97, 2006, 5, s. 1035-1038.
46. WHITE, P. F. et. al.: Anesthetic considerations for magnetic seizure therapy: A novel therapy for severe depression. Anesthesia & Analgesia, 103, 2006, 1, s. 76-80.
47. YOKOYAMA, T. et al.: Extracorporeal magnetic innervation treatment for urinary incontinence. International Journal of Urology, 11, 2004, 8, s. 602-606.
48. ZIEMANN, U., PAULUS, W., ROTHENBERG, A.: Decreased motor inhibition in Tourette’s disorder: Evidence from transcranial magnetic stimulation. American Journal of Psychiatry, 154, 1997, 9, s. 1277-1284.
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Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2016 Issue 3
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