Physical and rehabilitation medicine, medical rehabilitationPhysical and rehabilitation medicine, medical rehabilitation2658-68432949-1436Eco-Vector2583410.36425/rehab25834Research ArticleApplication of pulse magnetotherapy in integrated treatment of patients with gonartrosisByalovskyYury Yu.<p>MD, PhD, Professor</p>b_uu@mail.ruhttps://orcid.org/0000-0002-6769-8277RakitinaIrina S.<p>MD, PhD</p>rakitina62@gmail.comhttps://orcid.org/0000-0002-9406-1765GerasimenkoMarina Yu.<p>MD, PhD, Professor</p>mgerasimenko@list.ruhttps://orcid.org/0000-0002-1741-7246ZaitsevaTatiana N.<p>MD, PhD</p>zaytn@mail.ruhttps://orcid.org/0000-0001-7123-1568Federal State Budgetary Educational Institution of Higher Education “Ryazan State Medical University” of the Ministry of Health of RussiaFederal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation10092020232172242703202023052020Copyright © 2020, Gerasimenko M.Y., Byalovsky Y.Y., Rakitina I.S., Zaitseva T.N.2020<p><strong>Background.</strong> Osteoarthritis is a joint disease that has a severe progressive nature, which leads to a violation of a number of functions and a limitation of professional capabilities.</p>
<p><strong>Aims: </strong>to evaluate the effectiveness of the pulsed magnetic field from the ALMAG+ apparatus with parameters that activate stress-limiting mechanisms, as part of the complex treatment of painful osteoarthritis.</p>
<p><strong>Methods.</strong> The study included 75 patients with stage IIII knee оsteoarthritis, who were divided into the main and control groups using simple randomization. All patients received basic therapy, including the use of non-steroidal anti-inflammatory drugs (Diclofenac 25 mg/3 times a day, course 15 days). Patients of the main group were additionally prescribed treatment with a running pulsed magnetic field (BIMP) from the ALMAG+ apparatus.</p>
<p><strong>Results. </strong>In the control group for patients with NSAIDs, positive dynamics of functional indices and pain indices were observed only immediately after treatment. After 3 months after the course of treatment, the intensity of pain and impairment of function returned to the original level. After completing the course of treatment for BIMP in the main group of patients, there was a marked decrease in all of the relevant indices and the degree of expression of the patients. After 3 months after the end of the treatment course in patients of the main group, a marked improvement in the previous effect was achieved according to the LI and Richi tests. By the 6th month, a regression of symptoms occurred a reliably aggravated pain syndrome and deteriorated functional capabilities when assessed by the Lee index. The intensity of penetration had a tendency to growth.</p>
<p><strong>Conclusions.</strong> The use of a pulsed magnetic field from the ALMAG+ apparatus with parameters that activate stress-limiting mechanisms contributed to a significant increase in the therapeutic efficacy of the applied treatment complex, contributing not only to a significant reduction, but in some cases complete relief of the pain syndrome, but also to an increase in functional activity affected knee joints.</p>osteoarthritispainsynovitisphysical and rehabilitation medicineостеоартритбольсиновитфизическая и реабилитационная медицина[Michael JW, Schlüter-Brust KU, Eysel P. The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee. Dtsch Arztebl Int. 2010;107(9):152–162. doi: 10.3238/arztebl.2010.0152.][Корнилов Н.Н., Денисов А.А. Парадигма раннего гонартроза: обзор современных возможностей диагностики и лечения (часть 1) // Терапевтический архив. — 2017. — Т. 89. — № 12-2. — С. 238–243. [Kornilov NN, Denisov AA. The paradigm of early gonarthrosis: a review of current diagnostic and treatment opportunities (Part 1). Terapevticheskiy arkhiv. 2017;89(12-2):238–243. (In Russ).] doi: 10.17116/terarkh20178912238-243.][Есина Е.Ю. Остеоартроз коленных суставов — проблемы лечения // Вестник новых медицинских технологий. — 2010 — T. 17. — № 2. — С. 185–187. [Yesina YeYu. Osteoarthritis of the knee joints − problems of treatment. Vestnik novykh meditsinskikh tekhnologiy. 2010;17(2): 185–187. (In Russ).]][Косарева М.А., Михайлов И.Н., Тишков Н.В. Современные принципы и подходы к лечению гонартроза // Современные проблемы науки и образования. — 2018. — № 6. — С. 69. [Kosareva MA, Mikhaylov IN, Tishkov NV. Modern principles and approaches to the treatment of gonarthrosis. Sovremennyye problemy nauki i obrazovaniya. 2018;(6):69. (In Russ).]][Епифанов В.А., Епифанов А.В. Реабилитация в травматологии и ортопедии. — М.: ГЕОТАР-Медиа, 2015. — 416 с. [Yepifanov VA, Yepifanov AV. Rehabilitation in traumatology and orthopedics. Moscow: GEOTAR-Media; 2015. 416 р. (In Russ).]][Гордеева В.Д., Владимирский Е.В., Рыболовлев Е.В., Владимирская Н.Л. Эффективность локальной и общей магнитотерапии при различных клинических формах остеоартроза // Физиотерапия, бальнеология и реабилитация. — 2013. — № 3. — С. 43. [Gordeyeva VD, Vladimirskiy YeV, Rybolovlev YeV, Vladimirskaya NL. Efficiency of local and general magnetotherapy in various clinical forms of osteoarthrosis. Fizioterapiya, bal’neologiya i reabilitatsiya. 2013;(3):43. (In Russ).]][Кулишова Т.В., Жоган И.В., Репешко Н.В., Каркавина А.Н. Эффективность магнитотерапии в лечении остеоартроза у пожилых больных с высокой коморбидностью // Кардиоваскулярная терапия и профилактика. — 2018. — Т. 17. — № S. — С. 35a–35b. [Kulishova TV, Zhogan IV, Repeshko NV, Karkavina AN. The effectiveness of magnetotherapy in the treatment of osteoarthritis in elderly patients with high comorbidity. Kardiovaskulyarnaya terapiya i profilaktika. 2018;17(S):35a–35b. (In Russ).]][Малофеев А.С., Буявых А.Г. Магнитотерапия остеоартроза в сочетании с ДДТ-форезом 2% лидокаина // Вестник физиотерапии и курортологии. — 2018. — Т. 24. — № 1. — С. 119–120. [Malofeyev AS, Buyavykh AG. Magnetotherapy of osteoarthritis in combination with DDT-phoresis of 2% lidocaine. Vestnik fizioterapii i kurortologii. 2018;24(1):119–120. (In Russ).]][Куликов А.Г., Ярустовская О.В., Герасименко М.Ю., и др. Применение общей магнитотерапии в клинической практике. Учебное пособие. — М., 2017. — 52 с. [Kulikov AG, Yarustovskaya OV, Gerasimenko MYu, et al. The use of general magnetotherapy in clinical practice. Uchebnoye posobiye. Moscow; 2017. 52 р. (In Russ).]][Герасименко М.Ю., Кончугова Т.В., Кульчицкая Д.Б., и др. Магнитотерапия в лечебно-реабилитационных и профилактических программах. Клинические рекомендации. — М.: Российский научный центр медицинской реабилитации и курортологии, 2015. — 47 с. [Gerasimenko MYu, Konchugova TV, Kul’chitskaya DB, et al. Magnetotherapy in treatment and rehabilitation programs. Clinical recommendations. Moscow: Rossiyskiy nauchnyy tsentr meditsinskoy reabilitatsii i kurortologii; 2015. 47 р. (In Russ).]]