Physical and rehabilitation medicine, medical rehabilitationPhysical and rehabilitation medicine, medical rehabilitation2658-68432949-1436Eco-Vector5023610.36425/rehab50236Research ArticleThe application of high intensity and low intensity magnetotherapy in rehabilitation of patients with COVID-19: a randomized controlled pilot studySilantyevaElena S.<p>MD, PhD</p>essdoktor@yandex.ruhttps://orcid.org/0000-0002-7667-3231Clinical hospital “Lapino”, group of companies “Mother and Child”31122020243223281611202019112020Copyright © 2020, Silantyeva E.S.2020<p><strong>Background.</strong> Rehabilitation of patients after severe pneumonia associated with the new coronavirus infection requires the searching for effective tools to restore impaired functions, including methods of hardware physiotherapy.</p>
<p><strong>Aims:</strong> to evaluate the effectiveness of the application of high-intensity electromagnetic field (HIEF) in rehabilitation of patients after pneumonia associated with COVID-19.</p>
<p><strong>Methods.</strong> 40 patients were examined and treated at the outpatient stage of rehabilitation after severe pneumonia associated with COVID-19. All patients received a set of rehabilitation measures, including daily sessions of therapeutic exercises (No. 15) and magnetotherapy procedures (No. 15). Patients were randomly separated into 2 groups: 20 patients in the treatment group (TG) who received HIEF therapy (BTL-6000 Super Inductive System) and 20 patients in the control group (CG) who received low-intensity magnetotherapy (BTL-4000 Premium device). Results. During the course of therapy, there were no patients who dropped out of the study, and no undesirable side effects and complications were identified. The high clinical effectiveness of the complex of rehabilitation measures has been proven, more pronounced in the group of patients receiving HIEF therapy. The results were confirmed by reliable dynamics of clinical indicators according to the valid questionnaire and positive changes in spirometry data.</p>
<p><strong>Conclusions.</strong> Application of high-intensity electromagnetic field (HIEF) is advisable in complex outpatient rehabilitation of patients after severe pneumonia associated with COVID-19.</p>COVID-19pneumoniamagnetotherapyhigh-intensity electromagnetic fieldphysical and rehabilitation medicineCOVID-19пневмониямагнитотерапиявысокоинтенсивное электромагнитное полефизическая и реабилитационная медицина[Иванова Г.E., Шмонин А.А., Мальцева М.Н., и др. Реабилитационная помощь в период эпидемии новой коронавирусной инфекции COVID-19 на первом, втором и третьем этапах медицинской реабилитации // Физическая и реабилитационная медицина, медицинская реабилитация. — 2020. — Т. 2. — № 2. — С. 98–117. [Ivanova GE, Shmonin AA, Maltseva MN, et al. Rehabilitation care during the new COVID-19 coronavirus infection epidemic at first, second and third medical rehabilitation phases. Physical and rehabilitation medicine, medical rehabilitation. 2020;2(2):98–117. (In Russ).] doi: 10.36425/rehab34148.][Временные методические рекомендации. Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19). Версия 6 (28.04.2020) (утв. Минздравом России). [Vremennye metodicheskie rekomendatsii. Profilaktika, diagnostika i lechenie novoi koronavirusnoi infektsii (COVID-19). Versiya 6 (28.04.2020) (utv. Minzdravom Rossii). (In Russ).]][Bartlo P, Bauer N. Pulmonary rehabilitation post-acute care for Covid-19 (PACER). Available from: https://youtu.be/XjY_7O3Qpd8.][Wytrychowski K, Hans-Wytrychowska A, Piesiak P, et al. Pulmonary rehabilitation in interstitial lung diseases: A review of the literature. Adv Clin Exp Med. 2020; 29(2):257–264. doi: 10.17219/acem/115238.][Tingbo L, Hongliu C, Yu C, et al. Handbook of COVID-19 prevention and treatment. Zhejiang University School of Medicine; 2020.][Иванова Г.Е., Баландина И.Н., Бахтина И.С., и др. Медицинская реабилитация при новой коронавирусной инфекции (COVID-19) // Физическая и реабилитационная медицина, медицинская реабилитация. — 2020. — Т. 2. — № 2. — С. 140–189. [Ivanova GE, Balandina IN, Bakhtina IS, et al. Medical rehabilitation at a new coronavirus infection (COVID-19). Physical and rehabilitation medicine, medical rehabilitation. 2020; 2(2):140–189. (In Russ).] doi: 10.36425/rehab34231.][Физическая и реабилитационная медицина: национальное руководство / Под ред. Г.Н. Пономаренко. — М.: ГЭОТАР-Медиа, 2016. — 688 с. [Fizicheskaya i reabilitatsionnaya meditsina: natsional’noe rukovodstvo. Ed. by G.N. Ponomarenko. Moscow: GEOTAR-Media; 2016. 688 р. (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. Primenenie obshchei magnitoterapii v klinicheskoi praktike. Uchebnoe posobie. 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. Magnitoterapiya v lechebno-reabilitatsionnykh i profilakticheskikh programmakh. Klinicheskie rekomendatsii. Moscow: Rossiiskii nauchnyi tsentr meditsinskoi reabilitatsii i kurortologii; 2015. 47 р. (In Russ).]][Ушаков А.А. Практическая физиотерапия. 2-е изд., испр. и доп. — М.: МИА, 2009. — 602 с. [Ushakov AA. Prakticheskaya fizioterapiya. 2nd revised and updated. Moscow: MIA; 2009. 602 р. (In Russ).]][Каплан М.А., Казанцев Ю.И., Попучиев В.В. Клиническое применение импульсного магнитного поля высокой интенсивности. — М., 2006. [Kaplan MA, Kazantsev YuI, Popuchiev VV. Klinicheskoe primenenie impul’snogo magnitnogo polya vysokoi intensivnosti. Moscow; 2006. (In Russ).]][Markov MS. Expanding use of pulsed electromagnetic field therapies. Electromagn Biol Med. 2007;26(3):257–274. doi: 10.1080/15368370701580806.][Lin VW, Hsiao IN, Zhu E, Perkash I. Functional magnetic stimulation for conditioning of expiratory muscles in patients with spinal cord injury. Arch Phys Med Rehabil. 2001;82(2):162–166. doi: 10.1053/apmr.2001.18230.][Lin VW, Hsieh C, Hsiao IN, Canfield J. Functional magnetic stimulation of expiratory muscles: a noninvasive and new method for restoring cough. J Appl Physiol (1985). 1998;84(4):1144–1150. doi: 10.1152/jappl.1998.84.4.1144.][Singh H, Magruder M, Bushnik T, Lin VW. Expiratory muscle activation by functional magnetic stimulation of thoracic and lumbar spinal nerves. Crit Care Med. 1999;27(10):2201–2205. doi: 10.1097/00003246-199910000-00022.][Hemingway A, Bors E, Hobby RP. An investigation of the pulmonary function in paraplegics. J Clin Invest. 1958;37(5):773–782. doi: 10.1172/JCI103663.][Roth EJ, Lu A, Primack S, et al. Ventilatory function in cervical and high thoracic spinal cord injury. Relationship to level of injury and tone. Am J Phys Med Rehabil. 1997;76(4): 262–267. doi: 10.1097/00002060-199707000-00002.][Uijl SG, Houtman S, Folgering HT, Hopman MT. Training of the respiratory muscles in individuals with tetraplegia. Spinal Cord. 1999;37(8):575–579. doi: 10.1038/sj.sc.3100887.][Lamping DL, Schroter S, Marquis P and all. The community-acquired pneumonia symptom questionnaire: a new, patient-based outcome measure to evaluate symptoms in patients with community-acquired pneumonia. Chest. 2002; 122:920–929. doi: 10.1378/chest.122.3.920]