Effectiveness of pulsed electromagnetic field therapy in the management of osteoarthritis of the knee: A meta-analysis of randomized controlled trials

Vavken, Patrick; Arrich, Ferdi; Schuhfried, Othmar; Dorotka, Ronald

doi:10.2340/16501977-0374

Cited by 81 publications

(61 citation statements)

References 15 publications

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“…Since approval by the US FDA, it has been applied to diverse treatments. Recent clinical researches on pain have mainly focused on knee osteoarthritis [9][10][11], fibromyalgia [13], diabetic neuropathic pain [14] and posto- Data are mean ± SD; P-value, compared with Sham group; *p < 0.05 (compared with Baseline); **p < 0.01 (compared with Baseline); ***p < 0.001 (compared with Baseline), †, Fisher's Exact Test; ‡, Mann-Whitney U-test; PEMF, pulsed electromagnetic field; VASB, Visual Analogue Scale for bothersomeness; VASP, Visual Analogue Scale for pain; ODI, Oswestry Disability Index; SF-36, 36-Item Short Form Health Survey Instrument; EQ-5D, EuroQol-5Dimension; BDI, Beck's Depression Inventory; RMDQ, Roland-Morris Disability Questionnaire perative pain [15], rheumatoid arthritis [12] and multiple sclerosis [18] etc. The principle of pulsated extracorporeal pulsed electromagnetic therapy is the induction of eddy currents in the body if portion of the body is within the range of formation of the magnetic field.…”

Section: Discussionmentioning

confidence: 99%

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Effect of Pulsed Electromagnetic Field Treatment on Alleviation of Lumbar Myalgia; A Single Center, Randomized, Double-blind, Sham-controlled Pilot Trial Study

Park¹,

Sun²,

Lee³

et al. 2014

Journal of Magnetics

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Section: Discussionmentioning

confidence: 99%

“…PEMF therapy is effective for bone fractures [7,8], arthritis [9][10][11], fibromyalgia [12,13], neuropathic pain [14], postoperative pain [15], musculoskelectal pain [16,17] and multiple sclerosis [18]. But there are few clinical trials on lumbago [19,20].…”

Section: Introductionmentioning

confidence: 99%

Effect of Pulsed Electromagnetic Field Treatment on Alleviation of Lumbar Myalgia; A Single Center, Randomized, Double-blind, Sham-controlled Pilot Trial Study

Park¹,

Sun²,

Lee³

et al. 2014

Journal of Magnetics

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“…Mollan et al concluded that the application of PEMF did not influence long-bone fracture healing [14]. Varken et al reported that applying PEMF to knee osteoarthritis did not improve pain control or joint stiffness [15].…”

Section: Resultsmentioning

confidence: 99%

Pulsed Electromagnetic Fields to Influence Pain and Muscle Healing Following Muscle Injury in Rats

Koo¹,

Na²,

Yong³

2015

Journal of Magnetics

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Muscle contusion has a negative effect on muscle function. Although several studies showed that pain control and muscle recovery is facilitated by pulsed electromagnetic fields (PEMF), there has not been much research regarding the specific effects of PEMF on them. The aim of the present study is to investigate effects of PEMF on pain and muscle recovery following extensor digitorum longus (EDL) contusion injury through measuring the expression of the c-fos proto-oncogene and nerve growth factor (NGF). Significantly reduced c-fos expression in the spinal cord was shown in PEMF groups compared with control (CON) groups. There was no significant difference between PEMF1 and CON1, but significantly increased NGF expression was shown in PEMF3 and PEMF5 compared with in CON groups, where the numbers in the group names are the days from contusion. In conclusion, PEMF could be used to not only reduce pain in muscle injuries by down-regulating cfos expression in the spinal cord, but it could also influence muscle healing through increasing NGF expression in the injured muscle.

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“…In contrast, the daily living activities and functional scores improved significantly (LOE Ia). [42] It was shown that pulsed electromagnetic field therapy was not superior to conventional physical therapy (LOE Ib). [43] Pulsed electromagnetic field treatment did not exist in guidelines published before the 2010 update of the OARSI recommendations.…”

Section: Electrotherapeutic Agents Such As Tens Interferential Currementioning

confidence: 99%

Evidence-Based Recommendations for the Management of Knee Osteoarthritis: A Consensus Report of the Turkish League Against Rheumatism

et al. 2012

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Amaç: Diz osteoartriti (OA) sık görülen ve neden olduğu ağrı ve sakatlık sonucunda sosyoekonomik yük bindiren bir hastalıktır. Türkiye Romatizma Araştırma ve Savaş Derneği (TRASD) OA tedavisi ile uğraşan hekimlere günlük klinik uygulamalarında yardımcı olmak amacıyla, uzman görüşleri ile desteklenmiş, ulusal "diz osteoartrit tedavisinde kanıta dayalı önerileri" hazırlamak için bir proje başlatmıştır. Objectives: Knee osteoarthritis (OA) is a common disease which causes pain, disability and great socioeconomic burden as a result. Turkish League Against Rheumatism (TLAR) initiated a project to prepare national, "evidence-based recommendations for the management of knee osteoarthritis" supported by expertopinion in order to assist the physicians who are interested in knee OA in their daily clinical practice. Gereç ve yöntemler: Materials and methods:The expert committee was composed of 25 academicians, 23 of whom were physical medicine and rehabilitation (PM&R) specialists (three also had rheumatology subspeciality) and two were orthopedic surgeons. At the first meeting, the previous guidelines were discussed, and 2008 Osteoarthritis Research Society International (OARSI) recommendations were decided to be taken as the fundamental template for national recommendations. Databases of the Pubmed, Embase, Cochrane, and Turkish Medical Index were used to search the literature, and this was carried out for the period between 2009-2010 for international publications since studies up to 2009 were present in the 2010 OARSI update. No limit was applied for searching of national publications. The selected relevant publications were graded according to evidence level and quality, and were sent to the members who were then asked to suggest propositions according to their experiences, knowledge, and review of the literature. After amalgamation and editing of new proposals, Delphi rounds were started. After five Delphi rounds, the propositions on which the members were in consensus, were discussed with regard to evidence and the "strength of recommendation" was determined by measuring on visual analog scale (VAS) for each proposal at the final meeting.Results: Nineteen propositions (one for general principles, nine for nonpharmacologic treatments, seven for pharmacologic treatments, and two for surgical treatments) were accepted as the "TLAR Evidence-Based Recommendations for the Management of Knee OA" in consensus as a result of Delphi rounds. Conclusion:Evidence-based recommendations for the management of knee OA were developed by TLAR for the first time in our country. The recommendations should be updated regularly according to new evidence and insights. It is expected that physicians who are interested in knee OA will benefit greatly from this report in their daily clinical practice.

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Effectiveness of pulsed electromagnetic field therapy in the management of osteoarthritis of the knee: A meta-analysis of randomized controlled trials

Abstract: Pulsed electromagnetic fields improve clinical scores and function in patients with osteoarthritis of the knee and should be considered as adjuvant therapies in their management. There is still equipoise of evidence for an effect on pain in the current literature.

Cited by 81 publications

References 15 publications

Effect of Pulsed Electromagnetic Field Treatment on Alleviation of Lumbar Myalgia; A Single Center, Randomized, Double-blind, Sham-controlled Pilot Trial Study

Effect of Pulsed Electromagnetic Field Treatment on Alleviation of Lumbar Myalgia; A Single Center, Randomized, Double-blind, Sham-controlled Pilot Trial Study

Pulsed Electromagnetic Fields to Influence Pain and Muscle Healing Following Muscle Injury in Rats

Evidence-Based Recommendations for the Management of Knee Osteoarthritis: A Consensus Report of the Turkish League Against Rheumatism

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