Evaluation of pulsed electromagnetic field therapy in the management of patients with discogenic lumbar radiculopathy

Omar, Aziza Sayed; Awadalla, Magdy Ahmed; El-Latif, Maii Abd

doi:10.1111/j.1756-185x.2012.01745.x

Cited by 29 publications

(36 citation statements)

References 20 publications

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“…On the other hand, several recent studies showed the effectiveness of the PEMF treatment in clinical assessment of arthritis, osteoarthritis or sciatica, or neuropathy [Weintraub and Cole, ; Graak et al, ; Ozguclu et al, ; Omar et al, ]. Despite evidence of clinical effectiveness, the exact physiological impact of PEMF in a sufficient strength (of the electromagnetic field) in the case of osteoarthritis has still not been fully explored and requires further examination—this is true especially for applied frequencies, flux densities, and therapy periods.…”

Section: Discussionmentioning

confidence: 99%

Effects of PEMF on patients with osteoarthritis: Results of a prospective, placebo‐controlled, double‐blind study

Wuschech¹,

Hehn²,

Mikus³

et al. 2015

Bioelectromagnetics

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This study aimed to evaluate effects of pulsed electromagnetic fields (PEMF) in a double blind study on patients with knee joint osteoarthritis. The MAGCELL ARTHRO electrode-less therapy delivered a sinusoidal magnetic field, varying in frequency between 4 and 12 Hz. In 1 cm tissue depth, magnetic flux density was 105 mT. A total of n = 57 patients were randomly assigned to the verum, PEMF or placebo group (placebo device). Their average age was 61.6 ± 12.0 years. According to American College of Rheumatology criteria the osteoarthritis level was 2.8 ± 0.8. Treatment was performed twice a day for 5 min over a period of 18 days. Treatment with the MAGCELL device versus control (sham exposed) showed a highly significant reduction in pain (P < 0.001), a significant reduction in stiffness (P = 0.032) and a significant reduction in disability in daily activities (P = 0.005) according to the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scales-with a good overall treatment tolerance. In the placebo group there was no evidence of a significant change between the initial and final examination in any of the three above-mentioned WOMAC scales. Results of this partly randomized placebo-controlled double-blind study show clinically at any rate, that use of PEMF lead to highly significant better results in the treatment group compared to the placebo group with regard to the total WOMAC global score and especially for visual analogue scale. Patient assessment of the "effectiveness" was rated in 29.5% as very good and good in 27.3% compared to 0.0% and 15.4% in controls. This therapy is thus a useful complementary treatment option with no side effects.

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Section: Discussionmentioning

confidence: 99%

Effects of PEMF on patients with osteoarthritis: Results of a prospective, placebo‐controlled, double‐blind study

Wuschech¹,

Hehn²,

Mikus³

et al. 2015

Bioelectromagnetics

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“…Magnetic therapy has a long history in the treatment of various medical conditions to improve the recovery of various health problems [26]. Doctors from Greece, China, Japan, and Europe successfully used the magnet in their practice to treat patients [15].…”

Section: Pulsed Electromagnetic Field Stimulationmentioning

confidence: 99%

Efficacy of Pulsed Electromagnetic Field on Pain and Function in Chronic Mechanical Neck Pain: A Randomized Controlled Trial

Alayat¹,

Ali²,

Fiky³

et al. 2017

IJPR

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Background: Mechanical neck pain (MNP) is a common neck disorders affecting middle-aged population.Magnetotherapy is considered as a safe and non-invasive physical therapy modality used in the treatment of musculoskeletal pain. , 4.483(1.228) months respectively. They were randomly assigned in to two groups. Group I (30 Patients) was treated with PEMF plus exercises (PEMF+EX) group and group II (30 Patients) treated with placebo magnetic plus exercises (PL+EX) group. Exercise program included active range of motion, muscle stretching and strengthening exercises applied two sessions/week for 6 weeks. PEMF was applied with 20 Hz, 0.8 mT for 20 minutes two sessions/week for 6 weeks. Pain level was measured by visual analog scale (VAS) and neck functions were measured by neck disability index (NDI). The level of significance was set at p< 0.05.Results: Wilcoxon matched-pairs signed-ranks test revealed significant differences in VAS and NDI in PEMF+EX and PL+EX groups (p <0.0001). Mann-Whitney (MW) Test showed significant decreased in VAS and NDI scores both treatment (p <0.0001) with more significant decrease in PEMF group than PL+EX group.Conclusion: PEMF combined with exercise was effective more than exercises alone in decreasing the scores of VAS and NDI in Chronic MNP.

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“…In addition to radicular pain, 9 of 16 studies also used the term sciatica to represent their participants with radiating leg pain, while 4 studies also used the term radiculopathy . Two studies that used both the terms radicular pain and radiculopathy included symptom‐related (pain distribution) and sign‐related (neurological deficits) eligibility criteria (Khoromi et al., , ), concurring with the IASP taxonomy, while the other two only required symptom‐related but not sign‐related criteria (Keynan et al., ; Omar et al., ).…”

Section: Resultsmentioning

confidence: 99%

How is radiating leg pain defined in randomized controlled trials of conservative treatments in primary care? A systematic review

Lin

Verwoerd

Maher

et al. 2013

European Journal of Pain

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Many terms exist to describe radiating leg pain or symptoms associated with back pain (e.g., sciatica or radiculopathy) and it appears that these terms are used inconsistently. We examined the terms used to describe, and the eligibility criteria used to define, radiating leg pain in randomized controlled trials of conservative treatments, and evaluated how the eligibility criteria compared to an international pain taxonomy. Eligible studies were identified from two systematic reviews and an updated search of their search strategy. Studies were included if they recruited adults with radiating leg pain associated with back pain. Two independent reviewers screened the studies and extracted data. Studies were grouped according to the terms used to describe radiating leg pain. Thirty-one of the seventyseven included studies used multiple terms to describe radiating leg pain; the most commonly used terms were sciatica (60 studies) and disc herniation (19 studies). Most studies that used the term sciatica included pain distribution in the eligibility criteria, but studies were inconsistent in including signs (e.g., neurological deficits) and imaging findings. Similarly, studies that used other terms to describe radiating leg pain used inconsistent eligibility criteria between studies and to the pain taxonomy, except that positive imaging findings were required for almost all studies that used disc herniation to describe radiating leg pain. In view of the varying terms to describe, and eligibility criteria to define, radiating leg pain, consensus needs to be reached for each of communication and comparison between studies.

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Evaluation of pulsed electromagnetic field therapy in the management of patients with discogenic lumbar radiculopathy

Cited by 29 publications

References 20 publications

Effects of PEMF on patients with osteoarthritis: Results of a prospective, placebo‐controlled, double‐blind study

Effects of PEMF on patients with osteoarthritis: Results of a prospective, placebo‐controlled, double‐blind study

Efficacy of Pulsed Electromagnetic Field on Pain and Function in Chronic Mechanical Neck Pain: A Randomized Controlled Trial

How is radiating leg pain defined in randomized controlled trials of conservative treatments in primary care? A systematic review

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