Impact of low frequency pulsed magnetic fields on pain intensity, quality of life and sleep disturbances in patients with painful diabetic polyneuropathy

Wróbel, Marta; Szymborska-Kajanek, Aleksandra; Wystrychowski, Grzegorz; Biniszkiewicz, Tomasz; Sieroń–Stołtny, Karolina; Sieroń, Aleksander; Pierzchała, Krystyna; Grzeszczak, W; Strojek, Krzysztof

doi:10.1016/j.diabet.2008.02.003

Cited by 52 publications

(63 citation statements)

References 25 publications

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“…Wróbel et al [20], on the other hand, concluded that genuine magnetic field exposure had no advantage over sham exposure in reducing pain intensity, improving quality of life and decreasing sleep disturbances and glycated haemoglobin concentrations.…”

Section: Magnetic Field (Magnetotherapy and Magnetostimulation)mentioning

confidence: 99%

Selected physical medicine interventions in the treatment of diabetic foot syndrome

et al. 2016

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The diabetic foot syndrome (DFS) is among chronic complications of diabetes mellitus; it can affect individuals with both type 1 and type 2 diabetes. Diabetic patients have up to a 25% lifetime risk of developing DFS, which is both a medical and social problem. Several studies have indicated that, apart from pharmacotherapy and modern active wound dressings, physical medicine also has a role in prevention and management of diabetic foot ulcers. The paper presents physical medicine interventions most recognized in the conservative management of DFS.

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Section: Magnetic Field (Magnetotherapy and Magnetostimulation)mentioning

confidence: 99%

Selected physical medicine interventions in the treatment of diabetic foot syndrome

et al. 2016

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“…Of the articles comparing electromagnetic field use versus placebo group, one showed no significant improvement in pain relief [-0.69 (95% CI: -1.86 to 0.48; I2: 63%, p=0.25)] ( Figure 2B) [18][19][20][21] .…”

Section: Electromagnetic Field Versus Placebomentioning

confidence: 99%

“…Only six studies were blinded 12,13,19,20,21,23 , and only four studies described the blinding of the assessors 19,20,21,23 . In addition, six studies reported losses and exclusions that occurred during the treatment period 11,12,14,21,23,24 . Two studies 13,20 reported the analysis by intention to treat.…”

Section: Strengths and Limitations Of The Reviewmentioning

confidence: 99%

“…However, studies comparing these benefits with those obtained from placebo had small sample sizes and showed conflicting results [11][12][13][14][15][18][19][20][21][22][23][24] . A systematic review of the evidence would allow for a more precise evaluation of its effectiveness and, if the benefits are proven, aid in disseminating the use of electrical stimulation.…”

Section: Introductionmentioning

confidence: 99%

“…As several studies have suggested, nonpharmacological options, such as electrical stimulation, which represents one of the more benign therapies for this condition 9 , may contribute to a better quality of life and fewer complaints of pain 10 . In randomized trials, various types of electrotherapy, such as transcutaneous electric nerve stimulation (TENS) [11][12][13][14][15] , pulsed electromagnetic fields [16][17][18][19] , static magnetic field therapy 20 , low-frequency pulsed magnetic field 21 , high-frequency external muscle stimulation (HF) 22 , frequency-modulated electromagnetic neural stimulation (FREMS) 23 and percutaneous electrical nerve stimulation (PENS) 24 , have been reported to show beneficial effects, such as decreased pain and improved sensitivity, due to electric stimulation in the treatment of patients with PDN.…”

Section: Introductionmentioning

confidence: 99%

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Electrical stimulation and electromagnetic field use in patients with diabetic neuropathy: systematic review and meta-analysis

Stein¹,

Eibel²,

Sbruzzi³

et al. 2013

Braz. J. Phys. Ther.

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| Background: Painful diabetic neuropathy (PDN) is a common complication of diabetes mellitus, and pharmacological therapies are ineffective in many patients. Therefore, other treatment modalities should be considered, including electrical stimulation and electromagnetic fields. Objectives: The research objective was to evaluate the effect of treatment with electrical stimulation and electromagnetic fields on pain and sensitivity in patients with painful diabetic neuropathy compared with placebo or another intervention. Method: We searched the following electronic databases (from inception to April 2012): MEDLINE (accessed by PubMed), LILACS, Physiotherapy Evidence Database (PEDro), EMBASE and Cochrane CENTRAL. We included randomized trials that compared electrical stimulation or electromagnetic fields with control groups in which the objective was to assess pain and sensitivity in patients with PDN. Two reviewers independently extracted the data. A random-effects model was used for the main analysis. Results: The search retrieved 1336 articles, of which 12 studies were included. Reductions in the mean pain score were significantly greater in the TENS (transcutaneous electrical nerve stimulation) group than in the placebo group [-0.44 (95% CI: -0.79 to -0.09; I2: 0%)]. There was no improvement in pain relief when electromagnetic fields were compared with the control group [-0.69 (95% CI: -1.86 to 0.48; I2: 63%)]. Conclusions: We found that TENS improved pain relief in patients with diabetic neuropathy, while no such improvement was observed with the use of electromagnetic field treatment. Due to the methodological differences between the studies, a meta-analysis for the outcome of sensitivity could not be performed.Keywords: physical therapy; diabetic neuropathies; electrical stimulation; electromagnetic fields; pain; review. HOW TO CITE THIS ARTICLE

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Exposure to inhomogeneous static magnetic field ceases mechanical allodynia in neuropathic pain in mice

Antal

László

2009

Bioelectromagnetics

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Magnetic therapy as a self-care intervention has led to the conduct of numerous human trials and animal experiments. Results concerning the analgesic efficacy of magnetic exposure, however, are inconsistent. By using a magnetic device generating an inhomogeneous static magnetic field (iSMF), here we studied how the whole-body exposure to iSMF may influence the mechanical withdrawal threshold (MWT) of the hind paw in different stages of neuropathic pain evoked by partial ligation of the sciatic nerve in mice. It was found that iSMF exposure did not prevent the decrease of MWT in the first postoperative week. A 2-week long iSMF treatment that was started just after the nerve ligation elevated MWT values to a modest extent. However, the effectiveness of a daily exposure to iSMF was much more prominent when it was applied between postoperative days 15 and 28. In this case, MWT was already noticeably increased after the first treatment and it practically reached the control values by the end of the 2-week long exposure period. The results suggest that exposure to iSMF cannot prevent the development of mechanical allodynia, but can inhibit processes that maintain the increased sensitivity to mechanical stimuli in neuropathic pain.

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Impact of low frequency pulsed magnetic fields on pain intensity, quality of life and sleep disturbances in patients with painful diabetic polyneuropathy

Cited by 52 publications

References 25 publications

Selected physical medicine interventions in the treatment of diabetic foot syndrome

Selected physical medicine interventions in the treatment of diabetic foot syndrome

Electrical stimulation and electromagnetic field use in patients with diabetic neuropathy: systematic review and meta-analysis

Exposure to inhomogeneous static magnetic field ceases mechanical allodynia in neuropathic pain in mice

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