Analgesic effects of pulsed magnetic therapy in idiopathic hip osteoarthrosis

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Abstract

BACKGROUND: Osteoarthrosis is the most frequently diagnosed disease of the musculoskeletal system. The grown number of patients awaiting surgical treatment and the possible negative consequences resulting from long-term pharmacological therapy lead to searching for non-pharmacological methods aimed at relieving pain and reducing doses of analgesics, including physiotherapy using magnetic fields.

AIM: To evaluate the analgesic effects of the pulsed magnetic therapy in patients with idiopathic hip osteoarthrosis.

MATERIALS AND METHODS: The randomized study enrolled 28 men aged 48 to 75 years (mean age: 62.8 years) with diagnosed idiopathic hip osteoarthrosis. The subjects were randomized into 2 groups (14 patients each): the first group included the patients who received pulsed magnetic therapy cycles, the second (comparison) group included the magnetic therapy-naïve ones. During the exposure cycle, both groups underwent multiple assessments of their mood, pain intensity, and dose of analgesics.

RESULTS: No statistically significant differences were found in the assessment of respondents’ mood. The magnetic therapy group showed, on Day 14 and Day 21 of the procedures cycle, and in Week 1 after the therapy cycle, significantly decreased intensity of the perceived pain (p <0.05). In the group of the patients that received courses of magnetic therapy, the use of painkillers was by 14% (р <0.05) reliably lower than at the baseline; this was not reported in the comparison group.

CONCLUSION: Using the pulsed magnetic therapy in the treatment of men with idiopathic hip osteoarthrosis results in a statistically significant improvement of the analgesic effect with a concomitantly decreased need for analgesic, without, however, any significant changes in the patient’s mood.

About the authors

Yury Yu. Byalovsky

Ryazan State Medical University

Author for correspondence.
Email: b_uu@mail.ru
ORCID iD: 0000-0002-6769-8277
SPIN-code: 6389-6643

MD, Dr. Sci. (Med.), Professor

Russian Federation, Ryazan

Aleksey V. Ivanov

Yelatma Instrument Making Enterprise

Email: ivanov@elamed.com
ORCID iD: 0000-0001-5961-892X
SPIN-code: 5091-5318
Russian Federation, Yelatma

Irina S. Rakitina

Ryazan State Medical University

Email: rakitina62@gmail.com
ORCID iD: 0000-0002-9406-1765
SPIN-code: 8427-9471

MD, Cand. Sci. (Med.), Associate Professor

Russian Federation, Ryazan

Marina Yu. Mareeva

Moscow Regional Scientific Research Institute of Obstetrics and Gynecology

Email: akmoniiag@mail.ru
ORCID iD: 0000-0002-8282-493X
SPIN-code: 1680-9107
Russian Federation, Moscow

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2. Fig. 1. Comparison of mood state, assessed in points using the modified 7-item Hamilton Mood Rating Scale, in patients with idiopathic osteoarthritis of the hip joint in a group of patients receiving magnetic therapy and a comparison group at different study times.

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3. Fig. 2. Pain intensity (point), assessed using a visual analogue scale, in patients with idiopathic osteoarthritis of the hip joint in the group of patients receiving magnetic therapy and the comparison group at different times of the study (* — p<0.05 relative to the baseline level).

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4. Fig. 3. Relative change in the dose of analgesic drugs in relation to the initial dose, normalized to 100%, in patients with idiopathic osteoarthritis of the hip joint in the group of patients receiving magnetic therapy and the comparison group at different times of the study (* — p<0.05 relative to the baseline level).

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