低能量脉冲电磁场治疗减轻纤维肌痛:一项随机单盲对照先导研究。

Rheumatology and immunology research Pub Date : 2022-07-06 eCollection Date: 2022-06-01 DOI:10.2478/rir-2022-0013
Massimo Giovale, Lucia Novelli, Luca Persico, Francesca Motta, Stefano Rampoldi, Rossana Galli, Patrizia Monteforte, Marica Doveri, Gerolamo Bianchi, Carlo Selmi, Luigi Carlo Bottaro
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引用次数: 0

摘要

目的:纤维肌痛症状对生活质量有显著影响,且对药物反应较差。据推测,使用低能量脉冲电磁场(PEMF)可诱导神经保护作用,可能干扰疼痛感知。我们探讨了PEMF在纤维肌痛患者中的疗效。方法:选取21名纤维肌痛患者(中位年龄59岁,四分位数间距[IQR] 16.5),分别在第0周、第4周和第8周随机接受脉冲电磁场-三能疼痛治疗(PEMF-TEPT)或安慰剂。对纤维肌痛影响问卷(FIQ)、广泛疼痛指数(WPI)、视觉模拟疼痛评分(VAS)、症状严重程度(SS)量表和SF-36健康调查问卷进行评估。结果:与安慰剂组相比,PEMF-TEPT组患者的WPI降低明显更高(平均差值为-12.90±标准差[SD] 5.32 vs -1.91±4.55,差值[DD]差值为-10.99;P < 0.001), SS评分(-4.10±4.85∶-2.00±2.32;Dd = -2.1;P < 0.05), VAS疼痛(-48±30.75∶-16.82±23.69;Dd = -31.18;P < 0.01)。他们还报告了FIQ和SF-36的更高改善,尽管没有达到统计学意义。结论:在我们的前期对照研究中,PEMF-TEPT似乎是安全的,并能改善纤维肌痛症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Low-energy Pulsed Electromagnetic Field Therapy Reduces Pain in Fibromyalgia: A Randomized Single-blind Controlled Pilot Study.

Objectives: Fibromyalgia symptoms have a significant impact on the quality of life and respond poorly to medications. It has been hypothesized that the use of low-energy pulsed electromagnetic field (PEMF) induces neuroprotective effects that may interfere with pain perception. We explored the efficacy of PEMF in patients affected by fibromyalgia.

Methods: Twenty-one females (median age 59 years, interquartile range [IQR] 16.5) affected by fibromyalgia were randomized to receive pulsed electromagnetic field-triple energy pain treatment (PEMF-TEPT) or placebo at T0 and at 4 weeks and 8 weeks. Fibromyalgia impact questionnaire (FIQ), widespread pain index (WPI), visual analog score (VAS) pain, symptom severity (SS) scale, and short form 36 (SF-36) health survey questionnaire have been evaluated.

Results: Patients in the PEMF-TEPT group had a significantly higher reduction of WPI compared to placebo (mean difference -12.90 ± standard deviation [SD] 5.32 vs. -1.91 ± 4.55, difference in difference [DD] of -10.99; P < 0.001), of SS score (-4.10 ± 4.85 vs. -2.00 ± 2.32; DD = -2.1; P < 0.05), of VAS pain (-48 ± 30.75 vs. -16.82 ± 23.69; DD = -31.18; P < 0.01). They also reported a higher improvement of FIQ and SF-36, albeit not reaching statistical significance.

Conclusion: In our pilot controlled study, PEMF-TEPT appeared to be safe and improved fibromyalgia symptoms.

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