Influence of pulsed electromagnetic field on the course of intervertebral hernia of the cervical spine

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Abstract

BACKGROUND: A herniated disc of the cervical spine is a common cause of neck pain that results from leakage of the nucleus pulposus from the annulus fibrosus and creating pressure on the spinal cord and nerve roots.

AIM: to study the effect of therapy with a pulsed electromagnetic field on pain, disability, psychological state and quality of life in intervertebral hernia of the cervical spine.

MATERIALS AND METHODS: Patients were randomly divided into two groups, including group 1, who received therapy consisting of transcutaneous electrical nerve stimulation, thermal procedures, and pulsed electromagnetic field, and group 2, who received a false magnetic field in addition to transcutaneous electrical nerve stimulation and thermal procedures. Pain was assessed using a visual analogue scale (VAS). Other outcome measures were pain and disability (Neck Pain and Disability Scale), anxiety-depression (Hospital Anxiety and Depression Scale), and quality of life (Nottingham Health Profile). All evaluations were performed before treatment, at week 3, and at week 12 post-treatment.

RESULTS: Significant improvements were found in scores for neck pain, disability, depression, anxiety, and quality of life in both groups after treatment compared with scores before treatment. However, when comparing changes within groups, significant improvements were only identified in VAS and Nottingham Health Profile sleep subparameters at week 12 post-treatment compared to pre-treatment.

CONCLUSION: Pulsed electromagnetic field therapy in intervertebral hernia of the cervical spine can be safely used in conservative treatment as part of combined physiotherapy.

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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, 9 Vysokovoltnaja street, 390026 Ryazan

Aleksey V. Ivanov

Yelatma Instrument Making Enterprise

Email: ivanov@elamed.com
ORCID iD: 0000-0001-5961-892X
SPIN-code: 4597-8537
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.), Associated Professor

Russian Federation, 9 Vysokovoltnaja street, 390026 Ryazan

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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