Russian Journal of Physiotherapy, Balneology and RehabilitationRussian Journal of Physiotherapy, Balneology and Rehabilitation1681-34562413-2969Eco-Vector3383810.18821/1681-3456-2018-17-4-185-191Research ArticleMagnetotherapy in patients with knee osteoarthrosis: thermographic efficacy indicatorsGerasimenkoM. Yu.b_uu@mail.ruhttps://orcid.org/0000-0002-1741-7246GlushkovaE. P.b_uu@mail.ruhttps://orcid.org/0000-0003-4677-8507GorbunovaD. Yu.b_uu@mail.ruhttps://orcid.org/0000-0002-8232-2753ByalovskyYu. Yu.<p>MD, PhD, Professor</p>b_uu@mail.ruhttps://orcid.org/0000-0002-6769-8277BulatetskiyS. V.b_uu@mail.ruhttps://orcid.org/0000-0002-6023-7523IvanovA. V.b_uu@mail.ruhttps://orcid.org/0000-0001-5961-892XRussian Medical Academy of Continuous Professional EducationClinical Hospital of the Medical and Sanitary Part of the Ministry of internal Affairs of Russia in the Ryazan’ RegionRyazan State Medical UniversityElatomsky Instrument-Making Plant010620181741851912204202022042020Copyright © 2018, Eco-Vector2018<p style="text-align: justify;"><strong>Background</strong>. Osteoarthrosis is characterized by wide prevalence, especially among patients of older age groups, a high risk of restrictions on the musculoskeletal system function, which results in the patients impaired ability to work and reduced quality of life.</p>
<p style="text-align: justify;"><strong>Aim</strong>: investigate the possibilities of thermographic assessment of efficiency of magnetotherapy of the articular syndrome in osteoarthrosis of the knee joints.</p>
<p style="text-align: justify;"><strong>Methods</strong>. The study included 57 patients (46 women and 11 men) with osteoarthrosis of the knee joints (mean age 61.27.4 years). The patients were divided into two groups. In the group 1 (n=29), magnetotherapy with the ALMAG-01 apparatus was used, while in the group 2 (n=28), the placebo apparatus was applied.</p>
<p style="text-align: justify;"><strong>Results</strong>. The inclusion of magnetotherapy in the complex therapy of osteoarthrosis of the knee joints, according to thermographic data, increases significantly the efficiency of treatment and differs significantly from the placebo magnetotherapy procedures. In patients with osteoarthrosis of the knee joints of the X-ray stages I and II, a combination of course treatment using a traveling pulsed magnetic field and standard drug therapy revealed a positive dynamics in normalization of the temperature balance of the joints. In patients with osteoarthrosis of the X-ray stage I, the minimum efficiency of magnetotherapy was revealed according to thermography, which indicates low severity of the inflammatory joint syndrome.</p>
<p style="text-align: justify;"><strong>Conclusion</strong>. The method of infrared thermography can be used as a diagnostic technique, as it reflects the degree of activity of the inflammatory process in the joints with osteoarthrosis.</p>magnetotherapythermometryosteoarthrosisactivity of the inflammatory process in the jointsмагнитотерапиятермометрияостеоартрозактивность воспалительного процесса в суставах[Бодрова А.И., Бяловский Ю.Ю., Иванов А.В., Ларинский Н.Е. Экономическая целесообразность включения магнитотерапии в комплексное лечение остеоартроза. Врач. 2014;(4):59–63.][Бяловский Ю.Ю., Иванов А.В., Ракита Д.Р. Оптимизация магнитотерапевтического воздействия при лечении остеоартроза. Врач. 2016;(3):75–78.][Голованова М.В., Потехина Ю.П. Возможности термодиагностики в медицине. Н. Новгород; 2011. 164 с.][Иваницкий Г.P., Xижняк Е.П., Деев А.А. Биофизические основы медицинского тепловидения. Биофизика. 2012;57(1):130–139.][Козлов А.В., Сонькин В.Д., Якушкин А.В. Метод исследования активности подкожных термогенных структур при действии стимулов разной модальности. Физиология человека. 2017;43(6):124–134. doi: 10.7868/S0131164617060030.][Щурова Е.Н., Макушин В.Д., Бирюкова М.Ю., и др. Особенности микроциркуляции в субхондральной области эпифиза большеберцовой кости у больных гонартрозом. Регионарное кровообращение и микроциркуляция. 2012;11(4):35–40. doi: 10.24884/1682-6655-2012-11-4-35-40.][Altman R, Asch E, Bloch D, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum. 1986;29(8):1039–1049. doi: 10.1002/art.1780290816.][de Kleijn S, Ferwerda G, Wiese M, et al. A short-term extremely low frequency electromagnetic field exposure increases circulating leukocyte numbers and affects HPA-axis signaling in mice. Bioelectromagnetics. 2016;37(7):433–443. doi: 10.1002/bem.21998.][Barnaba SA, Ruzzini L, Di Martino A, et al. Clinical significance of different effects of static and pulsed electromagnetic fields on human osteoclast cultures. Rheumatol Int. 2012;32(4):1025–1031. doi: 10.1007/s00296-010-1724-7.][Tang R, Xu Y, Ma F, et al. Extremely low frequency magnetic fields regulate differentiation of regulatory T cells: potential role for ROS-mediated inhibition on AKT. Bioelectromagnetics. 2016;37(2):89–98. doi: 10.1002/bem.21954.][Keen HI, Lavie F, Wakefield RJ, et al. The development of a preliminary ultrasonographic scoring system for features of hand osteoarthritis. Ann Rheum Dis. 2008;67(5):651–655. doi: 10.1136/ard.2007.077081.]