Issue 24-6, 2025

Original article

https://doi.org/10.38025/2078-1962-2025-24-6-59-69

Effectiveness of High-Intensity Pulsed Magnetotherapy in Complex Rehabilitation of Patients with Coxarthrosis and Concomitant Spinal Osteochondrosis: a Clinical Trial

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ORCIDTatiana V. Konchugova*, ORCIDTatiana V. Apkhanova, ORCIDNikolay V. Mozolev, ORCIDTatiana V. Marfina, ORCIDAnastasiya A. Mukhina, ORCIDNadezhda V. Gushchina, ORCIDRoman A. Zhavoronkov, ORCIDElena M. Styazhkina

National Medical Research Center for Rehabilitation and Balneology, Moscow, Russia


ABSTRACT

INTRODUCTION. An innovative trend in magnetotherapy involves the use of devices generating strong magnetic fields with an induction of 100–700 mTl for therapeutic and rehabilitation purposes, among which is the Exotherapy device.

AIM. To study the clinical effectiveness of the Exotherapy device in the complex rehabilitation of patients with coxarthrosis and concomitant spinal osteochondrosis.

MATERIALS AND METHODS. A clinical prospective randomized trial was conducted at the National Medical Research Center for Rehabilitation and Balneology of the Ministry of Health of the Russian Federation. The patients in the control group (n = 30) completed a comprehensive medical rehabilitation programme consisting of laser therapy on the projection area of the hip joint, paravertebral electrotherapy on the lumbosacral region, robotic mechanotherapy, therapeutic massage, and group sessions of exercise therapy sessions. In addition to this, the patients in the main group (n = 30) received high-intensity pulsed magnetic field therapy from an Exotherapy device, according to Method No. 12. The effectiveness of the rehabilitation programme was assessed using functional research methods and scales and questionnaires on the 14th day after its commencement.

RESULTS AND DISCUSSION. After the rehabilitation course, there was a more pronounced decrease in pain on the visual analog scale in patients of the main group (p = 0.00005). When analyzing the test results on the ProKin device after the rehabilitation course, a more pronounced positive trend was revealed in patients of the main group in terms of postural stability with both open and closed eyes (ellipse area, perimeter). Patients in the main group also showed statistically significant positive dynamics in the indicators of maximum extension of the lower extremities, maximum extension force, average extension force, average force in 0.20 seconds, and peak torque (p < 0.05) according to isokinetic dynamometry. According to the video analysis of gait, it was found that in the main group there was a positive trend in the following indicators: the contribution (%) of the support phase increased, the contribution of the transfer phase decreased, the number of steps per minute and walking speed increased.

CONCLUSION. Thus, the inclusion of the Exotherapy device in the medical rehabilitation program for patients with coxarthrosis and concomitant spinal osteochondrosis can significantly increase the effectiveness of standard rehabilitation programs.


KEYWORDS: high-intensity pulsed magnetic therapy, coxarthrosis, spinal osteochondrosis, rehabilitation

FOR CITATION: Konchugova T.V., Apkhanova T.V., Mozolev N.V., Marfina T.V., Mukhina A.A., Gushchina N.V., Zhavoronkov R.A., Styazhkina E.M. Effectiveness of High-Intensity Pulsed Magnetotherapy in Complex Rehabilitation of Patients with Coxarthrosis and Concomitant Spinal Osteochondrosis: a Clinical Trial. Bulletin of Rehabilitation Medicine. 2025; 24(6):59–69. https://doi.org/10.38025/2078-1962-2025-24-6-59-69 (In Russ.).

FOR CORRESPONDENCE:

Tatiana V. Konchugova, E-mail: konchugovatv@nmicrk.ru


References:

  1. Fu M., Zhou H., Li Y., et al. Global, regional, and national burdens of hip osteoarthritis from 1990 to 2019: estimates from the 2019 Global Burden of Disease Study. Arthritis research & therapy. 2022; 24(1): 1–10. https://doi.org/10.1186/s13075-021-02705-6
  2. Cibulka M.T., Bloom N.J., Enseki K.R., et al. Hip pain and mobility deficits—hip osteoarthritis: revision 2017: clinical practice guidelines linked to the international classification of functioning, disability and health from the orthopaedic section of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy. 2017; 47(6): A1–37. https://doi.org/10.2519/jospt.2017.0301
  3. Lespasio M.J., Sultan A.A., Piuzzi N.S., et al. Hip osteoarthritis: a primer. The Permanente Journal. 2018; 22(1): 17–084. https://doi.org/10.7812/TPP/17-084
  4. Куликова Н.Г., Фесюн А.Д., Кончугова Т.В., Кульчицкая Д.Б. Роль нейрофизиологических показателей в оценке эффективности применения магнитной импульсной стимуляции при периферической нейропатии, индуцированной цитостатиками. Russian Journal of Environmental and Rehabilitation Medicine. 2023; 2: 13–19. [Kulikova N.G., Fesyun A.D., Konchugova T.V., Kulchitskaya D.B. The role of neurophysiological indicators in assessing the effectiveness of magnetic pulse stimulation in peripheral neuropathy induced by cytostatics. Russian Journal of Environmental and Rehabilitation Medicine. 2023; 2: 13–19 (In Russ.).]
  5. Ross C.L., Harrison B.S. Effect of time-varied magnetic field on inflammatory response in macrophage cell line RAW 264.7. Electromagn Biol Med. 2013; 32(1): 59–69. https://doi.org/10.3109/15368378.2012.701191
  6. Mert T., Gisi G., Celik A., et al. Frequency-dependent effects of sequenced pulsed magnetic field on experimental diabetic neuropathy. International Journal of Radiation Biology. 2015; 91(10): 833–842. https://doi.org/10.3109/09553002.2015.1068460
  7. Улащик В.С., Плетнев А.С., Войченко Н.В., Плетнев С.В. Магнитотерапия: теоретические основы и практическое применение. Минск: Беларуска навука, 2015; 379 с. [Ulashchik V.S. Pleznev A.S., Vojchenko N.V., Pleznev S.W. Magnetotherapy: theoretical foundations and practical application. Minsk: Belaruska navuka. 2015; 379 p. (In Russ.).]
  8. Pan J.X., Diao Y.X., Peng H.Y., et al. Effects of repetitive peripheral magnetic stimulation on spasticity evaluated with modified Ashworth scale/Ashworth scale in patients with spastic paralysis: A systematic review and meta-analysis. Front Neurol. 2022; 8(13): 997913. https://doi.org/10.3389/fneur.2022.997913
  9. Даминов В.Д. Дифференцированное применение стимуляционных методов в комплексном восстановительном лечении больных дорсопатией после дискэктомий. Москва. 2006; 150 с. [Daminov V.D. Differentiated use of stimulation methods in the complex restorative treatment of patients with dorsopathy after discectomies. Moscow. 2006; 150 p. (In Russ.).]
  10. Блохина В.Н., Николаев С.Г., Кузнецов А.Н. и др. Применение периферической ритмической магнитной стимуляции. Вестник Национального медико-хирургического центра им. Н.И. Пирогова. 2016; 11(3): 111–117. [Blokhina V.N., Nikolaev S.G., Kuznetsov A.N, et al. Application of peripheral rhythmic magnetic stimulation. Bulletin of the National Medical and Surgical Center named after N.I. Pirogov. 2016; 11(3): 111–117 (In Russ.).].
  11. Алексеева Л.И., Бяловский Ю.Ю., Загородний Н.В. и др. Патофизиологические механизмы терапевтического действия переменных электромагнитных полей в лечении костно-суставной патологии. Вопросы курортологии, физиотерапии и лечебной физической культуры. 2021; 98(3): 80–90. [Alekseeva L.I., Byalovsky Yu.Y., Zagorodny N.V., et al. Pathophysiological mechanisms of therapeutic action of variable electromagnetic fields in the treatment of osteoarticular pathology. Issues of balneology, physiotherapy and therapeutic physical education. 2021; 98(3): 80–90. https://doi.org/10.17116/kurort20219803180 (In Russ.).]
  12. Kanjanapanang N., Chang K.V. Peripheral Magnetic Stimulation. 2022. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2024.
  13. Liang S., Wang W., Yu F., et al. Repetitive peripheral magnetic stimulation combined with transcranial magnetic stimulation in rehabilitation of upper extremity hemiparesis following stroke: a pilot study. J Rehabil Med. 2024; 56: jrm19449. https://doi.org/10.2340/jrm.v56.19449
  14. Bonfert M.V, Meuche A., Urban G., et al. Feasibility of Functional Repetitive Neuromuscular Magnetic Stimulation (frNMS) Targeting the Gluteal Muscle in a Child with Cerebral Palsy: A Case Report. Phys Occup Ther Pediatr. 2023; 43(3): 338–350. https://doi.org/10.1080/01942638.2022.2138732
  15. Chen Z.J., Li Y.A., Xia N., et al. Effects of repetitive peripheral magnetic stimulation for the upper limb after stroke: Meta-analysis of randomized controlled trials. Heliyon. 2023; 9(5): 15767. https://doi.org/10.1016/j.heliyon.2023.e15767
  16. Кульчицкая Д.Б., Фесюн А.Д., Юрова О.В. и др. Высокоинтенсивная импульсная магнитотерапия в реабилитационной программе пациентов с периферической полинейропатией, индуцированной химиотерапией: проспективное рандомизированное клиническое исследование. Вестник восстановительной медицины. 2023; 22(5): 72–82. https://doi.org/10.38025/2078-1962-2023-22-5-72-82 [Kulchitskaya D.B., Fesyun A.D., Yurova O.V., et al. High-intensity pulsed magnetotherapy in the rehabilitation programme of patients with chemotherapy-induced peripheral polyneuropathy: a prospective randomized clinical study. Bulletin of Rehabilitation Medicine. 2023; 22(5): 72–82. https://doi.org/10.38025/2078-1962-2023-22-5-72-82 (In Russ.).]



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