Issue 4-21, 2022

https://doi.org/10.38025/2078-1962-2022-21-4-88-96

High-Intensity Pulsed Magnetic Therapy and Therapeutic Exercises Complex Application in Medical Rehabilitation: Prospective Randomized Comparative Study of Children with Grade II Scoliosis

View article (Download PDF file)



Download XML file

1 ORCIDEvgeny M. Talkovsky, 2,3 ORCIDDmytry Yu. Vybornov, 2,3 ORCIDVladimir M. Krestyashin, 4 ORCIDVladislav F. Prikuls, 2 ORCIDNikolay I. Tarasov, 2 ORCIDVladimir V. Koroteev

1 Moscow Research and Practical Center of Medical Rehabilitation, Moscow, Russian Federation
2 Filatov Children’s City Clinical Hospital, Moscow, Russian Federation
3 Pirogov Russian National Research Medical University, Moscow, Russian Federation
4 Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russian Federation


ABSTRACT

INTRODUCTION. The relevance of the medical rehabilitation of children with scoliosis is due to the high prevalence of the disease inthe structure of pediatric orthopedic pathology (up to 27.6%), the severe, progressive course of the disease during puberty (50.0%),and the high risk of early disability. The complex application of high-intensity pulsed magnetic therapy and therapeutic correctivegymnastics is one of the promising methods of medical rehabilitation of scoliosis in children.AIM. To establish scientifically the use of high-intensity pulsed magnetic therapy in the medical rehabilitation of children with grade IIscoliosis.MATERIAL AND METHODS. The study involved 90 children aged 5-18 years, suffering from scoliosis of the II degree, divided into threeequal groups: the study group – received a complex effect of high-intensity pulsed magnetic therapy and corrective gymnastics; 1stcomparison group – high-intensity pulsed magnetic therapy; 2 comparison group – corrective gymnastics. All children underwenta dynamic clinical and functional examination.RESULTS AND DISCUSSION. In the majority (89%) of children who received physical factors, an improvement in orthopedic status wasnoted, more significant (p<0.05) – in the group that received their complex effect. Their positive impact on the indicators of functionalendurance of the muscles of the back and abdomen, more significant with a combination of two physical factors, was revealed. Thecombined use of high-intensity pulsed magnetic therapy and corrective gymnastics contributed to a more pronounced improvementin the parameters of the cardio-respiratory system. According to laser Doppler flowmetry, a favorable dynamics of microcirculationparameters was revealed, significantly more significant with the separate influence of high-intensity pulsed magnetic therapy and thecomplex influence of physical factors (p<0.05).CONCLUSION. Based on a comprehensive assessment of the dynamics of clinical and functional parameters in children with scoliosisof the II degree, a statistically significant therapeutic efficacy of the combined use of high-intensity pulsed magnetic therapy andcorrective gymnastics (83.3%) was proved, which is significantly higher than with the separate use of high-intensity pulsed magnetictherapy (66.7%) and corrective gymnastics – at 56.7%.


KEYWORDS: scoliosis, children, high-intensity pulsed magnetic therapy, therapeutic corrective gymnastics, orthopedic status, laser Doppler flowmetry

FOR CITATION: Talkovsky E.M., Vybornov D.Yu., Krestyashin V.M., Prikuls V.F., Tarasov N.I., Koroteev V.V. High-Intensity Pulsed Magnetic Therapy and Therapeutic Exercises Complex Application in Medical Rehabilitation: Prospective Randomized Comparative Study of Children with Grade II Scoliosis. Bulletin of Rehabilitation Medicine. 2022; 21 (4): 88-96. https://doi.org/10.38025/2078-1962-2022-21-4-88-96


References:

  1. Clinical recommendations. Traumatology and orthopedics of childhood and adolescence. Moscow. «GEOTAR-Media». 2019: 15-23 (In Russ.).
  2. Negrini S., Donzelli S., Aulisa A.G. et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis and Spinal Disorders. 2018; (13). https://doi.org/10.1186/s13013-017-0145-8
  3. Novak I., Morgan C., Fahey M. et al. State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy. Current Neurology and Neuroscience Reports. 2020; 20(2). https://doi.org/10.1007/s11910-020-1022-z
  4. Nouri M., Wada K., Kumagai G. et all. The incidence and prevalence of early-onset scoliosis: a regional multicenter epidemiological study. Spine Journal. 2022; 9(22): 1540-1550. https://doi.org/10.1016/j.spinee.2022.03.016
  5. Visser Yan Dous. Children’s orthopedics. Symptoms, differential diagnosis, additional examination and treatment. SpetsLit. 2022: 40-59 (In Russ.).
  6. Yepifanov V.A., Yepifanov A.V. Rehabilitation in traumatology and orthopedics: a guide. Moscow. «GEOTAR-Media». 2021: 522-542 (In Russ.).
  7. De la Garza Ramos R., Nakhla J., Echt M. et al. A National Analysis on Predictors of Discharge to Rehabilitation After Corrective Surgery for Adolescent Idiopathic Scoliosis. Spine. 2019; 44(2): 118-122. https://doi.org/10.1097/BRS.0000000000002758
  8. Ahdoot E.S., Fan J., Aminian A. Rapid Recovery Pathway for Postoperative Treatment of Adolescent Idiopathic Scoliosis. Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews. 2021; 5(3): e20.00220. https://doi.org/10.5435/JAAOSGlobal-D-20-00220 
  9. Shin H.I., Shin H.I. Application of Fabric-Type Spinal Orthosis for Flexible Neuromuscular Scoliosis: A Preliminary Study. American Journal of Physical Medicine and Rehabilitation. 2020; 99(10): 887-894. https://doi.org/10.1097/PHM.0000000000001431
  10. Tsykunov M.B. Medical rehabilitation with scolitical deformations. Bulletin of Rehabilitation Medicine. 2018; (4): 75-91 (In Russ.).
  11. Hedayati Z., Ahmadi A., Kamyab M. et al. Effect of Group Exercising and Adjusting the Brace at Shorter Intervals on Cobb Angle and Quality of Life of Patients with Idiopathic Scoliosis. American Journal of Physical Medicine and Rehabilitation. 2018; 97(2): 104-109. https://doi.org/10.1097/PHM.0000000000000812
  12. Babaee T., Kamyab M., Ganjavian M.S. et al. Success Rate of Brace Treatment for Juvenile-Onset Idiopathic Scoliosis up to Skeletal Maturity. The International Journal of Spine Surgery. 2020; 14(5): 824-831. https://doi.org/10.14444/7117
  13. Jang J., Park Y., Lee S. et al. The effect of a flexible thoracolumbar brace on neuromuscular scoliosis: A prospective observational study. Medicine. 2021; 100(32): e26822. https://doi.org/10.1097/MD.0000000000026822
  14. Grivas T.B., Negrini S., Aubin C.E. et al. Nonoperative management of adolescent idiopathic scoliosis (AIS) using braces. Prosthetics and Orthotics International. 2022; 4(46): 383-391. https://doi.org/10.1097/PXR.0000000000000117
  15. Levkov V.Yu., Polyayev B.A., Panyukov M.V. Conscious correction of scoliosis and posture disorders. Moscow. 2020: 144p. (In Russ.).
  16. Zapata K.A., Sucato D.J., Jo Chan-Hee. Physical Therapy Scoliosis-Specific Exercises May Reduce Curve Progression in Mild Adolescent Idiopathic Scoliosis Curves. Pediatric Physical Therapy. 2019; 31(3): 280-285. https://doi.org/10.1097/PEP.0000000000000621
  17. Lau R., Cheuk K.Y., Tam E. et al. Feasibility and effects of 6-month home-based digitally supported E-Fit program utilizing high-intensity interval exercises in girls with adolescent idiopathic scoliosis: a randomized controlled pilot study. Studies in Health Technology and Informatics. 2021; (280): 195-198. https://doi.org/10.3233/SHTI210466
  18. Ko E.J., Sung I.Y., Yun G.J. et al. Effects of lateral electrical surface stimulation on scoliosis in children with severe cerebral palsy: a pilot study. Disability and Rehabilitation. 2018; 40(2): 192-198. https://doi.org/10.1080/09638288.2016.1250120
  19. Razumov A.N., Pogonchenkova I.V., Khan M.A., Lian N.A., Vakhova E.L., Mikitchenko N.A. The application of the pulsed low-frequency electrostatic field in pediatrics. Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury. 2019; 96(1): 55-62. https://doi.org/10.17116/kurort20199601155 (In Russ.).
  20. Kulikov A.G., Voronina D.D. The modern aspects of the application of magnetic stimulation in the clinical practice. Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016; 15(3): 155-159 (In Russ.).



Creative Commons License
The content is available under the Creative Commons Attribution 4.0 License.

©


This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.