磁疗与周边磁刺激:在儿科实践中的区别及应用特点
- 作者: Borodulina I.V.1, Gerasimenko M.Y.2,3, Kotova O.V.4,5, Pavlova S.V.6, Ipatov A.A.6
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隶属关系:
- Russian Medical Academy of Continuing Professional Education
- Russian Medical Academy of Continuous Professional Education
- Russian National Research Medical University named after N.I. Pirogov
- Peoples’ Friendship University of Russia
- International Society for the Study and Effective Management of Stress and Related Disorders
- Children’s City Polyclinic No. 39
- 期: 卷 23, 编号 5 (2024)
- 页面: 263-271
- 栏目: Review
- URL: https://journals.rcsi.science/1681-3456/article/view/279883
- DOI: https://doi.org/10.17816/rjpbr642717
- ID: 279883
如何引用文章
详细
背景。磁刺激是磁疗的一种类型,其通过脉冲磁场产生最显著的生物效应,在儿科实践中的应用具有很大的前景。
研究目的。提供关于磁刺激疗法在临床实践中应用可能性的必要知识,并展示一个临床案例。
材料与方法。总结了磁刺激作为物理治疗和患者康复的重要组成部分的方法和资料。
结果。磁刺激具有显著的神经肌肉刺激作用,还具有镇痛、营养代谢改善和抗水肿等效果。应根据具体的临床需求区分磁疗的不同模式并选择适当的技术。研究表明,磁刺激的主要生物物理学优势之一是患者在治疗过程中能明显感受到其效果:与变频磁疗不同,患者可以听到清晰的“咔哒”声(刺激信号),并感受到肌肉明显的收缩或频率依赖的舒适振动。频率是一个需要根据患者需求进行个性化调整的重要参数。在物理治疗中认为,当脉冲磁场频率低于20 Hz时,反应尤其显著,其中低频主要具有刺激作用,而高频则具有镇痛和促进微循环的效果。
结论。由于已证明其有效性和良好的耐受性,周边磁刺激已成为治疗神经和骨科相关疾病 (如关节和脊柱的炎症、肌肉痉挛)、神经纤维损伤伴随疼痛综合征、慢性骨盆痛和排尿障碍的首选物理治疗方法。由于其良好的效果和耐受性,周边磁刺激在儿科实践中具有广泛的应用前景,这一点可通过所提供的临床案例得以体现。
作者简介
Irina V. Borodulina
Russian Medical Academy of Continuing Professional Education
编辑信件的主要联系方式.
Email: irina.borodulina@gmail.com
ORCID iD: 0000-0001-7526-1553
SPIN 代码: 2152-5737
MD, Cand. Sci. (Medicine), Associate Professor
俄罗斯联邦, MoscowMarina Yu. Gerasimenko
Russian Medical Academy of Continuous Professional Education; Russian National Research Medical University named after N.I. Pirogov
Email: mgerasimenko@list.ru
ORCID iD: 0000-0002-1741-7246
SPIN 代码: 7625-6452
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, Moscow; MoscowOlga V. Kotova
Peoples’ Friendship University of Russia; International Society for the Study and Effective Management of Stress and Related Disorders
Email: ol_kotova@mail.ru
ORCID iD: 0000-0002-3908-0381
SPIN 代码: 1954-7765
MD, Cand. Sci. (Medicine), Associate Professor
俄罗斯联邦, Moscow; MoscowSvetlana V. Pavlova
Children’s City Polyclinic No. 39
Email: pavlovasv@zdrav.mos.ru
ORCID iD: 0000-0001-5188-3796
SPIN 代码: 8300-9342
MD, Cand. Sci. (Medicine)
俄罗斯联邦, MoscowAndrey A. Ipatov
Children’s City Polyclinic No. 39
Email: ilpat@mail.ru
ORCID iD: 0000-0002-1207-2920
MD, Cand. Sci. (Medicine)
俄罗斯联邦, Moscow参考
- Ventsak EV. Physiotherapy and physioprophylaxis: a tutorial. Irkutsk: Irkutsk State Medical University, 2019. 144 p. (In Russ.)
- Lukomsky IV. General physiotherapy: course of lectures. Vitebsk: Vitebsk State Medical University, 2001. 98 p. (In Russ.)
- Guskov AA. Physical phenomena and effects in electromagnetic fields: a tutorial. Nizhny Novgorod: Nizhny Novgorod State Technical University named after R.E. Alekseev, 2018. 164 p. (In Russ.)
- Ulashchik VS. Physiotherapy. Universal Medical Encyclopedia. Minsk: Book House, 2012. 640 p. (In Russ.)
- Ponomarenko GN. General physiotherapy. Moscow: GEOTAR-Media, 2012. 368 p. (In Russ.)
- Abramovich SG, Adilov VV, Antipenko PV. Physiotherapy: national guidelines. Moscow: GEOTAR-Media, 2014. 864 p. (In Russ.)
- Bickford RG, Fremming BD. Neuronal stimulation by pulsed magnetic fields in animals and man. Digest of the 6th International Conference on Medicine and Electronics Biology and Engineering. 1965:112.
- Geddes LA. History of Magnetic Stimulation of the Nervous System. Journal of Clinical Neurophysiology. 1991;8(1):3–9. doi: 10.1097/00004691-199101000-00003
- Beaulieu LD, Schneider C. Effects of repetitive peripheral magnetic stimulation on normal or impaired motor control. A review. Neurophysiol Clin. 2013;43(4):251–60. doi: 10.1016/j.neucli.2013.05.003
- Kanjanapanang N, Chang KV. Peripheral Magnetic Stimulation. StatPearls [Internet]. 2021.
- 1Beaulieu LD, Schneider C. Repetitive peripheral magnetic stimulation to reduce pain or improve sensorimotor impairments: A literature review on parameters of application and afferents recruitment. Neurophysiol Clin. 2015;45(3):223–37. doi: 10.1016/j.neucli.2015.08.002
- Binder A, Parr G, Hazleman B, Fitton-Jackson S. Pulsed electromagnetic field therapy of persistent rotator cuff tendinitis. A double-blind controlled assessment. Lancet. 1984;1(8379):695–8. doi: 10.1016/s0140-6736(84)92219-0.
- Trock DH, Bollet AJ, Markoll R. The effect of pulsed electromagnetic fields in the treatment of osteoarthritis of the knee and cervical spine. Report of randomized, double blind, placebo controlled trials. J Rheumatol. 1994;21(10):1903–11.
- Smania N, Corato E, Fiaschi A, et al. Repetitive magnetic stimulation: a novel therapeutic approach for myofascial pain syndrome. J Neurol. 2005;252(3):307–14. doi: 10.1007/s00415-005-0642-1
- Massé-Alarie H, Beaulieu LD, Preuss R, Schneider C. Repetitive peripheral magnetic neurostimulation of multifidus muscles combined with motor training influences spine motor control and chronic low back pain. Clin Neurophysiol. 2017;128(3):442–453. doi: 10.1016/j.clinph.2016.12.020
- Massé-Alarie H, Flamand VH, Moffet H, Schneider C. Peripheral neurostimulation and specific motor training of deep abdominal muscles improve posturomotor control in chronic low back pain. Clin J Pain. 2013;29(9):814–23. doi: 10.1097/AJP.0b013e318276a058
- Smania N, Corato E, Fiaschi A, et al. Repetitive magnetic stimulation: a novel therapeutic approach for myofascial pain syndrome. J Neurol. 2005;252(3):307–14. doi: 10.1007/s00415-005-0642-1
- Kim TH, Han DH, Cho WJ, et al. The efficacy of extracorporeal magnetic stimulation for treatment of chronic prostatitis/chronic pelvic pain syndrome patients who do not respond to pharmacotherapy. Urology. 2013;82(4):894–8. doi: 10.1016/j.urology.2013.06.032
- Nizard J, Esnault J, Bouche B, et al. Long-Term Relief of Painful Bladder Syndrome by High-Intensity, Low-Frequency Repetitive Transcranial Magnetic Stimulation of the Right and Left Dorsolateral Prefrontal Cortices. Front Neurosci. 2018;12:925. doi: 10.3389/fnins.2018.00925
- Sato T, Nagai H. Sacral magnetic stimulation for pain relief from pudendal neuralgia and sciatica. Dis Colon Rectum. 2002;45(2):280–2. doi: 10.1007/s10350-004-6162-8
- Borodulina IV, Kovalev GV, Labetov IA, et al. Sacral magnetic stimulation in overactive bladder syndrome: comparative analysis of protocols with a frequency of 1 and 5 Hz. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;101(1):22–29. (In Russ.) doi: 10.17116/kurort202410101122
- Badalov NG, Borodulina IV, Efimova VI, Yakovlev MY. Noninvasive peripheral magnetic stimulation in the treatment of neurogenic urination disorders in children. Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;100(4):18–27. (In Russ.) doi: 10.17116/kurort202310004118
- Borodulina IV, Rachin AP, Badalov NG, Goushcha AO. Peripheral repetitive magnetic stimulation for the treatment of neurogenic urinary disorders: literature review and investigational study. Neuromuscular Diseases. 2017;7(2):54–66. (In Russ.) doi: 10.17650/2222-8721-2017-7-2-54-66
- Kovalev GV, Shkarupa DD, Kubin ND, et al. Transvertebral magnetic neuromodulation for the treatment of overactive bladder: 6 months follow-up. Urology Herald. 2020;8(4):62–71. (In Russ.) doi: 10.21886/2308-6424-2020-8-4-62-71
- Borodulina IV, Gerasimenko MY. The use of magnetic stimulation in neurogenic and psychogenic urination disorders. Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2022;21(6):447–453. (In Russ.) doi: 10.17816/rjpbr117478
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