Peripheral magnetic stimulation

  • 文章类型: Journal Article
    Search and development of new physiotherapeutic technologies of regenerative medicine for the treatment of patients with different diseases is an urgent task of modern medicine.
    OBJECTIVE: To analyze scientific data on the effectiveness of the peripheral magnetic stimulation (PMS) application in patients with different diseases.
    METHODS: An analysis of publications in databases of electronic resources (PEDro, PubMed, Embase, eLibrary, Cochrane Library) over the past 20 years was carried out, the results of PMS application in patients with different nosologies were presented.
    RESULTS: The majority of the presented articles confirm the clinical effectiveness of PMS application mainly in patients with diseases of the nervous system, spine and genitourinary system.
    CONCLUSIONS: Further research to confirm the effectiveness of the therapeutic impact of magnetic stimulation in patients with other nosologies is needed.
    Поиск и разработка новых физиотерапевтических технологий восстановительной медицины для лечения пациентов с разными заболеваниями является актуальной задачей современной медицины.
    UNASSIGNED: Анализ научных данных об эффективности применения периферической магнитной стимуляции (ПМС) у пациентов с разными заболеваниями.
    UNASSIGNED: Был осуществлен анализ публикаций в базах данных электронных ресурсов (PEDro, PubMed, Embase, eLibrary, Кохрейновская библиотека) за последние 20 лет, в которых представлены результаты применения ПМС у пациентов с разными нозологиями.
    UNASSIGNED: Большинством представленных работ подтверждена клиническая эффективность применения ПМС в основном у пациентов с заболеваниями нервной системы, позвоночника и мочеполовой системы.
    UNASSIGNED: Необходимо продолжение научных исследований с целью подтверждения эффективности лечебного воздействия магнитной стимуляции у пациентов с другими нозологиями.
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  • 文章类型: Controlled Clinical Trial
    目的:对外周磁刺激(PMS)治疗慢性外周神经性疼痛的相关文献进行系统综述。
    方法:对MEDLINE的系统搜索,EMBASE,中部,CINHAL,WebofScience,和ProQuest从开始至2023年7月进行,以确定任何以英语发表的设计的研究,这些研究纳入了接受PMS治疗慢性周围神经性疼痛障碍(疼痛>3个月)的成年患者(≥18岁).
    结果:确定了23项研究,其中包括15项随机对照试验(RCT),五个案例系列,两个病例报告,和一项非随机试验。PMS方案因研究而异,在1天至1年的治疗中,每次5至240分钟。纳入研究的结果参差不齐,一些研究表明有好处,而另一些研究没有显着差异。在九项安慰剂对照随机对照试验中,四个报告了支持PMS使用的统计学显著发现。在荟萃分析中,在使用0-1个月内,与对照组相比,PMS显着降低了疼痛评分(0-10数字评定量表的平均差-1.64,95%置信区间-2.73至-0.56,p=0.003,I2=94%,7项研究[264名参与者],证据质量非常低),但不是在1-3个月和>3个月的PMS使用(非常低和低质量的证据,分别)。使用PMS报告的不良反应最少至无。
    结论:有有限且低质量的证据可以对PMS的使用提出明确的建议,然而,现有的数据令人鼓舞,特别是这种新颖模式的短期应用。需要大量高质量的随机对照试验来确定PMS的确切疗效和安全性。
    OBJECTIVE: To provide a systematic review of the literature on the effects of peripheral magnetic stimulation (PMS) in the treatment of chronic peripheral neuropathic pain.
    METHODS: A systematic search of MEDLINE, EMBASE, CENTRAL, CINHAL, Web of Science, and ProQuest was conducted from inception to July 2023 to identify studies of any design published in English language that enrolled adult patients (≥18 years) that received PMS for treatment of a chronic peripheral neuropathic pain disorder (pain > 3 months).
    RESULTS: Twenty-three studies were identified which included 15 randomized controlled trials (RCTs), five case series, two case reports, and one non-randomized trial. PMS regimens varied across studies and ranged from 5 to 240 min per session over 1 day to 1 year of treatment. Results across included studies were mixed, with some studies suggesting benefits while others showing no significant differences. Of nine placebo-controlled RCTs, four reported statistically significant findings in favor of PMS use. In the meta-analysis, PMS significantly reduced pain scores compared to control within 0-1 month of use (mean difference -1.64 on a 0-10 numeric rating scale, 95% confidence interval -2.73 to -0.56, p = 0.003, I2 = 94%, 7 studies [264 participants], very low quality of evidence), but not at the 1-3 months and >3 months of PMS use (very low and low quality of evidence, respectively). Minimal to no adverse effects were reported with PMS use.
    CONCLUSIONS: There is limited and low-quality evidence to make definitive recommendations on PMS usage, however, the available data is encouraging, especially for short-term applications of this novel modality. Large high-quality randomized controlled trials are required to establish definitive efficacy and safety effects of PMS.
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  • 文章类型: Journal Article
    周围磁刺激是一种潜在的有前途的方式来帮助管理术后疼痛。我们系统综述了外周磁刺激对急性和慢性术后疼痛的影响。MEDLINE,科克伦中部,EMBASE,ProQuest论文,和ClinicalTrials.gov从一开始一直搜索到2021年5月。我们纳入了任何研究设计的研究,这些研究设计包括在围手术期接受外周磁刺激的年龄≥18岁的患者,并评估了术后疼痛。共纳入17项随机对照试验和1项非随机临床试验。18项研究中有13项发现外周磁刺激对术后疼痛评分有积极影响。在我们的荟萃分析中,在术后前7天内,外周磁刺激比假手术或无干预更有效(0-10数字评分的平均差[MD]-1.64,95%置信区间[CI]-2.08至-1.20,I2=77%,6项研究[231例患者])。手术后1个月和2个月也是如此(MD-1.82,95%CI-2.48至-1.17,I2=0%,3项研究[104例患者];MD-1.96,95%CI-3.67至-0.26,I2=84%,3项研究[分别为104例患者])。在手术后6个月和12个月的持续性疼痛没有观察到差异,术后急性阿片类药物消耗,或组间不良事件。结果受到异质性和通常低质量研究的限制,以及证据质量低或非常低。需要高质量和充分的盲化试验来明确确认围手术期外周磁刺激的益处。观点:本综述评估外周磁刺激(PMS)对术后疼痛的疗效和安全性。结果有助于阐明PMS在术后疼痛管理中的作用,并确定需要更多研究的差距。
    Peripheral magnetic stimulation (PMS) is a potentially promising modality to help manage postoperative pain. We systematically reviewed the effect of PMS on acute and chronic postoperative pain. MEDLINE, Cochrane CENTRAL, EMBASE, ProQuest Dissertations, and clinical trials.gov were searched from inception until May 2021. We included studies of any study design that included patients ≥18 years of age undergoing any type of surgery that administered PMS within the perioperative period and evaluated postoperative pain. Seventeen randomized controlled trials and 1 nonrandomized clinical trial were included into the review. Thirteen out of the 18 studies found a positive effect with PMS on postoperative pain scores. In our meta-analysis, peripheral magnetic stimulation was more efficacious than sham or no intervention within the first 7 postoperative days (mean difference [MD] -1.64 on a 0 to 10 numerical rating score, 95% confidence interval [CI] -2.08 to -1.20, I2 = 77%, 6 studies, 231 patients). This was also true at 1 and 2 months after surgery (MD -1.82, 95% CI -2.48 to -1.17, I2 = 0%, 3 studies, 104 patients; and MD -1.96, 95% CI -3.67 to -.26, I2 = 84%, 3 studies, 104 patients, respectively). A difference was not seen with persistent pain at 6 and 12-months after surgery, acute postoperative opioid consumption, or adverse events between groups. Results are limited by heterogeneity and generally low-quality studies, as well as low or very low quality of evidence. High-quality and adequately blinded trials are needed to definitively confirm the benefits of peripheral magnetic stimulation administered in the perioperative period. PERSPECTIVE: This review evaluates the efficacy and safety of PMS on postoperative pain. The results help elucidate PMS\' role in postoperative pain management and identify gaps where more research is required.
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