rehabРеабилитологияJournal of Medical Rehabilitation2949-58732949-5881IRBIS LLC10.17749/2949-5873/rehabil.2024.23rehab-42Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESОценка эффективности и безопасности ритмической периферической магнитной стимуляции у пациентов с пояснично-крестцовой радикулопатией в раннем реабилитационном периоде после микродискэктомииEfficacy and safety of repetitive peripheral magnetic stimulation in patients with lumbosacral radiculopathy during early postoperative rehabilitation period following microdiscectomyhttps://orcid.org/0000-0002-7819-5229БлохинаВ. Н.BlokhinaV. N.

Блохина Вера Николаевна, к.м.н.

ул. Нижняя Первомайская, д. 65, Москва 105203

Vera N. Blokhina, PhD

65 Nizhnyaya Pervomayskaya Str., Мoscow 105203

vnba1@mail.ruФедеральное государственное бюджетное учреждение «Национальный медико-хирургический центр им. Н.И. Пирогова» Министерства здравоохранения Российской ФедерацииРоссияPirogov National Medical and Surgical CenterRussian Federation20240402202523277–285Copyright © Блохина В.Н., 20252025Блохина В.Н.Blokhina V.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rehabilitology.com/jour/article/view/42Актуальность

Актуальность. Значительный объем хирургической активности для лечения дискогенной радикулопатии на поясничном уровне повышает актуальность совершенствования комплексных послеоперационных реабилитационных программ, включающих инновационные физиотерапевтические методики. Один из современных и безопасных методов

физиотерапевтической реабилитации – ритмическая периферическая магнитная стимуляция (рПМС).

Цель

Цель: оценить эффективность реабилитационного лечения с включением курса рПМС у пациентов с пояснично-крестцовой радикулопатией (ПКР) в раннем реабилитационном периоде после микродискэктомии.

Материал и методы

Материал и методы. В проспективном рандомизированном сравнительном исследовании принял участие 71 пациент с ПКР после микродискэктомии. На 7-й день после операции больные были рандомизированы на две группы. В 1-й группе (n=35) пациенты получали курс рПМС в дополнение к традиционной реабилитационной терапии, во 2-й группе (n=36) – только традиционную терапию. Оценку болевого синдрома проводили по визуально-аналоговой шкале, тревожности – по опроснику Спилбергера–Ханина, качества жизни – по опроснику EuroQol-5D.

Результаты

Результаты. На 21-й день реабилитационного лечения зарегистрировано статистически значимое (p=0,036) различие между результатами в 1-й и 2-й группах по интенсивности боли в нижней конечности. На 21-й день выявлено статисти-

чески значимое различие (р=0,042) между группами по частоте распределения тяжести личностной тревожности. В 1-й группе было достигнуто статистически значимое различие частот распределения уровня самообслуживания на 21-й день курса терапии в сравнении с данными на 7-й день (p<0,05).

Заключение

Заключение. Полученные клинические эффекты в отношении регресса болевого синдрома, улучшения чувствительности и психологического состояния пациентов были более значительными в группе, которая получала курс рПМС. Результаты нашей работы показывают, что включение рПМС в реабилитационное послеоперационное лечение может стать полезным инструментом для улучшения восстановления больных.

Background

Background. The considerable number of surgical interventions for the treatment of discogenic lumbosacral radiculopathy

(LSR) highlights the importance of optimizing complex post-surgical rehabilitation programs, particularly those incorporating innovative physiotherapeutic techniques. One of the modern and safe methods in physiotherapeutic rehabilitation is repetitive peripheral magnetic stimulation (rPMS).

Objective

Objective: to evaluate the efficacy of a rehabilitation therapy that includes rPMS for patients with LSR during the early postoperative rehabilitation period following microdiscectomy.

Material and methods

Material and methods. A prospective randomized comparative study involved 71 patients with LSR following microdiscectomy. On postoperative Day 7, the patients were randomly assigned to one of two groups. Group 1 (n=35) received a course of rPMS in addition to the standard rehabilitation therapy, while Group 2 (n=36) received only the standard treatment. Pain intensity was assessed using the visual analog scale, anxiety was evaluated using the state-trait anxiety inventory, and health-related quality of life was measured with the EuroQol-5D questionnaire.

Results

Results. On Day 21 of rehabilitation, a statistically significant difference (p=0.036) in pain intensity in the lower limb was observed between the two groups. In addition, a statistically significant difference (p=0.042) was revealed in the frequency distribution of trait anxiety severity. A statistically significant improvement in the frequency distribution of self-care level was observed in Group 1 between Days 7 and 21 (p<0.05).

Conclusion

Conclusion. The clinical effects observed in terms of the regression of pain, improved sensory function, and psychological wellbeing were more pronounced in the group receiving rPMS. These findings suggest that rPMS incorporated into postoperative rehabilitation programs may serve as a valuable tool for enhancing patient recovery.

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The authors declare that there are no conflicts of interest present.