Effect of Pulsed Electromagnetic Field on Walking Capacity in Patients with Peripheral Arterial Disease

Reham R. Mahmoud, Awny F. Rahmy, Mohamed G. Ibrahim, Abeer A. Farghaly

Reham R. Mahmoud, Awny F. Rahmy, Mohamed G. Ibrahim, Abeer A. Farghaly – Effect of Pulsed Electromagnetic Field on Walking Capacity in Patients with Peripheral Arterial Disease. Fizjoterapia Polska 2021; 21(3); 226-232

Abstract
Background. Peripheral arterial disease (PAD) is a common vascular disorder characterized by intermittent claudication with costly complications and marked reduction in functional capacity. The pulsed electromagnetic field (PEMF) has been used widely for different patient populations owing to its analgesic, anti-inflammatory, and angiogenetic effects, however, its use in the management of PAD has been recently introduced. Aim. this study aimed to assess the effect of PEMF on functional walking parameters in patients with PAD. Material and Methods. Sixty patients with PAD (Fontaine stage II), aged from 45-65 were divided into two groups A & B. Group (A) received pulsed electromagnetic field for 60 minutes/session, 3 sessions/week, and for 8 weeks plus drug treatment, whereas, group (B) only received the traditional drug treatment for 8 weeks. The endpoints of the study were claudication pain distance (CPD), maximal walking distance (MWD), claudication pain time (CPT), maximal walking time (MWT), and ankle-brachial index (ABI). Results. There were significant changes in all measured variables compared to the baseline in the two groups. There were significant differences between the two groups in CPD, MWD, CPT, MWT, and ABI in favor of the PEMF group (P < 0.05). Conclusion. PEMF could be an effective therapeutic modality that can help improve the functional walking capacity in patients with PAD (Fontaine stage II).
Key words:
Pulsed electromagnetic field, peripheral arterial disease, walking capacity, Intermittent claudication
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Impact of pulsed electromagnetic on chronic pelvic inflammatory disease: A randomized controlled trial

Eman Abdelfatah Mohamed Elhosary, Hamada Ahmed Hamada, Mahmoud Ewidea, Zizi M. Ibrahim

Eman Abdelfatah Mohamed Elhosary, Hamada Ahmed Hamada, Mahmoud Ewidea, Zizi M. Ibrahim – Impact of pulsed electromagnetic field on pain level in Females with chronic pelvic inflammatory disease: A randomized controlled trial. Fizjoterapia Polska 2020; 20(3); 116-120

Abstract
Purpose. Pelvic inflammatory disease (PID) is an infection-induced inflammation of the female upper reproductive tract some cases not respond to medical treatment, the aim of the study to detect the effect of pulsed electromagnetic (PEMF)in treatment of chronic pelvic inflammatory disease. Materials and Methods. this study was designed as single blind randomized controlled trial. Forty females complain from PID, their age ranged from (20-40) years and their body mass index (BMI) not exceeds 30 kg/m², they and were randomly assigned into 2 equal groups: Study group (A) received oral antibiotic (doxycycline100 mg) twice daily for 7 days in addition to PEMF for1 hour, 3 times per week for 12 sessions with 50 Hz in frequency and 60 G in intensity. Control group (B) received routine medical treatment by oral antibiotic (doxycycline100 mg) twice daily for 7 days. Both groups were assessed by present pain intensity scale, estimation of C-reactive protein and ESR level in blood before the treatment and after 12 sessions of PEMF. Results. There were significant differences in pain scores presented by Mean Difference (MD) and 95% Confidence Interval(CI) (MD 2; 95%CI 1.8 to 2.21), ESR (MD 16.75; 95%CI 13.973 to 19.52) and CRP (MD 35.8; 95%CI 31.97 to 39.63) between the both groups. The significant improvement from pretreatment to post treatment, was seen in all dependent variables at study group (p < 0.05) and in pain severity and CRP in control group. Conclusion. Pulsed electromagnetic yields improvement in pain and decrease in inflammation measured by decrease inflammatory markers in the treatment of pelvic inflammatory disease.
Key words:
Pelvic inflammatory disease, Pulsed electromagnetic field, ESR, C-reactive protein
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