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Vojnosanitetski pregled
2009, vol. 66, br. 1, str. 22-28
jezik rada: engleski
vrsta rada: izvorni naučni članak
objavljeno: 23/04/2009
doi: 10.2298/VSP0901022D
Pulsno elektromagnetno polje niskog intenziteta u prevenciji heterotopske osifikacije kod bolesnika sa traumatskim povredama kičmene moždine
aVojnomedicinska akademija, Klinika za fizikalnu medicinu i rehabilitaciju, Beograd
bTor Vergata University, Rome, Italy
cVojnomedicinska akademija, Beograd

Sažetak

Uvod/Cilj. Heterotopska osifikacija (HO) glavna je komplikacija povrede glave i kičmene moždine (spinal cord injury - SCI). Terapija primenom pulsnog elektromagnetnog polja niskog intenziteta (pulse low-intensity electromagnetic field - PLIMF) ubrzava protok krvi u zoni bola ili upale, dovodeći više kiseonika u tu zonu i pomažući u uklanjanju toksičnih materija. Cilj ove studije bio je da se odrede efekti primene PLIMF u prevenciji HO kod bolesnika sa SCI. Metode. U ovu prospektivnu randomiziranu kliničku studiju bilo je uključeno 29 bolesnika sa trauamatskim SCI. Bolesnici su randomizirani u eksperimentalnu (n = 14) i kontrolnu (n = 15) grupu. Bolesnici iz eksperimentalne grupe, osim vežbi i terapije kretanjem, bili su podvrgnuti terapiji PLIMF indukcije 10 mT, frekvencije 25 Hz u trajanju od 30 min. Primena PLIMF počela je u sedmoj nedelji od povrede i trajala je četiri nedelje. Prisustvo ili odsustvo HO oko kukova bolesnika proveravano je radiografskim snimkom i Brookersovom klasifikacijom. Funkcionalne mogućnosti i oštećenje motorike proveravni su primenom Functional Independent Measure (FIM), Barthel indeks i klasom oštećenja prema American Spinal Injury Association (ASIA). Statistička analiza vršena je testovima Kolmogorov-Smirnov, Shapiro-Wilk, Mann-Whitney Exact, Exact Wilcoxon Signed Rank i Fischer Exact. Statistička značajnost bila je do vrednosti p < 0,05. Rezultati. Na kraju lečenja nijedan bolesnik iz eksperimentalne grupe nije imao HO. U kontrolnoj grupi pet bolesnika (33,3%) imalo je HO. Na kraju lečenja većina bolesnika eksperimentalne grupe (57,14%) prešla je iz klase ASIA-A u ASIA-B. Zaključak. Primena PLIMF pomaže u profilaksi HO kod bolesnika sa traumatskim SCI.

Ključne reči

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