Abstract
The modern concept for the treatment of osteoarthritis is based on the complex use of drugs, non-drug methods, medical and social rehabilitation. At the same time, non-pharmacological methods play an important role, given the natural combination of osteoarthritis and serious comorbid diseases, which significantly increase the risk of developing dangerous drug complications. One of the most common non-drug methods that is widely used in inpatient and outpatient treatment of osteoarthritis is magnetic therapy. During the Council of Experts, with the participation of therapists, rheumatologists, rehabilitologists and physiotherapists, the issues of the scientific substantiation of the use of magnetic therapy in clinical practice, the methodology of this method of treatment, the existence of an evidence base for its effectiveness and safety, as well as the advisability of including magnetic therapy in the national recommendations for the treatment of osteoarthritis were discussed.
Highlights
The modern concept for the treatment of osteoarthritis is based on the complex use of drugs, non-drug methods, medical and social rehabilitation
Non-pharmacological methods play an important role, given the natural combination of osteoarthritis and serious comorbid diseases, which significantly increase the risk of developing dangerous drug complications
Применение кратковременного «пульсирующего» высокоинтенсивного низкочастотного переменного магнитного поля на область головы и шеи приводит к торможению работы нейронов коры головного мозга, особенно в областях с патологически повышенной нейрональной активностью
Summary
Эффективность и безопасность применения магнитотерапии при остеоартрите. Совет экспертов (3 июня 2020 г., Москва). Ключевые слова: остеоартрит, немедикаментозное лечение, магнитотерапия, транскраниальная магнитная стимуляция, эффективность, безопасность Для цитирования: Каратеев АЕ, Лила АМ, Верткин АЛ, Алексеева ЛИ, Герасименко МЮ, Арьков ВВ, Смирнова СН, Сухарева МЛ, Цыкунов МБ. During the Council of Experts, with the participation of therapists, rheumatologists, rehabilitologists and physiotherapists, the issues of the scientific substantiation of the use of magnetic therapy in clinical practice, the methodology of this method of treatment, the existence of an evidence base for its effectiveness and safety, as well as the advisability of including magnetic therapy in the national recommendations for the treatment of osteoarthritis were discussed. В недавно опубликованном обзоре экспертов EULAR (Европейской Антиревматической Лиги), посвященном немедикаментозным методам лечения боли при ОА и воспалительных артритах, доказательность применения электромагнитного воздействия определена по системе GRADE как 2–3 («умеренная») [12]
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