High-Intensity Pulsed Magnetic Therapy and Therapeutic Exercises Complex Application in Medical Rehabilitation: Prospective Randomized Comparative Study of Children with Grade II Scoliosis

Abstract

INTRODUCTION. The relevance of the medical rehabilitation of children with scoliosis is due to the high prevalence of the disease in the structure of pediatric orthopedic pathology (up to 27.6%), the severe, progressive course of the disease during puberty (50.0%), and the high risk of early disability. The complex application of high-intensity pulsed magnetic therapy and therapeutic corrective gymnastics is one of the promising methods of medical rehabilitation of scoliosis in children. AIM. To establish scientifically the use of high-intensity pulsed magnetic therapy in the medical rehabilitation of children with grade II scoliosis. MATERIAL AND METHODS. The study involved 90 children aged 5-18 years, suffering from scoliosis of the II degree, divided into three equal groups: the study group – received a complex effect of high-intensity pulsed magnetic therapy and corrective gymnastics; 1st comparison group – high-intensity pulsed magnetic therapy; 2 comparison group – corrective gymnastics. All children underwent a dynamic clinical and functional examination. RESULTS AND DISCUSSION. In the majority (89%) of children who received physical factors, an improvement in orthopedic status was noted, more significant (p<0.05) – in the group that received their complex effect. Their positive impact on the indicators of functional endurance of the muscles of the back and abdomen, more significant with a combination of two physical factors, was revealed. The combined use of high-intensity pulsed magnetic therapy and corrective gymnastics contributed to a more pronounced improvement in the parameters of the cardio-respiratory system. According to laser Doppler flowmetry, a favorable dynamics of microcirculation parameters was revealed, significantly more significant with the separate influence of high-intensity pulsed magnetic therapy and the complex influence of physical factors (p<0.05). CONCLUSION. Based on a comprehensive assessment of the dynamics of clinical and functional parameters in children with scoliosis of the II degree, a statistically significant therapeutic efficacy of the combined use of high-intensity pulsed magnetic therapy and corrective gymnastics (83.3%) was proved, which is significantly higher than with the separate use of high-intensity pulsed magnetic therapy (66.7%) and corrective gymnastics – at 56.7%.