Magnetic-laser therapy in multidisciplinary rehabilitation of patients with chronic non-specific dorsalgia with high intensity pain syndrome in outpatient care

Abstract

The effectiveness of the analgesic impact of magnetic-laser therapy (MLT) and its combinations with other methods with have a aproved analgesic effect used for multidisciplinary rehabilitation of patients with chronic nonspecific dorsalgia (CNSD) with marked pain syndrome in a polyclinic has been studied. 107 patients with high intensity pain syndrome (on a VAS scale from 6 to 8 points is severe pain) in CNSD exacerbation phase were included. The patients were divided into five homogeneous groups. All patients were treated with kinesiotherapy (KT). In addition, patients of the 1st group were treated with MLT; patients of the 2nd group were treated with sinusoidal modulated currents (SMT); patients of the 3rd group were treated with ultraphonophoresis with non-steroidal anti-inflammatory drugs (UPP NSAID); patients of the 4th group were treated with complex of MLT and SMT; patients of the 5th group were treated with MLT and UPP NSAID. Pain dynamics was assessed using VAS, while patient functional capabilities - using FAS-9 questionnaire. MLT application in 1st group patients decreased pain and altered functions very slightly (p>0.05). Ten sessions of SMT or UPP together with KT caused transition of severe pain to moderate - from (5.67±0.37) to (3.30±0.26) and from (5.75±0.34) to (3.72±0.31) points, respectively (p<0.001), which allowed to increase significantly the activity of KT. MLT and SMT combination after 8 sessions has caused two-fold pain decrease – from (5.96±0.39) to (2.82±0.25) points (p<0.001) and significantly improved movement biomechanics. SMT or UPP combination with MLT potentiates antinociceptive effect of both modalities, so patient functional capabilities regenerate earlier. This fact allows to apply KT from the first day of rehabilitation, which leads to the reduction of rehabilitation time. Keywords: chronic non-specific dorsalgia, multidisciplinary rehabilitation, kinesiotherapy, magnetic- laser therapy, sinusoidal modulated currents, NSAID ultraphonophoresis.