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 inthe 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 correctivegymnastics 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 IIscoliosis.MATERIAL AND METHODS. The study involved 90 children aged 5-18 years, suffering from scoliosis of the II degree, divided into threeequal groups: the study group – received a complex effect of high-intensity pulsed magnetic therapy and corrective gymnastics; 1stcomparison group – high-intensity pulsed magnetic therapy; 2 comparison group – corrective gymnastics. All children underwenta dynamic clinical and functional examination.RESULTS AND DISCUSSION. In the majority (89%) of children who received physical factors, an improvement in orthopedic status wasnoted, more significant (p<0.05) – in the group that received their complex effect. Their positive impact on the indicators of functionalendurance of the muscles of the back and abdomen, more significant with a combination of two physical factors, was revealed. Thecombined use of high-intensity pulsed magnetic therapy and corrective gymnastics contributed to a more pronounced improvementin the parameters of the cardio-respiratory system. According to laser Doppler flowmetry, a favorable dynamics of microcirculationparameters was revealed, significantly more significant with the separate influence of high-intensity pulsed magnetic therapy and thecomplex influence of physical factors (p<0.05).CONCLUSION. Based on a comprehensive assessment of the dynamics of clinical and functional parameters in children with scoliosisof the II degree, a statistically significant therapeutic efficacy of the combined use of high-intensity pulsed magnetic therapy andcorrective gymnastics (83.3%) was proved, which is significantly higher than with the separate use of high-intensity pulsed magnetictherapy (66.7%) and corrective gymnastics – at 56.7%.

Keywords

• scoliosis
• children
• high-intensity pulsed magnetic therapy
• therapeutic corrective gymnastics
• orthopedic status
• laser doppler flowmetry