OJTR  Vol.3 No.3 , August 2015
The Effectiveness of the Functional Magnetic Stimulation Therapy in Treating Sciatica Syndrome
ABSTRACT
Introduction: Degenerative or traumatic causes are most common in generating sciatica syndrome, which is normally treated with well-known physical therapy methods. A relatively new way of treating sciatica problems is so-called functional magnetic stimulation (FMS), whose principle is based on electromagnetic field inducing electrical field inside the body. Electrical field triggers action potential of nerve cells and that way stimulates peripheral motor nerve system. Aim: Aim of this study is to measure and estimate the effectiveness of implementing therapy with functional magnetic stimulation in regular physical treatment of sciatica syndrome. Materials and Methods: 28 male patients aged between 30 and 55 with back problem were recruited on an outpatient basis. FMS therapy was performed with TESLA Stym? device (Iskra Medical d.o.o., Slovenia) treating lumbosacral region equally on both sides of the spine. Physical examination was performed to evaluate tree parameters: the mobility of the lumbar spine in flexion and extension, together with the straight leg raise test (Lasegue sign). We estimated patients’ progress, comparing angle values of mobility from the first examination day with other examination days. Results: In FMS treated group of patients, lumbosacral flexion, extension and Lasegue test angle were significantly higher compared to day 0 on the first physical examination day (day 3) (p < 0.05). In control group such increase of a measured angle was not noticed until a second physical examination day (day 5) or a third physical examination day (day 8) (p < 0.05). Discussion: Results in this study showed that applying FMS therapy along with other standard physical therapy methods rapidly increased effectiveness of the treatment of sciatica syndrome (lat. ischialgia). It suggests that functional magnetic therapy could be suggested as a regular physical therapy method in treating this kind of pain syndromes.

Cite this paper
Radaković, T. and Radaković, N. (2015) The Effectiveness of the Functional Magnetic Stimulation Therapy in Treating Sciatica Syndrome. Open Journal of Therapy and Rehabilitation, 3, 63-69. doi: 10.4236/ojtr.2015.33009.
References
[1]   Taylor, L.J. (2007) Magnetic Muscle Stimulation Procedures Fatigue without Effort. Journal of Applied Physiology, 103, 733-734.
http://dx.doi.org/10.1152/japplphysiol.00660.2007

[2]   Barker, A.T. (2002) Principles of Magnetic Stimulator Design. In: Pascual-Leone, A., Davey, N.J., Rothwell, J.C., Wassermann, E.C. and Puri, B.K., Eds., Handbook of Transcranial Magnetic Stumulation, Arnold, London, 3-17.

[3]   Machetanz, J., Bischoff, C., Pichlmeier, R., et al. (1994) Magnetic Induced Muscle Contraction Is Caused by Motor Nerve Stimulation and Not by Direct Muscle Activation. Muscle & Nerve, 17, 1170-1175.
http://dx.doi.org/10.1002/mus.880171007

[4]   Man, W.D., Moxham, J. and Polkey, M.I. (2004) Magnetic Stimulation for the Measurement of Respiratory and Skeletal Muscle Function. European Respiratory Journal, 24, 846-860.
http://dx.doi.org/10.1183/09031936.04.00029004

[5]   Bustamante, V., Gorostiza, A., Lopez de Santamaria, E. and Galdiz, J.B. (2007) Magnetic Stimulation of the Quadriceps: Analysis of 3 Stimulators Used for Diagnostic and Therapeutic Applications. Archivos de Bronconeumología, 43, 411-417.
http://dx.doi.org/10.1016/S1579-2129(07)60093-7

[6]   Vogt, M.T., Cawthon, P.M., Kang, J.D., Donaldson, W.F., Cauley, J.A. and Nevitt, M.C. (2006) Prevalence of Symptoms of Cervical and Lumbar Stenosis among Participants in the Osteoporotic Fractures in Men Study. Spine (Phila Pa 1976), 31, 1445-1451.
http://dx.doi.org/10.1097/01.brs.0000219875.19688.a6

[7]   Engstrom, J.W. and Deyo, R.A. (2011) Back and Neck Pain. Harrison’s Cardinal Manifestations and Presentation of Diseases Part 2, 2, 129-142.

[8]   Manusov, E.G. (2012) Evaluation and Diagnosis of Low Back Pain. Primary Care, 39, 471-479.
http://dx.doi.org/10.1016/j.pop.2012.06.003

[9]   Cohen, S.P., Argoff, C.E. and Carragee, E.J. (2008) Management of Low Back Pain. BMJ, 337, a2718.
http://dx.doi.org/10.1136/bmj.a2718

[10]   Hoy, D., Bain, C., Williams, G., et al. (2012) A Systematic Review of the Global Prevalence of Low Back Pain. Arthritis & Rheumatism, 64, 2028-2037.
http://dx.doi.org/10.1002/art.34347

[11]   Menezes Costa, L.C., Maher, C.G., Hancock, M.J., McAuley, J.H., Herbert, R.D. and Costa, L.O.P. (2012) The Prognosis of Acute and Persistent Low-Back Pain: A Meta-Analysis. CMAJ: Canadian Medical Association Journal, 184, E613-E624.
http://dx.doi.org/10.1503/cmaj.111271

[12]   Chou, R. and Shekelle, P. (2010) Will This Patient Develop Persistent Disabling Low Back Pain? JAMA: The Journal of the American Medical Association, 303, 1295-1302.
http://dx.doi.org/10.1001/jama.2010.344

[13]   Casazza, B.A. (2012) Diagnosis and Treatment of Acute Low Back Pain. American Family Physician, 85, 343-350.

[14]   Lo, Y.L., Fook-Chong, S., Huerto, A.P. and George, J.M. (2011) A Randomized, Placebo-Controlled Trial of Repetitive Spinal Magnetic Stimulation in Lumbosacral Spondylotic Pain. Pain Medicine, 12, 1041-1045.
http://dx.doi.org/10.1111/j.1526-4637.2011.01143.x

[15]   Lee, P.B., Kim, Y.C., Lim, Y.J., Lee, C.J., Choi, S.S., Park, S.H., et al. (2006) Efficacy of Pulsed Electromagnetic Therapy for Chronic Lower Back Pain: A Randomized, Double-Blind, Placebo-Controlled Study. The Journal of International Medical Research, 34, 160-167.
http://dx.doi.org/10.1177/147323000603400205

[16]   Goldsmith, G., Morrismy, R., Hall, C.E., Keh, I.D. and Cowie, H. (1987) Accuracy of the Cobb Technique in Scoliosis Measurements. Orthopaedic Transactions, 11, 32.

[17]   Goldberg, M.S., Poitras, B., Mayo, N.E., Lobelle, H., Bourassa, R. and Cloutier, R. (1988) Observer Variation in Assessing Spinal Curvatures and Skeletal Development in Adolescent Idiopathic Scoliosis. Spine, 13, 1371-1377.
http://dx.doi.org/10.1097/00007632-198812000-00008

[18]   StatSoft, Inc. (2011) STATISTICA (Data Analysis Software System), Version 10.
http://www.statsoft.com

[19]   Selkowitz, D.M. (1985) Improvement in Isometric Strength of the Quadriceps Femoris Muscle after Training with Electrical Stimulation. Physical Therapy, 65, 186-196.

[20]   Snyder-Mackler, L., Ladin, Z., Schepsis, A.A. and Young, J.C. (1991) Electrical Stimulation of the Thing Muscles after Reconstruction of the Anterior Cruciate Ligament. Effects of Electrically Elicited Contraction of the Quadriceps Femoris and Hamstring Muscles on Gait and on Strength of the Thigh Muscles. Journal of Bone and Joint Surgery, 73, 1025-1036.

[21]   Sinkjaer, T. and Popovic, D.B. (2005) Trends in the Rehabilitation of Hemiplegic Subjects. Automatic Control, 15, 1-10.

[22]   Hamid, S. and Hayek, R. (2008) Role of Electrical Stimulation for Rehabilitation and Regeneration after Spinal Cord Injury: An Overview. European Spine Journal, 17, 1256-1269.
http://dx.doi.org/10.1007/s00586-008-0729-3

[23]   Rushton, D.N. (2002) Electrical Stimulation in the Treatment of Pain. Disability & Rehabilitation, 24, 407-415.
http://dx.doi.org/10.1080/09638280110108832

[24]   Ratajaczak, B., Hawrylak, A., Demidas, A., Kuciel-Lewandowska, J. and Boemer, E. (2011) Effectiveness of Diadynamic Currents and Transcutaneous Electrical Nerve Stimulation in Disc Disease Lumbar Part of Spine. Journal of Back and Musculoskeletal Rehabilitation, 24, 155-159.

[25]   Delitto, A., Strube, M.J., Shulman, A.D. and Minor, S.D. (1992) A Study of Discomfort with Electrical Stimulation. Physical Therapy, 72, 410-421.

[26]   Merrill, D.R., Bikson, M. and Jefferys, J.G.R. (2005) Electrical Stimulation of Excitable Tissue: Design of Efficacious and Safe Protocols. Journal of Neuroscience Methods, 141, 171-198.
http://dx.doi.org/10.1016/j.jneumeth.2004.10.020

[27]   McCreery, D.B., Agnew, W.F., Yuen, T.G.H. and Bullara, L.A. (1992) Damage in Peripheral Nerve from Continuous Electrical Stimulation: Comparison of Two Stimulus Waveforms. Medical & Biological Engineering & Computing, 30, 109-114.
http://dx.doi.org/10.1007/BF02446202

[28]   Polkey, M.I., Kyroussis, D., Hamengard, C.H., Mills, G.H., Green, M. and Moxham, J. (1996) Quadriceps Strength and Fatigue Assessed by Magnetic Stimulation of the Femoral Nerve in Man. Muscle & Nerve, 19, 549-555.
http://dx.doi.org/10.1002/(SICI)1097-4598(199605)19:5<549::AID-MUS1>3.0.CO;2-B

[29]   Galloway, N.T., El-Galley, R.E., Sand, P.K., Appell, R.A., Russell, H.W. and Carlan, S.J. (1999) Extracorporeal Magnetic Innervation Therapy for Stress Urinary Incontinence. Urology, 53, 1108-1111.
http://dx.doi.org/10.1016/S0090-4295(99)00037-0

[30]   Yokoyama, T., Fujita, O., Nishiquchi, J., Nozaki, K., Nose, H., Inoue, M., Ozawa, H. and Kumon, H. (2004) Extracorporeal Magnetic Innervation Treatment for Urinary Incontinence. International Journal of Urology, 11, 602-606.
http://dx.doi.org/10.1111/j.1442-2042.2004.00857.x

[31]   Fujishiro, T., Takahashi, S., Enomoto, H., Uqawa, Y., Ueno, S. and Kitamura, T. (2002) Magnetic Stimulation of the Sacral Roots for the Treatment of Urinary Frequency and Urge Incontinence: An Investigational Study and Placebo Controlled Trial. The Journal of Urology, 168, 1036-1039.
http://dx.doi.org/10.1016/S0022-5347(05)64569-7

[32]   Yokoyama, T., Fujita, O., Nishiquchi, J., Nozaki, K., Nose, H., Inoue, M., Ozawa, H. and Kumon, H. (2004) Extracorporeal Magnetic Innervation Treatment for Urinary Incontinence. International Journal of Urology, 11, 602-606.
http://dx.doi.org/10.1111/j.1442-2042.2004.00857.x

[33]   George, M.S. and Belmaker, R.H. (2000) Transcranial Magnetic Stimulation in Neuropsychiatry. American Psychiatric Press, Arlington.

[34]   Behrens, M., Mau-Moller, A., Zschorlich, V. and Bruhn, S. (2011) Repetitive Peripheral Magnetic Stimulation (15 Hz RPMS) of the Human Soleus Muscle Did Not Affect Spinal Excitability. Journal of Sports Science and Medicine, 10, 39-44.

 
 
Top