Pulsed Electromagnetic Field Therapy (PEMT) in Patients With Degenerative Meniscus Lesions

Afyonkarahisar Health Sciences University

Status: Not yet enrolling

Conditions: Meniscus Lesion; Pain

Treatments: Other: Rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT06692816

SAPEMT

Details and patient eligibility

About

Pulse Electromagnetic Field Therapy (PEMT) is effective in the treatment of many diseases, especially musculoskeletal system diseases, due to its analgesic effect with the effect of induced currents, and also its anti-inflammatory , edema reducing, antispasmodic and blood flow accelerating effects with additional mechanisms. The aim of our study is to evaluate the effects of Pulsed Electromagnetic Field Therapy (PEMT) degenerative To investigate the effects on pain, quality of life and function in patients with meniscal lesions.

Full description

Menisci are responsible for carrying the load in the knee joint, transmitting the load, absorbing impacts, lubricating the joint and stabilizing the joint .The menisci to perform their functions properly, the integrity of their anterior and posterior roots at their attachment points on the tibial plateau must be preserved. The male/female ratio of meniscus injuries is 2.5/1, with an incidence of around 60-70 per 100,000. Medial meniscus tears, lateral It is detected 3 times more frequently than meniscus tears. In patients under the age of 30, trauma and in patients over the age of 30, degenerative causes often cause tears.

Meniscus tears can be divided into two groups: traumatic and degenerative . Traumatic tears occur in healthy menisci , most often in young people, as a result of excessive and inappropriate loading. Degenerative tears are common in the elderly, occurring in degenerated menisci under normal load or after minimal trauma . Traumatic injuries most often occur when the body rotates on the knee while the foot is fixed on the ground.

meniscus tears can be divided into two groups : conservative (pharmacological and non -pharmacological) and surgical. Non -pharmacological treatment approaches consist of programs such as patient education, use of assistive devices, lifestyle changes, weight control, and conventional physical therapy methods.

Magnetic Field Therapy is a cheap, non-invasive and safe physical therapy method with no known significant side effects. It is suggested that Pulse Electromagnetic Field Therapy (PEMT) is effective in the treatment of many diseases, especially musculoskeletal system diseases, due to its analgesic effect with the effect of induced currents, and also its anti-inflammatory , edema reducing, antispasmodic and blood flow accelerating effects with additional mechanisms. Current literature suggests that magnetic field therapy may be effective in the treatment of fracture union, knee osteoarthritis , cervical fusion, lumbar and cervical There are studies on its effectiveness in the treatment of various musculoskeletal problems such as discopathy. Pulsed electromagnetic field therapy (PEMT) has been shown to enhance healing of meniscal tears and reduce post- traumatic osteoarthritis in a rat model . However, in the literature Pulsed electromagnetic field therapy (PEMT) degenerative No clinical studies have been found on the effectiveness of meniscus lesions.The aim of our study is to evaluate the effects of Pulsed Electromagnetic Field Therapy (PEMT) degenerative To investigate the effects on pain, quality of life and function in patients with meniscal lesions.

Enrollment: 80 estimated patients

Sex: All

Ages: 35 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Knee pain for at least 2 months
• MRI findings of meniscus degeneration
• The health condition is suitable for rehabilitation
• Ability to understand commands

Exclusion criteria

• Inability to cooperate fully and lack of literacy skills
• NSAID use
• Planning pregnancy during pregnancy or treatment process
• A history of physical therapy and rehabilitation for the knee area in the last 6 months.
• A history of local injection treatment to the knee area within the last 6 months,
• A history of trauma, surgery, or fracture in the lower extremity on the side of pain in the last 6 months,
• Lumbar radiculopathy
• Presence of advanced gonarthrosis (Kellgren Lawrence stage 3-4)
• Ligament injury or tear of the knee
• Systemic inflammatory rheumatic disease (rheumatoid arthritis, systemic lupus erythematosus, ankylosing spondylitis, psoriatic arthritis, vasculitis etc.
• Neurological diseases (multiple sclerosis, history of cerebrovascular disease, myopathic diseases, epilepsy, febrile convulsions, etc.),
• Cardiac pacemaker,
• Malignancy,
• Bleeding diathesis,
• An electronic or battery system body implant.
• Acute infections, presence of tuberculosis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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80 participants in 2 patient groups

PEMT

Experimental group

Description:

It was planned for this group to apply PEMT to the painful knee region with an electromagnetic field device (ASA Pmt Quatro Pro, ASA Srl Via A.Volta 9-36057, May, 2012 Arcugnano (VI)-Italia) with a physiotherapist who is trained in using the device and has at least 5 years of experience, at a frequency of 50 Hz, an intensity of 85 Gauss (8.5 milliTesla) and for 30 minutes. The treatment period was planned as a total of 20 sessions, 5 days a week for 4 weeks. As a therapeutic exercise program, it was planned to apply joint range of motion, walking, balance, coordination, cycling, isometric and isotonic strengthening exercises by a trained physiotherapist with at least 5 years of experience and that the patients would do these exercises three times a day, in 3 sets, with 10 repetitions.

Treatment:

Other: Rehabilitation

SHAM

Sham Comparator group

Description:

It was planned for this group to receive sham PEMT, with the electromagnetic field device turned off, for a total of 20 sessions, 5 days a week for 4 weeks, for 30 minutes each session, and a therapeutic exercise program, for a total of 20 sessions, 5 days a week for 4 weeks, for 30 minutes each session, including range of motion, walking, balance, coordination, cycling, isometric and isotonic strengthening exercises, by a trained physiotherapist with at least 5 years of experience, and for the patients to do these exercises three times a day, in 3 sets, with 10 repetitions.

Treatment:

Other: Rehabilitation