PULSED MAGNETOTHERAPY AS A PATHOGENETIC TREATMENT FOR IDIOPATHIC SCOLIOSIS IN CHILDREN

Abstract

Objective. To substantiate the use of pulsed magnetic field with predetermined parameters in multimodality treatment of idiopathic scoliosis. Material and Methods. Experimental part of the study was performed in 34 chinchilla rabbits. Clinical study included examination of 277 children at the age of 13–15 years with II–IV grade idiopathic scoliosis which were divided into three groups. Children from groups I and II underwent absolutely equal clinical and instrumental methods of examination: computer optical topography, stabilography, electromyography of the back paravertebral muscles, computer thermovision of the back and extremities. The main method for examination of children from group III was radiography, in some cases, according to indications – EEG and ECG. Results. An experiment in rabbits showed that pulsed magnetic field inhibits proliferation and stimulates differentiation of chondrocytes in growth plates. The targeted impact of pulsed magnetic field with predetermined parameters on growth plates of children with scoliosis can render a therapeutical effect. This is confirmed by results of dynamic observation of patients. Pulsed magnetotherapy is the most effective in patients of 13–15 years of age corresponding to the second half of pubertal period. These findings are in agreement with experimental data. Conclusion. The use of pulsed magnetotherapy reliably increases the efficacy of multimodal conservative treatment of patients with idiopathic scoliosis, has not negative effects, and is safe for a growing body.