Srpski arhiv za celokupno lekarstvo 2012 Volume 140, Issue 9-10, Pages: 619-624
https://doi.org/10.2298/SARH1210619L
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Pulsed electromagnetic field during cast immobilization in postmenopausal women with Colles’ fracture
Lazović Milica (Institut za rehabilitaciju, Beograd + Medicinski fakultet, Niš)
Kocić Mirjana (Medicinski fakultet, Niš + Klinika za fizikalnu medicinu i rehabilitaciju, Klinički centar, Niš)
Dimitrijević Lidija (Medicinski fakultet, Niš + Klinika za fizikalnu medicinu i rehabilitaciju, Klinički centar, Niš)
Stanković Ivona (Medicinski fakultet, Niš + Klinika za fizikalnu medicinu i rehabilitaciju, Klinički centar, Niš)
Spalević Marija (Medicinski fakultet, Niš + Klinika za fizikalnu medicinu i rehabilitaciju, Klinički centar, Niš)
Ćirić Tamara (Klinika za ortopediju, Klinički centar, Niš)
Introduction. Although Colles’ fracture i.e. a dorsally displaced distal
radius fracture (DRF) is one of the most common fractures, there is no enough
evidence to determine the best form of rehabilitation. Objective. To assess
whether the use of pulsed electromagnetic field (PEMF) therapy during cast
immobilization of DRF provides beneficial effects on pain, edema, wrist range
of motion and function, as well as on the frequency of complications
immediately after cast removal. Methods. The prospective randomized
controlled study included 60 women over the age of 55 years with
extra-articular displaced DRF treated with reduction and cast immobilization.
The patients were alternately allocated to either a PEMF group (n=30,
received 10 days of PEMF therapy during immobilization), or a control group
(n=30, without PEMF therapy). Pain, function, hand circumference, wrist and
forearm range of motion and frequency of complications for each patient was
evaluated within two to three days of cast removal. Results. Better mean
values for the majority of examined parameters were recorded in the PEMF
group than in the control group, but the difference was statistically
significant just for edema (p<0.001), flexion, extension and supination range
(p<0.01). Conclusion. During immobilization PEMF therapy in DRF patients gave
better results immediately after cast removal in terms of edema and wrist
range of motion (ROM).
Keywords: distal radius fracture, rehabilitation, physiotherapy, pulsed electromagnetic field