Author/Editor		Turk, Zmago; Barovič, Jože; Lonzarić, Dragan
Title		Sudeckov sindrom i magnetoterapija
Type		članek
Source		Fiz Med Rehabil
Vol. and No.		Letnik 18, št. 3-4
Publication year		2001
Volume		str. 64-74
Language		cro
Abstract		The rehabilitation of injured persons with complex regional pain syndrome type I (CRPS I) (Sudeck's syndrome, SS) and numerous consecutive disabilities is pretentious therapeutic challenge particularly for specialists from physical and rehabilitation medicine. Low-frequency pulsed magnetic fields (LFPMF) stimulate ionic membrane carriers increasing synthesis of cells' ATP and partial oxygen pressure in body tissues. The beneficial effect on the healing of skin wounds, deeper lesions, bone fracture and pain is based on this mechanism. One hundred seventy one patients with postinjury SS were enrolled in one of our largest clinical prospective and randomised study (1990-1992). They were divided into two groups matched by age. The test group included 86 patients (42 women and 44 men, average age 49ys, 44 upper and 42 lower extremities, SS I 40 patients, SS II 40, SS III 6) and control group included 85 patients (43 women and 42 men, average age 44ys, 48 upper and 37 lower extremities, SS I 29 patients, SS II 46, SS III 10). Patients from both groups had prescribed individual kinesitherapy, hydrotherapy and occupational therapy (in case of upper extremity injury), patients from the test group had also magnetotherapy (LFPMF, Magnetotron 90W, Elecsystem, 50Hz, five to ten mT, 30 minutes daily, five working days in week for the period of three to eight weeks). The combination of therapeutic modalities including LFPMF resulted in statistical significant better improvement in almost all measured impairments (xz - test, p < 0,01): the range of active motion (evaluated sufficiently after the treatment in 81 (94,2%) patients from test group versus 69 (81,2%) patients from control group), muscular strenght (sufficiently in 56 (65,1%) versus 15 (17,6%) patients, respectively), pain (evaluated with six-level descriptive pain scale, painless 46 (53,5%) patients versus 0 (0%) patients, respectively), (Abstract truncated at 2000 characters).
Descriptors		REFLEX SYMPATHETIC DYSTROPHY ELECTROMAGNETIC FIELDS EXERCISE THERAPY HYDROTHERAPY OCCUPATIONAL THERAPY TREATMENT OUTCOME