Savremeni principi primjene magnetoterapije u fizikalnoj medicini i rehabilitaciji

Volume 7, Issue 2 (2017)

Savremeni principi primjene magnetoterapije u fizikalnoj medicini i rehabilitaciji
Tamara Popović
Apstrakt: 
Magnetoterapija je jedna od najstarijih metoda liječenja i kroz istoriju medicine prolazi put od alternativne do zvanične metode. U XXI vijeku veliki broj naučnih istraživanja proširuje indikaciona područja zasnovana na magnetoterapiji. Cilj rada je da se prikažu: istorijski razvoj, vrste magnetoterapije, njihovi biološke efekti, klinička primjena i mehanizmi djelovanja. Korištena je dostupna svjetska literatura iz oblasti bazičnih i kliničkih istraživanja o magnetoterapiji. Bazične studije ukazuju da leukociti, trombociti, osteoblasti, hondrociti, fibrinogen, fibrin, citokini, faktori rasta, kolagen, elastin i slobodni radikali pokazuju alteraciju u svom djelovanju kad su izloženi magnetnom polju. Magnetna polja utiču na proliferaciju ćelija, epitelizaciju, fagocitozu, vazodilataciju što svakako poboljšava fiziološku sredinu koja doprinosi regeneraciji i izlječenju. Terapijski efekti zavise od svih karakteristika elektromagnetnog polja i od stanja pacijenta. Najširu primjenu pulsno elektromagnetno polje (PEMP) ima u stimulaciji osteogeneze (loše srasli prelomi, pseudoartroza, zarastanje spinalnih fuzija), osteoartritisa, osteoporoze i kod bolnih stanja.Transkranijalna magnetna stimulacija ima sve veću primjenu u neurorehabilitaciji. Precizni mehanizmi djelovanja elektromagnetne terapije još uvijek nisu poznati, što je svakako jedan od razloga različitih pristupa i nedovoljne i na dokazima utemeljene kliničke primjene ovog fizikalnog modaliteta. Precizna dozimetrija, dobro definisani laboratorijski uslovi, dizajnirane kliničke studije, definisani protokoli liječenja doprinose jasnijom kliničkoj primjeni, kao i aktuelnosti magnetoterapije i u budućnosti.
Ključne riječi: 
magnetoterapija, klinička primjena, pulsno elektromagnetno polje, transkranijalna magnetna stimulacija
Puni tekst: 
PDF
DOI: 
http://dx.doi.org/
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