RESUMEN
OBJECTIVE: Tendinopathies are diseases that often entail long-term treatment consisting of analgesics, physiotherapy, orthotics, and sparing. The aim of this study was to investigate the effect of a single application of a high-energy PEMF (pulsed electromagnetic field) on pain perception and blood born inflammation parameters. METHODS: 34 patients were randomly assigned to a verum group (10â¯min PEMF, 0,78â¯T) or a placebo group (10â¯min sham condition). Prior to and up to one week after the patient blinded treatment (t1-t5), local pain state was assessed by means of algometry as pain pressure threshold (PPT). Accordingly, heat-shock protein 70 (HSP70) levels were analysed. Statistical analyses included 2way ANOVA (2â¯× 5). The clinical trial was registered (DRKS00031321). RESULTS: After randomization and drop-out (verum nâ¯= 17, placebo nâ¯= 13) baseline-analyses did not reveal significant between-group differences for PPT (pâ¯= 0,096), for HSP70 (pâ¯= 0,524), or any other sample characteristics (pâ¯> 0,05). Pain reduction during one week of observation showed to be significantly higher (pâ¯= 0,045, η2â¯= 0,013) for the PEMF group (PPT: +83 bis +139%) compared to the placebo group (PPT:â¯+10 bis +36%). There were no HSP70 associated effects. CONCLUSIONS: A single bout of high energy PEMF led to an immediate pain relief in tendinopathy patients lasting at least for one week, but the hypothesized underlying HSP70 associated inflammatory pathway could not be confirmed.
Asunto(s)
Magnetoterapia , Tendinopatía , Humanos , Tendinopatía/terapia , Masculino , Femenino , Magnetoterapia/métodos , Adulto , Persona de Mediana Edad , Dimensión del Dolor , Campos Electromagnéticos , Resultado del Tratamiento , Proteínas HSP70 de Choque Térmico/metabolismoRESUMEN
In 2020, as part of the COVID-19 pandemic, governments around the world enacted a wide variety of regulations and laws to contain the incidence of infection. One of these measures was the relocation of work to the home office. The objective of this review was to analyze the influence of the home office in correlation with regulations on sedentary and activity behavior. A search was conducted on various electronic databases from November 2019 to January 2022, using the search terms physical activity (PA), COVID-19, and working from home. The primary outcomes were changes in PA and sedentary behavior (SB). Secondary outcomes included pain, mood, and parenting stress. The risk of bias was assessed using the (NHLBI) Quality Assessment Tool. For the review, 21 articles met the inclusion criteria (total n = 1268). There was a significant increase in SB (+16%) and a decrease in PA (-17%), Light PA (-26%), and moderate to vigorous PA (-20%). There was also an increase in pain and parenting stress and a decrease in well-being. Due to our significant results, programs that promote movement should be created. Future studies should explore how an increase of PA and a reduction of SB in the home office could be achieved.