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Annals of Physical and Rehabilitation Medicine
Volume 57, n° S1
page e253 (mai 2014)
Doi : 10.1016/
Pain / Douleur

Impact of deep oscillation in the complex PRM algorithm of pain management

Y. Koleva a, , B. Yoshinov b, S. Nikolova c
a Medical University of Sofia - Bulgaria, Medical Faculty, University hospital “St Ivan Rilsky”, Sofia, Bulgaria 
b Medical University of Sofia - Bulgaria, Medical Faculty, Sofia, Bulgaria 
c University hospital “St Ivan Rilsky”, PRM Clinic, Sofia, Bulgaria 

Corresponding author.

Keywords : Pain, PRM algorithm, Deep oscillation, Analgesia

Introduction. – Deep oscillation (DO) is a modern physical factor, using the influence of electrostatic field on tissues in profundity, explained with Rahbek-Johnson effect.

Goal. – Comparative evaluation of drug, physical (including DO) and combined analgesia in patients with paravertebral and radicular pain.

Material and methods.– A total of 117 in-patients with radiculopathy were observed and investigated, randomized to three treatment groups. Group 1 received only drug therapy - paravertebral infiltrations. Patients of group 3 received only physical modalities [complex rehabilitation including DO]. In group 2, we applied combined drug and physical analgesia techniques. For statistical evaluation, we used SPSS package [t -test (ANOVA) and Wilcoxon rank test (non parametrical correlation analysis)].

The comparative ANALYSIS of RESULTS shows a significant improvement of the symptoms of the patients, concerning: pain relief (visualized by Visual Analogue Scale), radiculopathy (Lassegue's sign), depression (scale of Zung).

Discussion.– The drug therapy is efficient but with short duration. The physical analgesia with DO initiates its effect slowly, but the results are stable. Best efficacy was observed in case of complex rehabilitation. Some contemporaneous theories of pain and physical analgesia are discussed.

Conclusion.– We could recommend the complex program for pain management.

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