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Une approche de l’antidouleur par champs magnétiques pulsés

Mécanismes, évaluations et expérimentation dans le cas de l’héliomagnétothérapie

Résumé

Les CMP, champs magnétiques pulsés, sont évalués contre la douleur depuis plus de vingt ans en Europe de l’Est. Les effets de l’exposition aux CMP incluent: vasodilatation sanguine, analgésie, anti-inflammation, etc. La base du mécanisme comprend quatre points biophysiques: le champ induit, le courant induit, le métabolisme des ions et la force de Lorentz. Cette dernière, par son action avérée sur l’ion messager calcium et sur sa densité intracellulaire, ainsi que par son action sur les canaux membranaires, explique partiellement l’analgésie. La variation de l’hydratation et celle des composants cellulaires sous l’influence des CMP interviennent également et contribuent par ailleurs à rehausser le potentiel membranaire. L’effet antidouleur par CMP peut être obtenu pour des inductions modestes; mais pour traiter la douleur arthrosique, on a dû dépasser certains seuils de force d’induction, auxquels se sont ajoutés également des choix des fréquences et de forme des pulsations magnétiques.

Les évaluations antérieures de référence ont concerné principalement: l’arthrite, les blessures, les douleurs dentaires, les arthrites de hanche, les maux de tête, l’ostéoarthrite, l’ostéochondrose, l’ostéoporose, la spondylite ankylosante, etc. L’étude transversale menée à la Consultation «Douleurs» du CHG de Soissons, dans le cas des CMP par Héliomagnéto, a concerné les soins de longue durée contre la douleur arthrosique devenue chimiorésistante. Sur dix-sept patients volontaires la variation de la douleur a été évaluée par les classiques échelles EN, EVA et EVS, associées à un questionnaire douleur. La méthode de soins a ajouté à la thérapie classique, l’application de CMP dotés d’une qualité «solaire’. Il a été obtenu quatorze réussites et trois échecs, soit 83% d’efficacité, avec réduction moyenne de la douleur de 62%.

Summary

The PMF in Pain Relief has been studied for more than 20 years in Eastern Europe. The treatment by PMF seems to have the following effects as blood capillary vasodilatation, analgesic action, spasmodic pain relief, anti-inflammatory effect, etc. The basic mechanism includes four biophysical points: the inducted field, the inducted current, the metabolism of the ions, and the Lorenz force. The Lorenz force, by its established action on the ions messenger calcium and on its intracellular density, as well on the membrane channels, partially explains the analgesia effect. The hydration’s variation also cell component’s variation under PMF influences, contributes to enhance the membrane potential.

Pain relief effect can be obtained by using low induction values; however, concerning the arthrosic pain treatment, we had to use higher level for pulsed induction. Also a connection appears between the choice of frequencies and the shape of magnetic pulsation’s.

Previous reference assessments were concerning mostly arthritis, injuries, dental pains, osteoarthritis of the hip, headaches, osteoarthritis, osteochondritis, osteoporosis, osteonecrosis, ankylosing spondylitis.

The transversal survey achieved at the Pain Relief Center at Soissons General Hospital focused on Pulsed Magnetic Field therapy effect on chronic care of drug resistant arthritis pain. Among 17 voluntary patients, the pain variation has been estimated according to usual scales (DS, VAS and VS) combined with a pain questionnaire.

The caring method has combined the usual therapies to the application of PMF in loco dolenti,equipped with «solar quality» of magnetic signal.

Meaningful results got out of the survey, 14 successful cases and 3 failure cases, 83% of efficiency with an average of 62% of decrease in pain.

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Correspondence to P. Le Chapellier.

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Une version abrégée de ce texte a été présentée, en anglais et en poster, sous le titre:«Use of a qualified pulsed magnetism device for treating pain» au congrès «BioElectroMagnetics 2005». BEMS/EBEA, à Dublin, les 19–24 juin 2005.

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Le Chapellier, P., Matta, B. Une approche de l’antidouleur par champs magnétiques pulsés. Doul. et Analg. 18, 87 (2005). https://doi.org/10.1007/BF03009220

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Mots-clés

  • PMF
  • CMP
  • champs magnétiques pulsés
  • thérapie par CMP
  • magnétothérapie
  • Ca ++ et membranes

Key-words

  • Pulsed Magnetic Field (PMF) therapy
  • calcium channel
  • membrane channel