Prozessmodulierte Mikrostromtherapie (ZYTOENERGESE®) im Rahmen der stationären Frührehabilitation nach Knie- bzw. Hüftoperationen

T. Bochdansky; K. Ammer

doi:10.1055/s-0042-120047

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin, Table of Contents

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2016; 26(06): 309-318
DOI: 10.1055/s-0042-120047

Wissenschaft und Forschung

Prozessmodulierte Mikrostromtherapie (ZYTOENERGESE^®) im Rahmen der stationären Frührehabilitation nach Knie- bzw. Hüftoperationen

Eine doppelblind randomisierte Plazebo-kontrollierte PilotstudieProcess Modulated Microcurrent Therapy (ZYTOENERGESE^®) during Early Inpatient Rehabilitation after Knee- and Hip OperationsA Double-blind, Randomized, Plazebo-controlled Pilot Trial

T. Bochdansky

¹Physikalische Medizin und Rehabilitation Physikalische Sportheilkunde, Feldkirch, Österreich

,

K. Ammer

²Medical Imaging Research Unit, University of South Wales, UK

› Author Affiliations

Abstract

Zusammenfassung

Obwohl die positiven Effekte der Elektrotherapie empirisch schon seit mehreren Jahrhunderten bekannt sind, gibt es trotz neuester Forschungsergebnisse (inkl. Nobelpreis) noch immer viele offene physiologische Fragen über die Wirkmechanismen, vor allem im molekular- und membranphysiologischen Bereich. Unklar ist auch, welche elektrischen Parameter für welche therapeutischen Ziele am optimalsten sind.

In einer pragmatischen, randomisierten und plazebokontrollierten Studie wurde die zusätzliche Effektivität einer neuen Form der Elektrotherapie, die prozessmodulierte Mikrostromtherapie (PMMST, Zytoenergese^®), klinisch im Rahmen einer 14-tägigen stationären Frühmobilisation nach Knie- und Hüftgelenksoperationen (Totalendoprothesen) getestet.

Die Ergebnisse von 114 der 120 teilnehmenden Patienten wurden ausgewertet. Ungefähr 1 Woche postoperativ wurden bei Aufnahme, bei Entlassung und bei einer Kontrolle nach 1 Monat (=ca. 50 Tage post OP) neben klinischen Tests auch die Balancefähigkeit apparativ getestet. Sämtliche klinische Parameter zeigten eine deutliche Verbesserung am Ende des stationären Aufenthaltes, deren Zunahme bei der Nachkontrolle geringer ausgeprägt war als nach der Phase der Frühmobilisation.

Nach Anwendung tatsächlicher Mikroströme konnte bei Patienten nach Hüftoperationen eine deutlichere Verbesserung der symmetrischen Beinbelastung als bei Patienten nach Knieoperationen festgestellt werden.

Die Mechanismen, über die PMMST zur Wiederherstellung der Mobilität von Patienten nach Hüft- oder Kniegelenksoperationen beitragen kann, bleiben vorerst unklar. Denkbar sind eine Verbesserung der Muskelfunktion und die Förderung der Integration in den Alltagsgebrauch. Weitere Untersuchungen dazu sind gerechtfertigt, ebenso weitere Studien zur Anwendung bei der Schmerzbehandlung und Wundheilung.

Abstract

Although the positive effects of electrotherapy are known empirically for several centuries, there are still many physiological questions about the mechanisms of action, especially in the field of molecular and membrane physiology despite of latest research results (including Nobel Prize). It is also unclear what electrical parameters for which therapeutic goals are most optimal.

In a pragmatic, randomized, Plazebo-controlled study, we investigated the additional clinical effectiveness of a new form of electrotherapy, the process-modulated micro current therapy (PMMST, Zytoenergese^®, during a 14-day stationary early mobilization after knee and hip operations (endoprosthesis).

The results of 114 of the 120 participating patients were evaluated. In addition to clinical tests the balance ability was recorded with a test equipment at admission approximately 1 week after surgery, at dismissal and at a follow-up 1 month after surgery (approx. 50 days). All clinical parameters showed a significant improvement at the end of the inpatient stay, which was more pronounced in the phase of early mobilization than in the follow-up period.

A better improvement in symmetrical weight distribution of the feet was observed after application of real micro-currents in patients after hip surgery than in patients after knee surgery.

The mechanisms, by which PMMST can contribute to restore the mobility of patients after hip or knee surgery, remain for the moment unclear. Improving the muscular function and the promotion of integration in everyday use are possible explanations. Further investigations to this topic and to pain therapy and wound management are warranted.

Schlüsselwörter

Elektrotherapie - Plazebo kontrolliert - Rehabilitation - Gelenksersatzoperation

Key words

electrotherapy - placebo controlled - rehabilitation - arthroplasty

Full Text

References

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