OSTEOPOROSIS

OSTEOPOROSIS

Osteoporosis is a skeleton systemic disease and it consists in a bone mass reduction. As a consequence the whole skeletal architecture is damaged. Osteoporosis makes the bones more fragile and susceptible to fractures with or without traumas.

The skeleton weakness can be detected by the new sensometric methods even if there are no symptoms or fractures. However osteoporosis doesn’t cause necessarily the bone fracture so it can develop without any symptoms for a long time and in some cases for a lifetime.

AN INCREASING SOCIAL PHENOMENON

Osteporosis is a phenomenon related to population ageing as explained by Roberto Pessariello.(1) In consequence we have to expect that osteoporosis disease will increase the next years. Professor Giovanni Luisetto(2) explains that ageing is the main cause of bone density reduction.  Therefore the countries with a big percentage of elderly people will be more affected by this pathology. In case of osteoporosis femur, vertebra and wrist fractures are the most frequent. Involutive osteoporosis (typical of elderly people) affects at least 40% of post-menopausal women and up till the 90% of over 90 years old people.

Osteoporosis is a disease that affects the whole body so a low bone density is a predictive factor for fractures. Skeleton structure become weak when the bone mass is not enough to support minimal mechanics stress.

It’s important to note that low bone mineral density is directly related to the fractures risk (vertebras, wrist and hip).
Another risk factor is represented by a premature menopause.

In this case the women have a low bone density mass for a long time and the fracture risk increases (as explained by Professor Luisetto). Also a past fracture can increase the risk of a traumatic fracture after the menopause.

EFFECTS ON LIFE QUALITY

In presence of osteoporosis skeletal segments become more and more weak and consequently more susceptible to fractures even with small traumas. Therefore the life quality is seriously compromised.

In elderly people osteoporosis is a serious problem because it can be silent for a long time.

Usually the symptoms consist in bones pains, vertebral column deformities, more or less height reduction, up to fractures.

Vertebral pain often can be confused with arthrosis because this pathology is very common in elderly people. Vertebral fractures impairs life quality of elderly people. In fact after fractures ribs move forward with thoracic cage that finally goes down. Consequently strong pains can appear. This situation affects also internal organs function, especially respiratory functionalities because of its impediment on diaphragm movement.

Dorsal and middle dorsal vertebras are the more affected zones by vertebral fractures.

In the end the kyphotic posture can provoke dangerous falls and consequently limbs, shoulder, elbow fractures or even proximal femur (hip) fractures.
Hip fracture represent the most serious danger for elderly people because it needs a surgical intervention. Rehabilitation phase is quite longer than hospitalization even if it is successful for the most part of elder patients.

Sometimes the old person is not able to regain his own autonomy and he is forced to use assistive devices for moving.

OSTEOPOROSIS AND MAGNETOTHERAPY

Magnetotherapy is based on PEMF (Pulsed Electromagnetic Fields) and it represents a traditional and not invasive technique mainly indicated for fractures and osteoporosis treatment. This kind of therapy usually consists of low intensity (lower than 100 Gauss) and low frequencies (lower than 100 Hz).

Magnetotherapy treatment can be applied on a specific anatomic zone or on the whole body.

The treatment on specific zones is used in case of localized pathologies caused by trauma, overloaded, degeneration or in case of fractures healing stimulation.

The whole body treatment, on the contrary, is used to stimulate the whole body metabolism equilibrium. It is able to promote the bone mineral substance delaying as happens in case of osteoporosis.

The Magnetotherapy is a very efficacious technique because of the PEMF (Pulsed Electromagnetic Fields) action. Pulsed electromagnetic fields interact with cells structures by promoting the physiological conditions equilibrium recovery. Moreover they promote ion exchange between the two sides of cell membranes.

These actions help to re-establish the correct transmembrane potential. This potential is very important for cell nutritional intake.

In the nervous cells a faster membrane potential recovery increases the pain threshold perception.  As a consequence it has an analgesic effect on the zone to be treated.

The same action on the intracellular membranes aids the re-establishment of ATP optimal production; ATP is a molecule that transports chemical energy within cells for metabolism.

The above-mentioned effects are equivalent to analgesic effects, inflammation reduction and edema reabsorption stimulation.

Moreover the pulsed magnetic fields stimulate calcium ions migration within the bone tissues. This action promotes the bone mass consolidation and therefore the fractures repair.

I-TECH PRODUCTS FOR LOW FREQUENCY MAGNETOTHERAPY

MAG 2000 – Program N.1 Osteoporosis
MAG 2000 PLUS – Program N.1 Osteoporosis

OSTEOMAT®

Our solution to systemic osteoporosis.

Our R&D department developed a stackable mattress where the magnets are collocated in focused positions to meet two important requirements: the longed therapy time and the need of whole body treatment.

This mattress can be assembled in according to patient needs. It’s composed of 4 connectable segments and each one represents a small carpet.
Each small carpet has nine different positions where magnets can be inserted in order to create a 3×3 matrix. Consequently each carpet is able to treat a wide body part in a single treatment session.

Osteoporosis is a systemic disease that makes skeletal segments more fragile and more susceptible to fractures.

For example in elderly people the last dorsal and middle-dorsal vertebras are the most affected zones by vertebral fractures. This causes a kyphotic posture and as a consequence an equilibrium reduction during the gait with risk of dangerous falls.

These falls can provoke painful fractures of limbs, shoulder, elbow and femur.

Our mattress represents the ideal solution for whole body treatment in a single session thanks to its stackable structure.

MAGNETS POSITIONING GRID IN THE OSTEOMAT®

Here below you can see the graphic representation of internal structure of each segment composing the  OSTEOMAT®. The structure consists of a 3×3 matrix (or grid) that allows the solenoids positioning according to therapeutic needs.

BIBLIOGRAPHY

  1. Adely, W.R. Whispering between cells: electromagnetic fields and regulatory mechanisms in tissue. Frontier Perspect, 3, 21-25, 1993
  2. Alpen, E.L. Magnetic field exposure guideline. In: Magnetic field effect in Biological systems.,cap.3, New York- London, T.S. Tenforde Ed., Plenum Press, 1979.
  3. Astumian, R. e Weaver, J.C. The response of living cells to very weak electric fields: the thermal noise limit. Science 247: 459-462, 1990.
  4. Baker, R.R.; Kennaugh, J.H.; Mather, J.G. Magnetic bones in Human sinuses, 301, 78-80. Nature, 1983.
  5. Barnothy, M.F. Biological Effects of Magnetic Fields. New York, Plenum Press, 1964.
  6. Basset, C.A.L.; Pawluk, R.J.; Pilla, A.A. A non operative salvage of surgically resistant pseudoarthrosis and non-union by pulsing electromagnetic fields,124, 128-143. Clin. Orthop. Rel. Res., 1977.
  7. Basset, C.A.L.; Pawluk, R.J. Acceleration of fracture repair by electromagnetic fields. A surgically non invasive method. Ann. New York Acad. Sci., 238, 2442-261, 1974.
  8. Basset, C.A.L.; Pawluk, R.J.; Pilla, A.A. Augmentation of bone repair by inductively coupled electromagnetic fields. Science 1974; 184:575-577.
  9. Betti, E.; Marchetti, S.; Cadossi, R.; Faldini, A. Effect of electromagnetic field stimulation on fractures of the femoral neck. A prospective randomized double-blind study. In Second World Congress for Electricity and Magnetism and in Biology and Medicine. Bologna June 8-13, 1997.
  10. Bistolfi, F. Campi Magnetici e Cancro. Torino, Ed. Minerva medica, 1985.
  11. Bistolfi, F. Campi Magnetici in Medicina. Torino, Ed. Minerva Medica, 1983.
  12. Bistolfi, F. Radiazioni Non Ionizzanti, Ordine, Disordine e Biostrutture. Torino, Ed. Minerva Medica, 1989.
  13. Bollet, A.J.; Trock, D.H.; Markoll, R. The effect of PEMF in the treatment of ostheoarthritis of the knee and cervical spine. Journal of rheumatology, 21-1903-1911, 1994.
  14. Brechna, H. Medical applications and biological effects of magnetic fields. Roma, 5th Intern. Magnetic Confer., 351-366, 1955.
  15. Chiabrera, A.; Nicolini, C.; Schwann, H.P. Interactions between magnetic fields and cells. Londra, Plenum press, 1985.
  16. Dal Conte, G.; Rivoltini, P. La Magnetoterapia. In: Elettroterapia, basi fisiologiche ed applicazioni cliniche, 143-152. Milano, Ghedini Editore, 1991.
  17. Del Giudice, E.; Doglia, S.; Milani, M.; Vitiello, G. Structures, correlations and electromagnetic interactions in living mater: Theory and applications. In: Biological Coherence and Response to External Stimuli , 49-64. Berlin-Heidelberg, H. Frohlich, ed., 1988.
  18. Fukada E.; Yasuda I. Piezoelectric effects in collagen. Jap. J. Appl. Phys., 3, 117-121, 1964.
  19. Gerardi, Gabriele; De Ninno, Antonella; Prosdocimi, Marco; Ferrari, Vanni; Barbaro, Filippo; Mazzariol, Sandro; Bernardini, Daniele; Talpo, Getullio. Effects of electromagnetic fields of low frequency and low intensity on rat metabolism, BioMagnetic Research and Technology 2008, doi:10.1186/1477-044X-6-3
  20. Giammarile, P. Magnetoterapia. Roma, Enrico Montagnoli E., 1987.
  21. Gigli Berzolari, A. Introduzione all’elettromagnetismo. Pavia, Ed. La Gogliardica Pavese, 1978.
  22. Goodman, E.M.; Greenebaum, B.; Marron, M.T. Effect of electromagnetic fields on molecules and cells. Int. rev. Cytol., vol.158:279-338, 1995.
  23. Guenel, P.; Lellouch, J. Effects of very-low-frequency electromagnetic fields on health:analysis of epidemiological literature. Paris Cedex 13, Les editions INSERM, vol.101, 1992. Opera citata qui, un interessante articolo sulla magnetoterapia in generale
  24. Hinsenkamp, M. Influence of physical factors on osseous consolidation. Bull Mem Acad R Med Belg, 151(12);517-26, 1996.
  25. Hinsenkamp, M.; Burny, F.; Donkerwolcke, M.; Coussaert, E. Electromagnetic stimulation of fresh fractures treated with Hoffmann external fixation. Orthopedics, 7: 3 411-416, 1984. Opera citata qui, un articolo completo sull’uso della magnetoterapia per la ricostruzione delle ossa e dei tessuti connettivi.
  26. Liboff, A.R.; Williams, T.; Strong, D.M.; Wistar, R. Time-varying magnetic fields: effect on DNA synthesis. 223:818-820, Science 1984.
  27. Mammi, G.I.; Rocchi, R.; Cadossi, R.; Traina, G.C. Effect of PEMF on the healing of human tibial osteotomies: a double blind study. Clin. Orthop. Rel. Res., 288: 246-253, 1993.
  28. Marchetti, N. Magnetoterapia in ortopedia. Indicazioni e risultati. Bologna, Aulo Gaggi Ed., 1988.
  29. Massidda, Piergiorgio e Bradimarte, Bruno. Principi e fondamenti di Magnetoterapia e Laserterapia, Iatreia 2003.
  30. Milazzo, G. Proceedings of the First International Meeting of the A.B.A.E.M. on Biological Effects and Therapeutic Applications of Electromagnetic Fields. Venezia, Bioelectrochemistry and Bioenergetics, Vol. 14, 23-25 febbraio 1985.
  31. Missoli, F. Trattato di Medicina Fisica e Riabilitazione, Vol. 2 1276-1291, UTET 2000.
  32. Polk, C. e Postov E. CRC handbook of biological effects of electromagnetic fields. Boca Raton,FL, CRC Press, Inc., 1986.
  33. Presman, A.S. Electromagnetic fields and life. New York-London, Plenum Press, 1970.
  34. Presti, D. e Pettinger, D.J. Ferromagnetic coupling to muscle receptors as a basis for geomagnetic field sensitivy in animals. Nature, 285, 99-101, 1980.
  35. Wood, A.W. Possible health effects of 50/60 Hz electric and magnetic fields:review of proposed mechanism. Australas Phys. Eng.Sci.Med., vol.16:1-21, 1993.
  36. Ortopedici e Sanitari, n° 8 novembre 2010, edito da Tecniche Nuove. Articolo a cura di Nicoletta Modenesi.