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Article
Short-term effect of ultrasound therapy on stiffness elbow joint
تاثير المعالجة القصيرة الأمد بالامواج فوق الصوتية لتيبس مفصل المرفق

Author: Fezaa Sh. Neda فزع شلال نده
Journal: Iraqi Journal of Physics المجلة العراقية للفيزياء ISSN: 20704003 Year: 2014 Volume: 12 Issue: 25 Pages: 89-93
Publisher: Baghdad University جامعة بغداد

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Abstract

Elbow stiffness is hard to treat and commonly resulted from trauma or degenerative arthritis. This study aimed to demonstrate the effectiveness of using ultrasound therapy in management of stiff elbow joint resulted from several etiological factors. A total number of 42 patients (35 male and 7 female) allocated randomly from the Department of Physiotherapy at Al-yarmouk Teaching Hospital during 2013. Each patient examined physically by physiotherapist taking in consideration the measurement of the joint movement angle using goniometer in flexion and the extension, and the pain score using visual analogue scale (VAS). Ultrasound therapy initiated thrice weekly for two weeks. At the time of entry, the means degree of flexion and extension movements were 148.45 and 113.33º. Ultrasound therapy significantly reduced the pain from of 1.238±0.932 to 0.38± 0.538score. Significant improvement observed in patients aged more than 20 years and the improvement in flexion elbow significantly correlated with the frequency of ultrasound. In Conclusions ultrasound therapy is safe, effective and provided pain relieve as well as wide range of movement in post-traumatic elbow stiffness.

من الصعب معالجة تيبس مفصل المرفق والذي يتجم من عواقب شدة خارجية او التهاب المفاصل التنكسي. هدفت الدراسة الى اظهارفعالية استعمال المعالجة بالأمواج الصوتية في معالجة تيبس مفصل المرفق الناجم من عدة عوامل مسببة. تم تعيين 42 مريضا بصورة عشوائية (35 ذكر و7 أنثى) من قسم العلاج الطبيعي التابع الى مستشفى اليرموك التعليمي خلال 2013. تم فحص كل مريض سريريا من قبل المعالج الطبي أخذا بنظر الأعتبار زوايا حركات المفصل بوساطة goniometer عند وضع الأنحناء والأمتداد , واحتساب نتيجة الألم بأستعمال مدرج الألم الماثل البصري. تم تكرار المعالجة ثلاث مرات اسبوعيا لمدة اسبوعان. عند بء الدراسة كانت معدلاتدرجة الأنحناء والأمتداد للحركات 148،45 و 113،33 درجة. قللت المعالجة بدلالة نوعية متميزة مقدار الألم من 0،932±1،238 الى 0،538±0،38 كما لوحظ ان التحسن يكون بدلالة نوعية متميزة عند المرضى الذين تتجاوز أعمارهم 20 سنة وان التحسن في حركة الأنحناء تترابط مع تكرار الأمواج فوق الصوتية بدلالة نوعية متميزة. نستنج ان المعالجة بالأمواج فوق الصوتية أمينة وفعالة وتزيل الألم كما وانها تتيح مدى واسع من الحركة للمفصل المتيبس.


Article
Effectiveness of Short Wave Diathermy and Therapeutic Ultrasound on The Management of Patients With Knee Osteoarthritis

Author: Falah Salim Manhal
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2007 Volume: 20 Issue: 1,2 Pages: 1-12
Publisher: Baghdad University جامعة بغداد

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Abstract

AbstractObjective : The present study is aimed to evaluate the effectiveness of short wave diathermy and ultrasound therapy for the management of patients with knee osteoarthritisMethodology : all patients who referred to the Medical Rehabilitation Unit in Baghdad Teaching Hospital and Sadr A!-Qanat Center. The period of the study was from October 2004 to April 2005, total number of patients was 24 (9 male and 15 female). Age range of patients was 42-70 years. Complete clinical and radiological examinations were achieved on all patients and referred to the Medical Rehabilitation Unit for physiotherapy. Short wave diathermy and ultrasound therapy were applied on all patients.Results : Demographic distribution revealed that female gender, the ages more than 50 year, the weight with grade II obesity were the most affected. Clinical observations indicated that chronic and severe cases were the most obvious. The study revealed that deformity, muscle wasting, local inflammation, and effusion were recorded in most patients. Outcomes of treatment with short wave and ultrasound therapies were nearly equally regarding their well-effectiveness, patient's acceptance, and patient's improvement. It was concluded that the ultrasound therapy is more preferable than short wave diathermy in the management of oedema accompanying chronic knee osteoarthritis. Recommendation : Further cohort studies are required to evaluate the effects of these procedures on a large sample of patients. Key wards : Knee osteoarthritis, Physiotherapy, Short wave diathermy, Ultrasound therapy

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