RESUMEN
The study's goal was to compare and evaluate the benefits of deep friction massage and ultrasonic therapy (US) vs extracorporeal shockwave therapy (ESWT) for people with lateral epicondylitis. This double-blind, parallel-arm randomized clinical trial was conducted after ethical approval on a sample of 80 subjects with lateral epicondylitis. Participants were enrolled based on predefined eligibility criteria. They were randomly allocated to groups A and B. Group A received ESWT, while Group B received the US combined with deep friction massage. Data was collected using the Numeric Pain Rating Score (NPRS) and Patient-rated tennis elbow evaluation questionnaire (PRTEE) at baseline, at 3rd, and at 7th week of treatment. On the basis of the normality of the data, a non-parametric test was applied to evaluate between-group and within-group differences. P value ≤ 0.05 was considered significant. There was a significant difference between groups (p < 0.001). Comparisons of PRTEE scores at 3rd week and 7th week of intervention were found significant for both groups (p < 0.001). While considering between-group comparisons based on percentile scores of PRTEE at baseline, 3rd and 7th week of intervention, in group A Median (IQR) at the baseline was 24.00 (5.00), at 3rd week, 10.00 (5.00) and 7th week was 1.50 (2.50) and in group B Median (IQR) at the baseline was 25.00 (4.00), at 3rd week 19.50 (4.50) and at 7th week was 11.50 (2.50). The results were significant in both groups (p = 0.000), but between-group analysis revealed that ESWT is more effective in patients with lateral epicondylitis.
Asunto(s)
Tratamiento con Ondas de Choque Extracorpóreas , Masaje , Codo de Tenista , Terapia por Ultrasonido , Humanos , Codo de Tenista/terapia , Tratamiento con Ondas de Choque Extracorpóreas/métodos , Masculino , Femenino , Terapia por Ultrasonido/métodos , Persona de Mediana Edad , Adulto , Masaje/métodos , Resultado del Tratamiento , Método Doble Ciego , Dimensión del DolorRESUMEN
Total knee arthroplasty is gaining popularity in individuals with advanced stages of knee osteoarthritis among the affording economic class. The aim of the study was to assess the effects of preoperative rehabilitation in the management of post-operative quadriceps lag. The study design was non-randomised clinical study conducted from January 2017 to March 2017 at Ghurki Trust Teaching Hospital, Lahore, Pakistan. Non probability convenient sampling technique was applied to collect data of 30 patients with TKA. The data was collected by self-designed questionnaire, and goniometric range of knee extension was used as the main outcome. Independent sample t-test was applied to assess the difference between the groups. The mean age of the patients was 64.37±11.66 years. The mean score for Extensor Lag with pre-operative rehabilitation regime was 12.53º±36.57º and without this regime it was 23.20º±79.18º (p value 0.005 & t-value -3.035). The study shows a correlation between increased post-operative extensor lag and pre-operative rehabilitation regime.
Asunto(s)
Artroplastia de Reemplazo de Rodilla , Osteoartritis de la Rodilla , Humanos , Persona de Mediana Edad , Anciano , Ejercicio Preoperatorio , Isótopos de Oxígeno , Rango del Movimiento Articular , Resultado del Tratamiento , Osteoartritis de la Rodilla/cirugía , Articulación de la RodillaRESUMEN
Soft-tissue calcification is characterised by the deposit of calcium in the damaged collagen fibres. The pathology of the phenomenon is not fully known. Trauma, spinal cord injury and traumatic brain injury have been reported as possible risk factors. Hypertrophic calcification of medial collateral ligament can be post-traumatic with unexplained aetiology. It can restrict the normal range of joint motion, affecting performance of activities of daily living, resulting in disturbance of quality of life. It may be managed conservatively, but if unsuccessful, surgical removal of the calcification may be carried out. Here, we present a case of post-traumatic heterotrophic calcification of medial collateral ligament of knee joint and review of current literature.