Background: Management of osteoarthritis of knee joint is very important. Objective: The purpose of the present study was to observe the efficacy of transcutaneous electrical nerve stimulation (TENS) in the treatment of osteoarthritis (OA) of the knee. Methodology: This study was designed as randomized control trial which was conducted in the Department of Physical Medicine at Dhaka Medical College Hospital, Dhaka Bangladesh from July 2007 to December 2007 for a period of six (06) months. Patients presented with osteoarthritis at the age group of more than 30 years to 60 years with both sexes who were attended in Physical Medicine and Rehabilitation department in the Dhaka Medical College Hospital, Dhaka were selected as study population. The study populations were included by purposive sampling method after fulfilling the inclusion and exclusion criteria and were divided into two groups designated as intervention group (group A) and control group (group B). Group A was treated with TENS, therapeutic exercise, NSAID and ADL. Group B was treated with therapeutic exercise, NSAID and ADL. Results: A total of 60 patients with osteoarthritis (OA) of the knee joint were included in the study group. The mean age of both sexes were 46.67±7.04 years and male (46.83±7.73) patients were higher than female (46.56±6.41). There was significant difference in improvement of pain between two groups after treatment for two week (p=0.002); however, finally it was found that there was no significant difference in improvement of pain between two groups after treatment for 6(six) weeks. There was no significant difference in improvement of range of movement (ROM) between two groups after treatment for six weeks (p=0.946). There was no significant difference in improvement of walking speed between two groups after treatment for six weeks (p=0.611). Conclusion: In conclusion significant decrease of pain with increase of ROM and walking speed is found in all patients group with OA knee regardless of the treatment program. [Journal of National Institute of Neurosciences Bangladesh, 2017;3(2): [75][76][77][78][79]
This prospective study was conducted to determine the effect of Infrared Radiation on the patients presented with Bell’s palsy attended at the Department of Physical Medicine and Rehabilitation, Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh from January 2012 to June 2012. By dividing in equal two groups ‘A’ and ‘B’ (30 patients in each group) a total of sixty (60) patients with Bell’s palsy were included in this study according to the selection criteria. Group- A patients were received Infrared Radiation (IRR) including Proprioceptive Neuromuscular Fascilitation (PNF) exercise, Drugs (Prednisolone & Acyclovir) and Counseling for their recovery, where Group- B didn’t receive IRR but received rest of management. In Group- A, 25(83.33%) patients recovered completely and among them 12 (40%) patients recovered early (within 2 months). In Group- B, 23(76.67%) patients recovered completely, among them 7 (23.33%) patient recovered early. The difference was statistically significant. The outcome of early recovery is better with the patients treated with combined effect of IRR, PNF exercise and drugs compared with combined effect of PNF, exercise & drugs. The patients who attended with facial nerve paralysis House-Brackmann (HB) Grade IV to VI during initial presentation have reduced chance of full recovery of facial nerve paralysis.Bangladesh Med J. 2017 Jan; 46 (1): 1-6
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