The absence of a significant difference between the two groups in the assessment parameters has been interpreted as evidence that electromagnetic field treatment does not provide additional benefit to calcitonin and exercise treatment.
The aim of this study is to evaluate the sensory, motor and functional improvement in patients with a Spinal Cord Lesion (SCL) by recording at admission, discharge and at 12 months after discharge. Fifty-®ve patients (29 with paraplegia and 26 with tetraplegia) admitted to our departments of Physical Medicine and Rehabilitation between December 1992 ± 1995. Three patients were excluded as they did not give their consent. Each patient was evaluated at admission, before discharge and at 12 months after discharge. Motor status was evaluated by the motor score (MS), sensory status by the light touch score (LTS), and functional status by the Functional Independence Measure (FIM) score. Each patient was asked to complete a patient questionnaire which was developed according to the standards of the American Spinal Injury Association (ASIA) scale. Twelve patients (10 with paraplegia and two with tetraplegia) were evaluated at 12 months after discharge. Paired samples t-test was used for statistical analysis. The mean age of the patients group was 36.42+17.70 years, the mean duration of inpatient rehabilitation was 93.87+44.95 days. The SCL was due to trauma in 45 patients, 86.50% of the cases and was complete in nine patients (17.30%) and incomplete in 19 (36.53%) with paraplegia. Six tetraplegic patients (11.53%) had complete and 18 had (34.61%) incomplete lesions. The evaluation of MS, LTS and FIM scores at admission and discharge showed signi®cant improvement in the MS and LTS in all of the patients with incomplete lesions (P50.001). FIM scores showed signi®cant improvement only in those with complete or incomplete paraplegia (P50.05). At 12 months follow-up there was no signi®cant change in the MS and the LTS whereas a signi®cant change was noted in the FIM scores (P50.05) in 10 paraplegic patients. In summary, the results of this study indicate that rehabilitation was e ective in our SCL series although the signi®cant gain may also be attributed to the fact that 71.1% of the study group had incomplete neurological lesions.
Bu çalışmada, hafif karpal tünel sendromu (KTS) tedavisinde bazı konservatif yöntemlerle birlikte uygulanan deksametazon iyontoforezi veya ultrason veya plasebo iyontoforezin (deksametazonsuz) etkinliği karşılaştırıldı. Hastalar ve yöntemler: Elektromiyografi ile doğrulanmış hafif KTS tanılı 58 hasta çalışmaya dahil edildi. Hastalar rastgele üç gruba ayrıldı: (i) deksametazon iyontoforezi ile tedavi edilen iyontoforez grubu (n=20); (ii) ultrason ile tedavi edilen grup (n=20) ve (iii) plasebo iyontoforezi uygulananlar (n=18). Bu tedavilerden biri, tüm hastalara üç aylık tendon ve sinir kaydırma egzersizleri, gece splinti ve aktivite modifikasyonları gibi fizyoterapi prosedürleri ile beraber 15 seans uygulandı. Tedavinin başında, tedavi sonunda ve tedavi bitiminden sonra takip sırasında 3. ayda el bileği eklem hareket açıklığı ve kas testleri, Görsel Analog Skalası (VAS), el sıkma testi, pinçmetre ölçümleri, monofilaman ile duyu testleri, iki nokta diskriminasyon testi, Phalen, ters Phalen, Tinel ve karpal kompresyon testleri, Sağlık Değerlendirme Anketi (HAQ), Boston Sorgulama Anketi (BQ) ve elektrofizyolojik ölçümler değerlendirildi. İstatistiksel analiz SPSS (versiyon 10.0, Windows) yazılımı kullanılarak yapıldı. Bulgular: Çalışma sonunda tüm grupların klinik değerlendirmelerinde istatistiksel olarak anlamlı iyileşmeler görüldü (p≤0.05). Ultrason ve plasebo grubu ile karşılaştırıldığında, iyontoforez grubunda daha başarılı sonuçlar alındı; KTS'li hastaların üç ay sonraki takiplerinde pinçmetre, monofilaman, iki nokta diskriminasyon testleri ve BQ skorlarında istatistiksel anlamlı iyileşme gözlemlendi (p≤0.05). İyontoforez ve ultrason grubunda yapılan elektrofizyolojik ölçümlerde de, istatistiksel olarak anlamlı iyileşmeler kaydedildi (p≤0.05). Sonuç: Bu çalışmanın sonuçları, hafif KTS'li hastaların deksametazon iyontoforezi, tendon kaydırma egzersizleri, splint ve aktivite modifikasyonu ile beraber tedavisinin güvenilir ve etkili olduğunu önermektedir. Ancak, bulgularımızı destekleyen daha geniş ölçekli başka çalışmalara da ihtiyaç vardır. Anahtar sözcükler: Karpal tünel sendromu; deksametazon iyontoforezi; egzersiz; splintleme; ultrason. Objectives: In this study, we aimed to compare the efficacy of some conservative methods in combination with dexamethasone iontophoresis, ultrasound therapy or placebo iontophoresis (without dexamethasone) in the treatment of mild carpal tunnel syndrome (CTS). Patients and methods: Fifty-eight patients diagnosed with mild CTS confirmed by electromyography were included in the study. The subjects were divided randomly into three groups: (i) iontophoresis group-treated with dexamethasone iontophoresis (n=20); (ii) ultrasound group-treated with ultrasound (n=20), and (iii) placebo group-treated with placebo iontophoresis (n=18). All patients received one of these treatments in 15 sessions for three months in combination with physiotherapeutic procedures, such as tendon/nerve gliding exercises, night splinting and activity modifications. Wrist range of motion, muscle test, the Visu...
In conclusion, our results suggest that both sympathetic and parasympathetic functions in post-stroke survivors were partially inhibited, and this finding may be useful in the prediction of possible complications during rehabilitation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.