Introduction: Lateral epicondylitis (LE) is a painful condition of the elbow, resulting from non-inammatory tendinopathy along the extensor
origin of the lateral epicondyle. PRP and ESWT are commonly used therapies for the treatment of chronic lateral epicondylitis. But the superiority
of treatment over one another is not known. This study is conducted to compare between platelet rich plasma injection and ESWT therapy in the
improvement of pain and function in chronic lateral epicondylitis. Materials and Methods: A randomized controlled study was conducted in
Department of Sports Medicine, Imphal on patients with chronic lateral epicondylitis comparing the effectiveness of PRP (Study group) and
ESWT(control group). Data were collected from a sample size of 84 patients fullling the inclusion criteria. Analysis was done by using mean, SD,
chi square test and independent t-test. Results: VAS and DASH score were used as outcome measures which was measured at baseline, 4 weeks,12
weeks and 24 weeks. VAS score improved from 7.13 ± 0.48 to 3.25 ± 1.20 and DASH score improved from 88± 0.9 to 34.16± 0.6 in the study group
at 24 weeks follow up. Conclusion:There was signicant improvement in all outcome measures with p-value of <0.05 in study group. Hence, PRP
is a promising technique for the treatment of chronic lateral epicondylitis.
Background: Ankle sprain is the most common injury in the world of sports and anterior talofibular ligament (ATFL) is most commonly affected. It is often underestimated, mismanaged and often result in delayed treatment, prolonged recovery times and long-term sequela. PRP may have enhancing effect on healing of partial tear of ATFL. Thus, the purpose of this study is to determine the role of PRP on partial tear of ATFL.
Methods: A randomized controlled trail was done among athletes with partial tear of ATFL who visited Department of Sports Medicine, RIMS, Imphal during January 2021 – June 2022. Patients with MRI diagnosed partial tear of ATFL (N=48) randomized into PRP injection plus rehabilitation, (n=24) and rehabilitation alone, (n=24) groups. The outcomes were compared using Foot and Ankle Disability Index (FADI) score for function and Visual analogue scale for pain at baseline, 2nd, 6th, 12th and 24th weeks respectively.
Results: Baseline characteristics were not statistically significant. There was statistically significant improvement seen in within the group comparison from baseline to 2nd, 6th, 12th and 24th weeks in both FADI and VAS in both the groups. There were statistically significant difference in mean changes of VAS and FADI score between the two groups from baseline to 2nd (p=0.007);(p=0.012), 6th (p=0.018);(p=0.009) and 12th (p=0.004); (p=0.001) follow-ups respectively with PRP group having more improvement however no significant difference at 24th weeks.
Conclusion: Ultrasound guided PRP injection along with standard rehabilitation program might be a treatment of choice for partial ATFL tear.
Keywords: ATFL tear, PRP, FADI, VAS, USG-guided.
Objective
Study of effectiveness of shoulder elbow wrist hand orthosis in the management of glenohumeral subluxation in post-stroke hemiplegic patients.
Methods
Design: Randomised control trial.
Setting
Department of Physical Medicine and Rehabilitation, Regional Institute of Medical Sciences (RIMS), Imphal.
Participants
Post-stroke hemiplegic patients (n=120) having glenohumeral subluxation (GHS) as confirmed by x-ray.
Duration
One and half years (August 2010 to January 2012).
Intervention
Control group (n=60) received routine rehabilitation programme for hemiplegic practice in the Department of PMR, RIMS while the experiment group (n=60) received shoulder elbow wrist hand orthosis in addition to rehabilitation programme.
Outcomes
Grade of glenohumeral subluxation using x-ray.
Results
Experiment group showed reduction in the glenohumeral subluxation which is statistically significant when compared to control group (p<0.001).
Conclusions
Use of upper limb orthosis in addition to routine rehabilitation programme can effectively reduce glenohumeral subluxation in post-stroke hemiplegic patients.
BACKGROUND The most significant impact on a stroke survivor is longterm disability. Patients with hemiplegia often develop abnormal patterns in the paretic limbs, primarily affecting the flexors and pronators of upper limb. Spasticity is the most common identified problem and is difficult to treat. There are very few documents on the role of wrist hand orthoses (hand splints) in the management of spasticity. The objective of this study was to determine the effectiveness of wrist hand orthoses in the reduction of spasticity of upper limb in post stroke hemiplegia. MATERIALS AND METHODS All hemiplegic patients aged 35 to 75 years, who attended PMR OPD during August 2013 to July 2015 were included in the study. Only those cases with history of stroke less than six weeks duration, unable to extend the wrist actively and spasticity of ≤ grade 2 were included in the study. Block randomisation was used to randomise the patients into intervention and control groups. A reduction in spasticity was the main outcome measure and it was measured by Modified Ashworth Scale (MAS).
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.