Effectiveness of Laser Therapy and Ultrasound Therapy along with Muscle Energy Technique in subjects with Trapezitis

Back Ground and Purpose: Mechanical neck pain commonly arises insidiously and is generally multifactorial in origin. One of the major causes for it is a forward head posture which is abnormal. Forward head posture is usually associated with shortening the posterior cervical extensor muscles and weakening the anterior cervical flexor muscles. Multiple treatments approaches are being used in managing mechanical neck pain. Generally repeated neck retraction exercises have been recommended commonly for patients with neck pain along with some modalities. Specific treatment technique like muscle energy technique is also used to treat the mechanical neck pain. The purpose of this study was to compare the efficacy of neck retraction exercises with ultrasound therapy and muscle energy technique on patients with mechanical neck pain having forward neck posture using neck disability index. Study Method: Thirty patients with mechanical neck pain were randomly assigned to receive retraction exercises with ultrasound and postural advice (experimental group A, n = 10), muscle energy technique and postural advice (experimental group B, n = 10), and only postural advice (control group c, n = 10). All groups were treated for three weeks. The Neck disability index examines the subject's disability level. The rating of neck disability index is noted as pre-test and post-test for observing the subject's prognosis after Three weeks. Results: Paired t-test was used for within-group analysis. The between-group analysis was done using ANOVA. Significant differences were found in the neck disability outcome measure between all the three groups at p value>0.0001and at a 95% confidence interval. Both the Groups A and B were found to be significantly better than the control group, and Group A is significantly better than Group B at a 95% confidence interval with p-value >0.0001. Conclusion: This study concluded that retraction exercises with ultrasound therapy are more effective than the muscle energy technique in treating patients with mechanical neck pain with forward neck posture. However, both the treatment techniques showed a more significant improvement in reducing disability when compared to postural advice alone.

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Efficacy of Neck Retraction Exercises with Ultrasound Therapy Versus Muscle Energy Technique on patients with Mechanical Neck Pain having Forward Neck Posture using Neck Disability index - A Comparative Study

Swathi

Subramanian

Senthil

et al. 2022

RJPT

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Efficacy of 5.25% Sodium hypochlorite and 810 diode laser in reduction of microbial count in root canals of primary teeth- An in vivo Study

Bhat

Khan

2023

RJPT

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Aim: Root canal treatment is often carried out in deciduous teeth to relieve pain and make the tooth functional.The main goal of instrumentation in a root canal treatment is to facilitate effective irrigation, disinfection, and filling. Sodium hypochlorite is a widely used irrigant and has been demonstrated to be an effective agent against broad spectrum of bacteria. However its toxic effects on vital tissues can result in haemolysis, skin ulceration and necrosis. The use of diode laser for endodontic applications has been investigated and proven for its efficacy in root canal sterilization. Therefore, this clinical study was conducted to evaluate and compare the efficacies of 5.25% sodium hypochlorite (NaOCl) and 810nm diode laser as disinfectants in root canals of primary teeth. This study evaluated the microbial count and the clinical success of the treatment. Materials and Methods: In 40 subjects selected based on the inclusion and exclusion criteria, Pulp tissue was extirpated from the canals and samples collected using sterile absorbent paper points . Then they were randomly divided into two groups. In Group 1, canals were prepared and irrigated with 5.25% of sodium hypochlorite, and in group 2 canals were prepared and disinfected with 810nm of diode laser. The contents of canals were collected again with a sterile paper point .Samples taken before and after procedures were cultured, and the colony-forming units (CFUs) were counted. The data was evaluated using independent sample test and paired sample test. Patients were recalled for clinical and radiographic evaluation after 3 and 6 months. Results: There was a significant difference between the mean CFU of laser and sodium Hypochlorite ( p<.001). Clinical evaluation after 3 and 6 months showed no pain, swelling, sinus tract or mobility .Radiographically too there was absence of premature exfoliation, periodontal widening, internal/external resorption and periapical or furcal radiolucency. Conclusion: Both 810nm diode laser and 5.25% sodium hypochlorite were effective in reducing bacterial count in root canals of primary teeth. However 810nm diode laser reduced microbial count of root canals more as compared to 5.25% NaOCl.

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Effectiveness of Laser Therapy and Ultrasound Therapy along with Muscle Energy Technique in subjects with Trapezitis

Cited by 2 publications

References 17 publications

Efficacy of Neck Retraction Exercises with Ultrasound Therapy Versus Muscle Energy Technique on patients with Mechanical Neck Pain having Forward Neck Posture using Neck Disability index - A Comparative Study

Efficacy of Neck Retraction Exercises with Ultrasound Therapy Versus Muscle Energy Technique on patients with Mechanical Neck Pain having Forward Neck Posture using Neck Disability index - A Comparative Study

Efficacy of 5.25% Sodium hypochlorite and 810 diode laser in reduction of microbial count in root canals of primary teeth- An in vivo Study

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