Evaluation of the effectiveness of Tolpa Physioactive Gel in patients with osteoarthritis

Krzysztof Borysewicz, Czesław Jezierski, Jacek Szechiński, Renata Kuliś-Orzechowska

Krzysztof Borysewicz, Czesław Jezierski, Jacek Szechiński, Renata Kuliś-Orzechowska – Evaluation of the effectiveness of Tolpa Physioactive Gel in patients with osteoarthritis. Fizjoterapia Polska 2004; 4(4); 349-354

Abstract

Background. The goal of our research was to evaluate the application of Tolpa Physioactive Gel in the treatment of osteoarthritis in peripheral joints. Material and methods. Two cycles of physicotherapy were performed on patients with osteoarthritis of the knee or hip joints. The first cycle was performed with an active substance, Tolpa Physioactive Gel, while the second was performed with a placebo. We assessed the following parameters: range of movement in the affected joint, the WOMAC Scale, the Visual Assessment Scale (VAS) for pain, the Likert scale, and an attempt to walk on a flat surface. Results. Subjectively there was greater improvement after application of Tolpa Physioactive Gel, as assessed on the WOMAC, VAS, and Likert scales. The examiners agreed that improvement was achieved in all patients in respect to range of movement in the affected joints and muscle strength after rehabilitation procedures, both with the physioactive gel and the placebo. Conclusions. Tolpa physioactive gel can be used effectively during iontophoresis in the treatment of patients with osteoarthritis.

Key words:
physicotherapy, pain management, range of movement, muscle strength, iontophoresis
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Comparison of the efficacy of Ketonal iontophoresis and the combination of ultrasound and electrical stimulation as adjunctive treatment for rotator cuff injuries

Anna Polak, Ewa Grymel-Kulesza, Monika Romaniak, Janusz Kubacki, Piotr Król

Anna Polak, Ewa Grymel-Kulesza, Monika Romaniak, Janusz Kubacki, Piotr Król – Comparison of the efficacy of Ketonal iontophoresis and the combination of ultrasound and electrical stimulation as adjunctive treatment for rotator cuff injuries. Fizjoterapia Polska 2010; 10(2); 123-135

Abstract
Background: The study aimed to assess and compare the effectiveness of Ketonal (ketoprofenum) iontophoresis and a combination therapy involving ultrasound and electrical stimulation in the treatment of rotator cuff injuries. Materials and methods: The study involved 30 patients with symptoms of rotator cuff injuries. The patients were randomly assigned to two groups. Patients in Group A received Ketonal iontophoresis. Patients in Group B received a combination therapy involving ultrasound and electrical stimulation to trigger points of the supraspinatus and other shoulder rotator muscles. Treatment efficacy was assessed by analysing changes in shoulder range of motion, supraspinatus strength, and the occurrence and intensity of pain. Results: The treatment produced significant effects in both groups. Treatment effects in Group B were somewhat better than those in Group A, with significant differences in pain resolution and improved range of active abduction. Conclusions: Ketonal iontophoresis and combination treatment are effective methods for treating the sequelae of rotator cuff injuries. The combination treatment applied directly to myofascial trigger points produced somewhat better results than Ketonal iontophoresis.
Key words:
rotator cuff, iontophoresis, ultrasound, TENS, electrical stimulation
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