Tag: Oparzenie

Effect of laser puncture on liver enzymes post burn

Aya G. F. Elsayed, Shaimaa M. A. Elsayeh, Rokaia A. Toson, Sara S. Youssef, Nada M. Yousef

 

 Aya G. F. Elsayed, Shaimaa M. A. Elsayeh, Rokaia A. Toson, Sara S. Youssef, Nada M. Yousef – Effect of laser puncture on liver enzymes post burn. Fizjoterapia Polska 2023; 23(5); 35-41

DOI: https://doi.org/10.56984/8ZG20B860

Abstract
Objective. The present study was carried out to investigate the impact of laser puncture as an adjunctive therapy on liver enzymes after a burn. Material and Methods: The study included 30 injured patients with burned body surface areas ranging from 30 to 50%. They were aged from 25 to 40 years. Cases from Orabi Hospital were randomized into two groups, equal in number. Group A included 15 cases as they received laser acupuncture (infrared diode laser, wavelength 808 nanometers, with pulse interval: 200 nanoseconds, power density: 0.4 Watt/cm², and energy density 4 Joule/cm²); it was located in direct connection with skin perpendicular to the body acupoints (ST36), (SP6), (LR3), (GB34), (BL18) on each side of the body as well as Zhongwan (RN12) and conducted for 90 seconds for every point three times a week, for 4 weeks after leaving the intensive care unit, conventional physiotherapy program as well as medical treatment. Group B included 15 patients as they received only their conventional physiotherapy program as well as medical treatment. Aspartate transaminase (AST) and liver enzymes, alanine transaminase (ALT) were determined using a spectrophotometer. Results. After four weeks of our intervention, it was found that the laser puncture group had significantly lower ratios of plasma liver enzymes than those in the control group. Thus, it can be concluded that laser puncture serves as an efficient adjunctive therapy for improving liver function after a burn.

Keywords
laser puncture, liver enzymes, burn

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Impact of Supervised Active Rehabilitation Program on Functional Activity in Patients with Post Burn Lower Limb

Nancy Hassan Aboelnour, Mahmoud Ewidea, Rafik Radwan

Nancy Hassan Aboelnour, Mahmoud Ewidea, Rafik Radwan – Impact of Supervised Active Rehabilitation Program on Functional Activity in Patients with Post Burn Lower Limb. Fizjoterapia Polska 2020; 20(2); 102-108

Abstract
Objective. To determine whether active rehabilitation program including both isokinetic and aerobic exercises in lower limb after burn is effective or not? Method. Forty patients with lower limb burn were randomly divided into two equal groups, Group A (active rehabilitation group): received guidelines protocol (range of motion exercise, massage, splinting, stretching) plus active rehabilitation program consisted of combined isokinetic and aerobic exercises, while Group B (control group): received guidelines protocol and aerobic exercises. Treatment program was applied for 12 weeks (3 sessions/week). Evaluation methods included Biodex isokinetic dynamometer (BID) for obtaining peak torque (PT) of quadriceps and hamstring strength assessment and Lower Extremity Functional scale (LEFS) for functional activity assessment of lower limb. All measures were gathered before the start of the study, and after termination of the trial (after 12 weeks).
Results. An increase in PT of quadriceps and hamstring was reported in both groups at the end of the trial, 32.69% and 25.7% respectively in group A, while 14.19% and 10.22% respectively in group B. The difference between both groups was statistically significant (p < 0.05). Also, there was a statistical improvement in LEFS score in group A compared with that of group B (p < 0.05), as the percent of improvement in group A and B was 72.9% and 38.91% respectively. Conclusion. Higher statistical results were achieved with active rehabilitation program illustrating the prominent effects of isokinetic exercises in lower limb burn in the term of improving leg muscles strength and functional activity.

Key words:
Burn, Isokinetic exercise, Aerobic exercise, Biodex isokinetic dynamometer (BID), and Lower Extremity Functional scale (LEFS)

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