Effectiveness of low-level laser therapy with Buerger Allen exercise versus LIPUS with Buerger Allen exercise for diabetic foot ulcer

Srivatsan M, Tamil Ponni S, Shenbaga Sundaram Subramanian, Surya Vishnuram, Ramya S, Hazliza Razali, Inayat Fatima, Fadwa Alhalaiqa

Srivatsan M et al. – Effectiveness of low-level laser therapy with Buerger Allen exercise versus LIPUS with Buerger Allen exercise for diabetic foot ulcer –  Fizjoterapia Polska 2024; 24(5); 174-178

DOI: https://doi.org/10.56984/8ZG020CB7JK

Abstract
Background: Diabetic foot ulcers (DFUs) are a severe diabetes complication with a burden similar to cancer. Risk factors include peripheral neuropathy, arterial disease, foot abnormalities, and socioeconomic and geographical influences. Low-Level Laser Therapy (LLLT) relieves pain, promotes tissue repair, and aids wound healing. Ultrasound therapy enhances circulation and tissue healing through sound waves. Buerger-Allen Exercises (BAE) improve lower extremity perfusion, aiding wound healing and reducing neuropathy symptoms. Purpose: This pilot study compared the effectiveness of LLLT with BAE versus Low-Intensity Pulsed Ultrasound Therapy (LIPUS) with BAE in managing DFUs. Methods: 40 patients were assigned to two groups (20 each). Group A received LLLT for 10 minutes, while Group B received LIPUS for 10 minutes. Both groups performed BAE for 10 minutes on alternate days, 3 days a week for 12 weeks. Outcomes were assessed using the Visual Analog Scale (VAS), Bates-Jensen Wound Assessment Tool (BWAT), and Diabetic Foot Ulcer Scale (DFS). Results: Both groups showed significant improvements (P ≤ 0.05), but LLLT with BAE was superior in pain reduction, wound healing, and quality of life. Conclusion: LLLT with Buerger-Allen exercises is a more effective treatment for DFUs than LIPUS.
Key words
diabetic foot ulcer, Laser therapy, Ultrasound therapy, Buerger-Allen exercise
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Effectiveness of dynamic cupping therapy versus IASTM with eccentric training for shin splint syndrome among football players

Tamil Ponni S, Srivatsan M, Shenbaga Sundaram Subramanian, Surya Vishnuram, Ramya S, Mohammed Atallah F Almutairi, Riziq Allah Mustafa Gaowgzeh, Naseem Alyahyawi, Fadwa Alhalaiqa

Tamil Ponni S et al. – Effectiveness of dynamic cupping therapy versus IASTM with eccentric training for shin splint syndrome among football players –  Fizjoterapia Polska 2024; 24(5); 114-118

DOI: https://doi.org/10.56984/8ZG020CD2WT

Abstract Background. Shin splints result from repetitive stress on the shin bone, causing strain in the muscles and connective tissues of the lower leg. Among athletes, females (55.3%) experience shin splints more frequently than males (44.7%). Dynamic cupping combines negative pressure, massage movements, and joint motions, while instrument-assisted soft tissue mobilization (IASTM) involves repeated strokes to stimulate muscles, tendons, and fascia. Eccentric exercises enhance muscle activation through lengthening. Purpose. This study aimed to compare the effectiveness of dynamic cupping therapy with eccentric exercise and IASTM with eccentric exercise in managing shin splints among football players. Method. Forty football players were divided into two groups: Group A (dynamic cupping + eccentric exercise) and Group B (IASTM + eccentric exercise). Pain (VAS), medial tibial stress syndrome (MTSS) questionnaire, and range of motion (ROM) were assessed weekly to evaluate outcomes. Results. Dynamic cupping therapy with eccentric training showed significant improvements in pain reduction and ROM compared to IASTM with eccentric training. Conclusion. Dynamic cupping therapy combined with eccentric exercise was more effective than IASTM with eccentric exercise in treating shin splints in football players.
Key words shin splint, cupping therapy, soft tissue mobilization, eccentric exercises, soccer players, range of motion
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