Efficacy of adding pulsed electromagnetic field therapy to mobilization and exercises in patients with TMJ dysfunction after facial penetrating injury: A randomized single-blinded study

Ahmed Mahmoud Kadry, Raafat Ezz Eldeen Abd El hameed, Abeer Farag Hanafy, Ahmed Aref Ahmed

Ahmed Mahmoud Kadry, Raafat Ezz Eldeen Abd El hameed, Abeer Farag Hanafy, Ahmed Aref Ahmed – Efficacy of adding pulsed electromagnetic field therapy to mobilization and exercises in patients with TMJ dysfunction after facial penetrating injury: A randomized single-blinded study. Fizjoterapia Polska 2021; 21(4); 128-133

DOI: https://doi.org/10.56984/8ZG20A308

Abstract
Background. Facial penetrating wound can affect TMj function, even if it didn’t cause a facial bone fracture. Pulsed Electromagnetic Field Therapy (PEMFT) is a common physical therapy modality that used to speed up musculoskeletal injuries’ recovery. No previous studies described the effect of adding PEMFT to traditional TMj mobilization for the treatment of such cases. Aim. is to investigate the effect of in combination with traditional physical therapy on the pain and mouth opening, after facial penetrating wound injury with no facial fractures, that treated conservatively. Materials and Methods. Thirty-three patients were complaining from TMJ pain and mouth opening limitation after 1 month of facial penetrating wound injury and met the selection criteria were randomized to either study or control group. Control group received TMJ manual physical therapy program (mobilization and gentle isometric exercises). Study group patients received PEMFT in addition to the manual physical therapy program. Treatment was administrated for 12 sessions 3 times per week for both groups. Patients’ pain was assessed using visual analogue scale while mouth opening was measured using digital Vernier caliper, before and after one month of treatment. Results. all 33 patient results were analyzed. After treatment values showed a statistically significant reduction in pain and increase in mouth opening in comparison to pretreatment values at both groups with (P-value < 0.001). Post-treatment between groups comparison showed a significant difference in pain and mouth opening variables (p-value = 0.0001 and 0002 respectively), in favour of group B (Study group). Conclusion. adding PEMFT to TMJ manual physical therapy program, in treatment of patients with TMJ dysfunction (pain and limitation of mouth opening) after facial penetrating wound injury, has a superior effect in comparison to using of manual physical therapy treatment program only.
Key words:
Magnetic, facial wound, facial gunshot, TMJ dysfunction
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Long-term effects of vacuum massage on postburn hypertrophic scar thickness: a single blind randomised controlled study

Mahmoud Elshazly, Ahmed Mahmoud Kadry

Mahmoud Elshazly, Ahmed Mahmoud Kadry – Long-term effects of vacuum massage on postburn hypertrophic scar thickness: a single blind randomised controlled study. Fizjoterapia Polska 2019; 19(3); 32-37

DOI: https://doi.org/10.56984/8ZG13F46E

 

Abstract
Background. Burn victims develop hypertrophic scar as a progression to burn wound healing. Physical therapy intervention may help, as adjuvant therapy, in solving this problem.
Objective. The aim was to study the effectiveness of vacuum therapy on the post burn scar in addition to conventional physical therapy.
Design, Setting, and Participants. Randomized, single-blind, superiority, parallel, controlled, clinical trial in patients with hypertrophic scar post-burn in the lower limb, age between 20 and 40 years, selected form Out-Patient Clinic of burn and surgery in the South Valley University Hospitals between October 2017 and May 2018. 48 patients were randomized into either study or control group, using block randomization (study group n=24 and control group n=24). Interventions: conventional physical therapy in form of friction massage and lower limb muscles stretching was conducted for the control group and vacuum treatment in addition to conventional physical therapy was conducted for the study group. Treatment frequency was 3 sessions per week for 4 weeks. Outcomes: assessment of scar thickness using ultrasonography and assessment of scar severity by modified Vancouver Scar Scale (mVSS) were the main outcomes.
Results. 42 patients were analysed (study group n = 22 and control group n = 20) with follow up measure after 4 weeks showed significant improvement in scar sickness with 22% and 34% percentage of improvement and 56% and 62% improvement in mVSS within groups control and study groups respectively, with no significant difference between both groups in before or after treatment measures.
Conclusion. Adding vacuum therapy to conventional physical therapy treatment program is effective but not superior to the conventional physical therapy intervention alone, in the form of friction massage and stretching, in the treatment of lower limb hyper trophic scar

Key words:
hypertrophic scar, postburn scar, vacuum therapy, friction massage

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