Tag: Oparzenie

Učinak laserske punkture na jetrene enzime nakon opekline

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

Sažetak
Cilj. Ova studija provedena je kako bi se istražio utjecaj laserske punkture kao pomoćne terapije na jetrene enzime nakon opekline. Materijali i metode: Studija je uključivala 30 ozlijeđenih pacijenata s površinama opeklina tijela u rasponu od 30 do 50%. Bili su u dobi od 25 do 40 godina. Slučajevi iz bolnice Orabi bili su randomizirani u dvije grupe, jednake po broju. Grupa A uključivala je 15 slučajeva jer su primili lasersku akupunkturu (infracrveni diodni laser, valna duljina 808 nanometara, s intervalom impulsa: 200 nanosekundi, gustoća snage: 0,4 Watta/cm² i gustoća energije 4 Joulea/cm²); bila je smještena u izravnoj vezi s kožom okomito na tjelesne akupunkturne točke (ST36), (SP6), (LR3), (GB34), (BL18) na svakoj strani tijela kao i Zhongwan (RN12) te provedena 90 sekundi za svaku točku tri puta tjedno, tijekom 4 tjedna nakon izlaska iz intenzivne njege, uz konvencionalni program fizioterapije kao i medicinsko liječenje. Grupa B uključivala je 15 pacijenata jer su primili samo svoj uobičajeni program fizioterapije kao i medicinsko liječenje. Aspartat aminotransferaza (AST) i jetreni enzimi, alanin aminotransferaza (ALT) određeni su pomoću spektrofotometra. Rezultati. Nakon četiri tjedna naše intervencije, utvrđeno je da je grupa s laserskom punkturom imala značajno niže omjere plazma jetrenih enzima od onih u kontrolnoj grupi. Stoga se može zaključiti da laserska punktura služi kao učinkovita pomoćna terapija za poboljšanje funkcije jetre nakon opekline.
Ključne riječi
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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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