Vacuum Assisted Closure Therapy Versus Polarized Light in The Treatment of Pressure Ulcer: A randomized controlled trial

Haidy N. Ashem, Rami L. Abbas, Hamada A. Hamada, Marwa M. Eid

Haidy N. Ashem, Rami L. Abbas, Hamada A. Hamada, Marwa M. Eid – Vacuum Assisted Closure Therapy Versus Polarized Light in The Treatment of Pressure Ulcer: A randomized controlled trial. Fizjoterapia Polska 2020; 20(4); 154-159

Abstract

Purpose. This study was conducted to determine the effect of vacuum assisted closure therapy (VAC) versus polarized light or bioptron light therapy (BLT) in the treatment of pressure ulcers (PUs). Materials and Methods. Sixty patients of both sexes suffering from pressure ulcers classified between grade II and III according to the European Pressure Ulcer Advisory Panel (NPUAP), undergoing traditional medical treatment, participated in this study and were randomly assigned into two groups; group A, received polarized light 3 sessions per week for 8 weeks, and group B, received vacuum assisted closure therapy daily for 8 weeks. In addition to wound culture recording, wound surface area (WSA) and wound depth assessment were conducted before starting the treatment and at the end of treatment after 8 weeks of intervention. Results. Statistical analysis showed reduction in ulcer surface area and depth after treatment for both groups with high significant improvement in ulcer surface area and depth using polarized light. Conclusion. It can be concluded that both polarized light and vacuum assisted closure therapy had significant effect on pressure ulcers healing with high significant improvement in ulcer surface area and depth using polarized light compared with vacuum assisted closure therapy.

 

Key words:

polarized light or bioptron light therapy, vacuum assisted closure therapy, pressure ulcers

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Effect of Immediate Versus Gradual Exercises Program on Maximum mouth opening Post Temporomandibular Joint Arthroscopy: A randomized controlled trial

Zeinab A. Ali, Marwa M. Eid

Zeinab A. Ali, Marwa M. Eid – Effect of Immediate Versus Gradual Exercises Program on Maximum mouth opening Post Temporomandibular Joint Arthroscopy: A randomized controlled trial. Fizjoterapia Polska 2020; 20(2); 52-57

Streszczenie

Objective. The purpose of this study was to compare two physiotherapy programs for rehabilitation of patients after temporomandibular joint (TMJ) arthroscopy. Methods: Sixty patients diagnosed with closed lock and treated with arthroscopic lysis and lavage participated in this study, patients were divided into two groups: Group A (immediate program): included thirty patients rehabilitated with immediate full range of motion self-exercises. Group B (gradual program): included thirty patients rehabilitated with progressively increasing range of motion self-exercises. Outcome Measures. Maximum mouth opening (MMO) by measuring distance between the upper and lower incisors while the patient actively opens the mouth were assessed by Ruler, Pain assessment was done by using visual analogue scale. The measurements taken by the end of first month of treatment, analyzed and compared between the two groups. Results. Statistical analysis showed significant improvement in MMO and pain outcomes for the immediate group than for the gradual group. Conclusion. Based on the obtained results this study concluded that, a physiotherapy program consisting of immediate postoperative full range of motion mobilizations achieves better results (in terms of pain and mouth opening) than a physiotherapy program consisting of gradual and controlled increases in range of motion of closed lock of the TMJ after arthroscopic treatment.

Słowa kluczowe: Temporomandibular Joint, Arthroscopy, Maximum mouth opening

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