Tag: Amr B. Salama

Effect of extracorporeal shockwave therapy on chronic anal fissure: prospective repeated measures study

Amr B Salama, Mohamed Samy Abdrabo, Esraa H Rostom

Amr B Salama, Mohamed Samy Abdrabo, Esraa H Rostom – Effect of extracorporeal shockwave therapy on chronic anal fissure: prospective repeated measures study. Fizjoterapia Polska 2022; 22(1); 94-98

Abstract
Purpose. The current study aimed to assess the effect of Extracorporeal Shockwave in management of chronic anal fissure (CAF).
Methods. Twenty patients with CAF of both sexes; aged 18–50, and symptomatic for 6 months or more with therapies. Patients received Extracorporeal Shockwave Therapy (ESWT), two sessions/week for 3 weeks. Visual analogue score (VAS) was used to measure pain intensity, Wexner constipation score was used to measure severity of constipation, as well as assessment of CAF healing by observation. Assessment were done before, after 3 weeks then after 3 months as a follow-up.
Results. The results revealed that means of VAS, Wexner constipation score and healing of CAF were significantly improved after 3 weeks of ESWT and after the follow-up period (P < 0.05).
Conclusions. Shock waves therapy may be considered as an effective conservative and safe modality in the treatment of CAF cases with respect to the short-term follow-up.
Key words:
chronic anal fissures, shock waves, visual analogue score, wexner constipation score
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Early Ultrasound Therapy versus Early Active Mobilization after Zone II Flexor Tendon Repair: A Pilot randomized controlled trial

Amr B. Salama, Fatma Alzahraa H. Kamel, Ahmed M. Zarraa, Ashraf A. Khalil, Ashwag Saleh Alsharidah

Amr B. Salama, Fatma Alzahraa H. Kamel, Ahmed M. Zarraa, Ashraf A. Khalil, Ashwag Saleh Alsharidah – Early Ultrasound Therapy versus Early Active Mobilization after Zone II Flexor Tendon Repair: A Pilot randomized controlled trial. Fizjoterapia Polska 2020; 20(3); 18-22

Abstract
Purpose. This study aims to compare the effect of early ultrasound (US) therapy to early active mobilization (EAM) on the outcomes “Range of motion (ROM) and rate of tendon ruptures” of zone II flexor tendon repair. Subjects and Methods. 20 male patients (31 operated digits), who underwent zone II flexor tendon 4-strand repair, were divided randomly into 2 groups: Group (A); 10 patients (15 operated digits) who received early US therapy, and Group (B); 10 patients (16 operated digits) who received EAM. Patients received the treatment (3 sessions/week) from the 3rd day till the end of the 6th week postoperative. Active interphalangeal (IP) joints’ ROM of each operated digit was measured using finger goniometer and Strickland’s Original Scoring System was used to evaluate the ROM outcome at end of the 3rd and 6th postoperative weeks. Tendon ruptures were counted in each group if it occurred. Results. There was a significant improvement in the ROM outcome at end of the3rd and 6th week postoperative in group B compared to group A while no tendon ruptures occurred in either of the groups. Conclusion. The EAM seems to be superior over early US therapy in the improvement of the ROM outcome of zone II flexor tendon repair while both show no tendon ruptures.

Key words:
early ultrasound therapy, early active mobilization, flexor tendon repair

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