RESUMEN
Objective: To compare the effects of high-intensity laser therapy [HILT] and a combination of transcutaneous nerve stimulation [TENS] with ultrasound [US] therapy on pain and functionality in patients with chronic lumbar radiculopathy
Methods: This prospective randomized comparative study was conducted in Department of physical medicine and rehabilitation, Turgut Ozal Medicine Center, Malatya, Turkey from April 2016 to September 2016. A total of 54 patients with chronic lumbar radiculopathy were enrolled in this study. The patients were randomly divided into two groups: Group 1 [n:27] received 10 sessions of a combination of hot pack, TENS, US and exercise, and Group 2 [n:27] received hot pack, HILT and exercise. The outcomes measured were low back with unilateral leg pain level measured by visual analog scale [VAS] and functionality measured with the Oswestry Disability Index [ODI] at the end of the therapy and four weeks later. p-value less than 0.05 considered statistically significant
Results: In two groups, VAS [low back with unilateral leg pain] and ODI scores showed significant changes. At the end of the 2 weeks intervention, participants in Group-1 showed a significantly greater decrease in pain than participants in Group-2. Statistically significant differences in pain variation and functionality [VAS and ODI] were observed four weeks after treatment sessions for participants in the TENS+US therapy group compared with participants in the HILT group
Conclusion: HILT and TENS+US combined with exercise were effective treatment modalities in decreasing the VAS and ODI scores. TENS+US combined with exercises were more effective than HILT combined with exercise
RESUMEN
Aim of the study: To investigate the effects of dose-volume parameters of brain parenchyma, optic nerves [ONs] and cribriform plate [CP], which were determined on central nervous system [CMS] control in pediatric leukemia patients who have undergone prophylactic cranial irradiation [PCI] at our department
Patients and Methods: In the current study, the records of 14 patients were examined retrospectively. Along with the minimum and maximum doses for brain and CP, D95% [minimal dose received by the 95% volume of a structure] and V95% [percent volume of target receiving 95% of prescribed dose] could be obtained from the dose-volume histogram. Statistical analyses were conducted using the Mann Whitney test in SPSS-15
Results: ALL/AMI ratio was 9/5. CMS relapse was observed only in 2 patients. The minimum dose was 1249 [1100-1782] cGy, 1036 [547-1651] cGy, 856 [308-1460] cGy and 1234 [922-1727] cGy for brain parenchyma, right ON, left ON and CP, respectively. The value of D95%/D was 1,01 [1-1.06] and 0.99 [0.92-1.06] for brain parenchyma and CP, respectively. V95% was 99.8% [98.6%-100%] and 98.1% [80.5%-100%] for brain parenchyma and CP, respectively. The analyses revealed that none of the target tissue dose-volume parameters for PCI affected CNS relapse [p>0.05]
Conclusion: In our study; it was found that the dose-volume parameters of the brain, CP and ONs did not have any effect on CNS relapse. Along with the other clinical factors, the scarce number of patients included in the study might have concealed the effects of parameters related to RT.