ABSTRACT
A randomized clinical trial was conducted to find out the effects of physical modalities transcutaneous electrical nerve stimulation (TENS) and ultrasonic therapy (UST) on the patients with post stroke shoulder pain in the Department of Physical Medicine & Rehabilitation & Department of Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU) from 1st July 2006 to 31st December 2006. In that period a total of 750 stroke patients attended the stroke clinic of the Department of Neurology, BSMMU, of which 150(20%) patients presented with post stroke shoulder pain. Among the patients with post stroke shoulder pain, 45(6%) patients were included in the study. The aim of the study was to find out the improvement with proper and timely physical therapy and to study the comparative efficacy of TENS or UST therapy on shoulder pain in stroke patients. Results of this study showed that most of the patients were elderly and maximum number of patients (86.66%) was diagnosed as adhesive capsulitis. In each group, pain reduction and increase of muscle strength was same, TENS showed better improvement of muscle strength. There was complete recovery of tenderness by both TENS and UST. Significant improvement was observed after treatment in each group except in active internal rotation in UST group. But in comparison between two groups, Group A (TENS) showed statistically significant better improvement in all planes of pain free range of motion than Group B except active abduction which was better improved in group B (UST) and in case of passive abduction, passive external rotation and passive extension, TENS had better effect than UST. It may be concluded that TENS and UST both are effective but TENS may be safer and superior to ultrasonic therapy (UST) in the treatment of the patients with post stroke shoulder pain.
Subject(s)
Shoulder Pain/therapy , Stroke/complications , Transcutaneous Electric Nerve Stimulation , Ultrasonic Therapy , Adult , Aged , Cohort Studies , Female , Humans , Male , Middle Aged , Recovery of Function , Shoulder Pain/diagnosis , Shoulder Pain/etiology , Stroke/diagnosis , Stroke/therapy , Treatment OutcomeABSTRACT
A randomized clinical trial was conducted in the Department of Physical Medicine & Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, from 1st April 2006 to 31st March 2007. A total of 102 patients of Chronic LBP were included in the study. Out of them, 42 (41.2%) were male and 60 (58.8%) were female and male: female ratio was 1:1.43. The mean age of the patients was 42.22+/-8.07 years. They were divided randomly into two groups by the way of lottery for the clinical trial. Group A was treated with short wave diathermy (SWD) and non steroidal anti inflammatory drugs (NSAID) and Group B was treated with placebo SWD and NSAID. After treatment the result was compared and student's 't' test was done to see the level of significance. There was significant improvement after treatment in both the group (P=0). In comparison between two groups, it was found that there was no significant improvement in pre-treatment, after 1st week and after 2nd week. Improvement was found in Group A than Group B after 3rd week (P=0.05). And the improvement was gradually increased in Group A in comparison to Group B. Finally, it was found that there was significant improvement in Group A than Group B after 6th week (P=0). From the present study, it may be concluded that both the treatment (NSAID and SWD) is effective for the treatment of Chronic LBP. But the patient may be more benefited if SWD is used as an adjunct to NSAID.
Subject(s)
Low Back Pain/therapy , Short-Wave Therapy , Adult , Aged , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Chronic Disease , Female , Humans , Male , Middle Aged , Treatment OutcomeABSTRACT
A prospective study was carried-out in the department of Physical Medicine and Rehabilitation, Institute of Postgraduate Medicine & Research (IPGMR) now Bangabandhu Sheikh Mujib Medical University (BSMMU) during a period of 9 months starting from 1st April to 31st December 1996 to find out the probable causes of Cerebral Palsy (CP), the types of CP and associated disabilities among these patients attending the department. A total of 5412 patient were treated, of them 93 (1.72%) were diagnosed as CP. Boys and girls were 62 (66.7%) and 30 (33.3%) respetively. Majority 44 (47.3%) were quadriplegic type followed by diplegic type 29 (31.1%), hemiplegic type 15 (16.1%) and athetoid type 1 (1%). Associated disabilities were mental retardation (45.1%), convulsive disorders (38.7%), speech disorders (49.4%), hearing impairment (13.9%), visual problem (8.6%) and squint (26.8%). Spastic quadriplegia was the mostsevere form with multiple disabilities found in our study.
