RESUMO
A double-blind randomized study was performed to compare ionization with diclofenac sodium (150 mg) and ionization with saline solution in two groups of patients with scapulo-humeral periarthritis or elbow epicondylitis. The subjects of both groups were treated with 20 ionization sessions each lasting 30 minutes during a 1-month period. There was a significantly greater improvement in pain at rest, pain on pressure, pain on movement and joint swelling in the eleven patients treated with diclofenac compared with the thirteen placebo-treated patients, but no significant differences between the two treatments as regards functional impairment. However, placebo treatment produced a slight but significant improvement in pain on pressure, pain on movement and functional impairment. Further studies are needed to assess the relative role of the current and of autosuggestion in saline ionization response since both have well-known therapeutic effects on chronic rheumatic pain.
Assuntos
Diclofenaco/uso terapêutico , Terapia por Estimulação Elétrica/métodos , Fenilacetatos/uso terapêutico , Doenças Reumáticas/terapia , Adulto , Ensaios Clínicos como Assunto , Terapia Combinada , Método Duplo-Cego , Terapia por Estimulação Elétrica/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Periartrite/terapia , Distribuição Aleatória , Cloreto de Sódio , Cotovelo de Tenista/terapiaRESUMO
56 cases of primary and post-traumatic Sudeck's disease, treated with Sandoz synthetic salmon calcitonine are reported. The results obtained suggest that this drug should be considered of choice in this type of pathology provided it is administered with the right, highish doses. 2 completely cured cases of stemming of bone cyst using the same product are also reported.
Assuntos
Calcitonina/uso terapêutico , Distrofia Simpática Reflexa/tratamento farmacológico , Calcitonina/síntese química , Cálcio/uso terapêutico , Relação Dose-Resposta a Droga , Feminino , Humanos , Masculino , Vasodilatadores/uso terapêuticoRESUMO
The authors report the results obtained with arthroprostheses of the ankle joint in twelve patients. The surgical indications were severe post-traumatic degenerative, lesions, rheumatoid arthritis and post-traumatic necrosis of the talus. The types of prosthesis used were the St. Georg-Buchholz, Smith and TPR designs. The joint was exposed in the majority of cases by an antero-medial approach. The results (at a minimum of one year and a maximum of two and a half years) were satisfactory, being excellent in eight cases, fair in three and negative in one. The one failure was partly due to the surgical exposure, which involved osteotomy of the distal third of the fibula.
Assuntos
Articulação do Tornozelo/cirurgia , Prótese Articular/métodos , Artrite Reumatoide/cirurgia , Estudos de Avaliação como Assunto , Seguimentos , HumanosRESUMO
After simple premises on scoliosis and on physiotherapy, we design the evolution of the illness in: physiotherapic, orthopaedic and surgical scoliosis, connected with the therapeutic moment. Then we underline the necessity of surgical scoliosis to sustain it adequately with a careful physiotherapic treatment either for the preparation to the operation or in the stage following the operation.
