P-3-08-04
THE EFFECTIVENESS OF DIFFERENT PHYSICAL THERAPY MODALITIES IN PATIENTS WITH REFLEX SYMPATHETIC DYSTROPHY
Simin Hepguler, Banu Kismali, Yeuim Sahin, Arzu Keskin, Ramazan Aksit (Ege U.TURKEY)
This study was designed to investigate the clinical findings of the patients with reflex sympathetic dystrophy (RSD) and then to compare the effectiveness of magnetic field therapy and contrast baths in these patients.
20 patients with RSD were included in this study. In clinical assessment, all patients were evaluated according to pain (VAS), swelling, limitation of movement, colour, temperature and trophic changes of the skin. In addition, electromyography, power doppler ultrasonography and three phase radionucleide bone scanning were obtained all of the patients. The patients were randomly divided into two groups. Patients in the first group were treated with contrast baths (4 cycles of 1 minute cold soaks and 4 minutes warm soaks), galvanic current and exercise. Magnetic field therapy (pulse high intensity, 15 Hz, 20 minutes), galvanic current and exercise were applied to the second group. All patients were then reevaluated after 10 days of therapy.
Baseline clinical findings of both groups were similar (p>0.05). Pretreatment and posttreatment differences of pain during resting time and movement and at night, range of motion and change of temperature were statistically significant in the second group (p<0.05). In the first group, only pretreatment and posttreatment differences of pain during resting time and movement were statistically significant (p<0.05).
P-3-08-05
EFFECTIVENESS OF ULTRASOUND THERAPY IN REFLEX SYMPATHETIC DYSTROPHY SYNDROME
Ayse A. Kucukdeveci, Sehim Kutlav,, Ozlem Kucuk, Erkan ibis, Mesut B. Atay, Bulent Seckin (Ankara University, Ankara, Turkey)
This study was planned to document the effectiveness of low dose ultrasound (US) therapy to sympathetic ganglions in a group of 44 patients (mean age 46,54±13,44 years, 24 women-20 men) with reflex sympathetic dystrophy syndrome (RSDS). The results of 25 patients who received a-four-week daily US therapy (0,5 watt/cm2) were compared with 19 control patients who didn't receive US. All patients were given therapeutic exercises, contrast bath and oral Naproxen sodium. Clinical evaluation parameters included pain intensity, joint pain index, extremity volume and active range of motion assessment of the affected limb where three-phase technetium 99m bone scan was performed to all patients. Statistically significant improvements were observed in all clinical parameters of both US and the control groups at the first and the third month of the therapy. Improvements in all clinical parameters except for the extremity volume were statistically higher in US group. Radioactivity uptake was significantly decreased both at the first and the third months in the US group while compared with the initial assessments. However the comparison of decrease in radioactivity uptake both at the first and the third months showed no significant difference between the two groups. It was concluded that although low dose US therapy to sympathetic ganglions was found to be clinically more effective than the control group, it showed no superiority with regard to the scintigraphic evaluation.
