Effect of Shortwave Diathermy Versus Ultrasound Waves on Increasing ROM and Decreasing Pain After Extensor Tendon Reconstruction

NCT06113250 | Unknown Phase 2

• 1 other identifier: KFSIRB200-29
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

tendon injuries can result in long-term sequelae, including chronic pain and mobility restrictions, and may warrant surgery. Ultrasound is sound with a frequency above 20,000 Hertz (Hz) and is undetectable by the human ear. Ultrasound waves are generated by a piezoelectric effect caused by vibration of crystals within the head of the wand/probe. The sound waves that pass through the skin cause vibration of the local tissue. This can cause a deep heating locally. ultrasound can provide several benefits for treating strains, sprains, tissue healing andpain.n Shortwave diathermy is a high frequency current that is obtained by a discharging condenser through inductance of low ohmic resistance. When this high frequency current passes into the tissues, it produces heat into the tissues. PSWD heats a much larger area than ultrasound does, making it ideal to heat larger joints, such as the elbow, shoulder, hip, knee, and ankle. This work aims to compare between the effect of shortwave diathermy versus ultrasound waves on increasing ROM and decreasing pain after extensor tendon reconstruction. Sixty adults patients of both sex, aged from 20 to 30 years, with extensor tendon injuries participated in this study after reconstruction surgeries. They were randomly categorized into three groups of equal numbers. Group A received Pulsed shortwave diathermy and traditional physical therapy program (splinting, stretching exercises, strengthening exercises and range of motion (ROM) exercises), group B received ultrasound waves and traditional physical therapy program (splinting, stretching exercises, strengthening exercises and range of motion (ROM) exercises, while group C received only traditional physical therapy program (splinting, stretching exercises, strengthening exercises and range of motion (ROM) exercises). Pain and finger flexion range of motion will be measured before and after two months of intervention. Data and results will be statistically analyzed to give conclusions

Conditions

Extensor Tendon Reconstruction

Keywords

shortwave diathermy, ultrasound waves, extensor tendon reconstruction, pain, ROM, visual analque scale, goniometer

Outcome Measures

Primary Outcomes (2)

• pain at extensor tendons

  visual analque scale is a 10 point line is used to quantify amount of pain at extensor tendon of hand

  pain is measured before starting study and after 2 months of intervention

• finger flexion ROM

  goniometer is digital tool is used to measure range of finger flexion of hand

  flexion range of finger is measured before starting study and after 2 months

Study Arms (3)

shortwave diathermy

ACTIVE COMPARATOR

Device: shortwave diathermy

ultrasound waves

ACTIVE COMPARATOR

Device: ultrasound waves

therapeutic exercises

SHAM COMPARATOR

Device: shortwave diathermy; Device: ultrasound waves; Other: traditional physical therapy program

Interventions

shortwave diathermy DEVICE

Shortwave diathermy (SWD) is a modality that produces heat by converting electromagnetic energy into thermal energy. pulsed shortwave diathermy (PSWD), uses high-frequency electromagnetic waves to heat tissues up to 5 cm deep. Heat is produced by the resistance of tissue to the passage of energy. Although it heats to the same depth as 1-MHz ultrasound, PSWD heats a much larger area than ultrasound does, making it ideal to heat larger joints, such as the elbow, shoulder, hip, knee, and ankle

shortwave diathermy; therapeutic exercises

ultrasound waves DEVICE

Ultrasound is sound with a frequency above 20,000 Hertz (Hz) and is undetectable by the human ear. However, clinical ultrasound uses much high frequencies of between 1 and 20 megahertz (MHz) and sometimes up to 75 MHz in specialized areas such as dermatology and ophthalmology. Clinically, ultrasound is used for a number of applications ranging from visualizing structures to allow safe insertion of lines and catheters to diagnostic imaging including the assessment of the movement of cardiac Production of ultrasound waves is the first part of the clinical ultrasound process. Ultrasound is generated by piezoelectric crystals. These crystalline materials contain randomly oriented electric dipoles, and when a force is applied that deforms the crystal, the dipoles are rearranged and a net charge induced across the crystal

therapeutic exercises; ultrasound waves

traditional physical therapy program OTHER

splinting, stretching exercises, strengthening exercises and range of motion (ROM) exercises

therapeutic exercises

Eligibility Criteria

• Age: 22 Years - 29 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age ranged from 20 to 30 years
• After extensor tendon reconstruction surgeries
• Gender: both male and female

You may not qualify if:

• Photosensitivity
• Sensory impairements
• Intellectual disorders
• Pregnant women

Sponsors & Collaborators

• Kafrelsheikh University: lead

Study Sites (1)

Faculty of Physical Therapy

Kafr ash Shaykh, Kafr el-Sheikh Governorate, 33511, Egypt

Location

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Abdelaziz A sherif

  Vice Dean for graduate studies and research

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of physical therapy for integumentary disorders, faculty of physical therapy, kafrelsheikh university

Model Details: 60 male and female patients will participate in the study are divided into 3 groups (20 in each group). They will be randomly assigned to three equal groups: Group (A): twenty patients will receive shortwave diathermy and traditional physical therapy program (splinting, stretching exercises, strengthening exercises and range of motion (ROM) exercises). Group (B): twenty patients will receive ultrasound waves and traditional physical therapy program (splinting, stretching exercises, strengthening exercises and range of motion (ROM) exercises). Group (C): twenty patients will receive only traditional physical therapy program (splinting, stretching exercises, strengthening exercises and range of motion (ROM) exercises)

Study Record Dates

• First Submitted: October 27, 2023
• First Posted: November 2, 2023
• Study Start: July 5, 2023
• Primary Completion: November 1, 2023
• Study Completion: November 7, 2023
• Last Updated: November 2, 2023

Record last verified: 2023-10

Locations

EG (1)