Abstract
Purpose: The aim of this study was to find the significance of pulsed mode ultrasound in reducing inflammation & pain by using Ketoprofen as couplant.
Methods: 20 subjects presenting with supraspinatus tendinitis, aged 25-35years old, participated in this Study. Subjects were divided randomly into 2 groups.
Group A = pulsed mode of ultrasound (1.0 w/cm2 for 4 minutes) with aqueous gel as couplant.
Group B = pulsed mode of ultrasound (1.0 w/cm2 for 4 minutes) with ketoprofen as couplant.13
Visual Analogue Scale(VAS) and Range of Motion(ROM) is assessed pre treatment and immediately post treatment.
Result: The p value of VAS (post treatment) and ROM (post treatment) in phonophoresis pulsed mode p- value< 0.05 than pulsed mode aqueous gel.
Conclusion: Pulsed mode of ultrasound along with ketoprofen as couplant shows better results compared to pulsed mode when aqueous gel is used as the couplant.
Keywords: Phonophoresis, Tendinitis, Ultrasound, Ketoprofen Gel.
References
1. Ali Gur; Physical Therapy Modalities in Management of Fibromyalgia; Current Pharmaceutical Design, 2006 12, 29-35
2. Haraldsson B, Gross A, Myers CD, Ezzo J, Morien A, Goldsmith CH, Peloso PMJ, Brønfort G, Cervical Overview Group. Massage for mechanical neck disorders. Cochrane Database of Systematic Reviews 2006, Issue 3. Art. No.: CD004871. DOI: 10.1002/14651858.CD004871.pub3
3. Sheila Kitchen, Electrotherapy Evidence-based Practice, Eleventh Edition, pg 221-228
4. Sangita Chakrabarty, Md, Msph, Roger Zoorob, Md, Mph; Fibromyalgia; American Family Physician; Volume 76, Number 2 July 15, 2007
5. Sunday Akinbo, Oluwatoyosi Owoeye, Sunday Adesegun; Comparison of the Therapeutic Efficacy of ketoprofen Phonophoresis in the Management of Knee Osteoarthritis; Turk J Rheumatol 2011;26(2):111-119
6. Peter Croft, Jonathan Burt, Joanna Schollum, Elaine Thomas, Gary Macfarlane, Alan Silman; More pain, more tender points: is fibromyalgia just one end of a continuous spectrum?; Annals of the Rheumatic Diseases 1996; 55: 482-485
7. Giovana c. Rosim, Cláudio Henrique Barbieri, Fernando Mauro Lanças, and Nilton Mazzer; Phonophoresis In Human Volunteers; Ultrasound in Med. & Biol., Vol. 31 No. 3 pp. 337- 343, 2005
8. Russell Rothenberg, MD; Fibromayalgia, pathophysiology and treatment; Fibromyalgia frontiers, 2010, vol. 18, No. 1
9. John low BA(Hons.), FCSP, DipTP, SRP, Ann Reed BA, MCSP, DipTP, SRP; Electrptherapt Explained Principles and Practice, 3rd edition, pg 172-196
10. KD Tripathi; Essentials of Medical Pharmacology; 6th edition; page 184-194
11. Bijur PE, Silver W, Gallagher EJ.; Reliability of the visual analog scale for measurement of acute pain; Acad Emerg Med. 2001 Dec;8(12):1153-7
12. Kamal Dua, V.K.Sharma, UVS Sara, D.K.Agrawal, M.V.Ramana; Penetration Enhancers for TDDS: A Tale of the Under Skin Travelers; Adv. in Nat. Appl. Sci., 3(1): 95-101, 2009.
13. Mazières, B; Rouanet, S; Guillon, Y; Scarsi, C; Reiner, V (2005). "Topical ketoprofen patch in the treatment of tendinitis: a randomized, double blind, placebo controlled study.". The Journal of rheumatology 32 (8): 1563–70.