Indian Journal of Physical Medicine and Rehabilitation

Register      Login

Table of Content

2017 | July-September | Volume 28 | Issue 3

ORIGINAL ARTICLE

N Romi Singh, Jotin S Yengkhom, MS Chongreilen Chiru, Kaustav B Thakur, Utpalendu Debnath

Efficacy of Single-dose Intra-articular Injection of High-molecular-weight Hyaluronic Acid in Patients suffering from Primary Osteoarthritis of Knee

[Year:2017] [Month:July-September] [Volume:28] [Number:3] [Pages:6] [Pages No:89 - 94]

PDF  |  DOI: 10.5005/jp-journals-10066-0009  |  Open Access |  How to cite  | 

Abstract

Aim

To find the effectiveness of single-dose intra-articular (IA) injection of high-molecular-weight hyaluronic acid (HMWHA) in patients suffering from primary osteoarthritis (OA) of knee.

Study design

A randomized control trial.

Duration of the study

One-and-a-half years, commencing from October 2014.

Settings

Physical Medicine and Rehabilitation (PMR) Department, Regional Institute of Medical Sciences (RIMS), Imphal, Manipur, India.

Study population

All patients suffering from OA knee, who fulfilled the American College of Rheumatology (ACR) criteria for classification of idiopathic OA knee and attending the department during the study period.

Materials and methods

Sixty-five patients were randomized to receive either visco-supplementation with single-dose IA injection of HMWHA (study group) or methylprednisolone (control group) and follow-up was done at 1, 3, and 6 months. Outcome measures were done with Western Ontario and McMaster University (WOMAC) and visual analog scale (VAS) for pain.

Results

Both the groups showed significant improvement in both WOMAC and VAS pain score at the end of 3 months. But at the end of 6 months, improvement in terms of WOMAC (p = 0.09) and VAS pain (p = 0.07) scores in control group was not significant, whereas the study group maintained statistically significant improvement.

Conclusion

A single dose of IA HMWHA is effective in reducing pain and disability in patients with primary OA of knee.

How to cite this article

Yengkhom JS, Nongmaithem RS, Chiru MSC, Thakur KB, Debnath U. Efficacy of Single-dose Intra-articular Injection of High-molecular-weight Hyaluronic Acid in Patients suffering from Primary Osteoarthritis of Knee. Indian J Phy Med Rehab 2017;28(3):89-94.

ORIGINAL ARTICLE

Sakti Prasad Das, Pabitrakumar Sahoo, Mamata M Sahu, Tajuddin Chitapure

Radiological Evaluation of Hip in Cerebral Palsy: A Randomized Cross-sectional Study

[Year:2017] [Month:July-September] [Volume:28] [Number:3] [Pages:5] [Pages No:95 - 99]

PDF  |  DOI: 10.5005/jp-journals-10066-0010  |  Open Access |  How to cite  | 

Abstract

Introduction

The incidence of hip abnormalities in cerebral palsy (CP) patients has been reported as low as 2.6% and as high as 28%. Hip displacement is the second most common deformity after equines. The objective of this study is to evaluate the radiological changes of hip in CP for detecting early features of hip instability.

Materials and methods

A total of 91 hips of 52 patients with CP who attended for rehabilitation management were randomly selected for the study. Hip surveillance was done in those cases where the clinical evaluation alone could not access stability. All the selected cases were evaluated radiologically with respect to acetabular angle, neck-shaft angles, degree of subluxation (migration percentage) and shape of femoral head.

Results

38 hips showed grade I, 14 hips grade II, 6 hips grade III, and 2 hips grade IV stage of migration percentage. Flattening of femoral head was laterally seen in 16 cases, both medial and lateral flattening was seen in 8 cases of subluxated hip. Acetabular roof angle was increased in cases with grade III and IV migration percentage. Acetabular angle was within 12 to 75° with mean angle of 32°. The mean true neck-shaft angle was 145.5° ranging from 134° to 170°

Conclusion

Early detection of hip instability in Cerebral Palsy helps in timely intervention and that reduces or delays need for reconstructive surgery.

How to cite this article

Sahoo PK, Sahu MM, Chitapure T, Das SP. Radiological Evaluation of Hip in Cerebral Palsy: A Randomized Cross-sectional Study. Indian J Phy Med Rehab 2017;28(3):95-99.

ORIGINAL ARTICLE

Pallab Das, Manas K Dan

Comparative Study of the Effectiveness of Therapeutic Ultrasound vs Interferential Therapy to reduce Pain and improve Functional Ability in Osteoarthritis of Knee

[Year:2017] [Month:July-September] [Volume:28] [Number:3] [Pages:6] [Pages No:100 - 105]

PDF  |  DOI: 10.5005/jp-journals-10066-0011  |  Open Access |  How to cite  | 

Abstract

Clinical significance

This study helped us to formulate a better therapeutic approach of OA of knee.

How to cite this article

Das P, Dan MK. Comparative Study of the Effectiveness of Therapeutic Ultrasound vs Interferential Therapy to reduce Pain and improve Functional Ability in Osteoarthritis of Knee. Indian J Phy Med Rehab 2017;28(3):100-105.

ORIGINAL ARTICLE

Pallab Das, Mohit Kataruka, Rathindranath Haldar

Electrophysiological Improvement Pattern in Patients with Carpal Tunnel Syndrome by Ultrasonic Therapy

[Year:2017] [Month:July-September] [Volume:28] [Number:3] [Pages:4] [Pages No:106 - 109]

PDF  |  DOI: 10.5005/jp-journals-10066-0012  |  Open Access |  How to cite  | 

Abstract

Introduction

Carpal tunnel syndrome (CTS) was effectively treated by lots of conservative management that includes splints, exercise, different types of heat modality like ultrasonic therapy (UST), etc. This is our humble attempt to explore and find out electrophysiological improvement pattern after treatment with UST in CTS. This analytical study was conducted at the Department of Physical Medicine and Rehabilitation (PMR), Institute of Post Graduate Medical Education and Research (IPGMER), SSKM Hospital, Kolkata, West Bengal, India, from January 15, 2012 to July 15, 2013.

Materials and methods

After getting Institutional Ethical Committee clearance, patients with symptoms of nerve compression at wrist were included in the study group according to inclusion and exclusion criteria. Ultrasound treatment was administered 15 minutes per session for 15 days to the palmar carpal tunnel area at a frequency of 1 MHz and intensity of 1.0 W/cm2, pulsed mode, with a transducer of 5 cm2. The patients were examined after intervals of 2, 4, and 8 weeks postintervention.

Results

The results of our study suggest that there was marked improvement in all the clinical parameters. The same significant improvement was also found in electrophysiological parameter.

Conclusion

Ultrasonic therapy is one of the effective modalities of treatment for CTS.

How to cite this article

Kataruka M, Pramanik R, Das P, Haldar R. Electrophysiological Improvement Pattern in Patients with Carpal Tunnel Syndrome by Ultrasonic Therapy. Indian J Phy Med Rehab 2017;28(3):106-109.

© Jaypee Brothers Medical Publishers (P) LTD.