A randomized clinical trial comparing pulsed ultrasound and erythromycin phonophoresis in the treatment of patients with chronic rhinosinusitis
| Autor: | Mohammad Saeed Rastak, Noureddin Nakhostin Ansari, Mojtaba Fathali, Jim Bartley, Soofia Naghdi |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Chronic rhinosinusitis Ultrasonic Therapy medicine.medical_treatment Pulsed Ultrasound Erythromycin Phonophoresis Physical Therapy Sports Therapy and Rehabilitation Severity of Illness Index law.invention Double-Blind Method Randomized controlled trial law Internal medicine medicine Humans Sinusitis Therapeutic ultrasound Group study business.industry Ultrasound Middle Aged bacterial infections and mycoses Anti-Bacterial Agents Surgery Chronic Disease Female business medicine.drug |
| Zdroj: | Physiotherapy Theory and Practice. 31:166-172 |
| ISSN: | 1532-5040 0959-3985 |
| Popis: | Therapeutic ultrasound, an important physiotherapy modality, has been used successfully in the treatment of patients with chronic rhinosinusitis (CRS). No study has compared pulsed ultrasound (PUS) with erythromycin phonophoresis (EP). The aim of this randomized, double-blind, parallel group study with concealed allocation was to compare PUS with EP. Sixty CRS patients were randomly allocated into two groups. Group 1 had PUS and Group 2 had EP. Patients were treated 3 days a week for 10 sessions over 4 weeks. The severity of nine CRS symptoms was self-rated by patients on an ordinal scale of 0-3 (absent, mild, moderate or severe) at baseline and after the 10th treatment session. Individual symptom scores were summed to obtain a "Total Symptom Score" (TSS). The outcome measure included percentage improvement in the TSS. A statistically significant improvement in TSS occurred with both PUS and EP therapy groups (p0.05). The percentage improvement in the EP group was statistically greater than in the PUS group (67.2 versus 49.3%) (p = 0.03). The effect sizes in both therapy groups were large; PUS: d = 1.36 and EP: d = 2.15. EP was found to be superior over PUS therapy. |
| Databáze: | OpenAIRE |
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