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Value of combined exercise and ultrasound as an adjunct to compression therapy in chronic venous leg ulcers
Joint Authors
Salam, Rihab A. E.
al-Ghawit, Atif I.
Rigal, Samir A. H.
Source
Egyptian Rheumatology and Rehabilitation
Issue
Vol. 44, Issue 2 (30 Jun. 2017), pp.77-82, 6 p.
Publisher
The Egyptian Society for Rheumatology and Rehabilitation
Publication Date
2017-06-30
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction Chronic venous leg ulcers are very difficult to treat and take very long time to heal.
Compression therapy remains the mainstay of venous ulcer conservative treatment.
Aim The aim of this study was to evaluate the effectiveness of combined therapeutic exercises and ultrasound as an adjunct to compression therapy for the treatment of chronic venous leg ulcers.
Settings and design This study is a prospective randomized case-controlled one.
Patients and methods Seventy-two patients with chronic venous leg ulcers were recruited from outpatient clinics.Weallocated patients to four groups of 15 patients each.
Group I was treated with therapeutic exercise program in addition to compression therapy.
Group II was treated with underwater ultrasound and compression therapy.
Group III was treated with therapeutic exercises as in group I and underwater ultrasound as in group II, in addition to compression therapy.
Group IV was treated with compression therapy.
The duration of follow-up was 12 weeks.
Treatment outcome was assessed using the visual analogue scale for pain, ulcer size, the pressure ulcer scale for healing, maximum ankle dorsiflexion and plantar flexion using a plastic goniometer.
Results Venous ulcer healing was greatest in patients receiving combined exercise and ultrasound in addition to compression therapy.
Combined therapeutic exercises and ultrasound were well tolerated and no adverse reactions were noted.
Patients receiving therapeutic exercises alone or ultrasound alone showed lesser degrees of improvements.
No significant improvements were observed in any variable in patients who received compression therapy alone.
Conclusion Combined prescription of exercises and ultrasound as an adjunct to compression therapy would be a more effective means of promoting chronic venous ulcer healing, when standard compression therapy have failed.
It is safe, easy and well tolerated and should be considered as adjunctive therapy in patients with venous leg ulcers.
American Psychological Association (APA)
Salam, Rihab A. E.& al-Ghawit, Atif I.& Rigal, Samir A. H.. 2017. Value of combined exercise and ultrasound as an adjunct to compression therapy in chronic venous leg ulcers. Egyptian Rheumatology and Rehabilitation،Vol. 44, no. 2, pp.77-82.
https://search.emarefa.net/detail/BIM-784033
Modern Language Association (MLA)
Salam, Rihab A. E.…[et al.]. Value of combined exercise and ultrasound as an adjunct to compression therapy in chronic venous leg ulcers. Egyptian Rheumatology and Rehabilitation Vol. 44, no. 2 (Apr. / Jun. 2017), pp.77-82.
https://search.emarefa.net/detail/BIM-784033
American Medical Association (AMA)
Salam, Rihab A. E.& al-Ghawit, Atif I.& Rigal, Samir A. H.. Value of combined exercise and ultrasound as an adjunct to compression therapy in chronic venous leg ulcers. Egyptian Rheumatology and Rehabilitation. 2017. Vol. 44, no. 2, pp.77-82.
https://search.emarefa.net/detail/BIM-784033
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 81-82
Record ID
BIM-784033