Pulsed Electromagnetic Therapy Versus Whole Body Vibration on Quadriceps Strength Post Burn

Обзор

The purpose of the study is to evaluate which is more effective pulsed electromagnetic field therapy or whole-body vibration on quadriceps strength after chronic burn

Подробное описание

Severe burn is associated with excessive muscle wasting and atrophy. Muscle wasting is defined as unintentional weight loss of 5%- 10% of muscle mass, and severely burned patients are reported to lose up to 25% of total body mass acutely. (Dirks et al., 2016). These are worsened by deconditioning (eg, prolonged bed rest, immobilization, and inactivity). (Baker et al., 2007).

Furthermore, the need of this study is developed from the lack in the quantitative knowledge and information in the published studies about the effect of pulsed electromagnetic field therapy and whole-body vibration on quadriceps strength after chronic burn.

This study will be designed to provide a guideline about the effect of pulsed electromagnetic field therapy and whole-body vibration on quadriceps strength after chronic burn

Вмешательства

• Устройство whole body vibration using crazy fit machine
  It will be applied on the whole body All subjects will be asked to stand in a squat position on the vibration platform with the knees bent 90 this position will be chosen because the vertical sinusoidal accelerations of the vibration platform had to be damped by the different muscles around the joints of the lower extremity) ,at a frequency of 30 Hz, 5 - 30 minutes per day, 3 times per week, for 6 weeks, and the physiotherapist will be standing beside the patient
• Устройство Pulsed electromagnetic field therapy
  EMSCULPT device (BTL Industries Inc., Boston, MA) based on HIFEM technology. It consists of an appliance, motorized bed and solenoids. The appliance will be connected to electrical mains supplying230Vat frequency of 50 or 60 Hz with earth connection, Intensity 0-100. It will be used in the treatment of patient in group "B". Subjects will be positioned in a supine position, and the treatment will be performed by placing the applicator centered over their thigh region (quadriceps muscle's area), f
• Другое traditional physical therapy program
  In the form of splinting, stretching exercises, strengthening exercises and range of motion (ROM) exercises on quadriceps muscle 15 minutes per day, 3 times per week for 6 weeks.

Первичные конечные точки

• Assessment of change on quadriceps muscle strength using hand-held dynamometer [Срок оценки: at baseline and after 6 weeks]

Критерии участия

Критерии включения

• Both sex.
• Their ages will be ranged from 25 to 40 years.
• Have second degree burn of 10 % to 25 %.
• Their body mass index (BMI) will not exceed 34.9 Kg/m2.
• All patients will be clinically and medically stable when attending the study.

Критерии исключения

• Unstable cardiovascular problems like arrhythmia and heart failure.
• Diabetes mellitus.
• Chronic chest disease.
• Patients on medications affecting muscle power as steroids.
• Auditory and visual problems.
• Pregnancy \& lactation.
• Patients with history of epilepsy.
• Clinically significant peripheral vascular disease.
• Musculoskeletal or neurological limitation to physical exercise.
• Any cognitive impairment that interferes with prescribed exercise procedures.
• Amputation of lower limb.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• out-patient clinic, faculty of physical therapy, Cairo university — Giza

Идентификаторы

NCT: NCT06662552 · Aya-004833

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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