Efficacy of Vitamin D Supplementation in Addition to Aerobic Exercise Training in Obese Women with Perceived Myalgia: A Single-Blinded Randomized Controlled Clinical Trial

Obese women were more susceptible to myalgia because of their significantly lower vitamin D concentrations; the present study investigated the efficacy of vitamin D in addition to an aerobic interval training in the management of obese women with myalgia. Forty-five obese women with vitamin D deficiency and myalgia (30 to 40 years old) were assigned randomly into three equal groups. Group A received an aerobic interval training with vitamin D supplementation, Group B received vitamin D supplementation only, and Group C received aerobic interval training only; participants in all groups were on calorie deficient diets. The study outcomes were the Visual Analog Scale (VAS) for Pain Evaluation, serum vitamin D level, and Cooper 12-Minute Walk Test for Functional Capacity Evaluation, while the Short-Form Health Survey (SF) was used for assessment of quality of life. We detected a significant improvement in pain intensity level, serum vitamin D level, and quality of life in all groups with significant difference between Group A and groups B and C. We also detected a significant improvement in functional capacity in groups A and C, with no significant change in Group B. Aerobic interval training with vitamin D supplementation was more effective for the management of obese women with perceived myalgia

Effectiveness of Shock Wave Therapy versus Intra-Articular Corticosteroid Injection in Diabetic Frozen Shoulder Patients’ Management: Randomized Controlled Trial

Frozen shoulder is a major musculoskeletal illness in diabetic patients. This study aimed to compare the effectiveness of shock wave and corticosteroid injection in the management of diabetic frozen shoulder patients. Fifty subjects with diabetic frozen shoulder were divided randomly into group A (the intra-articular corticosteroid injection group) and group B that received 12 sessions of shock wave therapy, while each patient in both groups received the traditional physiotherapy program. The level of pain and disability, the range of motion, as well as the glucose triad were evaluated before patient assignment to each group, during the study and at the end of the study. Compared to the pretreatment evaluations there were significant improvements of shoulder pain and disability and in shoulder flexion and abduction range of motion in both groups (p < 0.05). The shock wave group revealed a more significant improvement the intra-articular corticosteroid injection group, where p was 0.001 for shoulder pain and disability and shoulder flexion and abduction. Regarding the effect of both interventions on the glucose triad, there were significant improvements in glucose control with group B, where p was 0.001. Shock waves provide a more effective and safer treatment modality for diabetic frozen shoulder treatment than corticosteroid intra-articular injection

EFFECT OF SHOCK WAVE THERAPYVERSUS CORTICOSTEROID INJECTION IN MANAGEMENT OFKNEE OSTEOARTHRITIS

Background: knee Osteoarthritis is the most common cause of musculoskeletal pain and disability. Shockwaves have been used as an alternative treatment for musculoskeletal disorders; intra-articular injection of steroid is a common treatment for osteoarthritis of the knee. This study aimed to investigate the efficacy of Shock wave therapy versus Corticosteroid intra articular injection in case of knee osteoarthritis. Methods: Sixty patients were diagnosed mild to moderate knee osteoarthritis; they were included in the study. Their ages were 43:65 years with mean age 50 ± 3.5 years. Patients were divided randomly into three equal groups, group (A) received shock wave therapy, group (B) received two intra-articular injections of corticosteroid at 1-month intervals and group (C) received sham shock wave. The outcome measurements were Western Ontario and McMaster Universities arthritis index (WOMAC) values, knee ROM, and pain severity using the visual analogue scale (VAS) were recorded. The patients were evaluated for these parameters before allocated in their groups then after 1, 2, and 6months later. Results: compared to sham group there were significant improvement of VAS and ROM of shock wave group and corticosteroid injection group than sham (placebo) group (p<0.000), (p<0.006, and 0.02) respectively. Furthermore there was significant improve of shock wave group than corticosteroid injection group where p was <0.000 for VAS, ROM and (WOMAC). Conclusion: The results of this study suggested that shock wave therapy may provide effective modality for relieving pain, increase Range of motion and improve function in knee osteoarthritis patient than intra articular corticosteroid injection

Effect of transcranial direct current stimulation on dysphagia in patients with post thermal inhalation injury: A randomized controlled trial

Background: The most dangerous complications of post-thermal inhalation injury dysphagia are aspiration risks and the inability to efficiently manage solid food textures, which almost persist for weeks and even for months. Objectives: To investigate the effect of transcranial direct current stimulation (tDCS) to conventional therapy for treating post thermal inhalation injury dysphagia. Participants and Methodology: Sixty patients aged from 13 to 35, suffering from post-thermal inhalation injury dysphagia were randomly allocated into two equal groups. The experimental group(A) received 2-mA tDCS through 2 surface electrodes, three times/week for 3 weeks plus conventional physical therapy. While the control group (B) received sham tDCS as a placebo plus the same conventional physical therapy. The Mann Assessment of Swallowing Ability (MASA) as well as Video fluoroscopy Swallow Study (VFSS) were used to assess the swallowing ability in both groups before and after 3 weeks of intervention. Outcome measures included oral transportation time, hyoid elevation, laryngeal elevation, the oesophageal sphincter opens, and aspiration measured by VFSS as well as swallowing ability measured by the MASA. Results: Post-treatment results showed a significant decrease in the oral transportation time, hyoid elevation, laryngeal elevation, the oesophageal sphincter opens, and aspiration, as well as outcomes of the MASA in both groups in favour of the tDCS group(p < .05). Conclusion: Application of tDCS has a significant effect as an adjuvant strategy during swallowing training in patients with post thermal inhalation injury dysphagia