Response of Ultrasound Therapy and Shortwave Diathermy on Oxidative Stress Parameters and Serum β-endorphins in Dogs Suffering from Hind Quarter Weakness

Background: Hind quarter weakness (HQW) is the loss of bilateral motor function of the rear limbs due to dysfunction of neural or muscular system. Animals are mostly presented with focal or generalized pain, varying degrees of paresis, paralysis and inability to urinate. Serum β- endorphin is an endogenous hormone released during stressful and painful events and functions almost exclusively in an inhibitory fashion. Moreover, electrical stimulation has been demonstrated to release endorphins at low frequencies. Methods: The present study was conducted to investigate the possible participation of endogenous opioid i.e. Serum β - endorphins and oxidative stress parameters in pain modulation and its variation in dogs suffering from hind quarter weakness subjected to ultrasound therapy and shortwave diathermy. Dogs were treated using therapeutic ultrasound (group I, n=6) and shortwave diathermy (group II, n=6) in combination with supportive drug therapy continued regularly for one week. Blood was collected on day 0, 3rd and 7th for oxidative stress estimation and regularly from the day of presentation till 7th day of treatment for serum β-endorphin estimation. Result: LPO values decreased significantly (P less than 0.05) from day 0 to 3 in group I and from day 0 to 7 in group II. SOD values showed a significant (P less than 0.05) decrease between day 0 and 7 in group II cases. A continuous progressive increasing trend in GSH was noticed which was significant (P less than 0.05) from day 3 to 7 in both groups. CAT values showed a significant (P less than 0.05) increase from day 0 to 7 in group II and non-significant (P less than 0.05) increase in group I. Serum β-endorphin values showed a significant (P less than 0.05) increase from day 4th to 6th in group I and between day 0, 1st, 3rd and 5th in group II. The variation in values throughout the treatment was suggestive of reduction in stress response and indicates improvement in dogs suffering from HQW.

Seasonal trends in ear, nose, throat and head, neck patients undergoing shortwave diathermy at a tertiary care centre of Punjab: a five-year study

Background: Shortwave diathermy, a therapeutic modality in acute inflammatory conditions of the ear, nose and neck has its utility in the paediatric, adolescent, middle age and the elderly. The seasonal variations of the patients enrolled in physiotherapy clinics for temporo-fascio-cervical diathermy sessions during a 5 years period, were analysed. Methods: 490 patients with inflammatory pathologies localized to the head and neck region and referred to the physiotherapy unit of a tertiary care centre of Punjab were analysed. All were subjected to shortwave diathermy. The subjects were analysed for any seasonal trends.Results: In the paediatric age group, maximum patients were observed in the month of March over the period of 5 years followed by the month of January. In the adolescent population maximum patients were observed in the month of November over the period of 5 years followed by the month of December. In the Adult population maximum patients were observed in the month of April over the period of 5 years followed by January and August.Conclusion: Paediatric patients came for regular sittings in the end of March end, i.e. post examination vacation period. The elderly visited mostly during winters. Malignant otitis externa with underlying diabetes worsens in winters due to increase in intake of sugary energy drinks.

Demographic profile of ear nose throat and head neck patients undergoing shortwave diathermy in a tertiary care centre of Punjab: a five-year study

<p class="abstract"><strong>Background: </strong>Short wave diathermy is a panacea in many otorhinolaryngology and head neck pathologies where either conservative therapeutic modality or surgical intervention has been undertaken. The profile of subjects who underwent short wave diathermy in a period of 5 year is discussed.</p><p class="abstract"><strong>Materials and Methods: </strong>490 subjects undergoing short wave diathermy in the otorhinolaryngology and physiotherapy services of a tertiary care centre of Punjab were analyzed during a period of five years. The subjects were studied for their demographic profile.</p><p class="abstract"><strong>Results: </strong>Maximum patients 42.24% (207 patients) who underwent shortwave diathermy were in the middle age group (21-60 years). Females 62.04% (304 patients) outnumbered the males 37.95% (186 patients). Maximum sittings of male patients were 54 (13.91%) and for females were 47 (12.11%) during the period 2015-2016.</p><p class="abstract"><strong>Conclusion:</strong> Short wave diathermy is an effective pain therapy for inflammations of ear, nose neck and the maxillofacial region. </p>

Efficacy of shortwave diathermy in ulnar nerve entrapment at the elbow: a double-blind randomized controlled clinical trial

Objective: To investigate the efficacy of shortwave diathermy in treatment of ulnar nerve entrapment at the elbow. Design: The study was a double blind, randomized controlled clinical trial. Setting, participants: A total of 76 adult patients diagnosed with ulnar nerve entrapment at the elbow clinically and electrophysiologically, were randomly assigned into two groups. Patients were evaluated at baseline, after completing treatment and 1 and 3 months after treatment. Physical examination, quick-DASH (disabilities of arm, shoulder, hand) and SF-36 (short form) questionnaires for daily life activities, dynamometer for grip strength, and visual analog scale for pain were used. Intervention: A total of 10 sessions of shortwave diathermy were applied to patients in treatment group as five sessions/week, 2 weeks. Control group was given placebo shortwave diathermy. Both groups were given elbow splints and informed to avoid symptom provoking activities. Main outcome measures: Visual analog scale, grip strength, SF-36, and quick-DASH results. Results: Out of 76 patients, 61 of them completed the study where n = 31 for treatment group and n = 30 for control group. Mean age was 46.18 ± 13.45 years. There were 32 (52.5%) women and 29 (47.5%) men. The p values between groups 3 months after intervention for visual analog scale, quick-DASH, SF-36 questionnaire, and dynamometer were 0.669, 0.277, 0.604, and 0.126, respectively ( p > 0.05). Conclusion: Application of shortwave diathermy to patients with ulnar nerve neuropathy at the elbow was not associated with any difference in outcome.