Pulsed Electromagnetic Field, Whole Body Vibration, Burns
Conditions
Brief summary
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
Detailed description
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
Interventions
DEVICEwhole 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
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), for 15 minutes per day, 3 times per week for 6 weeks, the physiotherapist will be sitting beside the patient
OTHERtraditional 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.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
25 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
1. Both sex. 2. Their ages will be ranged from 25 to 40 years. 3. Have second degree burn of 10 % to 25 %. 4. Their body mass index (BMI) will not exceed 34.9 Kg/m2. 5. All patients will be clinically and medically stable when attending the study.
Exclusion criteria
1. Unstable cardiovascular problems like arrhythmia and heart failure. 2. Diabetes mellitus. 3. Chronic chest disease. 4. Patients on medications affecting muscle power as steroids. 5. Auditory and visual problems. 6. Pregnancy & lactation. 7. Patients with history of epilepsy. 8. Clinically significant peripheral vascular disease. 9. Musculoskeletal or neurological limitation to physical exercise. 10. Any cognitive impairment that interferes with prescribed exercise procedures. 11. Amputation of lower limb.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of change on quadriceps muscle strength using hand-held dynamometer | at baseline and after 6 weeks | The study involves a bolster positioning to ensure a 35° knee flexion angle, verified using a goniometer. Participants are instructed to maintain their knee in contact with the bolster, with the dominant leg flexed at the hip and knee to stabilize the pelvis. Hips and buttocks are kept flat on the couch, and knee contact is maintained to maintain the angle. Participants are asked to push maximally against the pad to straighten their leg from the knee. |
Countries
Egypt
Contacts
Primary ContactAya Talaat Mustafa, physical therapist
Outcome results
None listed