Applicazione della termoterapia endogena nel trattamento delle lesioni muscolari da sport: studio comparativo tra ipertermia e ultrasuoni
Deutscher übersetzter Titel: | Endogene Thermotherapie in der Behandlung von Muskelverletzungen im Sport: vergleichende Untersuchung zwischen Hyperthermie und Ultraschall |
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Englischer übersetzter Titel: | Endogenous thermotherapy in the treatment of muscle lesions due to sport activity : a comparative study between hyperthermia and ultrasounds |
Autor: | Sorrenti, D.; Casciello, G.; Dragoni, S.; Giombini, A. |
Erschienen in: | Medicina dello sport |
Veröffentlicht: | 53 (2000), 1, S. 59-67, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource Elektronische Ressource (online) |
Sprache: | Italienisch |
ISSN: | 0025-7826, 1827-1863 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU200009000222 |
Quelle: | BISp |
Abstract des Autors
Background: Hyperthermia equipment produces electromagnetic energy using the frequency of 434 MHz, which through a surface cooling system (a rubber bag with a thermostat controlled liquid) allow to bring up the target tissues to therapeutic temperatures between 41°C and 45°C down to a depth of about 5 cm. The aim of our study was to evaluate the efficacy of hyperthermia in the treatment of muscle injuries, in comparison with a conventional modality like ultrasound. Methods: We enrolled 62 patients (40 males and 22 females, with mean age of 30.1+/-9.3 ranging between 17 and 52 years affected by acute muscular injuries of different sites and severity. Fourty-three patients with a mean age of 30.5+/-9.9 received hyperthermia (group A) and the remaining 19 with a mean age of 28.2+/-8.2 (group B) ultrasound. Both groups received 8 applications, three times per week with a duration of 30' for the group (A), and 10' for the group (B). All the patients underwent a clinical examination including a pain measurement with a visual analogue scale (VAS) and a ultrasound scanner before, at the end and after one month follow-up. Results: Both groups had a significant decrease of the pain (p<0.01) even if the percentage of improvement was greater in the group treated with hyperthermia as compared with the ultrasound. In the group (A) the ultrasound scanner detected also a faster resolution of the haematoma after 2 weeks of treatment. There were neither complications nor reoccurence at the follow-up in the group (A), while 2 reoccurences and 1 calcification sized 2 cm occurred in a case of pectoralis major injury in group (B). Conclusions: From this preliminary study, it seems that the hyperthermia is a highly innovative, safe and reliable modality for the treatment of acute sport muscle injuries. Further research is required with prospective controlled randomized trials, adopting a placebo group and other conventional heating systems. Verf.-Referat