Физиотерапия

[dr_medvedev]

Сообщение от V. ZAITSEV

Михаил Владимирович!
Если не затруднит, просмотри ещё раз, с чего это началось, все то, что наговорили Вы мне по сравнению с тем, что ответил Вам я.

Владимир Яковлевич! По количеству Вы наговорили несомненно меньше, но вот с "личным сообщением" и "восторженным почитателем (читай - подхалим)" как-то зацепили Вы меня. Я, повторюсь, лично оскорблять и унижать Вас не хотел.

Я думаю, что пора нам эту тему закрывать. Она не интересна другим участникам форума. Тем более, что мы отошли от темы.

[Surgeon04]

Обновлю тему. Потому как я-таки нашёл исследование по эффективности физиотерапии! И даже два в исполнении одних и тех же авторов! Правда, результаты для поклонников физиолечения не очень радужные.

Stasinopoulos D, Stasinopoulos I
Title: Comparison of effects of Cyriax physiotherapy, a supervised exercise programme and polarized polychromatic non-coherent light (Bioptron light) for the treatment of lateral epicondylitis [with consumer summary]
Method: clinical trial

Method Score: 5/10 [Eligibility criteria: Yes; Random allocation: No; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*
Abstract: OBJECTIVE: To compare the effectiveness of Cyriax physiotherapy, a supervised exercise programme, and polarized polychromatic non-coherent light (Bioptron light) in the treatment of lateral epicondylitis. DESIGN: Controlled clinical trial. SETTING: Rheumatology and rehabilitation centre. SUBJECTS: This study was carried out with 75 patients who had lateral epicondylitis. They were allocated to three groups by sequential allocation. INTERVENTIONS: Group A (n = 25) was treated with Cyriax physiotherapy. A supervised exercise programme was given to group B (n = 25). Group C (n = 25) received polarized polychromatic non-coherent light (Bioptron light). All patients received three treatments per week for four weeks. OUTCOMES: Pain was evaluated using a visual analogue scale and function using a visual analogue scale and pain-free grip strength at the end of the four-week course of treatment (week 4), one month (week 8), three months (week 16) and six months (week 28) after the end of treatment. RESULTS: The supervised exercise programme produced the largest effect in the reduction of pain and in the improvement of function at the end of the treatment (p < 0.05) and at any of the follow-up time points (p < 0.05). CONCLUSION: The supervised exercise programme should be the first treatment option for therapists when they manage lateral epicondylitis patients. If this is not possible, Cyriax physiotherapy and polarized polychromatic non-coherent light (Bioptron light) may be suitable.

Видимо, определенная ангажированность исследования была, судя по выводам.


Comparison of effects of exercise programme, pulsed ultrasound and transverse friction in the treatment of chronic patellar tendinopathy
Dimitrios Stasinopoulos
Ioannis Stasinopoulos

Objective: To compare the effectiveness of an exercise programme, pulsed ultrasound and transverse friction in the treatment of chronic patellar tendinopathy.

Design: Randomized controlled trial.

Setting: Rheumatology and Rehabilitation Centre.

Subjects: This study was carried out with 30 patients who had chronic patellar tendinopathy. They were randomized into three groups.

Interventions: Group A (n = 10) was treated with exercise programme. Pulsed ultrasound was given to group B (n = 10). Group C (n = 10) received transverse friction. All patients received three treatments per week for four weeks.

Outcomes: Patients' pain was evaluated at the end of the four-week course of treatment (week 4), one month (week 8) and three months (week 16) after the end of treatment.

Results: The exercise programme was statistically significantly better than the other two treatments at the end of treatment (x2 = 12.21, p < 0.01), one month (x2 = 23.2, p < 0.001) and three months (x2 = 23.2, p < 0.001) after the end of the treatment.

Conclusion: Although the results suggested that the exercise programme was more effective treatment than ultrasound and transverse friction at the end of the treatment as well as at the follow-ups, future controlled studies are needed to establish the relative and absolute effectiveness of each of the three treatment interventions.

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[Dr.]

"Их" физиотерапия и "наша" физиотерапия - разные вещи. Магнита, УВЧ, АЗЛК и пр. там нет . Там это в основном "терапия специальными упражнениями".

[Наталья П.]

На группах пациентов в 25 и 10 человек в данном случае невозможно получить статистически значимых эффектов. Это не доказательства.
Читайте книги по клинической эпидемиологии. Тема закрыта.