https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2017.137

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 5; Issue 3 (June 2017)

Page No.: 2066-2072

DOI: https://dx.doi.org/10.16965/ijpr.2017.137

A RANDOMISED CONTROLLED STUDY TO EVALUATE THE EFFECTIVENESS OF SHORTWAVE DIATHERMY IN ACUTE SINUSITIS

Anand B Heggannavar *1, Anil S Harugop 2, Divya M Madhale 3, Linata S Walavalkar 4.

*1 Associate Professor, Orthopaedic Manual Therapy, KLE University, Institute of Physiotherapy, Belagavi, Karnataka, India.

2 Head of the Department and Professor, E.N.T and H.N.S, Jawaharlal Nehru Medical College, Belagavi, Karnataka, India.

3,4 Physiotherapist, KLE University. Institute of Physiotherapy, Belagavi, Karnataka, India.

Address for Correspondence: Dr Anand B Heggannavar, MPT, Associate Professor, Orthopaedic Manual Therapy, KLE University, Institute of Physiotherapy, Belagavi, Karnataka, India. E-Mail: anandhegs@yahoo.co.in 

ABSTRACT

Background: Sinusitis is the inflammation of the mucous lining of any or all of the paranasal sinuses. It is a very common condition with a high incidence rate. It also shows high recurrence of symptoms which causes high damage to the patient and disables him/her to carry out daily activities efficiently. Availability of medical options has increased but so has the rate of antibiotics resistance. Therefore, it becomes a necessity to prevent recurrence of symptoms by providing an adequate overall treatment in the initial i.e. the acute phase of sinusitis. Shortwave diathermy is a deep heating modality. Extensive literature is available on various medical and surgical treatment options for sinusitis but there is lack of sufficient evidence on use of shortwave diathermy- a physiotherapy modality, for the cases of sinusitis. Hence, this study is done to evaluate the effectiveness of shortwave diathermy in acute sinusitis.

Materials and Methods: 30 subjects between 18- 50 years age with acute sinusitis were referred by E.N.T. department of KLES Dr. Prabhakar Kore Hospital. They were divided into 2 groups with 15 subjects in each group randomly where allocation was done by envelope method. Subject in Group A were treated with placebo SWD (20 minutes) and medications for 5 days. Subjects in Group B were treated with shortwave diathermy (20 minutes) and medications for 5 days. Outcome was measured with help of SNOT-22 (Sinonasal Outcome Test -22) questionnaire which was filled on first day prior to the treatment session and on the fifth day after the completion of five treatment sessions. To assess the changes in pre-treatment and post-treatment symptoms in both the groups, the data was analyzed with the paired t-test.

Results: The percentage of change in SNOT-22 scores pre-treatment and post-treatment in Group A was 23.36% whereas in Group B was 46.54%.

Conclusion: Shortwave diathermy along with medications is more effective then placebo SWD along with medications in treatment of acute sinusitis.

Key words: Acute sinusitis, Shortwave Diathermy, Sinonasal Outcome Test-22.

REFERENCES

  1. BD. Chaurasia’s Human Anatomy; 5th edition; Volume 3; Page no. 230.
  2. Fundamentals of Ear, Nose and Throat and Head-Neck Surgery; 9th edition.
  3. According to statistics (Aug.2016), Sinusitis is a very common condition and accounts for more than 10million cases per year in India,- www.google.co.in/search?q=Sinusitis TOI, Pratibha Masand |TNN |Apr 11,2012,12.14 AM IST.
  4. Sahlstrand- Johnson P, Ohlsson B, VonBuchwald C, Jannert M, Ahlner-Elmquist M; A multi- center study on quality of life and absenteeism in patient with chronic rhinosinusitis referred for endoscopic surgery.Rhino,2011 Oct;420-8. DOI: 10:4193/Rhino11.101 PIMD:21991567.
  5. A Short Textbook of E.N.T. Diseases by K.B. Bhargava, S.K.Bhargava, T.M.Shah; Page no. 192.
  6. Kerr A, Groves’s j, Scott-Brown’s otolaryngology. London: Butterworths; 1987.
  7. Smith K, Orlandi RR, Rudmik L performed a systematic review to estimate the cost of adult chronic rhinosinusitis and it was concluded that overall annual economic burden of CRS in the United States estimates to be $22 billion 014 USD (direct and indirect costs). Laryngoscope, 2015 Jul; 1547-56. DOI:10.1002/LARY.25180. Epub 2015 Jan 30. PIMD:25640115.
  8. Electrotherapy : Evidence Based Practice Edited by Sheila Kitchen; 11th edition; Page no. 145.
  9. Clayton’s Electrotherapy: Theory and Practice by Angela Fosster and Nigel Palastanga; 9th edition; Chapter 4; Page no. 112 & Page no 128.
  10. Basics of electrotherapy by Subhash M Khatri; 2nd edition; Page no. 75,77,78.
  11. Ference EH, Tan BK, Hulse KE, Chandra RK, Smith SB, Kern RC, Conley DB, Smith SS. Commentary on gender differences in prevalence, treatment, and quality of life of patients with chronic rhinosinusitis. Allergy & Rhinology. 2015;6(2):e82.
  12. Sing W J, Wang DY on efficacy and side effects of antibiotics in the treatment of acute rhinosinusitis. Rhinology. 2015 Mar; 53(1):3-9. Doi: 10.4193/Rhin13.225.
  13. Hollender A. shortwave diathermy in treatment of nasal sinusitis and allergic rhinitis. Journal of the American Medical Association. 1942;118(7):507. Available from: http://dx.doi.org/10.1001/jama.1942.02830070013004.
  14. Hopkins C, Gillet S, Slack R, Lund V, Browne J. Psychometric validity of the 22-items Sinonasal Outcome Test. Clinical Otolaryngology. 2009;34(5):447-454. Available from: http://dx.doi.org/10.1111/j.1749-4486.2009.0995.x.
  15. ‘Efficacy of Shortwave Diathermy in Patients with Sinusitis’- a study by Neesha Shinde, Shinde Kiran Jayawant. International Journal of Health Science & Research (www.ijhsr.com)2002;2(4).
  16. ‘The treatment of nasal sinus infection by ultra-shortwave’ by W.P.E. Paterson. M.D. Ottawa; The Canadian Medical Association Journal [May1940] Read at the Seventh Annual Meeting of the Canadian Medical Association, Section of Otolaryngology, Montreal, June22 1939.
  17. Goats G. Continuous short-wave radio-frequency) diathermy. British Journal ofSportsMedicine.1989;23(2):123127.Availablefrom:http://dx.doi.org/10.1136/bjsm.23.2.123.

Cite this article: Anand B Heggannavar, Anil S Harugop, Divya M Madhale, Linata S Walavalkar. A RANDOMISED CONTROLLED STUDY TO EVALUATE THE EFFECTIVENESS OF SHORTWAVE DIATHERMY IN ACUTE SINUSITIS. Int J Physiother Res 2017;5(3):2066-2072. DOI: 10.16965/ijpr.2017.137
Post Views: 0