Ward R S, Hayes-Lundy C, Reddy R, Brockway C, Mills P, Saffle J R
Division of Physical Therapy, University of Utah Health Sciences Center, Salt Lake City 84112.
J Burn Care Rehabil. 1994 Jan-Feb;15(1):74-9. doi: 10.1097/00004630-199401000-00014.
This study compared results of patients who received standard burn physical therapy and topical ultrasound with patients who received standard care alone to investigate the effect of topical therapeutic ultrasound on range of motion and pain in patients with burns. Fourteen burned extremities were studied. Eight joints were randomized to treatment with ultrasound followed by 10 minutes of passive stretching. Six joints received placebo ultrasound treatments and stretching. All treatments were performed every other day throughout a 2-week study period. Joint range of motion was measured before and after each treatment, and patients estimated the pain of the procedure. Patients and therapists were blinded to the treatment group. Analysis of the data revealed no differences in range of motion or perceived pain between the two groups. The effect of ultrasound on range of motion and pain was not predictable. We conclude that patients are not likely to improve from ultrasound treatment at our protocol parameters.
本研究比较了接受标准烧伤物理治疗和局部超声治疗的患者与仅接受标准护理的患者的结果，以调查局部治疗性超声对烧伤患者关节活动范围和疼痛的影响。研究了14个烧伤肢体。8个关节被随机分配接受超声治疗，随后进行10分钟的被动拉伸。6个关节接受安慰剂超声治疗和拉伸。在为期2周的研究期间，所有治疗均每隔一天进行一次。在每次治疗前后测量关节活动范围，患者对治疗过程中的疼痛进行评估。患者和治疗师对治疗组情况不知情。数据分析显示两组在关节活动范围或疼痛感知方面没有差异。超声对关节活动范围和疼痛的影响无法预测。我们得出结论，按照我们的方案参数，患者不太可能从超声治疗中获益。
