Effect of Adding Physiotherapy Program to the Conservative Medical Therapy on Quality of Life and Pain in Chronic Rhinosinusitis Patients
Objective To assess the effectiveness of combining physiotherapy techniques with conservative medical treatment in chronic rhinosinusitis (CRS) patients. Methods Sixty-eight volunteers with CRS were randomly assigned. Group A received only traditional medical treatment, whereas group B received a ph...
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2023-10-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://e-arm.org/upload/pdf/arm-23058.pdf |
| _version_ | 1797628907310022656 |
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| author | Khaled Z. Fouda Hadaya M. Eladl Mariam A. Ameer Nesma M. Allam |
| author_facet | Khaled Z. Fouda Hadaya M. Eladl Mariam A. Ameer Nesma M. Allam |
| author_sort | Khaled Z. Fouda |
| collection | DOAJ |
| description | Objective To assess the effectiveness of combining physiotherapy techniques with conservative medical treatment in chronic rhinosinusitis (CRS) patients. Methods Sixty-eight volunteers with CRS were randomly assigned. Group A received only traditional medical treatment, whereas group B received a physiotherapy program that included pulsed ultrasound therapy, sinus manual drainage techniques, and self-sinus massage technique in addition to traditional medical treatment. Interventions were applied 3 sessions a week for 4 weeks. The rhinosinusitis disability index (RSDI) served as the main outcome indicator for assessing the quality of life, and the secondary outcome measure was the pressure pain threshold (PPT) using a pressure algometer. Results Wilcoxon signed rank test revealed a significant reduction (p<0.001) in total RSDI values from 71.08±1.13 pretest to 47.14±1.15 posttest for group A, while it decreased from 70.64±1.20 pretreatment to 31.76±1.04 posttreatment for group B; furthermore, Mann–Whitney U-test revealed a significant difference (p<0.001) in total RSDI values between both groups when comparing the change of the pre-post data values, it was 23.94±0.95 for group A and 38.88±0.67 for group B. The independent t-test revealed a highly statistically significant increase (p<0.001) in the PPT values in the experimental group compared to the control group. Conclusion The physiotherapy program which included pulsed ultrasound therapy, sinus manual drainage technique, and self-sinus massage technique in conjunction with conventional medical treatment was more beneficial for enhancing the quality of life and PPT than traditional medical treatment alone in CRS patients. |
| first_indexed | 2024-03-11T10:45:46Z |
| format | Article |
| id | doaj.art-37970def3d254a51aa55181ab32eec02 |
| institution | Directory Open Access Journal |
| issn | 2234-0653 |
| language | English |
| last_indexed | 2024-03-11T10:45:46Z |
| publishDate | 2023-10-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-37970def3d254a51aa55181ab32eec022023-11-14T05:27:24ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06532023-10-0147539340210.5535/arm.230584331Effect of Adding Physiotherapy Program to the Conservative Medical Therapy on Quality of Life and Pain in Chronic Rhinosinusitis PatientsKhaled Z. Fouda0Hadaya M. Eladl1Mariam A. Ameer2Nesma M. Allam3 Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Egypt Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Science, Jouf University, Sakaka, Kingdom of Saudi Arabia Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Science, Jouf University, Sakaka, Kingdom of Saudi Arabia Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Science, Jouf University, Sakaka, Kingdom of Saudi ArabiaObjective To assess the effectiveness of combining physiotherapy techniques with conservative medical treatment in chronic rhinosinusitis (CRS) patients. Methods Sixty-eight volunteers with CRS were randomly assigned. Group A received only traditional medical treatment, whereas group B received a physiotherapy program that included pulsed ultrasound therapy, sinus manual drainage techniques, and self-sinus massage technique in addition to traditional medical treatment. Interventions were applied 3 sessions a week for 4 weeks. The rhinosinusitis disability index (RSDI) served as the main outcome indicator for assessing the quality of life, and the secondary outcome measure was the pressure pain threshold (PPT) using a pressure algometer. Results Wilcoxon signed rank test revealed a significant reduction (p<0.001) in total RSDI values from 71.08±1.13 pretest to 47.14±1.15 posttest for group A, while it decreased from 70.64±1.20 pretreatment to 31.76±1.04 posttreatment for group B; furthermore, Mann–Whitney U-test revealed a significant difference (p<0.001) in total RSDI values between both groups when comparing the change of the pre-post data values, it was 23.94±0.95 for group A and 38.88±0.67 for group B. The independent t-test revealed a highly statistically significant increase (p<0.001) in the PPT values in the experimental group compared to the control group. Conclusion The physiotherapy program which included pulsed ultrasound therapy, sinus manual drainage technique, and self-sinus massage technique in conjunction with conventional medical treatment was more beneficial for enhancing the quality of life and PPT than traditional medical treatment alone in CRS patients.http://e-arm.org/upload/pdf/arm-23058.pdfsinusitisquality of lifepain thresholdultrasound therapymanual therapy |
| spellingShingle | Khaled Z. Fouda Hadaya M. Eladl Mariam A. Ameer Nesma M. Allam Effect of Adding Physiotherapy Program to the Conservative Medical Therapy on Quality of Life and Pain in Chronic Rhinosinusitis Patients Annals of Rehabilitation Medicine sinusitis quality of life pain threshold ultrasound therapy manual therapy |
| title | Effect of Adding Physiotherapy Program to the Conservative Medical Therapy on Quality of Life and Pain in Chronic Rhinosinusitis Patients |
| title_full | Effect of Adding Physiotherapy Program to the Conservative Medical Therapy on Quality of Life and Pain in Chronic Rhinosinusitis Patients |
| title_fullStr | Effect of Adding Physiotherapy Program to the Conservative Medical Therapy on Quality of Life and Pain in Chronic Rhinosinusitis Patients |
| title_full_unstemmed | Effect of Adding Physiotherapy Program to the Conservative Medical Therapy on Quality of Life and Pain in Chronic Rhinosinusitis Patients |
| title_short | Effect of Adding Physiotherapy Program to the Conservative Medical Therapy on Quality of Life and Pain in Chronic Rhinosinusitis Patients |
| title_sort | effect of adding physiotherapy program to the conservative medical therapy on quality of life and pain in chronic rhinosinusitis patients |
| topic | sinusitis quality of life pain threshold ultrasound therapy manual therapy |
| url | http://e-arm.org/upload/pdf/arm-23058.pdf |
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