BACKGROUND:Hyperthermia equipment using a 434 MHz applicator with water bolus elevate to therapeutic temperatures (from 41 to 45 degrees C) delineated volumes of tissue target, down to a depth of 3 to 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: A prospective randomised controlled design was used. Forty patients, 29 males and 11 females, with mean age of 26.2+/-3 ranging between 18 and 35 years affected by acute muscular injuries of different sites and severity participated this study. Twenty-one patients received hyperthermia (group A) and the remaining 19 (group B) ultrasound. Both groups received nine applications, three times per week with a duration of 30' for the group (A), and 15' for the group (B). All the patients underwent a clinical examination including a pain measurement and a ultrasound scanning before, at the end and after one month follow-up. An additional ultrasonography was made after the fourth session to compare the effect of each treatment on the initial course of haematoma resolution. RESULTS: Both groups had a significant decrease of the pain (p< 0.001). The hyperthermia group showed a significantly higher effect on VAS score and on haematoma resolution after two weeks of treatment. CONCLUSIONS: Even with a limited number of cases our results show that the hyperthermia is a highly innovative, safe and reliable modality for the treatment of acute sport muscle injuries.
RCT Entities:
BACKGROUND:Hyperthermia equipment using a 434 MHz applicator with water bolus elevate to therapeutic temperatures (from 41 to 45 degrees C) delineated volumes of tissue target, down to a depth of 3 to 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: A prospective randomised controlled design was used. Forty patients, 29 males and 11 females, with mean age of 26.2+/-3 ranging between 18 and 35 years affected by acute muscular injuries of different sites and severity participated this study. Twenty-one patients received hyperthermia (group A) and the remaining 19 (group B) ultrasound. Both groups received nine applications, three times per week with a duration of 30' for the group (A), and 15' for the group (B). All the patients underwent a clinical examination including a pain measurement and a ultrasound scanning before, at the end and after one month follow-up. An additional ultrasonography was made after the fourth session to compare the effect of each treatment on the initial course of haematoma resolution. RESULTS: Both groups had a significant decrease of the pain (p< 0.001). The hyperthermia group showed a significantly higher effect on VAS score and on haematoma resolution after two weeks of treatment. CONCLUSIONS: Even with a limited number of cases our results show that the hyperthermia is a highly innovative, safe and reliable modality for the treatment of acute sport muscle injuries.
Authors: Gian Nicola Bisciotti; Piero Volpi; Maurizio Amato; Giampietro Alberti; Francesco Allegra; Alessandro Aprato; Matteo Artina; Alessio Auci; Corrado Bait; Gian Matteo Bastieri; Luca Balzarini; Andrea Belli; Gianandrea Bellini; Pierfrancesco Bettinsoli; Alessandro Bisciotti; Andrea Bisciotti; Stefano Bona; Lorenzo Brambilla; Marco Bresciani; Michele Buffoli; Filippo Calanna; Gian Luigi Canata; Davide Cardinali; Giulia Carimati; Gabriella Cassaghi; Enrico Cautero; Emanuele Cena; Barbara Corradini; Alessandro Corsini; Cristina D'Agostino; Massimo De Donato; Giacomo Delle Rose; Francesco Di Marzo; Francesco Di Pietto; Drapchind Enrica; Cristiano Eirale; Luigi Febbrari; Paolo Ferrua; Andrea Foglia; Alberto Galbiati; Alberto Gheza; Carlo Giammattei; Francesco Masia; Gianluca Melegati; Biagio Moretti; Lorenzo Moretti; Roberto Niccolai; Antonio Orgiani; Claudio Orizio; Andrea Pantalone; Federica Parra; Paolo Patroni; Maria Teresa Pereira Ruiz; Marzio Perri; Stefano Petrillo; Luca Pulici; Alessandro Quaglia; Luca Ricciotti; Francesco Rosa; Nicola Sasso; Claudio Sprenger; Chiara Tarantola; Fabio Gianpaolo Tenconi; Fabio Tosi; Michele Trainini; Agostino Tucciarone; Ali Yekdah; Zarko Vuckovic; Raul Zini; Karim Chamari Journal: BMJ Open Sport Exerc Med Date: 2018-05-24