Original Research Article
Year: 2017 | Month: March | Volume: 7 | Issue: 3 | Pages: 190-201
Efficacy of Therapeutic Ultrasound versus Low Level Laser Therapy in the Management of Venous Ulcer
Subhashchandra Rai C1, K R Bhagavan2, Dhanesh Kumar K U3, Riyas Basheer K B4
1Assistant Professor, Nitte Institute of Physiotherapy, Derlakatte, Mangalore – 575018,
2Professor & HOD of Surgery, K.S Hegde Medical Academy, Mangalore – 575018
3Professor & Principal, Nitte Institute of Physiotherapy, Derlakatte, Mangalore – 575018
4Assistant Professor, Department of Physiotherapy, Malabar Medical College Hospital & Research Centre, Calicut – 673321,
Corresponding Author: Subhashchandra Rai C
ABSTRACT
Background: Venous ulcers are wounds that are thought to come to pass because of despicable execution of valves in the veins as a leg’s rule. They are the premier starting point of unending injuries, blending in 70% to 90% of incessant injury cases. The strict etiology of venous ulcers is not firm, but rather they are thought to emerge when venous valves that exist to avert reverse of blood don't work suitably, bringing about the weight in veins to enlarge. The body craves the weight slope in the middle of supply routes and veins with the end goal heart should pump blood forward through corridors into the veins. At the point when venous hypertension exists, courses no more have radically higher weight than veins, blood is not pumped as effectively into or out of the region, and it pools out. There is scarcity of proof in the writing evidence at the viability of Therapeutic Ultrasound and Low Level Laser Therapy in the administration of venous ulcers, so the present study concentrated on the administration and making utilization of the viable treatment among the two modalities. Objective was to determine whether the Therapeutic Ultrasound or Low Level Laser Therapy increases the healing of venous leg ulcers. And to compare the efficacy of Therapeutic Ultrasound and the Low Level Laser Therapy in the management of venous ulcer. The study design was randomized controlled study design. We recruited 300 subjects into three 3 groups(Low Level Laser Therapy, Therapeutic Ultrasound & Conservative Management Group) by using purposive sampling, which included male and female subjects; subjects were selected from the population group satisfying the inclusion criteria from the patients of the department of general surgery, K S Hegde Charitable Hospital, Derlakkatte, Mangalore. The areas of venous ulcers were traced by sterile transparency paper (cleaned with spirit). The area of venous ulcer will be measured by maximum length and width measurement with ruler, and by digitizer. All the subjects were evaluated for the wound measurement before starting of the treatment. Post outcome measurements were done at the end of 1st, 2nd, 3rd and 4th weeks. The changes in the variables were analyzed statistically and observations and conclusions were made accordingly. The mean deviousness size before the intervention was 32.34 cm2, at the fourth's end week the size was diminished to 29.24 cm2, it shows the arrangements are persuading for venous ulcer settling. After the end of fourth week wound size reduction was found in autonomous of treatment along the three interventions, and all are helping in treatment of venous ulcers. We didn't find any significance in wound size decline on each intervention quantifiably however clinically there is essential changes saw (since mean refinement in wound size pre and post intervention is more) in patients treated with Low Level Laser Therapy. From the study's outcome we watched that Low Level Laser Therapy is seen to be for the most part better than anything Therapeutic Ultrasound and the Conservative Treatment in organization of venous ulcer.
Key words: Low Level Laser Therapy (LLLT), Therapeutic Ultrasound, Conservative, Venous Ulcer, Wound Size.