Query: Short Wave Diathermy

title: Effects of Short Wave Diathermy Added on Dextrose Prolotherapy Injections in Osteoarthritis of the Knee.
abstract: To show the effects of short wave diathermy (SWD) added on prolotherapy injections in osteoarthritis (OA) of the knee on pain, physical functioning, and quality of life.  This is a single blinded randomized controlled study.  Physical Medicine and Rehabilitation Department of a university hospital.  Sixty three patients with OA of the knee with Kellgren Lawrence class 2 or 3 were included in the study.  Patients were randomized into two groups, first being dextrose prolotherapy+SWD and the second being dextrose prolotherapy with sham SWD. Patients were injected with dextrose prolotherapy solutions in the beginning, third, and sixth week of the study, for a total of three times, and took 20 min of SWD after injection (true or sham) Outcome measures: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Visual Analogue Scale (VAS) for pain, and Short Form Health Survey (SF 36) were applied before, after (sixth week) and at the third month of treatment.  Both groups showed improvements in VAS, WOMAC, and SF 36 scores (p 0.05) Between group analyses showed no significant differences (p 0.05)  This study shows that prolotherapy is effective for pain, functionality, and quality of life in patients with OA of the knee. The effects of additional SWD require more evidence. More studies of higher quality are required to make a statement.

title: PERBEDAAN ANTARA INTERVENSI SHORT WAVE DIATHERMY DENGAN CRYOTHERAPY TERHADAP SKALA FUNGSI PENDERITA OSTEOARTHRITIS LUTUT
abstract: Osteoarthritis (OA) adalah gangguan kronis pada sendi synovial, yaitu terjadi pelunakan yang progresif dan kerusakan pada tulang rawan sendi yang mengakibatkan nyeri dan gangguan fungsi. OA lutut simtoma tik terjadi pada 10% laki laki dan 13% wanita yang berusia 60 tahun ke atas. Tujuan dari penelitian ini adalah untuk melihat perbedaan antara intervensi short wave diathermy (SWD) dan cryotherapy terhadap skala fungsi pasien OA lutut dengan munggunakan VAS, WOMAC, dan 10MWT. Metode penelitian ini adalah experimental dengan consecutive sampling. Pasien diukur tingkat fungsional sebelum dan sesudah satu kali terapi SWD (15 pasien) atau cryotherapy (15 pasien) menggunakan skala VAS, WOMAC dan 10MWT. Hasil penelitian pada pasien yang menerima SWD, rata rata nilai VAS menurun dari 4,400 menjadi 2,467 (p 0,003) rata rata nilai WOMAC menurun dari 24,600 menjadi 15,200 (p 0,004) dan rata rata nilai 10MWT menurun dari 8,361 menjadi 7,891 (p 0,789) Pada pasien yang menerima cryotherapy, rata rata nilai VAS menurun dari 5,467 menjadi 2,867 (p 0,003) rata rata nilai WOMAC menurun dari 35,000 menjadi 23,867 (p 0,003) dan rata rata nilai 10MWT meningkat dari 8,907 menjadi 8,946 namun tidak bermakna (p 0,691) Pada satu kali terapi SWD dan cryotherapy mampu menurunkan VAS dan WOMAC secara signi fikan, namun belum cukup untuk memperbaiki 10MWT. Tetapi pada perbandingan antara kedua kelompok SWD dengan cryotherapy tidak terdapat berbedaan yang bermakna. Kesimpulannya, terdapat perbedaan skala fungsi pasien OA lutut dari VAS dan WOMAC pada intervensi SWD atau cryotherapy. Pada penilaian 10MWT tidak terdapat perbedaan pada intervensi SWD atau cryotherapy.

title: Comparative Evalaution of the Effects of Short Wave Diathermy, Ultrasound, and TENS on Pain and Physical Functions in Knee Osteoarthritis
abstract: (c)Copyright 2020 by University of Health Sciences Turkey, Gaziosmanpasa Training and Research Hospital. Available on line at www.jarem.org  Short wave diathermy (SWD) ultrasound (US) and Transcutaneous Electrical Nerve Stimulation (TENS) are commonly used agents in physical therapy treatments. This study aimed to evaluate the therapeutic effects of these physical therapy agents in women with bilateral knee osteoarthritis (OA)

title: SHORT WAVE DIATHERMY IN PATIENTS WITH CHRONIC LOW BACK PAIN: A SYSTEMATIC REVIEW
abstract: The aim of this study was to evaluate the evidence of application of short wave diathermy (SWD) in individuals with chronic low back pain (CLBP) and its prescription parameters. The data sources (MEDLINE, PubMed, LILACS, DARE, PsycINFO, AusportMed, SciELO, PEDro and the Cochrane Central Register of Controlled Trials) were systematically searched for articles published up to December 2017. Randomized and non randomized clinical trial studies that investigated the effect of the application of SWD on CLBP were selected. Two independent reviewers assessed the risk of bias in studies using the Jadad and the Downs Black scales. Five studies (731 patients) were included, all of whom presented improvements in CLBP. The majority used continuous mode SWD, with only one using pulsed mode (82 and 200 Hz) SWD produced improvements in CLBP, but there is limited evidence for its application, and a lack of standardization of the parameters used. Furthermore, the results that address this topic should be interpreted with caution due to their low methodological quality and limited number.

title: A Clinical Review on Low Dose Short Wave Diathermy Therapy as a Physical Antibiotic on Covid 19 Pneumonia
abstract: COVID 19 pandemic mostly affects respiratory system resulting in cough, sputum production, dyspnoea, hypoxemia as in pneumonia. Currently, 5 of COVID 19 cases require admission to ICU due to respiratory distress. The global current treatment options mostly followed for ARDS due to COVID 19 pneumonia include high flow nasal canula (HFNC) non invasive ventilation (NIV) mechanical ventilation with lower tidal volumes and continuous positive airway pressure (CPAP) There is high risk of aerosol dispersion during these techniques provoking the risk of cross infection, as most of the COVID 19 hospitals are not having negative pressure isolation rooms. There is also an acute shortage of mechanical ventilators globally. Short Wave Diathermy is a physical therapy antibiotic which has antimicrobial effects, possessing the capacity to reduce cyanosis, pain, dyspnoea, cardiac embarrassment and induces restful sleep. Short wave diathermy with acute precautionary measures could be beneficial in reducing the temperature, improving circulation, reducing respiratory rate, grunt and Pain.

title: Response Of Frozen Shoulder To Six Weeks Of Short Wave Diathermy And Supervised Active Exercises: A Case Report
abstract: The shoulder is a unique anatomical structure with a complex range of motion that allows us to function effectively in our environment. Frozen shoulder is a disabling disorder involving glenohumeral pain and loss of motion. The pain and restricted movement associated with frozen shoulder affect patient's functionality making therapeutic intervention  Shoulder disorders such as frozen shoulder have constituted a major disability and apprehension among the sufferers. This gives rise to the need to understand the underlying causes and management of the disorder. Although, findings from literature are inconclusive, shortwave diathermy and supervised active exercises have been recorded to be effective in the management of frozen shoulder. Mrs. B. is a 54year old woman who was diagnosed of (L) frozen shoulder and presented at physiotherapy clinic (out patient department) for physiotherapy. Prior to the diagnosis, she presented with four months' history of painful and restricted active and passive glenohumeral joint range of motion. The range of motion of the (L) shoulder was limited in all direct ions on examination. Shortwave diathermy and supervised active exercises were introduced after thorough examination. After six weeks of shortwave diathermy and supervised active exercises, patient recorded a remarkable improvement in pain and range of motion of the (L) shoulder. Findings from this study showed that shortwave diathermy and supervised active exercises are effective in the management of frozen shoulder as they showed a remarkable improvement in pain and range of motion after six weeks of both therapies. Other studies have also recorded the effectiveness of shortwave diathermy and supervised active exercises in the management of frozen shoulder. Supervised active exercises help to increase the range of motion and relieve pain while shortwave diathermy relieves pain and improves tissue extensibility. The preference for shortwave diathermy over other electrotherapy modalities in this study is because it is effective in management of deep rooted pains and it covers a large area of skin. The study showed that shortwave diathermy and supervised active exercises increase the rate of frozen shoulder resolution. However, a wider study involving many patients should be carried out to further ascertain the efficacy of shortwave diathermy and supervised active exercises in the management of frozen shoulder as used in this study as the outcome on one patient may not be adequate to generalize their effectiveness to the wider population. Lastly, emphasis should be laid on the use of active exercises as preventive measures rather than treatment in the management of frozen shoulder.

title: Comparison between platelet rich plasma injection, corticosteroid injection and short wave diathermy in the management of pain and the improvement of functional outcome in the patients suffering from adhesive capsulitis of the shoulder: a randomized controlled trial
abstract: Adhesive capsulitis of shoulder is characterized by pain and restricted range of motion and has a wide variety of treatment options without any substantial evidence. Platelet rich plasma (PRP) is one of the newer treatment modalities and its efficacy needs to be compared with other routine treatment modalities.  A randomized controlled trial was conducted in the Department of Physical Medicine and Rehabilitation, Regional Institute of Medical Sciences (RIMS) Imphal for a period of 1 year February 2019 to January 2020. One hundred ninety five patients with adhesive capsulitis recruited and randomized, patients received single PRP injection (2 ml) or corticosteroid (80 mg methyl prednisolone) or shortwave diathermy (10 settings continuous mode using 27.12 MHz)  The primary outcome measure was active range of motion of the shoulder and the secondary outcome measures included Visual analogue scale (VAS) for pain and a shortened version of Disabilities of the Arm, Shoulder and Hand (Quick DASH) for function. Patients were evaluated at 0, 3, 6 and 12 weeks. Chi square test and ANOVA were used to determine significant differences. PRP treatment resulted in statistically significant improvement over corticosteroid at 12 weeks and over short wave diathermy therapy at 6 weeks.  This study demonstrates that single injection of PRP is more effective than corticosteroid or short wave diathermy in the treatment of adhesive capsulitis of shoulder.

title: The Therapeutic Efficiency of Hyperthermia Compared with Short Wave Diathermy

title: COMPARISON OF SHORT WAVE DIATHERMY TO ULTRA SONIC THERAPY FOR DECREASING PAIN AND INCREASING RANGE OF MOTION IN ADHESIVE CAPSULITIS

title: Short wave diathermy in the clinical management of musculoskeletal disorders: a pilot observational study
abstract: Musculoskeletal disorders are the most common cause of pain and functional limitation in the general population. The study aim was to evaluate short wave diathermy (SWD) effects on pain and quality of life in people with musculoskeletal disorders. Eighty participants (31 men, mean age 56 12.49 years) were enrolled, recruiting from outpatient clinics at the Rehabilitation Unit, University Hospital, Padova. Inclusion criteria were pain lasting more than 15 days, pain visual analog scale (VAS) score higher than 50/100 mm, and a diagnosis of osteoarthritis, neck/back pain, or tendinopathies. All participants underwent ten sessions of percutaneous SWD, 3 times/week. Each session lasted 15 20 min, with frequencies of 4 or 8 MHz and heat intensity between 40 and 60 W. Outcomes were assessed before and after treatment. Primary outcome was pain reduction, evaluated by short form McGill pain questionnaire, which includes VAS and present pain intensity (PPI) Secondary outcome was improvement in social and work related activity limitations. Participants were grouped based on classification of pain [nociceptive and neuropathic pain (group A) vs nociceptive only (group B) VAS and PPI improved significantly p 0.01) No difference in pain reduction (VAS and PPI) emerged between the groups. Limitations due to pain in work related and non work related activities decreased p 0.01) use of pain medications was reduced at T1 vs T0 p 0.01) Our results suggest that SWD is effective in reducing musculoskeletal pain in the short term, providing relief and improving quality of life.