Objective. To evaluate the effect of an early intervention of Low Level Laser Therapy (LLLT) on incisional wound scar formation and range of motion (ROM) of interphalangeal (IP) joints post surgical repair of hand lexor tendon laceration. Material and methods. Thirty male patients between the ages of 20 and 40 who underwent unilateral zone II lexor tendon repair of the hand were assigned randomly into two equal groups in number of 15 patients each group. Group (A) (Laser therapy group) received early LLLT in addition to post surgical medical care while the group (B) (Control group) received only post surgical medical care. The primary outcomes were color, pigmentation, pliability and height of wound scars which was measured by Vancouver Scar Scale (VSS). In addition to Total Active Motion (TAM) of hand's digits which measured by hand goniometer. The assessment was taken after 4 weeks and 12 weeks postoperative. Results. After 12 weeks compared to after 4 weeks in both groups, there was a signi icant decrease in the VSS and a signi icant increase in Total Active Motion (TAM) according to within group comparisons (p < 0.001). When compared to the control group at 4 and 12 weeks, the laser group had a signi icantly lower VSS and a signi icantly higher TAM (p < 0.01). Conclusion. Early applications of LLLT post surgical repair of lexor tendon improve TAM and minimize scar formation. Keywordslexor tendon repair, low level laser therapy, scar prevention, zone II, surgical wound StreszczenieCel. Ocena wpływu wczesńie wprowadzonej terapii laserowej niskiego poziomu (LLLT) na tworzenie się blizny po ranie pooperacyjnej i zakres ruchu (ROM) stawów międzypaliczkowych (IP) po chirurgicznej naprawie uszkodzenia sćięgna zginacza ręki. Materiał i metody. Trzydziestu pacjentów płci męskiej w wieku od 20 do 40 lat, którzy przeszli jednostronną naprawę sćięgna zginacza ręki w stre ie 2, przydzielono losowo do dwóch równych grup po 15 pacjentów w kazḋej. Grupa (A) (grupa terapii laserowej) była poddawana terapii LLLT oprócz pooperacyjnej opieki medycznej, podczas gdy grupa (B) (grupa kontrolna) otrzymała tylko pooperacyjną opiekę medyczną. Rezultaty dotyczyły głównie koloru, pigmentacji, elastycznosći i wysokosći blizn, które zostały zmierzone za pomocą skali Vancouver Scar Scale (VSS). Ponadto, obliczono Total Active Motion (TAM) dłoni, gdzie pomiarów dokonano za pomocą goniometru ręcznego. Oceny dokonano po 4 tygodniach i 12 tygodniach po operacji. Wyniki. Porównując wyniki po 12 tygodniach i po 4 tygodniach zaobserwowano, zė w obu grupach nastąpił znaczny spadek na skali VSS i znaczny wzrost w zakresie (TAM) (p < 0,001). W porównaniu z grupą kontrolną po 4 i 12 tygodniach, grupa, u której zastosowano terapię laserową miała znacznie lepsze wyniki na skali VSS i znacząco wyzṡzy TAM (p < 0,01) Wniosek. Wczesne zastosowanie terapii LLLT po chirurgicznej naprawie sćięgna zginacza poprawia TAM i minimalizuje powstawanie blizn. Słowa kluczowenaprawa sćięgien zginaczy, terapia laserowa niskiego poziomu, pro ilaktyka blizn, ...

Background. Hypertrophic scar (HTS) formation after burn remains a major issue for burned patients and is considered a huge problem for clinicians because the hypertrophic scar is painful, reddish, elevated, pruritic, and aesthetically unacceptable. Purpose. To study the effect of polarized light therapy (PLT) on post burn HTS. Materials and Methods. Thirty patients complaining of HTS formation after thermal burn with ages ranged from 20 to 40 years shared in this study and were randomly distributed into two matching groups in number (15 patients for each group). Group A (Study group): received 10 min. PLT 3 sessions/week plus silicone gel sheet (SGS) kept for 12 hours/day, medical treatment such as (hydration creams and antihistamine drugs), and routine physical therapy (splinting, massage therapy, stretching exercises, and strengthening exercises) for 2 months. Group B (Control group): received SGS kept for 12 hours/day, medical treatment such as (hydration creams and antihistamine drugs), and routine physical therapy (splinting, massage therapy, stretching exercises, and strengthening exercises) for 2 months. Methods of evaluation included Vancouver scar scale (VSS) to measure four parameters of hypertrophic scar (height, vascularity, pigmentation, and pliability) and photographic method to allow for visual assessment of the scars. Results. Comparison between post-treatment and pre-treatment in the study group showed a significant decrease in height, vascularity, pigmentation, and pliability scores (p > 0.01). There was a significant decrease in height and pliability scores of the study group in comparison with that of the control group (p < 0.01), while there was no significant difference in vascularity and pigmentation between groups (p > 0.05). Conclusion. PLT is an effective, easy to apply, and non-invasive treatment modality in post burn HTS.

Background. Secondary lymphedema results from a known insult to the lymphatic system. Worldwide, secondary lymphedema is more common than primary lymphedema. Compression therapy is the mainstay of management for all stages of lymphedema. Purpose. To compare between the effectiveness of compression bandaging (CB) alone to the international standard treatment of (CDT) in patients with advanced secondary lymphedema. Methods. Sixty patients of both genders with lower limb secondary lymphedema (stage II and III) aged from 40 to 55 years old, with body mass index (BMI) less than 35 and duration of illness ranged from 3-9 years were included in the study. They were randomly assigned into two groups of equal numbers. Group A: Thirty patients received CDT (Manual lymph drainage, CB, exercises, and skin care). Group B: Thirty patients received MCB using short stretch bandages alone. The treatment sessions consisted of twelve sessions, three times per week for a total duration of four weeks. The assessment of limb volume was done using water displacement method and truncated cone volumetric measurements (pre-treatment and after 12 sessions (post-treatment)). Results. Within both groups, there was a significant reduction in water displacement volumetric measurements pre vs. post treatment in groups (A& B) p-value = 0.0001, p-value = 0.0001 respectively. As well, there was a significant reduction in truncated cone lower extremity volumetric measurements between pre and post treatment in groups (A & B) p-value = 0.0001, p-value = 0.028 respectively. However, there were no significant differences in the mean values of water displacement volumetric measurements and truncated cone mean volumetric values between both groups (p = 0.835, p = 0.397) respectively. Conclusion. Compression bandaging alone is as effective as complete decongestive therapy in advanced secondary lymphedema.

IntroductionChronic venous and diabetic ulcers are hard to treat that cause patients long time of suffering as well as significant healthcare and financial costs.PurposeThe conducted study was to evaluate the efficacy of bee venom (BV) phonophoresis on the healing of chronic unhealed venous and/or diabetic foot ulcers Also, to compare the healing rate of diabetic and venous ulcers.MethodologyThe study included 100 patients (71 males and 29 females) with an age range of 40-60 years' old who had chronic unhealed venous leg ulcers of grade I, grade II, or diabetic foot ulcers with type II diabetes mellitus. They randomly assigned into four equal groups of 25: Group A (diabetic foot ulcer study group) and group C (venous ulcer study group) who both received conservative treatment of medical ulcer care and phonophoresis with BV gel, in addition to group B (diabetic foot ulcer control group) and group D (venous ulcer control group) who both received conservative treatment of medical ulcer care and received ultrasound sessions only without BV gel. Wound surface area (WSA) and ulcer volume measurement (UVM) were used to assess the ulcer healing pre-application (P0), post-6 weeks of treatment (P1), and after 12 weeks of treatment (P2). In addition to Ki-67 immunohistochemistry was used to evaluate the cell proliferative in the granulation tissue of ulcers pre-application (P0) and after 12 weeks of treatment (P2) for all groups.ResultsThis research revealed a statistical significance improvement (p ≤ 0.0) in the WSA, and UVM with no significant difference between study groups after treatment. Regarding Ki-67 immunohistochemistry showed higher post treatment values in the venous ulcer group in comparison to the diabetic foot ulcer group.ConclusionBee venom (BV) provided by phonophoresis is effective adjuvant treatment in accelerating venous and diabetic foot ulcer healing with higher proliferative effect on venous ulcer.Clinical trial registrationwww.ClinicalTrials.gov, identifier: NCT05285930.