IntroductionTo evaluate the effect of extracorporeal shock wave therapy (ESWT) on electrophysiological responses in patients suffering from tarsal tunnel syndrome after burnMethodsOverall, 40 male and female individuals with tarsal tunnel syndrome after a burn injury were equally divided into 2 groups. Group 1 received ESWT in addition to a routine physical therapy program, which consisted of stretching of calf muscles followed by pulsed ultrasound, ice massage, and ankle pump exercise. Group 2 received the routine physical therapy program only. The area of popliteal fossa (slightly laterally) was outlined and 100 impulses per cm2 and another 100 impulses per cm2 were administered over the area behind and above the medial malleolus. The 2 areas were administered every 2 weeks for 3 months as a total period of treatment. Sensory and motor nerve conduction velocities of the lateral and medial plantar branches of the tibial nerve were measured before the treatment and after 3 months.ResultsThere was an improvement and a significant decrease in the prolonged motor and distal latencies of the 2 branches of the posterior tibial nerve in the ESWT group compared with group 2 (<i>p</i> < 0.05).ConclusionsESWT is effective in treating patients suffering from tarsal tunnel syndrome after burn as evidenced by decreasing the prolonged motor and sensory distal latencies of the 2 branches of the posterior tibial nerve

Background: The degree of tissue damage caused by related inflammatory and immunological sequelae poses a major therapeutic treatment problem in burn wounds. Chronic wounds frequently have a significant bioburden and pathogens that are resistant to antibiotics. This review article discusses present research on phototherapy, which is believed to be useful in managing wound bioburden and promoting healing. Objective: To evaluate the wound healing efficacy of polarized light therapy (BLT) against low-level laser therapy (Ga-As laser) in order to determine which is more efficient and successful at speeding burn healing. Subject and methods: The current study enrolled thirty patients having partial thickness thermal burn on the forearm (dermal burn). They were selected from Burn Unit at Legislation Association Hospital for Burns & Oncology. They were randomly assigned into two equal groups: Group (A) that included fifteen patients who received the BLT with mean age of 28.8 ± 2.51 years old and group (B) that enrolled fifteen patients who received LLLT with mean age of 29.6 ± 2.79 years old. Both groups also received traditional physical therapy and conservative treatment for the burn site three times weekly for four weeks. Results: Group A and B showed a significant reduction in colony count and wound surface area after treatment in comparison to that before treatment (p > 0.001). In group A, the colony count and wound surface area decreased by 38.63% and 55.1% respectively, but in group B, by 15.6% and 37.92% respectively. Conclusion: Both polarized light therapy and low-level laser therapy had a therapeutic efficiency on wound healing, but BLT is more efficient and more successful in the acceleration of the burned wounds healing.

To evaluate the efficacy of pulsed electromagnetic field therapy versus extracorporeal shock wave therapy in the treatment of iliohypogastric neuralgia post inguinal herniorraphy.Measurement of the serum cortisol level and the carbamazepin medicament intake. 40 male and female patients with iliohypogastric neuralgia post inguinal herniorraphy were divided into two groups. Group (A)  received the thoracolumbar pulsed electromagnetic field therapy.Group (B) received the thoracolumbar extracorporeal shock wave therapy, duration of treatment was 20 minutes, every other day for the 3 months as a total period of treatment in addition to the traditional physical therapy and medical care for 3 months in group (A) and in group (B)  the following parameters were used as following: 1,000 impulses; energy flux density (ED) varied from the lowest (0.08 mJ/mm2) to the highest energy level (0.44 mJ/mm2), depending on patient’s pain tolerance, on the trigger point area,over the thoracolumbar region paravertebrally once every two weeks for 12 weeks (3 months) on the affected side, the handpiece of the ESWT device was positioned perpendicular on the target area of treatment and moved circular over gel that was used over the target area of treatment in addition to the traditional physical therapy and medical care for 3 months.

Purpose: to evaluate the effect of Gallium Arsenide laser versus pulsed electromagnetic field on healing of pressure ulcers. Methods of evaluation: - (Measurement of the ulcer surface area (USA), ulcer volume measurement (UVM) and the colony count (CC). Methods: 40 diabetic patients with pressure ulcers grade II, their ages ranged from 40 – 60 years, were divided randomly into two equal groups in number. Group (A) Gallium arsenide (Ga-As) laser group:  This group was consisted of 20 patients who received the Gallium arsenide (Ga-As) laser therapy 3 times per week for 2 months  in addition to the routine conventional treatment (dressing – manage bacterial contamination – relieve pressure, friction, and shear – remove necrotic debris – correct nutritional deficits). Group (B) PEMFT  group:  20 patients who received the Pulsed electromagnetic field therapy (PEMFT) 3 times per week for 2 months  in addition to the routine conventional treatment (dressing – manage bacterial contamination – relieve pressure, friction, and shear – remove necrotic debris – correct nutritional deficits). Results: Results showed that both the Ga-As laser and the PEMFT, were significantly effective in improving healing of pressure ulcers as manifested by the highly decreased USA, UVM and CC in both groups.

Purpose. The aim of this study was to investigate the effectiveness of progressive resistance training on post prostatectomy stress urinary incontinence. Materials and Methods. Sixty male patients who complaint from post prostatectomy stress urinary incontinence were participated in this study, their ages were ranged from 40 to 75 years and they were randomly assigned into two equal groups. Group (A) (Study group): This group included 30 patients who had post prostatectomy stress urinary incontinence and they received progressive resistance training in addition to interferential current stimulation and routine medical treatment three sessions per week for 12 weeks. Group (B) (Control group): This group included 30 patients who had post prostatectomy stress urinary incontinence and they received interferential current stimulation and routine medical treatment three sessions per week for 12 weeks. Pre- and post-treatment assessment using DANTIC UD 5000/5500 Urodynamic investigation system & Severity index scale were done for all patients. Results. The obtained results of the present study indicated significant difference of all measured variables when comparing between pre and post- treatment values of the groups (A and B) and revealed significant difference when comparing between post- treatment values of the groups (A and B) in favor of group (A). Conclusion. Progressive resistance training had an effect on reducing post prostatectomy stress urinary incontinence and there was significant difference when comparing between post-treatment values of the groups (A and B) in favor of group (A).