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Developed a prototype medical device for electro- physical therapy combined and

applied to a case . Painful shoulder PS is a common condition that involves the

rehabilitation field for its significance in the functionality of the people . This study was

conducted at the National Hospital Dos de Mayo , Lima Peru . PS was included

traumatic and rheumatic with clinical or ultrasound of biceps tendinitis , rotator cuff

tendonitis and supraspinatus tendinitis .

The clinical trial was conducted from September 2010 to September 2012 . The

target population consisted of 80 patients between 30 and 50 years who have

applied before and after Scale Evolution of Global Function UCLA. We evaluated the

ability to : activities of daily living (ADL), work at home, sports and performing your

current job. This population was selected for 4 types of treatment for every 20

persons which included the use of electro - physical agents. In group A : Ultrasound +

TENS, group B : Laser + TENS, group C : Ultrasound + Laser, group D : + LED

magnetic fields .

The results demonstrated in the subjective rating scale that 90 % of patients in group

D was greatly improved by the end of treatment. According to the UCLA scale was

reached less pain full and complete independence in ADL , and 85 % amplitude

improved joint range and muscle strength.

We conclude that tissue regenerator prototype based on physical factors combined is

a viable option for physical therapy in developing countries and requires further study

for application in other clinical cases .

ABSTRACT

METODOLOGY

RESULTS

The magneto infrared laser therapy (MILT) is a device in a single device even four

physical agents - energy interacting synergistically: a constant magnetic field, pulsed

visible red light, infrared light emission and non-coherent infrared laser light pulsed

monochromatic coherent and focused. According to the parameters of the evaluation

scale of the UCLA shoulder, we found the following results expressed in percentages

in graph No. 1..

CONCLUSIONS

The following graph (No. 2) shows the overall response regarding the evolution of the

patient. When performing the test statistical significance was obtained by what is

considered to be statistically significant results which could be verified by the chi-

square test (p <0,05).

REFERENCES

The combined use of electro physical agents improves the quality of treatment of

traumatic injuries of the upper limb. The therapeutic effects established in the

literature have been verified in this study has allowed the elaboration one Clinical

Practice Guide based on evidence.

The results demonstrated in the subjective assessment scald that 90% of patients in

group D was greatly improved by the end of treatment. Also UCLA scale showed

complete pain reduction, and independence in ADL and 85% amplitude improved

joint range and muscle strength.

When comparing between the responses to conventional combination therapy and

therapeutic exercises + therapeutic activities for painful shoulder, according to the

evolution of patients, we can say that the experimental group showed better

outcome

It took into account the following indicators for the scheme traumatic treatment of

upper limb injuries, show in the Table 1.

1Pontifical Catholic University of Peru / Graduate School, Master of Biomedical Engineering, Lima, Peru 2National Hospital Dos de Mayo / Department of Physical Medicine and Rehabilitation, Lima, Peru

L. Vilcahuamán 1, M. Arista2

BASED TISSUE REGENERATION OF PHYSICAL FACTORS COMBINED :

CLINICAL EFFECTIVENESS STUDY IN PAINFUL SHOULDER

171911, H33

VASCULAR LESIONS

AND BURNS

FRACTURES

AND JOINT

INJURIES

TENDON AND

PERIPHERAL INJURIES

AND REIMPLANTATION

MISCELLANEOU

S

Group 1 Group 2 Group 3 Experimental

Group

Continuous ultrasound

(vascular) + laser/Pulsed

ultrasound (burns) +

laser

Laser + TENS Pulsed ultrasound (les.

tendon and peripheral) +

TENS or laser

Magnetic Fields +

Laser LED type

Thermal and non-

thermal modalities

Nonthermal mode

and electrical

stimulation

Thermal modality,

electrical stimulation or

nonthermal modality

Nonthermal

modality

Table 1. Selection Chart Electrophysical agents vs. pathology (own source)

*Injuries with less than 6 months, U.S. pulsed; more 6 months, U.S. continuous.

** Secondary hematopoietic organs: liver (Magnetic Fields) and spleen (Laser LED type)

GROUP 1 GROUP 2 GROUP 3 EXPERIMENTAL

GROUP

Parameters US + TENS Laser + TENS US + Laser Magnetic Field +

Laser LED type

Frequency

U.S.: 1MHz

Continuous / pulse *

Rectangular TENS

symmetrical biphasic

100 Hz; 300uS;

LASER: 800mW

average power,

continuous

TENS:

Rectangular

symmetrical

biphasic 100 Hz,

300uS;

LASER: 800mW

average power,

continuous

U.S.: 1MHz

Continuous /

pulse *

7-9 Hertz bio

frequencies

Intensity U.S.: 1.8 W/cm2

TENS: sensory level

LASER: 10.4

Joules/cm2

TENS: sensory

level

LASER: 10.4

Joules/cm2

US :1.8 W/cm2

150 Gauss

Treatment

Time

12’ TENS:20’

LASER: 2-4’

US: 10’

LASER: 2-4’

Stimulation OH

**: 15 '

Shoulder: 20 '

Type of

therapy

Combined Individual Individual Combined

Table No. 2. SELECTION CRITERIA FOR APPLICATION OF AGENTS ELECTROPHYSICAL (own source)

0

10

20

30

40

50

60

70

80

90

100

DolorMovimiento

articular Fuerzamuscular Independencia

AVD

Chart Title

GRUPO A GRUPO B GRUPO C GRUPO D

GRAPHIC NO. 1. EVOLUTION ACCORDING TO THE PARAMETERS OF THE SHOULDER RATING SCALE UCLA AND INDEPENDECE IN ADL, BY CONTROL AND EXPERIMENTAL GROUPS.

Pain ROM

Group 1 Group 2 Group 3 Experimental Group Group 2

Muscle

force Independence

ADL

0

20

40

60

80

100

GRUPO AGRUPO B

GRUPO CGRUPO D

Axi

s Ti

tle

Axis Title

Chart Title

Excelente

Bueno

Regular

Malo

GRAPH N º 2. GLOBAL RESPONSE IN FUNCTIONAL ASSESSMENT SCALE OF SHOULDER UCLA

PER

CEN

TAG

ES

Group 1 Group 2 Group 3

Experimental group

Excellent

Good

Regular

Bad

This study is explanatory, experimental clinical trial in patients with painful shoulder

traumatic and rheumatic origin and included a clinical and ultrasound diagnosis of the

of PS. Eighty patients, there were 42 men and 38 women between 30 and 50 years,

and less than 9 months of evolution of the pathology, which had a therapeutic

program for 12 weeks . Were classified in 4 groups, each one 20, with 10, rheumatic

origin and 10, traumatic origin, excluding those from the oncologic and/or

neurological origin. In Table 2 shows the parameters used for the therapeutic

approach.

1. Superficial physical agents and pain. Analysis of its effectiveness in the light of

scientific evidence / Superficial physical Modalities and pain. Analysis of Their

efficacy in light of the scientific evidence, FJ Ulloa Pa-time, Journal of the Spanish

Society of Pain, Pain Rev. Soc. Esp v.16 n.3 Naron (A Coruna) in April. 2009.

2. Physical Agents in Rehabilitation, from research to practice, Michelle Cameron,

p. 346-364. Elsevier, 2009

3. Magnetolaserultrasonidoterapia, Samosjuk, N. Chukraev, N. Inyutin., practical

scientific materials, Moscow, 2002.

4. Evidence-Based Electrotherapy, T. Watson,, 12th edition, Elsevier, 2009.