![Open Access](https://i-scholar.in/lib/pkp/templates/images/icons/fulltextgreen.png)
![Restricted Access](https://i-scholar.in/lib/pkp/templates/images/icons/fulltextred.png)
![Open Access](https://i-scholar.in/lib/pkp/templates/images/icons/fulltextgreen.png)
![Open Access](https://i-scholar.in/lib/pkp/templates/images/icons/fulltext_open_medium.gif)
![Restricted Access](https://i-scholar.in/lib/pkp/templates/images/icons/fulltextred.png)
![Restricted Access](https://i-scholar.in/lib/pkp/templates/images/icons/fulltext_restricted_medium.gif)
Effect of Pulsed Ultrasound using Ketoprofen Gel in Children with Chronic Haemophilic Synovitis of the Knee Joint
Subscribe/Renew Journal
Materials and Method: The study was conducted on 10 children in the age group of 4-14 years with chronic haemophilic synovitis of the knee joint. They were evaluated pre- and post-intervention for intensity of pain, ROM and functional activity along with swelling diameter. They received pulsed ultrasound with ketoprofen with following parameter intensity of 1.5W/m2, pulsed mode, 1:1 ratio, frequency 1 MHz for 8 min/day for 15 days.
Results: Intra group analysis was done for the Visual Analogue Scale using Wilcoxon Signed Rank test with mean reduction 0.86±0.63. The mean increase in ROM was 3.11±2.69 and in Lower Extremity Functional Scale was 1.2±1.08 which was statistically significant (p
Conclusion: Pulsed ultrasound with ketoprofen gel helps in reducing pain, increase ROM and improves functional activities of daily living in children with chronic haemophilic synovitis of the knee joint.
Keywords
- Oski’s Pediatrics Principles & Practices, Julia A. McMillan-editor; 4TH edition Lippincott Williams & Wilkins; a Wolters kluwer business 2006.
- Alok Srivastava. Guidelines for management of haemophilia, World Federation of Haemophilia: Canada 2005:1-3.
- World Federation of Haemophilia. Report on the Annual Global Survey 2006. Montreal, Canada: WFH 2007.
- J.S Stonebraker, P.H.B Bolton-maggs, J.Michael Soucie, I Walker, M.Brooker. A study of variations in the reported haemophilia. A- Prevalence around the world. World Federation of Haemophilia 2010; 16:20-32.
- Kashyap R, Choudary VP. Haemophilia. Indian paediatrics 2000;37:45-53.
- Johnny N Mahlangu, Anne Gilham. Guidelines for the treatment of haemophilia in South Africa. SAMJ 2007; 97(12):1296-1311.
- Stein H, Duthie RB. The pathogenesis of chronic haemophilic arthropathy. J Bone Joint Surg Br 1981; 63:601-609.
- Daniel A. Martinez, Therapeutic ultrasound-A review of the Literature; ChiroAccess 2010.
- Rolf C, Movin T, Engstrom B, Jacobs LD, Beauchard C, Le Liboux A. An open, randomised study of ketoprofen in patients in surgery for Achilles or patellar tendinopathy. J Rheumatology. 1997; 24:1595–1598.
- Soucie JM, Evatt B, Jackson D, the Haemophilia Surveillance System Project Investigators. Occurrence of haemophilia in the United States. Am J Haematology. 1998; 59:288–94.
- Shield BJ, Palermo TM. Predictors of a child’s ability to use a visual analogue scale. Child care health dev 2003 Jul; 29(4):281-290.
- Wall P. Introduction. In: Wall P, Melzack R, Eds. The textbook of Pain, 3rd edn. Edinburgh: Churchill Livingstone,1994:3-8.
- Heijnen L. pain control and rehabilitation. In: Heijnen L Ed. Recent Advances in Rehabilitation in Haemophilia. PP54-62. Hove: Medical Education Network.
- Anita Abraham. Therapeutic ultrasound and Exercise for the treatment of myositis Ossificans Traumatica in 16-year old male with history of Factor VIII Haemophilia. A Capstone Project for PTY 768, presented to the faculty of the Department of PT, Sage Graduate School. May 2010
- Netter P, Bannwarth B, Lapicque F, Harrewyn JM. Total and free ketoprofen in serum and synovial fluid after intramuscular injection. Clin Pharmacol Ther. 1987;42:555–561.
- SK Saraf, OP Singh. Management of chronic haemophilic synovitis in children by phonophoresis. Indian J Orthop 2005; 39:47-51.
- Dyson M. Mechanisms involved in therapeutic ultrasound. Physiotherapy1987; 73:116-120.
- Ward AJL, Tallon R. Penetration enhancer incorporation in bilayers. In: Osborne DW, Amann AH, eds. Topical Drug Delivery Formulations: Volume 42. New York, NY: Marcel Dekker Inc; 1990:4(47-68).
![](https://i-scholar.in/public/site/images/abstractview.png)
Abstract Views: 492
![](https://i-scholar.in/public/site/images/pdfview.png)
PDF Views: 0