Mansour, N., Aboelnour, N., Faltaous, F., Elkabalawy, M. (2021). Effect of Vinica Alkaloids Iontophoresis on Post-Mastectomy Shoulder Pain. The Egyptian Journal of Hospital Medicine, 82(3), 562-566. doi: 10.21608/ejhm.2021.148559
Nermin Maher Mansour; Nancy Hassan Aboelnour; Fady Samy Faltaous; Mohamed Maher Elkabalawy. "Effect of Vinica Alkaloids Iontophoresis on Post-Mastectomy Shoulder Pain". The Egyptian Journal of Hospital Medicine, 82, 3, 2021, 562-566. doi: 10.21608/ejhm.2021.148559
Mansour, N., Aboelnour, N., Faltaous, F., Elkabalawy, M. (2021). 'Effect of Vinica Alkaloids Iontophoresis on Post-Mastectomy Shoulder Pain', The Egyptian Journal of Hospital Medicine, 82(3), pp. 562-566. doi: 10.21608/ejhm.2021.148559
Mansour, N., Aboelnour, N., Faltaous, F., Elkabalawy, M. Effect of Vinica Alkaloids Iontophoresis on Post-Mastectomy Shoulder Pain. The Egyptian Journal of Hospital Medicine, 2021; 82(3): 562-566. doi: 10.21608/ejhm.2021.148559
Effect of Vinica Alkaloids Iontophoresis on Post-Mastectomy Shoulder Pain
1Physical Therapy Department for Surgery, Faculty of Physical therapy, Cairo University, Giza, Egypt.
2Department of Anaesthesia and Pain Management, National Cancer Institute, Cairo, Egypt.
Abstract
Background: Iontophoresis is a non-invasive technique used to increase the penetration of substances through the skin through the dermal layer (epidermis, dermis and parenchyma) in a controlled manner. Technological advances in recent decades have lowered the cost of equipment for implementation, which allowed for the expansion of this technique. Objective: To evaluate effect of vinica alkaloids iontophoresis on post-mastectomy shoulder pain. Patients and Methods: A randomized controlled study that was carried out on thirty females with age ranging from 35 to 50 years and suffering from post-mastectomy shoulder pain. The patients were randomly divided into two equal groups, each one included 15 patients. Patients in group A (Study group < /span>) received 45-60 minutes of vincristine iontophoresis (20 ml vincristine) 3 times/week in addition to conventional medical care, for eight weeks. While, patients in group B (Control group) received placebo 45-60 minutes of only 20 ml saline iontophoresis (3 times/week), in addition to conventional medical care, for eight weeks. Results: Significant improvements in VAS and shoulder range of motion (ROM) were reported in the study group compared to the control group (p > 0.001). In the study group, the percents of improvement of shoulder flexion, abduction, internal and external rotation were 22.9%, 24.62%, 35.85%, and 39.97% respectively. While, in the control group, they were 0.5%, 0.67%, 2.8%, and 3.35% respectively. VAS scores achieved higher percentage of improvement (54.05%) compared to control group (10.15%). Conclusion: Vinica alkaloids iontophoresis achieved significant improvements in shoulder pain and ROM following mastectomy.
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