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148559

Effect of Vinica Alkaloids Iontophoresis on Post-Mastectomy Shoulder Pain

Article

Last updated: 03 Jan 2025

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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.

DOI

10.21608/ejhm.2021.148559

Keywords

Vinica alkaloids, Iontophoresis, mastectomy, rom, VAS

Authors

First Name

Nermin Maher

Last Name

Mansour

MiddleName

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Affiliation

Physical Therapy Department for Surgery, Faculty of Physical therapy, Cairo University, Giza, Egypt.

Email

nermoseif2313@gmail.com

City

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Orcid

-

First Name

Nancy Hassan

Last Name

Aboelnour

MiddleName

-

Affiliation

Physical Therapy Department for Surgery, Faculty of Physical therapy, Cairo University, Giza, Egypt.

Email

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City

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Orcid

-

First Name

Fady Samy

Last Name

Faltaous

MiddleName

-

Affiliation

Department of Anaesthesia and Pain Management, National Cancer Institute, Cairo, Egypt.

Email

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City

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Orcid

-

First Name

Mohamed Maher

Last Name

Elkabalawy

MiddleName

-

Affiliation

Physical Therapy Department for Surgery, Faculty of Physical therapy, Cairo University, Giza, Egypt.

Email

-

City

-

Orcid

-

Volume

82

Article Issue

3

Related Issue

21630

Issue Date

2021-01-01

Receive Date

2021-02-14

Publish Date

2021-01-01

Page Start

562

Page End

566

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_148559.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=148559

Order

27

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Effect of Vinica Alkaloids Iontophoresis on Post-Mastectomy Shoulder Pain

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Article

Created At

22 Jan 2023