This year we will be in Bologna from 18th to 21st May to attend the 20th edition of Exposanità. To make the wait more pleasant, we share with you a clinical case where endodiathermy, which is a technology that you will find at the trade fair in its latest generation version, was used. The new tecar module will in fact enrich our flagship Polyter Evo, the modular combined for home and sports therapy.

Clinical study

The three grades of sprain are grades I, II and III. Together with fractures and dislocations, sprains can be included into the group of possible ankle lesions. Among athletes, ankle sprain is one of the most common lesion but it is also a frequent injury among those who do not do sport.

13 patients with grade I and II ankle sprain have been treated, among which 5 suffering from grade II sprain and 8 from grade I sprain.

In the case of grade I sprains 8 treatments have been performed, while in the case of grade II sprains 12 have been performed. All the treatments have been divided into 3 phases, to which a specific protocol was associated.

1) Acute phase, the first session was performed within 48 hours from the injury and the pain area was treated in such a way to help the local lymphatic drainage and to reduce the pain. The treatment was performed by positioning the neutral plate below the calf and using the resistive electrode Ø 80 mm on the sole of the foot holding the handpiece stationary and working with a power of approximately 20%/30% for about 10 minutes;

2) Sub-acute phase, the treatment was performed by placing the neutral plate below the calf and using the capacitive electrode Ø 50 mm on the most affected ankle area, by holding the handpiece stationary and working with a power of approximately 20%/30% for about 5 minutes.

The treatments were performed on alternate days. The parameters shown allowed an increase in local metabolism, the reabsorbtion of the hematoma, a significant analgesic effect on patients and favored the healing of capsular ligamentous apparatus concerned.

3) Rehabilitation phase, by keeping the neutral plate below the calf and using the capacitive electrode Ø 50 mm on the sole of the foot holding the handpiece quite stationary and working with a power of approximately 20%/30% for about 5 minutes.

The treatments were performed twice per week. In this phase it was decided to first recover the joint ROM and reinforce first actively and then also against resistance, the articulation.

In the 5th session the last 5 minutes of treatment were carried out by mobilizing the ankle passively in flexion-extension.

In the 6th session the last 10 minutes of treatment were carried out by mobilizing the ankle passively in all four movements.

From the 7th session on, depending on the length of the therapeutic cycle (8/12 sessions), the last 10 minutes of treatment were carried out by mobilizing the ankle passively in all four movements, then actively and, when possible, against resistance.

Conclusions

The 13 patients have observed with satisfaction a good improvement and obtained at the end of the session the resolution of the pathology in fixed times.