Implementation Of Physical Therapy Protocol In Management Of Chronic Maxillary Sinusitis (CRS)

Cairo University (CU)

Status: Not yet enrolling

Conditions: Chronic Maxillary Sinusitis

Treatments: Other: physical therapy protocol and medical drugs; Other: medical drugs; Other: physical therapy protocol

Study type: Interventional

Funder types: Other

Identifiers

NCT05875298

P.T.REC/012/003842

Details and patient eligibility

About

this study will be conducted to investigate the effect of physical therapy protocol and medication on pain, pressure pain threshold and dysfunction in patients with Chronic Maxillary Sinusitis

Full description

Rhino sinusitis is one of the most common health-care problems worldwide and its prevalence and incidence is increasing. Chronic Sinusitis is a big health problem worldwide that affects almost 15% of humans. The most affected sinus is the maxillary sinus as its drainage orifice through the hiatus semilunaris is badly placed near the roof of the sinus. The first line of treatment for sinusitis is mostly medical drugs including antimicrobial drugs, decongestants, nasal sprays, corticosteroids, and antihistamine drugs which can effectively dry the mucus. Physical therapy also offers a variety of treatment approaches for sinusitis. It includes various electrotherapy modalities, manual drainage techniques, suboccipital release for sinus headaches, needling, and rhino flow therapy. In spite of many studies and treatment approaches done on sinusitis, there are limitations faced in evidence of which approval is most effective, The objective of our study is to investigate the effect of physical therapy protocol in people with chronic maxillary sinusitis.sixty six patients with chronic maxillary sinusitis will be allocated randomly to three groups; one group will receive physical therapy protocol, second one will receive medication only and the third one will receive physical therapy protocol and medication for four weeks.

Enrollment: 66 estimated patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients clinically diagnosed by ENT Physician with chronic maxillary sinusitis With a history of 3 months or longer.
• Age group from 18 to 50 years

Exclusion criteria

• Local contraindications for face mobilization or massage. (abrasions, skin conditions, broken bones) Medical contraindications. (bacterial infections, conjunctivitis, styes)
• Duration of onset less than 2 months Headache due to reasons other than chronic sinusitis (TMJD, cervicogenic headache, underlying neurological diseases, anxiety-related, etc)
• Patients with surgery performed in the past 1 year for maxillary sinusitis Cognition level impairment
• Metal implants in the face region

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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66 participants in 3 patient groups

physical therapy protocol

Experimental group

Description:

the patients will receive physical therapy protocol three times a week for four weeks

Treatment:

Other: physical therapy protocol

physical therapy protocol and medical drugs

Experimental group

Description:

the patients will receive physical therapy protocol three times a week for four weeks and medication twice daily for four weeks

Treatment:

Other: physical therapy protocol and medical drugs

Other: medical drugs

medical drugs

Active Comparator group

Description:

the patients will receive medical drugs twice daily for four weeks

Treatment:

Other: medical drugs