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COMPARATIVE EFFECT OF THERAPEUTIC ULTRASOUND USING EXTRACT OF ILEX PARAGUARIENSIS AND DICLOFENAC SODIUM GEL IN ACUTE TRAPEZITIS: A RANDOMIZED CLINICAL TRIAL. -

ABSTRACT: 
Objective: Neck pain is commonly seen in back of neck and between the bases of neck to shoulder mainly indicates the involvement of upper trapezius muscle. About two third of people will experience neck pain at some point in their lives. It is important to identify the most effective therapeutic modality in the management of Acute Trapezitis. Thus the objective of the present study was to compare the effect of Ilex paraguariensis commonly known as Biofreeze gel by using Therapeutic Ultrasound and Diclofenac sodium gel using Therapeutic Ultrasound and find out which is more effective in the treatment of Acute Trapezitis. 
Study Design: A Randomized clinical trial. 
Outcome Measure: Visual analog scale (VAS),Neck disability index (NDI) and Universal Goniometer. 
Materials & Method: 30 Subjects clinically diagnosed with Acute Trapezitis were randomly assigned into two groups. Group A received Phonophoresis using Biofreeze gel and Group B received Phonophoresis using Diclofenac sodium gel along with exercises once daily for a total of 5 sessions. 
Results: Results for VAS scores suggested that both the groups showed improvement and were statistically significant with p-value 0.0006 and 0.0007 respectively, when compared in between groups, Group A had better outcome in relation to Group B. The pre and post-interventional mean and S.D. values of NDI scores of A and B groups also showed statistical significant difference when on comparing within and between groups with a p-value 0.0329. The results for Cervical range of motion suggested that there was no much significant difference in between group analysis, but have showed that group B had better improvement than group A with p-value 0.8316. 
Conclusion: The study concluded that both Biofreeze gel and diclofenac sodium gel are equally effective in Acute Trapezitis, but when compared for the better outcome, Biofreeze gel was proved to be more effective than Diclofenal sodium gel.