Effectiveness of Non-Invasive Physiotherapy in Optimising Mucus Drainage and Sinus Ventilation in Sinusitis: A Literature Review
DOI:
https://doi.org/10.23917/fisiomu.v6i2.8559Abstract
Introduction: Sinusitis is an inflammatory condition of the paranasal sinuses that can cause pain, pressure, and swelling. From the many symptoms that can arise due to sinusitis, physiotherapy can reduce dependence on pharmacological interventions and minimise long-term side effects. The purpose of this study was to determine the effectiveness of non-invasive physiotherapy in optimising mucus drainage and sinus ventilation in sinusitis patients. Methods: conducted was a literature review. The author conducted a comprehensive exploration on various academic databases that can be accessed online, including Google Scholar, PubMed, PEDRO, and Scopus. The keywords used in the search were "Physiotherapy, Intervention, Manual Therapy, Modalities Therapy, Sinusitis". The article selection process used PRISMA flow. Results: The results showed significant differences in various clinical parameters with a p-value range between p < 0.001 to p = 0.039, where ultrasound therapy and LLLT provided more rapid improvement, while breathing exercises and manual techniques had long-term effects for impaired mucus drainage and ventilation. Conclusion: Physiotherapy Interventions that can be given in cases of sinusitis, namely therapies such as ultrasound modalities, shortwave diathermy, Low-Level Laser Therapy, manual sinus drainage, self sinus massage, Jade Stone Mobilisation and yoga postures have proven effective in reducing symptoms of chronic sinusitis, including pain, sinus obstruction, and inflammation
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Abishek, K., Bakshi, S., & Bhavanani, A. (2019). The Efficacy of Yogic Breathing Exercise Bhramari Pranayama in Relieving Symptoms of Chronic Rhinosinusitis. International Journal of Yoga, 12(2), 120. https://doi.org/10.4103/IJOY.IJOY_32_18
Baker, K. G., Robertson, V. J., & Duck, F. A. (2001). A Review of Therapeutic Ultrasound: Biophysical Effects. Physical Therapy, 81(7), 1351–1358. https://doi.org/10.1093/PTJ/81.7.1351
Bartley, J., & Young, D. (2009). Ultrasound as a treatment for chronic rhinosinusitis. Medical Hypotheses, 73(1), 15–17. https://doi.org/10.1016/J.MEHY.2008.12.049
Chung, J. I., Barua, S., Choi, B. H., Min, B. H., Han, H. C., & Baik, E. J. (2012). Anti-inflammatory effect of low intensity ultrasound (LIUS) on complete Freund’s adjuvant-induced arthritis synovium. Osteoarthritis and Cartilage, 20(4), 314–322. https://doi.org/10.1016/J.JOCA.2012.01.005
da Silva, G. S., & dos Santos Isoppo, K. (2021). Therapeutic ultrasound as a treatment for chronic rhinosinusitis: A systematic review. The Clinical Respiratory Journal, 15(12), 1275–1285. https://doi.org/10.1111/CRJ.13441
Faizah, N., & Dwitasari, I. (2023). Penatalaksanaan Fisioterapi Pada Kondisi Sinusitis Maksilaris Bilateral dengan Modalitas Ultrasound dan Face Massage (Sinus Acupressure Point) di Rsud Kajen Kabupaten Pekalongan. Jurnal Ilmiah Gizi Dan Kesehatan (JIGK), 4(02), 37–39.
Feizabadi, N., Sarrafzadeh, J., Fathali, M., Vasaghi-Gharamaleki, B., Dadgoo, M., Kardan-Yamchi, J., Kazemian, H., Hesam-Shariati, S., & Feizabadi, M. M. (2019). The pulsed ultrasound strategy effectively decreases the S. aureus population of chronic rhinosinusitis patients. BMC Research Notes, 12(1), 576. https://doi.org/10.1186/s13104-019-4579-3
Fouda, K. Z., Eladl, H. M., Ameer, M. A., & Allam, N. M. (2023a). Effect of Adding Physiotherapy Program to the Conservative Medical Therapy on Quality of Life and Pain in Chronic Rhinosinusitis Patients. Annals of Rehabilitation Medicine, 47(5), 393–402. https://doi.org/10.5535/ARM.23058
Fouda, K. Z., Eladl, H. M., Ameer, M. A., & Allam, N. M. (2023b). Effect of Adding Physiotherapy Program to the Conservative Medical Therapy on Quality of Life and Pain in Chronic Rhinosinusitis Patients. Annals of Rehabilitation Medicine, 47(5), 393. https://doi.org/10.5535/ARM.23058
Gandhi, M., & Gurudut Dr., P. (2022). Comparative Effectiveness of Jade Stone Mobilisation, Non-Abrasive Cupping, and Manual Drainage Technique in Subjects with Chronic Sinusitis: A Randomized Clinical Trial. Internet Journal of Allied Health Sciences and Practice, 20(3), 21. https://doi.org/10.46743/1540-580X/2022.2209
Heggannavar, A. B., Harugop, A. S., Madhale, D. M., & Walavalkar, L. S. (2017). A RANDOMISED CONTROLLED STUDY TO EVALUATE THE EFFECTIVENESS OF SHORTWAVE DIATHERMY IN ACUTE SINUSITIS. International Journal of Physiotherapy and Research, 5(3), 2066–2072. https://doi.org/10.16965/IJPR.2017.137
Kalekar, S., & Gurudut, P. (2019). Effect of therapeutic ultrasound versus shortwave diathermy combined with suboccipital release and manual drainage techniques for chronic sinusitis: A randomized clinical trial. Indian Journal of Physical Therapy and Research, 1(1), 29. https://doi.org/10.4103/IJPTR.IJPTR_12_19
Krespi, Y. P., Kizhner, V., Nistico, L., Hall-Stoodley, L., & Stoodley, P. (2011). Laser disruption and killing of methicillin-resistant Staphylococcus aureus biofilms. American Journal of Otolaryngology, 32(3), 198–202. https://doi.org/10.1016/J.AMJOTO.2010.01.010
Kumari, S., & Pagare, R. S. (2022). Effect of Steam Inhalation Versus Combination of Steam Inhalation and Various Yoga Postures on Chronic Sinusitis Patients: An Interventional Study. International Journal of Health Sciences and Research, 12(4), 336–342. https://doi.org/10.52403/IJHSR.20220440
Kwon, E., & O’Rourke, M. C. (2023). Chronic Sinusitis. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK441934/
Mortazavi, H., Noormohammadi, R., Khalighi, H., Goljanian, A., Mojahedi, M., & Sabour, S. (2019). Comparison of Therapeutic Effects of Intra and Extra Oral Low Level Laser Radiation in Maxillary Chronic Sinusitis. International Journal of Dental Medicine, 5(1), 19. https://doi.org/10.11648/J.IJDM.20190501.14
Ms. Simranjit Kaur. (2022). Facial Muscles and Massage Therapies. www.ijfmr.com
Naghdi, S., Ansari, N. N., Fathali, M., Varedi, M., & Fakhari, Z. (2015). Treatment of chronic rhinosinusitis using low level laser: a single blind placebo controlled clinical trial. Physiotherapy, 101, e1064–e1065. https://doi.org/10.1016/j.physio.2015.03.1948
Rai, H. K., Barroso, A. C., Yates, L., Schneider, J., & Orrell, M. (2020). Involvement of People With Dementia in the Development of Technology-Based Interventions: Narrative Synthesis Review and Best Practice Guidelines. Journal of Medical Internet Research, 22(12), e17531. https://doi.org/10.2196/17531
Ranakusuma, R. W., Pitoyo, Y., Safitri, E. D., Widyahening, I. S., Beller, E. M., Glasziou, P. P., & Bashiruddin, J. (2017). Therapeutic ultrasound for chronic rhinosinusitis. The Cochrane Database of Systematic Reviews, 2017(3), CD011046. https://doi.org/10.1002/14651858.CD011046.PUB2
Rathi, R., Satralkar, A., & Golhar, S. (2020). Effect of nasal septal mobilization on chronic sinusitis patients: A pilot study. International Journal of Medical and Health Research, 6(9), 16–19. https://youtu.be/0aeJF8NJ7LM,
Shi, J. B., Fu, Q. L., Zhang, H., Cheng, L., Wang, Y. J., Zhu, D. D., Lv, W., Liu, S. X., Li, P. Z., Ou, C. Q., & Xu, G. (2015). Epidemiology of chronic rhinosinusitis: results from a cross-sectional survey in seven Chinese cities. Allergy, 70(5), 533–539. https://doi.org/10.1111/ALL.12577
Tsai, S. R., & Hamblin, M. R. (2017). Biological effects and medical applications of infrared radiation. Journal of Photochemistry and Photobiology. B, Biology, 170, 197. https://doi.org/10.1016/J.JPHOTOBIOL.2017.04.014
Tsung, O., Ho, W., & Tham, A. C. (2024). The Association of Sinusitis with Central Skull Base Osteomyelitis: A Systematic Review. Sinusitis 2024, Vol. 8, Pages 51-62, 8(2), 51–62. https://doi.org/10.3390/SINUSITIS8020007
Wilson, M., & Wilson, P. J. K. (2021). Acute Sinusitis. Close Encounters of the Microbial Kind, 213–224. https://doi.org/10.1007/978-3-030-56978-5_14
Zarneshan, A. (2020). Effects of Regular Aerobic with Nasal Breathing Exercise Training on Olfactory Rehabilitation in Asthmatic Patients with Chronic Rhino Sinusitis. Journal of Rehabilitation Sciences & Research, 7(4), 178–183. https://doi.org/10.30476/JRSR.2020.85152.1071
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