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Study aim
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Comparative evaluation of effectiveness and persistence of iontophoresis with aluminum chloride hexahydrate gel versus iontophoresis with Tap water in people with primary palmar hyperhidrosis
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Design
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Two arm parallel groups randomized trial
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Settings and conduct
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This study will be done in Shahid Beheshti Rehabilitation clinic. Iontophoresis with ACH gel will applied to the first group (n=16) and Iontophoresis with tap water will used for the second group (n=16). Sweating rate before and after the iontophoresis will measured with gravimetry test and QOL will measured with DLQI, 3days, 1 week, 2 weeks, 3 weeks, 4 weeks, 8 weeks and 6 months after the treatment
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Participants/Inclusion and exclusion criteria
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Inclusion criteria : age 18-40, BMI 17-30, the presence of focal, visible sweating for at least 6 months without any obvious cause, besides the presence of at least two of the following characteristics: Bilateral and relatively symmetrical sweating, frequency of at least one episode per week, impairment of daily activities of the patient, age of onset less than 25 years, a positive family history and cessation of focal sweating during sleep. Having HDSS grade 2 or 3.
Exclusion criteria : having pacemaker or substantial metal implants located in electrical current path, being pregnant, suffering from systemic disease leading to hyperhidrosis and any central or peripheral nervous system diseases.SSR (sympathetic skin response) greater than normal or absent SSR
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Intervention groups
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The first group (n=16) will receive iontophoresis with ACH gel. For the second group (n=16), iontophoresis will perform with tap water. Iontophoresis will applied to the patient’s dominant (right) hand. An iontophoresis stimulator (ActivaDose, iontophoresis delivery unit, Serial Number 12080971) with an intensity of 2 mA for 30 min will be used
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Main outcome variables
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1.sweating rate.2. DLQI questionnaire