IMPORTANT

La prise en charge thérapeutique de la tendinite nécessite l'intervention d'un professionnel de la santé, habileté à poser un diagnostic précis, qui pourra juger de manière réaliste de ce qui vous convient le mieux.
 
Tendinite : Effect of low level laser therapy in rheumatoid arthritis patients with carpal tunnel syndrome
Posté par drdesforges le 26-06-2008 (8589 lectures)

Ekim A, Armagan O, Tascioglu F, Oner C, Colak M.

Osmangazi University, Department of Physical Therapy and Rehabilitation, Eskisehir, Turkey.


PMID: 17629805 [PubMed - indexed for MEDLINE]


Swiss Med Wkly. 2007 Jun 16;137(23-24):347-52



OBJECTIVE: the aim of the present study was to evaluate the efficacy of low level laser therapy (LLLT) in patients with rheumatoid arthritis (RA) with carpal tunnel syndrome (CTS). MATERIAL AND METHODS: a total of 19 patients with the diagnosis of CTS in 19 hands were included and randomly assigned to two treatment groups; LLLT (Group 1) (10 hands) with dosage 1.5 J/ per point and placebo laser therapy group (Group 2) (9 hands). A Galium-Aluminum-Arsenide diode laser device was used as a source of low power laser with a power output of 50 mW and wavelength of 780 nm. All treatments were applied once a day on week days for a total period of 10 days. Clinical assessments were performed at baseline, at the end of the treatment and at month 3. Tinel and Phalen signs were tested in all patients. Patients were evaluated for such clinical parameters as functional status scale (FSS), visual analogue scale (VAS), symptom severity scale (SSS) and grip-strength. However, electrophysiological examination was performed on all hands. Results were given with descriptive statistics and confidence intervals between group means at 3 months adjusted for outcome at baseline and for the difference between unadjusted group proportions.


RESULTS: clinical and electrophysiological parameters were similar at baseline in both groups. Improvements were significantly more pronounced in the LLLT group than placebo group. A comparison between groups showed significant improvements in pain score and functional status scale score. Group mean differences at 3 months adjusted at baseline were found to be statistically significant for pain score and functional status scale score. The 95% significant confidence intervals were [-15 - (-5)] and [-5 - (-2)] respectively. There were no statistically significant differences in other clinical and electrophysiological parameters between groups at 3 months.


CONCLUSIONS: our study results indicate that LLLT and placebo laser therapy seems to be effective for pain and hand function in CTS. We, therefore, suggest that LLLT may be used as a good alternative treatment method in CTS patients with RA.


Tags: Tunnel-carpien  

Autres articles
08-03-2010 - Location de laser
26-06-2008 - Est-ce vraiment un syndrome du canal carpien? Compression proximale du nerf médian
26-06-2008 - Treatment of carpal tunnel syndrome by low-level laser versus open carpal tunnel release
26-06-2008 - Photobiomodulation of pain in carpal tunnel syndrome: review of seven laser therapy studies
26-06-2008 - Effect of low level laser therapy in rheumatoid arthritis patients with carpal tunnel syndrome
26-06-2008 - Carpal tunnel syndrome pain treated with low-level laser and microamperes transcutaneous electric nerve stimulation: a controlled study
25-06-2008 - The Effect of Infra-red Diode Laser Irradiation on the Duration and Severity of Postoperative Pain: a Double Blind Trial
25-06-2008 - A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders
25-06-2008 - Low level laser therapy for tendinopathy. Evidence of a dose-response pattern
25-06-2008 - The effect of 300 mW, 830 nm laser on chronic neck pain: a double-blind, randomized, placebo-controlled study
25-06-2008 - Retrospective study of adjunctive diode laser therapy for pain attenuation in 662 patients
25-06-2008 - LLLT using a diode laser in successful treatment of a herniated lumbar/sacral disc
25-06-2008 - Improvement of pain and disability in elderly patients with degenerative osteoarthritis of the knee treated with narrow-band light therapy
25-06-2008 - Healed by the Light
25-06-2008 - A systematic review with procedural assessments and meta-analysis of Low Level Laser Therapy in lateral elbow tendinopathy (tennis elbow).
25-06-2008 - The use of laser therapy and additional therapeutic modalities after arthroscopy of the knee at alpine ski team
25-06-2008 - Asagai reports on the use of GaAlAs (100 mW) laser treatment in a group of 1000 patients with cerebral palsy.
25-06-2008 - Low level laser therapy can be effective for tendinitis: a meta-analysis.
25-06-2008 - Laser's effect on bone and cartilage change induced by joint immobilization: an experiment with animal model
25-06-2008 - LLLT is as well documented as NSAIDs and steroid injections for shoulder tendinitis/bursitis and epicondylaglia.
25-06-2008 - A comparative study of the effects of low laser radiation on mast cells in inflammatory fibrous hyperplasia colored or not colored by the toluidine blue.
25-06-2008 - Soft tissue injuries upon sport activities and traffic accidents - treatment with low-level laser therapy : a multicenter, double- blind, placebo-controlled clinical study on 132 patients
25-06-2008 - Biostimulation of human chondrocytes with Ga-Al-As diode laser: 'in vitro' research
25-06-2008 - What is optimal dose, power density and timing for low level laser therapy in tendon injuries? A review of in vitro and in vivo trials
25-06-2008 - Low-energy laser irradiation promotes the survival and cell cycle entry of skeletal muscle satellite cells.
25-06-2008 - The Japanese Experience in Sumo Wrestling
25-06-2008 - Laser and Sports Medicine in Plastic and Reconstructive Surgery.
25-06-2008 - Advances in laser therapy for bone repair
25-06-2008 - Low level laser therapy for tendinopathy. Evidence of a dose-response pattern
25-06-2008 - Clinical evaluation of the low intensity laser antialgic action of GaAIAs (wavelength=785 nm) in the treatment of the temporomandibular disorders



Signets Sociaux

                 

NewsHack by Arxoops © 2009 &  Mapa gatero
|  Taille du texte: A A |  Connexion |  Créer un compte ? |  Glossaire |  Nouvelles |  Nos Cliniques |  Contactez-nous |  Plan du Site | 

Lachenaie (Terrebonne): (450) 704-2436   Laval: (450) 934-7430  
Saint-Jean-sur-Richelieu: (450) 348-4477