Effect of laser puncture on liver enzymes post burn

Aya G. F. Elsayed, Shaimaa M. A. Elsayeh, Rokaia A. Toson, Sara S. Youssef, Nada M. Yousef

 

 Aya G. F. Elsayed, Shaimaa M. A. Elsayeh, Rokaia A. Toson, Sara S. Youssef, Nada M. Yousef – Effect of laser puncture on liver enzymes post burn. Fizjoterapia Polska 2023; 23(5); 35-41

DOI: https://doi.org/10.56984/8ZG20B860

Abstract
Objective. The present study was carried out to investigate the impact of laser puncture as an adjunctive therapy on liver enzymes after a burn. Material and Methods: The study included 30 injured patients with burned body surface areas ranging from 30 to 50%. They were aged from 25 to 40 years. Cases from Orabi Hospital were randomized into two groups, equal in number. Group A included 15 cases as they received laser acupuncture (infrared diode laser, wavelength 808 nanometers, with pulse interval: 200 nanoseconds, power density: 0.4 Watt/cm², and energy density 4 Joule/cm²); it was located in direct connection with skin perpendicular to the body acupoints (ST36), (SP6), (LR3), (GB34), (BL18) on each side of the body as well as Zhongwan (RN12) and conducted for 90 seconds for every point three times a week, for 4 weeks after leaving the intensive care unit, conventional physiotherapy program as well as medical treatment. Group B included 15 patients as they received only their conventional physiotherapy program as well as medical treatment. Aspartate transaminase (AST) and liver enzymes, alanine transaminase (ALT) were determined using a spectrophotometer. Results. After four weeks of our intervention, it was found that the laser puncture group had significantly lower ratios of plasma liver enzymes than those in the control group. Thus, it can be concluded that laser puncture serves as an efficient adjunctive therapy for improving liver function after a burn.

Keywords
laser puncture, liver enzymes, burn

Pobierz/Download/下載/Cкачиваете Download the article for free in English

Assessment of the effectiveness of local laser therapy in treatment of gonarthrosis. Work on habits

Paulina Kozieł, Marek Kiljański

P. Kozieł, M. Kiljański – Assessment of the effectiveness of local laser therapy in treatment of gonarthrosis. Work on habits. Fizjoterapia Polska 2018; 18(4); 26-33

Abstract
Introduction. Gonarthrosis is one of the most frequent diseases of the locomotor system. It is characterized not only by destruction of joint cartilage, but also by lesions in the subchondral bone layer, in the synovial membrane, joint capsule and periarticular structures. It leads to damage to the anatomical structure of the joint and to debilitation of its function which is so important in everyday functioning. Local laser therapy is one of the treatments applied in fighting with gonarthrosis. That procedure has anti-inflammatory, analgesic and edema-reducing effects. The objective of this study is to assess the results of local laser therapy, its impact on the scope of mobility and painfulness in patients suffering from gonarthrosis.
Materials and methods. The study covered 50 persons, suffering from gonarthrosis, divided into two groups, control group and study group, each with 25 members. The control group, with 19 women and 6 men, was subject to the following physical therapy procedures: cryotherapy, magnetotherapy and TENS currents. The study group, with 19 women and 6 men, was additionally subject to local laser therapy. All the persons were subject to a series of 10 procedures, from Monday to Friday, for two weeks. Before the series of procedures and right after completion thereof, the patients filled out anonymous surveys which contained the VAS pain scale, there were conducted mobility measurements of the knee joint flexure in the sagittal plane and linear measurements of the knee joint circumference.
Results. The results from both groups were subject to statistical analysis. After treatment, in both groups an improvement was noted in knee joint mobility, a decrease in knee joint circumferences and a decrease in the level of pain measured with the VAS scale in comparison with the condition from before treatment. The group with added local laser therapy demonstrated better mobility ranges and smaller knee joint circumferences.
Conclusions. Local laser therapy is an effective procedure applied in treatment of gonarthrosis. The level of pain decreased both in the control group and in the study group. The decrease was greater in the control group. The difference was statistically relevant In both groups, an improvement in knee joint mobility was observed. More improvement was noted in the study group. The difference was statistically relevant The knee joint circumference decreased both in the control group and in the study group. The decrease was greater in the study group. The difference was statistically relevant.

Key words:
gonarthrosis, local laser therapy

 

Pobierz/Download/下載/Cкачиваете Pobierz artykuł w j. angielskim/Available only English version/下載英文版