El-Sayed Hassan Abo-Steit, Ahmed El-Kharbotly, Mohamed Mostafa Adawy, Ashraf Hassan Mohammed, Enas Mostafa Mohamed

El-Sayed Hassan Abo-Steit, Ahmed El-Kharbotly, Mohamed Mostafa Adawy, Ashraf Hassan Mohammed, Enas Mostafa Mohamed – Effect of Low-Level Laser Therapy on Morphological Changes of Median Nerve after Surgical Decompression of Carpal Tunnel Syndrome: Randomized Controlled Trail. Fizjoterapia Polska 2019; 19(2); 18-22

Streszczenie
Background. The effect of Low Level (LLLT) Laser on median nerve morphology after carpal tunnel release (CTR) had been not investigated yet.
Objectives. To investigate the effect of LLLT on morphological changes of the median nerve after surgical decompression of Carpal Tunnel Syndrome. Design. A prospective, randomized, pre–post-test, controlled trial. Setting. outpatient clinic of Banha University Hospital – Egypt. The study was conducted between June 2017 and Feb 2018. Participants. Thirty patients with residual pain after 3 months from CTR randomly divided into two equal groups. Interventions. group (A) received a program of gallium-aluminium-arsenide Laser, 850 nm, 100 mW, continuous operation area of 0.07 cm2, fluency of irradiation of 3 J/cm2, exposure of 30 seconds per point, six points of irradiation on the carpal tunnel two sessions per week over six week’s period in addition to medical treatment, while group (B) received medical treatment alone.
Main Outcome Measure. Visual Analogue Scale (VAS), Sensory Distal Latency (SDL), median nerve Cross Sectional Area (CSA).
Results. There was a statistically significant reduction in VAS score, and improvement of SDL, CSA and ΔCSA in laser group compared with control group (p < 0.05). Conclusion. Low level therapy was yield more improvement for persistent or recurrent symptoms after CTR.

Słowa kluczowe:
Carpal Tunnel Syndrome, low level laser therapy, Cross Sectional Area

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