Comparative study of the effectiveness of phonophoresis and low-level laser therapy on myofascial trigger points of upper fibers of the trapezius muscle

Ahmed Mahmoud Mohamed, Rania Reda Mohamed, Noha Gohdan Hussein, Mona Ebrahim Morsy


Ahmed Mahmoud Mohamed, Rania Reda Mohamed, Noha Gohdan Hussein, Mona Ebrahim Morsy – Comparative study of the effectiveness of phonophoresis and low-level laser therapy on myofascial trigger points of upper fibers of the trapezius muscle. Fizjoterapia Polska 2022; 22(1); 214-221

Abstract
Background. Myofascial trigger points and hypersensitive taut bands within the muscles can be a very distressing condition. It’s linked to regional muscular spasms, tightened related joints, and a restricted range of motion. Purpose. This study aimed to investigate the effectiveness of phonophoresis and low-level laser therapy on trigger points of the upper fibers of the trapezius. Methods. It was a randomized controlled trial that conducted on forty-five patients from both genders, with their age ranging from 20-40 years that had myofascial trigger points in the upper trapezius, selected from El-Ahram physical therapy center, Giza and randomly assigned into three groups. All groups received traditional treatment in addition to low-level laser therapy in group (A), phonophoresis in group (B), and a combined treatment of low-level laser therapy and phonophoresis in group (C). Cervical range of motion was measured by cervical range of motion device and pain intensity by pressure algometer before and after 12 sessions of the treatment. Results. All groups saw a significant increase in cervical range of motion (P = 0.0001) and a significant decrease in pain after treatment.The improvement in pain level and left side bending motion range was in favor of group (C) than group (A) and (B). Conclusion. According to the findings, both low-level laser and phonophoresis are helpful in enhancing cervical range of motion and decreasing pain intensity in upper trapezius myofascial pain, with the combination therapy being superior in reducing pain and improving left side bending.
Key words:
low level laser therapy, phonophoresis, myofascial pain syndromes
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Comparing the Effect of Low-Level Laser Therapy Versus Therapeutic Ultrasound After Distal End of Radius Fracture

Ola Ahmed Kamal Ahmed, Osama Fekry Ahmed Al Balah, Awny Fouad Rahmy, Hassan Hamdy Noaman

Ola Ahmed Kamal Ahmed, Osama Fekry Ahmed Al Balah, Awny Fouad Rahmy, Hassan Hamdy Noaman – Comparing the Effect of Low-Level Laser Therapy Versus Therapeutic Ultrasound After Distal End of Radius Fracture. Fizjoterapia Polska 2021; 21(2); 42-46

Abstract
Background. The Distal end of radius fracture is the most common fracture site in the upper extremity; it causes functional problems and can result in some disabling complications. Objective. The purpose of this study was to investigate the effect of Low-level laser therapy versus therapeutic ultrasound after the distal end of radius fracture fixation. Method. Forty patients were assigned randomly into two groups (Group A and Group B) with ages ranged from 18-45 ys. Group A consisted of fifteen female patients and five male patients, and received Low-level laser therapy, group B consisted of fifteen female patients and five male patients, and therapeutic ultrasound for 3 times per week for 4 weeks. Patients were evaluated pre and post-treatment for the function of the wrist joint, grip strength, and wrist joint’s ROM. Results. When comparing patients in group (A) who received LASER therapy, and patients in group B who received Therapeutic ultrasound, we observed clinical difference but it was only statistically significant in favor of group (A) patients in terms of wrist extension, Radial deviation and Ulnar deviation but it was no statistically significant in favor of group (A) patients in terms of wrist flexion. Group (A) patients also had no statistical significance when assessing the wrist proprioception at 20° angle flexion and extension. Conclusion. It can be concluded that both Low-level laser therapy and therapeutic ultrasound after Distal end of radius fractures fixation improved wrist range of motion and proprioception. Both of similar degrees of improvement, however low-level laser therapy had more improvements than therapeutic ultrasound in the wrist ROM of extension, radial deviation, and ulnar deviation.
Key words:
The distal end of radius fracture, Low-level laser therapy, Therapeutic ultrasound
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Effect of 632 nm He-Ne Laser on Gram-Positive Bacteria in Deep Partial Thickness Pediatric Burn: A Prospective Double-Blind Randomized Controlled Trial

Nisreen Afify Abd El Rasheed, Maya Galal Aly, Rehab Hamid Sedik, Dalia Mohammed Mosaad, Ayman Noaman Elhenawy, Shaimaa Abd El-Hamid Abase, Hamada Ahmed Hamada

Nisreen Afify Abd El Rasheed, Maya Galal Aly, Rehab Hamid Sedik, Dalia Mohammed Mosaad, Ayman Noaman Elhenawy, Shaimaa Abd El-Hamid Abase, Hamada Ahmed Hamada – Effect of 632 nm He-Ne Laser on Gram-Positive Bacteria in Deep Partial Thickness Pediatric Burn: A Prospective Double-Blind Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(1); 124-128

DOI: https://doi.org/10.56984/8ZG078683

Abstract

Background. Burns are one of the most common injuries in pediatric population, gram-positive bacteria is the main pathogens responsible for wound infection that is the leading cause of morbidity and sometimes mortality in growing children with burn. Low level laser is a new treatment option that is increasingly used in the field of wound healing. Aim. To investigate the effect of He-Ne laser on gram-positive bacteria and healing time of deep second-degree pediatric burn. Methods. Thirty children of both genders aged from 2 to 9 years old with 2nd degree upper limb burn infected with gram-positive bacteria participated in this study. They were randomly assigned into two equal groups; either the control group (group A) received systematic antibiotic and 10 minutes’ placebo laser light, or the laser group (group B) received 632 nm laser light, 6 J/cm2 scanning technique for 10 minutes. All patients received regular wound care (dressing). The study protocol was once a day, 3 times / week for one month. Pre and post-treatment evaluation of wound culture and the healing time was recorded for both groups. Results. Wound culture of all children in both groups were negative after two weeks of the study and wound healing time was significantly shorter in the laser group (14.6±5.7 days) than the control group (27±7.3 days). Conclusion. He-Ne laser is an effective option of treatment for 2nd-degree pediatric burn as it has a bactericidal effect on gram-positive bacteria and accelerates wound healing process significantly.

 

Key words:
pediatric burn, low-level laser therapy, positive-gram bacteria

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