Tag: low level laser therapy

Wpływ terapii laserem niskiej mocy w porównaniu z ultradźwiękami pulsacyjnymi na zespół cieśni nadgarstka po porodzie

Mai M. Abd Elmonem, Afaf M. Botla, Amr A. Abd Elrahman, Manal A. El-Shafei

Mai M. Abd Elmonem, Afaf M. Botla, Amr A. Abd Elrahman, Manal A. El-Shafei – Effect of low level laser therapy versus pulsed ultrasound on postpartum carpal tunnel syndrome –  Fizjoterapia Polska 2024; 24(1); 131-140

DOI: https://doi.org/10.56984/8ZG2EF8A1B

Santrauka
Įvadas. Karpalinio tunelio sindromas (KTS) yra svarbi sveikatos problema, kuri gali trukdyti moterims po gimdymo vykdyti veiklas ir naudoti įgūdžius tiek asmeniniame, tiek profesiniame gyvenime. Tikslas. Palyginti žemos intensyvumo lazerio terapijos (ŽILT) ir impulsinio ultragarsu (US) efektyvumą malšinant po gimdymo KTS. Metodai. Keturiolika moterų su lengvu iki vidutinio sunkumo KTS buvo padalintos į tris grupes. Be riešo pratimų, A grupė (n=16) gavo ŽILT, B grupė (n=16) gavo impulsinį US, o C grupė (n=16) atliko tik riešo pratimus. Visoms grupėms gydymo seansai buvo taikomi paveiktai rankai, tris kartus per savaitę keturias savaites. Visos po gimdymo moterys buvo vertinamos prieš ir po gydymo naudojant vizualinę analoginę skalę (VAS) skausmo intensyvumui įvertinti, Bostono karpalinio tunelio sindromo (BKTS) klausimyną sindromo simptomams diagnozuoti, elektromiografiją motorinės laidumo greičio (MLG), jutiminio laidumo greičio (JLG), motorinio distalinio latentinio periodo (MDLP) ir jutiminio piko latentinio periodo (JPLP) matavimui, bei rankos sukibimo dinamometrą rankos sukibimo jėgai įvertinti. Rezultatai. Visi matuojami kintamieji po gydymo trijose grupėse gerokai pagerėjo lyginant su prieš gydymą. Tarpgrupinis palyginimas parodė labai reikšmingą VAS, BKTS ir JPLP sumažėjimą ir JLG bei rankos sukibimo jėgos padidėjimą tarp A ir C grupių A grupės naudai ir tarp B ir C grupių B grupės naudai, tuo tarpu reikšmingas MDLP ir MLG pokytis buvo nustatytas tik tarp A ir C grupių A grupės naudai (p < 0.05), be reikšmingo visų rezultatų pokyčio tarp A ir B grupių (P > 0.05). Išvada. Tie ŽILT, tie impulsinis US yra naudingi metodai, kurie gali būti naudojami kaip efektyvi konservatyvi terapija malšinant po gimdymo KTS.
Raktiniai žodžiai
žemos intensyvumo lazerio terapija, impulsinis ultragarsas, karpalinio tunelio sindromas, po gimdymo laikotarpis
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Scar prevention by low level laser therapy on surgical wound post hand flexor tendon repair

Eman M. Othman, Amr A. Elgrahi, Mohammad H. Ahmad, Rokaia A. Toson


Eman M. Othman, Amr A. Elgrahi, Mohammad H. Ahmad, Rokaia A. Toson – Scar prevention by low level laser therapy on surgical wound post hand flexor tendon repair. Fizjoterapia Polska 2022; 22(5); 40-47

DOI: https://doi.org/10.56984/8ZG20A8mY

Abstract

Objective. To evaluate the effect of an early intervention of Low Level Laser Therapy (LLLT) on incisional wound scar formation and range of motion (ROM) of interphalangeal (IP) joints post surgical repair of hand flexor tendon laceration.
Material and methods. Thirty male patients between the ages of 20 and 40 who underwent unilateral zone II flexor tendon repair of the hand were assigned randomly into two equal groups in number of 15 patients each group. Group (A) (Laser therapy group) received early LLLT in addition to post surgical medical care while the group (B) (Control group) received only post surgical medical care. The primary outcomes were color, pigmentation, pliability and height of wound scars which was measured by Vancouver Scar Scale (VSS). In addition to Total Active Motion (TAM) of hand’s digits which measured by hand goniometer. The assessment was taken after 4 weeks and 12 weeks postoperative.
Results. After 12 weeks compared to after 4 weeks in both groups, there was a significant decrease in the VSS and a significant increase in Total Active Motion (TAM) according to within group comparisons (p < 0.001). When compared to the control group at 4 and 12 weeks, the laser group had a significantly lower VSS and a significantly higher TAM (p < 0.01).
Conclusion. Early applications of LLLT post surgical repair of flexor tendon improve TAM and minimize scar formation.

Keywords:
flexor tendon repair, low level laser therapy, scar prevention, zone II, surgical wound

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Effect of low level laser versus electrical stimulation on facial nerve regeneration in patients with Bell’s palsy: a randomized controlled trial

Ahmed Mohammed Fouad Shoman, Ashraf Hassan Saleh, Ahmed Mohamed Abdelhalim, Ahmed Nazmy Kassab


Ahmed Mohammed Fouad Shoman, Ashraf Hassan Saleh, Ahmed Mohamed Abdelhalim, Ahmed Nazmy Kassab – Effect of low level laser versus electrical stimulation on facial nerve regeneration in patients with Bell’s palsy: a randomized controlled trial. Fizjoterapia Polska 2022; 22(3); 16-23

Abstract
Purpose. This study was done to compare between the effect of low level laser and electrical stimulation on Bell’s palsy. Methods. A randomized controlled trial was done on 45 patients of both genders with Bell’s palsy; their ages ranged from 18–45 years. Patients were randomly divided into three equal groups. All groups (A, B & C) have received medical treatment. In addition, group (A) (Low level laser therapy), was treated with low level laser therapy, two sessions/ week for 6 weeks, while group (B) (ES group) was treated with electrical stimulation for the same time and group (C) (control) followed the traditional treatment, which consisted of massage and facial exercises. The primary outcome for the study was the degree of facial nerve regeneration assessed by facial nerve electromyographic sharp wave presence, while the secondary outcomes were facial motor function, assessed by House-Brackmann scale and the quality of life, measured by facial disability index. The outcomes were evaluated pre and after 6 weeks of the interventions. Results. There was a statistically significant difference (P = 0.0001) between the three groups regarding facial disability index score and House-Brackmann score in favor of laser group. Conclusion. Low level laser treatment is more effective than electrical stimulation and traditional treatment in achieving functional recovery in Bell’s palsy patients.

Key words:
facial palsy, low level laser therapy, electrical stimulation therapy

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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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Efficacy of low-level laser therapy and pelvic stabilization exercises on postpartum pelvic girdle pain

Saad Shehata, Amr El Noury, Adly Sabbour, Mona Morsy

Saad Shehata, Amr El Noury, Adly Sabbour, Mona Morsy – Efficacy of low-level laser therapy and pelvic stabilization exercises on postpartum pelvic girdle pain. Fizjoterapia Polska 2021; 21(2); 64-68

Abstract
Introduction. Postnatal Pelvic girdle pain (PGP) is common complaint in women all over the world and it has a major impact on health and functioning as it decreases quality of life. The start of PGP is typically by weeks 17–19 of gestation, with a peak of occurrence by weeks 24–36 postpartum continuation. Studies have shown that 5–27% of the women had persisting pain 1–3 months after delivery. Methods. Ninety postnatal women’s was randomly classified into three groups, Group (A): Contains of 30 women’s treated with pelvic stabilization exercises. Group (B): Contains of 30 women’s treated with low-level laser therapy only and group (C): Contains of 30 women’s treated with pelvic stabilization exercises and low-level laser therapy all groups remain twelve sessions over six week’s period by two sessions per week. Visual analogue scale, serum cortisol level, pelvic girdle questionnaire, Faber test and P4 test were measured and compared at 0 and 6 weeks after the treatment in the three groups. Results. All groups improved significantly from pretests to posttests score on both outcome measures of VAS, PGQ, cortisol level, Faber test and P4 test p = 0001. These data support the findings that when patients are unable to exercise, low level laser therapy is an appropriate alternative for pain reduction and increased daily function for individuals suffering from postpartum pelvic girdle pain. Conclusion. Our Results revealed that laser therapy accompanied with pelvic Stabilisation exercise is effective in improving postpartum pelvic girdle pain reducing, pain stress, decrease disability and improve activity of daily level.
Key words:
pelvic girdle pain, low-level laser therapy, stabilisation exercise
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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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Effects of low level laser therapy and median nerve mobilization after carpal tunnel release: A randomized controlled trial

Moussa A. Sharaf, Mona S. Faggal, Marwa S. Saleh, Nagwa I. Rehab

Moussa A. Sharaf, Mona S. Faggal, Marwa S. Saleh, Nagwa I. Rehab – Effects of low level laser therapy and median nerve mobilization after carpal tunnel release: A randomized controlled trial. Fizjoterapia Polska 2020; 20(5); 128-134

Abstract

Background. Although various rehabilitation methods have been used to enable patients to return to their normal activities after carpal tunnel release (CTR) such as low level laser therapy (LLLT) and median nerve mobilization, up till now, there is no evidence for the comparison of effects of these two techniques in patients with CTR. Purpose. To investigate and compare the effectiveness of LLLT and median nerve mobilization after CTR on the electrophysiological parameters of median nerve, pain, hand grip and pinch strength. Methods. Forty-five patients of both sexes with unilateral CTR participated in the study. They were randomly assigned into three equal groups. Group I received LLLT and group II received median nerve mobilization three sessions per week for five successive weeks. Group III was the control group. Electrophysiological parameters of the median nerve, visual analogue scale (VAS), hand grip and pinch strength were assessed pre, post-treatment and after three months (follow-up). Results. There was no significant difference between GI and GII in all variables at post-treatment and follow-up. However, there was significant difference in all variables at post-treatment in GI and GII as compared to GIII. At follow-up for all variables, there was no significant difference between GI and GIII (except for pain) with significant difference between GII and GIII. Conclusion. Both of neural mobilization and LLLT lead to better improvement in the electrophysiological parameters of the median nerve, pain and hand function after CTR (in favor of neural mobilization group). Also, median nerve mobilization is more effective on improving hand function than LLLT at follow-up.

Key words:
Carpal tunnel release, low level laser therapy, median nerve mobilization, electrophysiological parameters, hand grip, pinch strength
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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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Effect of Low-Level Laser Therapy on Morphological Changes of Median Nerve after Surgical Decompression of Carpal Tunnel Syndrome: Randomized Controlled Trail

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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