Carpal tunnel syndrome pain treated with low-level laser and microamperes transcutaneous electric nerve stimulation: A controlled study
Naeser MA, Hahn KA, Lieberman BE, Branco KF
Archives of physical medicine and rehabilitation · 94 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2002-07-01 · Arch Phys Med Rehabil · vol. 83 · número 7 · págs. 978–988
- Editorial
- Elsevier BV
- Citado
- 181 citas · más que el 98% de estudios similares · 9.4× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 60 trabajos
- Acceso
- De pago
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Peripheral Nerve Disorders · Pain Management and Treatment
- Palabras clave
- carpal tunnel syndrome, low-level laser therapy, transcutaneous electrical nerve stimulation, acupuncture points, sham treatment, analgesia, conservative treatment
- MeSH
- median nerve, humans, pain, carpal tunnel syndrome, pain measurement, electrodiagnosis, treatment outcome, transcutaneous electric nerve stimulation, phototherapy, cross-over studies, double-blind method, reaction time, light, adult, aged, middle aged, female, male, laser therapy, pain management
4 autores
- Margaret A. Naeser🇺🇸Boston University; VA Boston Healthcare System
- Kyung-Ae K. Hahn🇺🇸Boston University; VA Boston Healthcare System
- Barbara E. Lieberman🇺🇸Boston University; VA Boston Healthcare System
- Kenneth J. Branco🇺🇸Boston University; VA Boston Healthcare System
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To investigate whether real or sham low-level laser therapy (LLLT) plus microamperes transcutaneous electric nerve stimulation (TENS) applied to acupuncture points significantly reduces pain in carpal tunnel syndrome (CTS).
Design
Randomized, double-blind, placebo-control, crossover trial. Patients and staff administered outcome measures blinded.
Setting
Outpatient, university-affiliated Department of Veterans Affairs medical center.
Participants
Eleven mild to moderate CTS cases (nerve conduction study, clinical examination) who failed standard medical or surgical treatment for 3 to 30 months.
Intervention
Patients received real and sham treatment series (each for 3-4wk), in a randomized order. Real treatments used red-beam laser (continuous wave, 15mW, 632.8nm) on shallow acupuncture points on the affected hand, infrared laser (pulsed, 9.4W, 904nm) on deeper points on upper extremity and cervical paraspinal areas, and microamps TENS on the affected wrist. Devices were painless, noninvasive, and produced no sensation whether they were real or sham. The hand was treated behind a hanging black curtain without the patient knowing if devices were on (real) or off (sham).
Main outcome measures
McGill Pain Questionnaire (MPQ) score, sensory and motor latencies, and Phalen and Tinel signs.
Results
Significant decreases in MPQ score, median nerve sensory latency, and Phalen and Tinel signs after the real treatment series but not after the sham treatment series. Patients could perform their previous work (computer typist, handyman) and were stable for 1 to 3 years.
Conclusions
This new, conservative treatment was effective in treating CTS pain; larger studies are recommended.
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