Low-level laser therapy with a wrist splint to treat carpal tunnel syndrome: a double-blinded randomized controlled trial
Fusakul Y, Aranyavalai T, Saensri P, Thiengwittayaporn S
Lasers in medical science · 38 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
- 2014-01-29 · Lasers Med Sci · vol. 29 · número 3 · págs. 1279–1287
- Editorial
- Springer Science+Business Media
- Citado
- 61 citas · más que el 94% de estudios similares · 4.3× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 34 trabajos
- Acceso
- De pago
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Peripheral Nerve Disorders · Effects of Vibration on Health
- Palabras clave
- low-level laser therapy, carpal tunnel syndrome, GaAlAs laser, wrist splint, median nerve, grip strength, pinch strength, distal motor latency, nerve conduction studies, placebo laser, conservative treatment
- MeSH
- wrist, humans, carpal tunnel syndrome, double-blind method, splints, demography, middle aged, female, male, low-level light therapy
4 autores
- Yupadee Fusakul🇹🇭Navamindradhiraj University; Vajira Hospital
- Thanyaporn Aranyavalai🇹🇭Navamindradhiraj University; Vajira Hospital
- Phongphitch Saensri🇹🇭Navamindradhiraj University; Vajira Hospital
- Satit Thiengwittayaporn🇹🇭 · autor de correspondenciaNavamindradhiraj University; Vajira Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
The efficacy of low-level laser therapy (LLLT) was evaluated in a total of 66 patients with mild to moderate carpal tunnel syndrome (CTS) with a double-blinded randomized controlled study. The patients were randomly assigned into two groups. Group I received 15 sessions of a gallium-aluminum-arsenide laser treatment at a dosage of 18 J per session over the carpal tunnel area with neutral wrist splint. Group II received placebo laser therapy with neutral wrist splint. The patients were evaluated with the following parameters: (1) clinical parameters which consisted of visual analog scale, symptom severity scale, functional status scale, and pinch strength and grip strength before the treatment and at 5- and 12-week follow-ups and (2) electroneurophysiological parameters from nerve conduction study which were evaluated before the treatment and at 12-week follow-up. Fifty nine patients (112 hands: unilateral CTS = 6 hands and bilateral CTS = 106 hands) completed the study. Both groups I and II had n = 56 hands. Improvements were significantly more pronounced in the LLLT-treated group than the placebo group especially for grip strength at 5- and 12-week follow-ups. At 12-week follow-up, distal motor latency of the median nerve was significantly improved in the LLLT group than the placebo group (p < 0.05). LLLT therapy, as an alternative for a conservative treatment, is effective for treating mild to moderate CTS patients. It can improve hand grip strength and electroneurophysiological parameter with a carry-over effect up to 3 months after treatment for grip strength of the affected hands.
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