New treatment alternatives in the ulnar neuropathy at the elbow: ultrasound and low-level laser therapy
Ozkan FU, Saygı EK, Senol S, Kapcı S, Aydeniz B, Aktaş İ, Gozke E
Acta neurologica Belgica · 27 citas
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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
- 2014-10-15 · Acta Neurol Belg · vol. 115 · número 3 · págs. 355–360
- Editorial
- Springer Science+Business Media
- Citado
- 40 citas · más que el 71% de estudios similares · 0.7× el promedio de su campo
- Referencias
- 30 trabajos
- Acceso
- De pago
- Áreas de investigación
- Peripheral Nerve Disorders · Laser Applications in Dentistry and Medicine · Pain Management and Treatment
- Palabras clave
- ulnar neuropathy, ultrasound therapy, low-level laser therapy, conservative treatment, grip strength, nerve conduction latency, hand function
- MeSH
- humans, cubital tunnel syndrome, ultrasonography, hand strength, follow-up studies, single-blind method, evoked potentials, motor, neural conduction, adult, middle aged, patient satisfaction, female, male, visual analog scale, low-level light therapy
7 autores
- Feyza Ünlü Özkan🇹🇷 · autor de correspondenciaFatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi
- Evrim Karadağ‐Saygı🇹🇷Marmara Üniversitesi Eğitim ve Araştırma Hastanesi; Marmara University
- Selcen Senol🇹🇷Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi
- Serap Kapcı🇹🇷Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi
- Banu Aydeniz🇹🇷Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi
- İlknur Aktaş🇹🇷Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi
- Eren Gözke🇹🇷Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi
Resumen
El texto original del estudio, en el idioma en que se publicó.
Ulnar nerve entrapment at the elbow (UNE) is the second most common entrapment neuropathy of the arm. Conservative treatment is the treatment of choice in mild to moderate cases. Elbow splints and avoiding flexion of the involved elbow constitute majority of the conservative treatment; indeed, there is no other non-invasive treatment modality. The aim of this study was to investigate the efficacy of ultrasound (US) and low-level laser therapy (LLLT) in the treatment of UNE to provide an alternative conservative treatment method. A randomized single-blind study was carried out in 32 patients diagnosed with UNE. Short-segment conduction study (SSCS) was performed for the localization of the entrapment site. Patients were randomized into US treatment (frequency of 1 MHz, intensity of 1.5 W/cm(2), continuous mode) and LLLT (0.8 J/cm(2) with 905 nm wavelength), both applied five times a week for 2 weeks. Assessments were performed at baseline, at the end of the treatment, and at the first and third months by visual analog scale, hand grip strength, semmes weinstein monofilament test, latency change at SSCS, and patient satisfaction scale. Both treatment groups had significant improvements on clinical and electrophysiological parameters (p < 0.05) at first month with no statistically significant difference between them. Improvements in all parameters were sustained at the third month for the US group, while only changes in grip strength and latency were significant for the LLLT group at third month. The present study demonstrated that both US and LLLT provided improvements in clinical and electrophysiological parameters and have a satisfying short-term effectiveness in the treatment of UNE.
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