Effectiveness of low-level laser on carpal tunnel syndrome: A meta-analysis of previously reported randomized trials
Li ZJ, Wang Y, Zhang HF, Ma XL, Tian P, Huang Y
Medicine · 31 citas
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- National Natural Science Foundation of China
- Gobierno
- Natural Science Foundation of Tianjin City
- Subvenciones
- Natural Science Foundation of Tianjin City (14JCQNJC11700); National Natural Science Foundation of China (81501887)
Según 2 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2016-08-01 · Medicine (Baltimore) · vol. 95 · número 31 · pág. e4424
- Editorial
- Wolters Kluwer
- Citado
- 44 citas · más que el 93% de estudios similares · 3.9× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 41 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Peripheral Nerve Disorders · Laser Applications in Dentistry and Medicine · Oropharyngeal Anatomy and Pathologies
- Palabras clave
- Medicine, Carpal tunnel syndrome, Surgery, Orthodontics
- MeSH
- humans, carpal tunnel syndrome, pain measurement, hand strength, prognosis, treatment outcome, severity of illness index, risk assessment, female, male, randomized controlled trials as topic, low-level light therapy
6 autores
- Zhijun Li🇨🇳 · autor de correspondenciaTianjin Medical University General Hospital; Tianjin Medical University Cancer Institute and Hospital; Tianjin Children's Hospital
- Yao Wang🇨🇳Tianjin Nankai Hospital
- Huafeng Zhang🇨🇳Tianjin Medical University General Hospital
- Xinlong Ma🇨🇳Tianjin People's Hospital; Tianjin Hospital
- Peng Tian🇨🇳Tianjin People's Hospital; Tianjin Hospital
- Yuting Huang🇺🇸Children's National
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Low-level laser therapy (LLLT) has been applied in the treatment of carpal tunnel syndrome (CTS) for an extended period of time without definitive consensus on its effectiveness. This meta-analysis was conducted to evaluate the effectiveness of low-level laser in the treatment of mild to moderate CTS using a Cochrane systematic review.
Methods
We conducted electronic searches of PubMed (1966-2015.10), Medline (1966-2015.10), Embase (1980-2015.10), and ScienceDirect (1985-2015.10), using the terms "carpal tunnel syndrome" and "laser" according to the Cochrane Collaboration guidelines. Relevant journals or conference proceedings were searched manually to identify studies that might have been missed in the database search. Only randomized clinical trials were included, and the quality assessments were performed according to the Cochrane systematic review method. The data extraction and analyses from the included studies were conducted independently by 2 reviewers. The results were expressed as the mean difference (MD) with 95% confidence intervals (CI) for the continuous outcomes.
Results
Seven randomized clinical trials met the inclusion criteria; there were 270 wrists in the laser group and 261 wrists in the control group. High heterogeneity existed when the analysis was conducted. Hand grip (at 12 weeks) was stronger in the LLLT group than in the control group (MD = 2.04; 95% CI: 0.08-3.99; P = 0.04; I = 62%), and there was better improvement in the visual analog scale (VAS) (at 12 weeks) in the LLLT group (MD = 0.97; 95% CI: 0.84-1.11; P 95% in the calculation of these 3 parameters. There were no statistically significant differences in the other parameters between the 2 groups.
Conclusion
This study revealed that low-level laser improve hand grip, VAS, and SNAP after 3 months of follow-up for mild to moderate CTS. More high-quality studies using the same laser intervention protocol are needed to confirm the effects of low-level laser in the treatment of CTS.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
Confianza de la comunidad
Cargando…
¿Cuánto confías en los hallazgos de este estudio?
Comentarios
¿Algo está mal aquí?
Señala este estudio si su información, etiquetas o financiación parecen incorrectas. Un editor revisa cada señalamiento.
Información educativa sobre investigación publicada. No es consejo médico ni una recomendación para empezar o dejar nada.