The effectiveness of low-level laser therapy on pain, self-reported hand function, and grip strength compared to placebo or "sham" treatment for adults with carpal tunnel syndrome: A systematic review
Burger M, Kriel R, Damon A, Abel A, Bansda A, Wakens M, Ernstzen D
Physiotherapy theory and practice · 20 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
- Revisión sistemática (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2017-03-04 · Physiother Theory Pract · vol. 33 · número 3 · págs. 184–197
- Editorial
- Taylor & Francis
- Citado
- 30 citas · más que el 43% de estudios similares · 0.4× el promedio de su campo
- Referencias
- 31 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, pain, hand function, grip strength, placebo, sham treatment, peripheral neuropathy, physiotherapy
- MeSH
- hand, humans, carpal tunnel syndrome, pain measurement, hand strength, treatment outcome, placebo effect, recovery of function, research design, adult, middle aged, female, male, randomized controlled trials as topic, low-level light therapy
7 autores
- Marlette Burger🇿🇦 · autor de correspondenciaStellenbosch University
- Réna Isabel Kriel🇿🇦Stellenbosch University
- Andrea Damon
- Amy Abel
- Anisha Bansda
- Marinique Wakens
- Dawn Verna Ernstzen🇿🇦Stellenbosch University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Carpal tunnel syndrome (CTS) is one of the most common peripheral neuropathies in the upper extremity.
Objective
The aim of this review was to systematically and critically appraise the available literature for the effectiveness of Low-Level Laser Therapy (LLLT) on pain, self-reported hand function, and grip strength compared to placebo treatment in adults with CTS.
Methodology
Seven databases were searched from 2000 to March 2015 namely: Cinahl, Cochrane Library, EBSCOhost, PEDro, PubMed, Science Direct, and Scopus. Key search terms were: CTS, LLLT, and physiotherapy. Specific inclusion and exclusion criteria were applied. The methodological quality was appraised with the PEDro scale. Data were extracted and captured on an Excel spreadsheet.
Results
The nine included randomized control trials (RCTs) had an average score of 8.2/11 according to the PEDro scale. The heterogeneity of the LLLT regimes used made statistical pooling inappropriate for this review and results were described narratively.
Conclusion
No strong evidence exists concerning the effects of LLLT on CTS in adults. Studies that used 780-860 nm Lasers and energy dosages of 9-11 J/cm2 or 10.8 J reported a more favorable outcome for pain, symptom severity, and functional ability as well as grip strength at the end of treatment and short-term follow up.
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