Efficacy of low-level laser therapy in carpal tunnel syndrome management: a systematic review and meta-analysis
Bekhet AH, Ragab B, Abushouk AI, Elgebaly A, Ali OI
Lasers in medical science · 23 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
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2017-06-05 · Lasers Med Sci · vol. 32 · número 6 · págs. 1439–1448
- Editorial
- Springer Science+Business Media
- Citado
- 37 citas · más que el 40% de estudios similares · 0.3× el promedio de su campo
- Referencias
- 44 trabajos
- Acceso
- De pago
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Peripheral Nerve Disorders · Pain Management and Treatment
- Palabras clave
- low-level laser therapy, carpal tunnel syndrome, splinting, grip strength, sensory nerve action potential, analgesia, functional status, electromyography, placebo comparison
- MeSH
- humans, carpal tunnel syndrome, treatment outcome, severity of illness index, publication bias, middle aged, female, male, electrophysiological phenomena, low-level light therapy
5 autores
- Amira Hassan Bekhet🇪🇬 · autor de correspondenciaCairo University
- Basma Ragab🇪🇬Cairo University
- Abdelrahman Ibrahim Abushouk🇪🇬Ain Shams University
- Ahmed Saber Elgebaly🇪🇬Al-Azhar University
- Olfat Ibrahim Ali🇪🇬Cairo University
Resumen
El texto original del estudio, en el idioma en que se publicó.
We performed this meta-analysis to investigate the efficacy of low-level laser therapy (LLLT), a physiotherapy modality with anti-inflammatory and analgesic effects, in the management of mild-to-moderate carpal tunnel syndrome (CTS). We searched PubMed, Web of Knowledge, Scopus, Cochrane Central, and Virtual Health Library for randomized controlled trials (RCTs) that compared the effects of LLLT with or without splinting versus placebo on functional and electromyographic outcomes in CTS. All outcomes were pooled as mean differences (MD) under the inverse variance or random effects model, using the statistical add-in (MetaXL, version 5.0). Eight RCTs (473 patients/631 wrists) were eligible for the final analysis. The overall effect estimates did not favor LLLT therapy group over placebo in all primary outcomes: visual analogue scale (MD -1.11, 95% CI [-2.58, 0.35]), symptom severity scale score (MD -1.41, 95% CI [-5.12, 2.29]), and functional status scale score (MD -1.33, 95% CI [-3.27, 0.61]). However, LLLT was superior to placebo in terms of grip strength (MD 2.19, 95% CI [1.63, 2.76]) and inferior to placebo in terms of sensory nerve action potential (MD -2.74, 95% CI [-3.66, -1.82]). Laser therapy is superior to placebo in terms of improving the grip strength; however, no significant difference was found between both groups in terms of functional status improvement, pain reduction, or motor electrodiagnostic evaluations. Further high-quality trials with longer follow-up periods are required to establish the efficacy of LLLT for CTS treatment.
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