Yıl: 2015 Cilt: 25 Sayı: 3 Sayfa Aralığı: 78 - 84 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study

Öz:
Amaç: Subakromiyal sıkışma sendromu (SSS) olan hastalarda düşük doz lazer tedavisinin (DDLT) etkinliğini değerlendirmek.Yöntemler: SSS olan toplam 60 hasta lazer ve plasebo lazer gruplarına randomize edildi. Tüm katılımcılar aynı zamanda 15 seans boyunca yüzeyel sıcak uygulama, transkutanöz elektriksel sinir stimülasyon (TENS) tedavisi ve bir egzersiz programı aldı. Sonuç ölçümleri global ağrı şiddeti, aktif ve pasif omuz hareket açıklığı (EHA) ve Kol, Omuz ve El Sorunları Anketi [(Turkish Disabilities of the Arm, Shoulder and Hand Outcome Measurement (DASH-T)] idi.Bulgular: Her iki grupta da tüm sonuç ölçümlerinde istatistiksel olarak anlamlı düzelme vardı. Tedavi sonrasında iki grubun karşılaştırılmasında ortanca aktif ve pasif fleksiyon, aktif ve pasif abduksiyon, pasif iç rotasyon ve pasif dış rotasyon lazer grubunda anlamlı olarak daha yüksekken (sırasıyla p=0.015, p=0.004, p=0.048, p=0.031 ve p=0.044), farkların ortancası iki grup arasında benzerdi (p>0.05). Yine VAS ağrı farklarının ortancası ve DASH-T farklarının ortancası iki grupta benzerdi (p>0.05).Sonuç: Çalışmamızın sonuçları her iki tedavinin de ağrı, EHA ve yetersizlik durumunda iyileşme sağladığını, ancak DDLT'nin ilave iyileşmeye katkısının olmadığını kabul tarihi: 06.07.2015 gösterdi
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Subakromiyal sıkışma sendromu olan hastalarda düşük doz lazer tedavisinin etkinliği: Randomize, plasebo kontrollü, prospektif çalışma

Öz:
Objective: To assess the effectiveness of low-level laser therapy [LLLT] in patients with subacromial impingement syndrome (SIS).Methods: A total of 60 patients with SIS were randomly assigned into a laser or a placebo group. All participants also received 15 sessions of superficial heat treatment, transcutaneous electrical nerve stimulation therapy, and an exercise program. Outcomes were global pain severity, active and passive shoulder range of motion (ROM), and disability assessed by the Turkish Disabilities of the Arm, Shoulder and Hand (DASH-T) Outcome Measurement. Results: There were statistically significant improvements in all outcome measurements in both groups. In comparison of both groups, median active and passive flexion, active and passive abduction, passive internal rotation, and passive external rotation scores were significantly higher in the laser group after the treatment (p=0.015, P=0.004, p=0.048, p=0.014, p=0.031, and p=0.044, respectively), but median differences in both groups were similar (P>0.05). The median differences for global visual analogue scale pain and DASH-T scores, in both groups were also similar (P>0.05).Conclusion: The results of our study demonstrated that both treatments provided improvement in pain, ROM, and disability status, but LLLT did not provide additional improvements
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Greving K, Dorrestijn O, Winters JC, Groenhof F, van der Meer K, Stevens M, et al. Incidence, prevalence, and consul- tation rates of shoulder complaints in general practice. Scand J Rheumatol 2012;41:150-5. http://dx.doi.org/10.3109/03009742.2011.605390
  • Faber E, Kuiper JI, Burdorf A, Miedema HS, Verhaar JA. Treatment of impingement syndrome: A systematic review of the effects on functional limitations and return to work. J Occup Rehabil 2006;16:7-25. http://dx.doi.org/10.1007/s10926-005-9003-2
  • Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech (Bristol, Avon) 2003;18:369-79. http://dx.doi.org/10.1016/S0268-0033(03)00047-0
  • Diercks R, Bron C, Dorrestijn O, Meskers C, Naber R, de Ruiter T, et al. Guideline for diagnosis and treatment of sub- acromial pain syndrome. Acta Orthop 2014;85:314-22.
  • http://dx.doi.org/10.3109/17453674.2014.920991. Epub 2014 May 21.
  • Kreisler M, Christoffers AB, Willershausen B, d'Hoedt B. Effect of low-level GaAlAs laser irradiation on the prolifera- tion rate of human periodontal ligament fibroblasts: An in vitro study. J Clin Periodontol 2003;30:353-8. http://dx.doi.org/10.1034/j.1600-051X.2003.00001.x
  • Michener LA, Walsworth MK, Burnet EN. Effectiveness of rehabilitation for patients with subacromial impingement syn- drome: A systematic review. J Hand Ther 2004;17:152-64. http://dx.doi.org/10.1197/j.jht.2004.02.004
  • The DASH Outcome Measure: Disabilities of the Arm, Shoulder and Hand. Available translations. Retrieved July 15, 2014, from: www.dash.iwh.on.ca/available-translations.
  • Bjordal JM, Couppé C, Chow RT, Tunér J, Ljunggren EA. A systematic review of low level laser therapy with location- specific doses for pain from chronic joint disorders. Aust J Physiother 2003;49:107-16. http://dx.doi.org/10.1016/S0004-9514(14)60127-6
  • Bjordal JM, Johnson MI, Iversen V, Aimbire F, Lopes- Martins RA. Low-level laser therapy in acute pain: A system- atic review of possible mechanisms of action and clinical effects in randomized placebo-controlled trials. Photomed Laser Surg 2006;24:158-68. http://dx.doi.org/10.1089/pho.2006.24.158
  • Ihsan FR. Low-level laser therapy accelerates collateral cir- culation and enhances microcirculation. Photomed Laser Surg 2005;23:289-94. http://dx.doi.org/10.1089/pho.2005.23.289
  • Fillipin LI, Mauriz JL, Vedovelli K, Moreira AJ, Zettler CG, Lech O, et al. Low-level laser therapy (LLLT) prevents oxi- dative stress and reduces fibrosis in rat traumatized Achilles tendon. Lasers Surg Med 2005;37:293-300. http://dx.doi.org/10.1002/lsm.20225
  • Carrinho PM, Renno AC, Koeke P, Salate AC, Parizotto NA, Vidal BC. Comparative study using 685-nm and 830-nm lasers in the tissue repair of tenotomized tendons in the mouse. Photomed Laser Surg 2006;24:754-8. http://dx.doi.org/10.1089/pho.2006.24.754
  • Montes-Molina R, Martínez-Rodríguez ME, Rodríguez AB, Martínez-Ruiz F, Prieto-Baquero A. Interferential light thera- py in the treatment of shoulder tendinopathies: A randomized controlled pilot study. Clin Rehabil 2012;26:1114-22. http://dx.doi.org/10.1177/0269215512445068
  • WALT: Recommended treatment doses for low level laser therapy. Retrieved July 14, 2014, from: http://waltza.co.za/ documentation links/recommendations/dosage-recommenda- tions.
  • England S, Farrell AJ, Coppock JS, Struthers G, Bacon PA. Low power laser therapy of shoulder tendonitis. Scand J Rheumatol 1989;18:427-31. http://dx.doi.org/10.3109/03009748909102106
  • Vecchio P, Cave M, King V, Adebajo AO, Smith M, Hazleman BL. A double-blind study of the effectiveness of low level laser treatment of rotator cuff tendinitis. Br J Rheumatol 1993;32:740-2. http://dx.doi.org/10.1093/rheumatology/32.8.740
  • Saunders L. The efficacy of low-level laser therapy in supraspinatus tendinitis. Clin Rehabil 1995;9:126-34. http://dx.doi.org/10.1177/026921559500900207
  • Bingöl U, Altan L, Yurtkuran M. Low-power laser treatment for shoulder pain. Photomed Laser Surg 2005;23:459-64. http://dx.doi.org/10.1089/pho.2005.23.459
  • Yeldan I, Cetin E, Ozdincler AR. The effectiveness of low- level laser therapy on shoulder function in subacromial impingement syndrome. Disabil Rehabil 2009;31:935-40. http://dx.doi.org/10.1080/09638280802377985
  • Bal A, Eksioglu E, Gurcay E, Gulec B, Karaahmet O, Cakci A. Low-level laser therapy in subacromial impingement syn- drome. Photomed Laser Surg 2009;27:31-6. http://dx.doi.org/10.1089/pho.2007.2222
  • Dogan SK, Ay S, Evcik D. The effectiveness of low laser therapy in subacromial impingement syndrome: A random- ized placebo controlled double-blind prospective study. Clinics (Sao Paulo) 2010;65:1019-22. http://dx.doi.org/10.1590/S1807-59322010001000016
  • Calis HT, Berberoglu N, Calis M. Are ultrasound, laser and exercise superior to each other in the treatment of subacro- mial impingement syndrome? A randomized clinical trial. Eur J Phys Rehabil Med 2011;47:375-80.
  • Abrisham SM, Kermani-Alghoraishi M, Ghahramani R, Jabbari L, Jomeh H, Zare M. Additive effects of low-level laser therapy with exercise on subacromial syndrome: A ran- domised, double-blind, controlled trial. Clin Rheumatol 2011;30:1341-6. http://dx.doi.org/10.1007/s10067-011-1757-7
  • Green S, Buchbinder R, Hetrick S. Physiotherapy interven- tions for shoulder pain. Cochrane Database Syst Rev 2: CD004258, 2003. http://dx.doi.org/10.1002/14651858.cd004258
  • Ludewig PM, Borstad JD. Effects of a home exercise pro- gramme on shoulder pain and functional status in construc- tion workers. Occup Environ Med 2003;60:841-9. http://dx.doi.org/10.1136/oem.60.11.841
  • Kuhn JE. Exercise in the treatment of rotator cuff impinge- ment: A systematic review and a synthesized evidence-based rehabilitation protocol. J Shoulder Elbow Surg 2009;18:138- 60. http://dx.doi.org/10.1016/j.jse.2008.06.004
APA ÖZTÜRK ATICI P, Şengül İ, KARATEPE GÖKSEL A, Kaya T, GUNAYDIN R (2015). Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study. , 78 - 84.
Chicago ÖZTÜRK ATICI Pınar,Şengül İlker,KARATEPE GÖKSEL Altınay,Kaya Taciser,GUNAYDIN Rezzan Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study. (2015): 78 - 84.
MLA ÖZTÜRK ATICI Pınar,Şengül İlker,KARATEPE GÖKSEL Altınay,Kaya Taciser,GUNAYDIN Rezzan Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study. , 2015, ss.78 - 84.
AMA ÖZTÜRK ATICI P,Şengül İ,KARATEPE GÖKSEL A,Kaya T,GUNAYDIN R Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study. . 2015; 78 - 84.
Vancouver ÖZTÜRK ATICI P,Şengül İ,KARATEPE GÖKSEL A,Kaya T,GUNAYDIN R Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study. . 2015; 78 - 84.
IEEE ÖZTÜRK ATICI P,Şengül İ,KARATEPE GÖKSEL A,Kaya T,GUNAYDIN R "Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study." , ss.78 - 84, 2015.
ISNAD ÖZTÜRK ATICI, Pınar vd. "Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study". (2015), 78-84.
APA ÖZTÜRK ATICI P, Şengül İ, KARATEPE GÖKSEL A, Kaya T, GUNAYDIN R (2015). Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study. İzmir Tepecik Eğitim Hastanesi Dergisi, 25(3), 78 - 84.
Chicago ÖZTÜRK ATICI Pınar,Şengül İlker,KARATEPE GÖKSEL Altınay,Kaya Taciser,GUNAYDIN Rezzan Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study. İzmir Tepecik Eğitim Hastanesi Dergisi 25, no.3 (2015): 78 - 84.
MLA ÖZTÜRK ATICI Pınar,Şengül İlker,KARATEPE GÖKSEL Altınay,Kaya Taciser,GUNAYDIN Rezzan Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study. İzmir Tepecik Eğitim Hastanesi Dergisi, vol.25, no.3, 2015, ss.78 - 84.
AMA ÖZTÜRK ATICI P,Şengül İ,KARATEPE GÖKSEL A,Kaya T,GUNAYDIN R Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study. İzmir Tepecik Eğitim Hastanesi Dergisi. 2015; 25(3): 78 - 84.
Vancouver ÖZTÜRK ATICI P,Şengül İ,KARATEPE GÖKSEL A,Kaya T,GUNAYDIN R Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study. İzmir Tepecik Eğitim Hastanesi Dergisi. 2015; 25(3): 78 - 84.
IEEE ÖZTÜRK ATICI P,Şengül İ,KARATEPE GÖKSEL A,Kaya T,GUNAYDIN R "Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study." İzmir Tepecik Eğitim Hastanesi Dergisi, 25, ss.78 - 84, 2015.
ISNAD ÖZTÜRK ATICI, Pınar vd. "Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: A randomized, placebo controlled, prospective study". İzmir Tepecik Eğitim Hastanesi Dergisi 25/3 (2015), 78-84.