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首页> 外文期刊>Journal of Lasers in Medical Sciences >The Effects of Low Intensity Laser on Clinical and Electrophysiological Parameters of Carpal Tunnel Syndrome
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The Effects of Low Intensity Laser on Clinical and Electrophysiological Parameters of Carpal Tunnel Syndrome

机译：低强度激光对腕管综合征临床和电生理指标的影响

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Introduction: Carpal Tunnel Syndrome (CTS) is the most common type of entrapment neuropathy. Conservative therapy is usually considered as the first step in the management of CTS. Low Level Laser Therapy (LLLT) is among the new physical modalities, which has shown therapeutic effects in CTS. The aim of the present study was to compare the effects of applying LASER and splinting together with splinting alone in patients with CTS. Methods: Fifty patients with mild and moderate CTS who met inclusion criteria were included in this study. The disease was confirmed by electrodiagnostic study (EDx) and clinical findings. Patients were randomly divided into 3 groups. Group A received LLLT and splinting. Group B received sham LLLT+ splinting and group C received only splints. Group A received LLLT (50 mw and 880nm with total dose of 6 joule/cm 2 ). Clinical and EDx parameters were evaluated before and after treatment (3 weeks and 2 months later). Results: Electrophysiologic parameters and clinical findings including CTS provocative tests, Symptoms severity score (SSS), Functional Severity Score (FSS) and Visual Analogue Score (VAS) were improved in all three groups ?at 3 weeks and 2 months after treatment. No significant changes were noticed between the three groups regarding clinical and EDX parameters. Conclusion: We found no superiority in applying Low Intensity Laser accompanying splinting to traditional treatment which means splinting alone in patients with CTS. However, future studies investigating LLLT with parameters other than the one used in this study may reveal different results in favor of LLLT.
机译：简介：腕管综合症（CTS）是最常见的卡压性神经病。保守治疗通常被视为治疗CTS的第一步。低水平激光疗法（LLLT）是新的物理方法之一，已在CTS中显示出治疗效果。本研究的目的是比较在CTS患者中应用激光和夹板以及单独夹板的效果。方法：本研究纳入了50例符合入选标准的轻度和中度CTS患者。通过电诊断研究（EDx）和临床发现证实了该病。将患者随机分为3组。 A组收到LLLT夹板。 B组接受假LLLT +夹板，C组仅接受夹板。 A组接受LLLT（50mw和880nm，总剂量为6焦耳/ cm 2）。在治疗前后（3周和2个月后）评估临床和EDx参数。结果：在治疗后3周和2个月，三组患者的电生理参数和临床表现（包括CTS激发试验，症状严重程度评分（SSS），功能严重程度评分（FSS）和视觉类似评分（VAS）均得到改善。三组之间在临床和EDX参数方面未发现明显变化。结论：我们发现将低强度激光夹板应用于传统治疗并没有优势，这意味着CTS患者单独夹板。但是，将来使用其他参数研究LLLT的研究可能会显示支持LLLT的不同结果。

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