Effect of High-Intensity Laser Therapy on Carpal Tunnel Syndrome Patients: A Systematic Review and Meta-analysis.

IF 2.2 4区 医学 Q1 REHABILITATION
Mohamed M ElMeligie, Mahmoud M Ismail, Yasmine S Gomaa, Amr M Yehia, Hend R Sakr, Omnia M ElGendy
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引用次数: 0

Abstract

Objective: To provide a strong foundation for the use of high-intensity laser therapy in carpel tunnel syndrome, we conducted a systematic review and meta-analysis to investigate the outcomes of short- and long-term follow-up studies.

Design: This is a systematic review and meta-analysis.

Results: Sample sizes of included studies ranged from 16 to 98 patients ( N = 308). Overall, a significant difference between the treatment and control groups were found across majority of the measures. Studies using a 4-wk follow-up period, however, only found significantly greater benefits for high-intensity laser therapy in visual analog scale compared with placebo ( P = 0.0191), transcutaneous electrical nerve stimulation ( P = 0.0026), and low-intensity laser therapy 20 J/cm 2 ( P < 0.0002), and exercise ( P < 0.0001). For improvement in visual analog scale score over a long treatment period, high-intensity laser therapy was also preferred over control group ( P < 0.0071). Insufficient evidence exists to determine effect of high-intensity laser therapy on nerve conduction examinations. The only statistically significant differences observed in examinations were in relation to sensory nerve action potential ( P = 0.0083) and sensory nerve conduction velocity ( P = 0.0468).

Conclusions: Moderate evidence exists regarding efficacy of high-intensity laser therapy compared with placebo, high-intensity laser therapy + wrist splint, and exercise in a short period of follow-up time but evidence on long-term follow-up is limited.

高强度激光疗法对腕管综合征患者的影响:系统回顾与元分析》。
目的:为了给高强度激光疗法(HILT)治疗腕管综合征(CTS)提供坚实的基础,我们进行了一项系统回顾和荟萃分析,以调查短期和长期随访研究的结果:设计:系统回顾和荟萃分析:结果:纳入研究的样本量从 16 到 98 例患者不等(总样本量 = 308 例)。总体而言,治疗组和对照组在大多数指标上都存在明显差异。然而,使用四周随访期的研究仅发现,与安慰剂(p = 0.0191)、经皮神经电刺激(TENS)(p = 0.0026)、低强度激光疗法-20 J/cm2(p < 0.0002)和运动(p < 0.0001)相比,HILT 在视觉模拟量表(VAS)方面的疗效显著更高。就长期治疗后 VAS 评分的改善而言,HILT 也优于对照组(p < 0.0071)。目前还没有足够的证据来确定 HILT 对神经传导检查的影响。在检查中观察到的唯一具有统计学意义的差异是感觉神经动作电位(p = 0.0083)和感觉神经传导速度(SNCV)(p = 0.0468):结论:与安慰剂、HILT + 腕部夹板和运动相比,HILT 在短期随访中的疗效存在中等程度的证据,但长期随访的证据有限。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
6.70%
发文量
423
审稿时长
1 months
期刊介绍: American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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