{"title":"早期低水平激光治疗可改善屈肌腱损伤患者的被动活动范围并减轻疼痛。","authors":"Naghmeh Poorpezeshk, Seyed Kamran Ghoreishi, Mohammad Bayat, Ramin Pouriran, Masoud Yavari","doi":"10.1089/pho.2018.4458","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>To obtain the best result from flexor tendon repair surgery, proper surgical technique, appropriate materials, good rehabilitation, and patient satisfaction are essential to consider. Nevertheless, no general unique protocol still exists between researchers, for a suitable treatment plan.</p><p><strong>Objective: </strong>The aim of the present random clinical trial (RCT) was to determine the adjuvant effect of low-level laser therapy (LLLT) on healing tendon injury in patients.</p><p><strong>Materials and methods: </strong>In an RCT, 97 patients (114 fingers) with sharp injury in three zones of their hands were randomly divided into LLLT and control groups, using the unequal treatment allocation approach. Thirty-nine patients (31 males and 8 females, 46 fingers) were enrolled in the LLLT group, receiving 8-10 sessions of LLLT (red and infrared lasers) over the flexor tendon repaired area. In the control group, 58 patients were included, 20 patients did not come back for follow-up, and 38 patients (29 males and 9 females, 46 fingers) participated in the study. Patients were visited in days 28 - 32 after surgery. Passive range of motion (PROM), pain severity of groups, and patient satisfaction from LLLT were all recorded. The two observers, blind to the LLLT group assessed the data independently.</p><p><strong>Results: </strong>In two groups, no rupture was observed during 4 weeks postsurgery. None of the patients in the control group was able to perform the full passive flexion. There was a significant increase in PROM (t = 82.925, p = 0.000) and a significant pain reduction (t = -11.96, p = 0.000) in the LLLT group, compared with the control group. All Patients in the LLLT group were satisfied.</p><p><strong>Conclusions: </strong>LLLT is a proper adjuvant therapy in flexor tendon repair. Evidently, LLLT promotes tendon healing, alleviates the pain, and assists flexibility of soft tissue and joints, leading to the tremendous improvement in patient cooperation and compliance.</p>","PeriodicalId":20117,"journal":{"name":"Photomedicine and laser surgery","volume":" ","pages":"530-535"},"PeriodicalIF":0.0000,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/pho.2018.4458","citationCount":"9","resultStr":"{\"title\":\"Early Low-Level Laser Therapy Improves the Passive Range of Motion and Decreases Pain in Patients with Flexor Tendon Injury.\",\"authors\":\"Naghmeh Poorpezeshk, Seyed Kamran Ghoreishi, Mohammad Bayat, Ramin Pouriran, Masoud Yavari\",\"doi\":\"10.1089/pho.2018.4458\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>To obtain the best result from flexor tendon repair surgery, proper surgical technique, appropriate materials, good rehabilitation, and patient satisfaction are essential to consider. Nevertheless, no general unique protocol still exists between researchers, for a suitable treatment plan.</p><p><strong>Objective: </strong>The aim of the present random clinical trial (RCT) was to determine the adjuvant effect of low-level laser therapy (LLLT) on healing tendon injury in patients.</p><p><strong>Materials and methods: </strong>In an RCT, 97 patients (114 fingers) with sharp injury in three zones of their hands were randomly divided into LLLT and control groups, using the unequal treatment allocation approach. Thirty-nine patients (31 males and 8 females, 46 fingers) were enrolled in the LLLT group, receiving 8-10 sessions of LLLT (red and infrared lasers) over the flexor tendon repaired area. In the control group, 58 patients were included, 20 patients did not come back for follow-up, and 38 patients (29 males and 9 females, 46 fingers) participated in the study. Patients were visited in days 28 - 32 after surgery. Passive range of motion (PROM), pain severity of groups, and patient satisfaction from LLLT were all recorded. The two observers, blind to the LLLT group assessed the data independently.</p><p><strong>Results: </strong>In two groups, no rupture was observed during 4 weeks postsurgery. None of the patients in the control group was able to perform the full passive flexion. There was a significant increase in PROM (t = 82.925, p = 0.000) and a significant pain reduction (t = -11.96, p = 0.000) in the LLLT group, compared with the control group. All Patients in the LLLT group were satisfied.</p><p><strong>Conclusions: </strong>LLLT is a proper adjuvant therapy in flexor tendon repair. 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引用次数: 9
摘要
背景:为了获得屈肌腱修复手术的最佳效果，必须考虑合适的手术技术、合适的材料、良好的康复和患者的满意度。然而，研究者之间仍然没有一个通用的、独特的方案来制定合适的治疗方案。目的:本随机临床试验(RCT)的目的是确定低水平激光治疗(LLLT)对肌腱损伤患者愈合的辅助作用。材料与方法:采用不等处理分配方法，将97例(114指)手部3区尖锐伤患者随机分为LLLT组和对照组。39例患者(男31例，女8例，46根手指)被纳入LLLT组，在屈肌腱修复区接受8-10次LLLT(红色和红外激光)。对照组纳入58例，未随访20例，38例(男29例，女9例，46指)参与研究。患者于术后28 - 32天回访。被动式活动度(PROM)、各组疼痛严重程度和患者对LLLT的满意度均被记录。对LLLT组不知情的两名观察员独立评估了数据。结果:两组术后4周均未见破裂。对照组中没有患者能够完成完全的被动屈曲。与对照组相比，LLLT组PROM显著增加(t = 82.925, p = 0.000)，疼痛显著减轻(t = -11.96, p = 0.000)。LLLT组患者均满意。结论:LLLT是屈肌腱修复术中一种合适的辅助治疗方法。显然，LLLT促进肌腱愈合，减轻疼痛，并有助于软组织和关节的灵活性，导致患者的配合性和依从性的巨大提高。
Early Low-Level Laser Therapy Improves the Passive Range of Motion and Decreases Pain in Patients with Flexor Tendon Injury.
Background: To obtain the best result from flexor tendon repair surgery, proper surgical technique, appropriate materials, good rehabilitation, and patient satisfaction are essential to consider. Nevertheless, no general unique protocol still exists between researchers, for a suitable treatment plan.
Objective: The aim of the present random clinical trial (RCT) was to determine the adjuvant effect of low-level laser therapy (LLLT) on healing tendon injury in patients.
Materials and methods: In an RCT, 97 patients (114 fingers) with sharp injury in three zones of their hands were randomly divided into LLLT and control groups, using the unequal treatment allocation approach. Thirty-nine patients (31 males and 8 females, 46 fingers) were enrolled in the LLLT group, receiving 8-10 sessions of LLLT (red and infrared lasers) over the flexor tendon repaired area. In the control group, 58 patients were included, 20 patients did not come back for follow-up, and 38 patients (29 males and 9 females, 46 fingers) participated in the study. Patients were visited in days 28 - 32 after surgery. Passive range of motion (PROM), pain severity of groups, and patient satisfaction from LLLT were all recorded. The two observers, blind to the LLLT group assessed the data independently.
Results: In two groups, no rupture was observed during 4 weeks postsurgery. None of the patients in the control group was able to perform the full passive flexion. There was a significant increase in PROM (t = 82.925, p = 0.000) and a significant pain reduction (t = -11.96, p = 0.000) in the LLLT group, compared with the control group. All Patients in the LLLT group were satisfied.
Conclusions: LLLT is a proper adjuvant therapy in flexor tendon repair. Evidently, LLLT promotes tendon healing, alleviates the pain, and assists flexibility of soft tissue and joints, leading to the tremendous improvement in patient cooperation and compliance.
期刊介绍：
Photobiomodulation, Photomedicine, and Laser Surgery (formerly Photomedicine and Laser Surgery) is the essential journal for cutting-edge advances and research in phototherapy, low-level laser therapy (LLLT), and laser medicine and surgery. The Journal delivers basic and clinical findings and procedures to improve the knowledge and application of these techniques in medicine.
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