Conforti Maria, Fachinetti Giorgio Paolo
Direzione Generale INAIL, Milan, Italy.
Muscles Ligaments Tendons J. 2013 Jul 9;3(2):106-11. doi: 10.11138/mltj/2013.3.2.106. Print 2013 Apr.
whiplash is a frequent post traumatic pathology caused by muscle, tendon and capsular elements over stretching. The authors conducted a short term prospective randomised study to test the effectiveness of a multi wave High Power Laser Therapy (HPLT) versus conventional simple segmental physical rehabilitation (PT) included in Italian tariff nomenclature performance physiotherapy Study Design: prospective randomised study (Level II).
the authors identified 135 homogeneous patients with whiplash grade 1 - 2 of the Quebec Task Force classification (QTFC). INAIL, the Italian National Workers Insurance, based in Milan, was reliable source for identifying patients. All patients with whiplash injuries grade 1 or 2 QTFC, were eligible for the study, starting from April 28 2010 to September 30 2010. Patients referred to a Coordinator (C.M.) who applied the inclusion and exclusion criteria. Patients who agreed to participate were randomly assigned to one of the two treatment groups. Dates for initial treatment session were arranged, including cervical spine X-ray, and assessment. Each patient gave informed consent for participation and agreed to adopt only the study treatment for 6 weeks. Group A (84 patients) was treated with High Power Laser Therapy (HPLT), Group B (51 patients) received conventional simple segmental physical rehabilitation (PT). During the treatment period, no other electro-medical therapy, analgesics or anti-inflammatory drugs were allowed. All patients were assessed at baseline (T0) and at the end of the treatment period (T1) using a Visual Analogical Scale (VAS), (T2) the date of return to work was registered afterwards.
there was a reduction in VAS pain scores at T1. Group A (VAS = 20) Group B (VAS = 34,8) (p =0.0048). Laser treatment allowed quick recovery and return to work (T2). Group A after 48 days against 66 days of Group B (p=0.0005).
results suggest that High Power Laser Therapy - is an effective treatment in patients with whiplash injury, compared to conventional simple segmental physical rehabilitation.
挥鞭样损伤是一种常见的创伤后病理状态，由肌肉、肌腱和关节囊过度拉伸引起。作者进行了一项短期前瞻性随机研究，以测试多波高功率激光疗法（HPLT）与意大利收费标准中包含的传统简单节段性物理康复（PT）的疗效。研究设计：前瞻性随机研究（二级）。
作者确定了135例魁北克工作组分类（QTFC）为1-2级的挥鞭样损伤的同质患者。位于米兰的意大利国家工伤保险公司（INAIL）是识别患者的可靠来源。所有QTFC为1级或2级挥鞭样损伤患者均符合研究条件，从2010年4月28日至2010年9月30日。患者被转介给一名协调员（C.M.），由其应用纳入和排除标准。同意参与的患者被随机分配到两个治疗组之一。安排了初始治疗 session 的日期，包括颈椎X光检查和评估。每位患者均签署了知情同意书，并同意在6周内仅采用研究治疗方法。A组（84例患者）接受高功率激光疗法（HPLT）治疗，B组（51例患者）接受传统简单节段性物理康复（PT）治疗。在治疗期间，不允许使用其他电疗、镇痛药或抗炎药。所有患者在基线（T0）和治疗期结束时（T1）使用视觉模拟量表（VAS）进行评估，之后记录（T2）重返工作岗位的日期。
T1时VAS疼痛评分降低。A组（VAS = 20），B组（VAS = 34.8）（p = 0.0048）。激光治疗使恢复加快并能重返工作岗位（T2）。A组为48天，而B组为66天（p = 0.0005）。
结果表明，与传统简单节段性物理康复相比，高功率激光疗法对挥鞭样损伤患者是一种有效的治疗方法。
