Zdrodowska Beata, Leszczyńska-Filus Magdalena, Leszczyński Ryszard, Błaszczyk Jan
Pol Merkur Lekarski. 2014 Feb;36(212):101-5.
Spondyloarthrosis is a quickly growing disease in highly civilized communities. It is one of the most frequent causes for movement limitations and is listed as the main reason for the incapacitation for work among people of the working age. The following symptoms can be observed in patients with spondyloarthrosis: pain, limited spine mobility, increased muscle tone. Chronic pain and the associated limitation of movement underlie the quest for an effective therapy. Using laser therapy as part of physical therapy prompts research into the effectiveness of the measure in patients with spondyloarthrosis. The aim of this study was to evaluate the effectiveness of laser therapy on spondyloarthrosis of the lumbar spine.
60 patients suffering from chronic low back pain, diagnosed with a lumbar disc herniation with no nerve root symptoms, received laser therapy (820 nm, 400 mW, 6-12 J/cm2. Every patient underwent examinations before and after rehabilitation. Subjective pain assessment was carried out using a modified Laitinen questionnaire and visual analogue scale of pain intensity. Spine mobility was evaluated using Schober's test and the fingertip-to-floor-test. The obtained results were subject to a statistical analysis.
Laser therapy was effective in the therapy of lumbar disc herniation. The results of the analysis showed that the intensity and frequency of pain decreased, as well as the use of painkillers. A vast improvement in global spine mobility and lumbosacral flexion and extension could be observed, too.
The study showed a slight analgesic effect and a substantial increase in spine mobility through laser biostimulation.
脊柱关节病在高度文明的社区中是一种快速增长的疾病。它是导致活动受限的最常见原因之一，并且被列为劳动年龄人群丧失工作能力的主要原因。脊柱关节病患者可观察到以下症状：疼痛、脊柱活动受限、肌张力增加。慢性疼痛及相关的活动受限促使人们寻求有效的治疗方法。将激光疗法作为物理治疗的一部分引发了对该措施在脊柱关节病患者中有效性的研究。本研究的目的是评估激光疗法对腰椎脊柱关节病的有效性。
60例患有慢性下腰痛、诊断为腰椎间盘突出症且无神经根症状的患者接受了激光治疗（820纳米，400毫瓦，6 - 12焦耳/平方厘米）。每位患者在康复前后均接受检查。使用改良的莱蒂宁问卷和疼痛强度视觉模拟量表进行主观疼痛评估。使用肖伯试验和指尖触地试验评估脊柱活动度。对获得的结果进行统计分析。
激光疗法对腰椎间盘突出症的治疗有效。分析结果表明，疼痛的强度和频率降低，止痛药的使用也减少。还可观察到脊柱整体活动度以及腰骶部屈伸有显著改善。
该研究表明激光生物刺激具有轻微的镇痛作用，并能显著提高脊柱活动度。
