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低强度激光疗法对膝关节骨关节炎的影响:前瞻性描述性研究。

The effect of low-level laser therapy on knee osteoarthritis: prospective, descriptive study.

作者信息

Soleimanpour Hassan, Gahramani Khosro, Taheri Reza, Golzari Samad E J, Safari Saeid, Esfanjani Robab Mehdizadeh, Iranpour Afshin

机构信息

Cardiovascular Research Center, Tabriz University of Medical Sciences, Daneshgah Street, Tabriz, 51664, Iran,

出版信息

Lasers Med Sci. 2014 Sep;29(5):1695-700. doi: 10.1007/s10103-014-1576-6. Epub 2014 Apr 15.

Abstract

BACKGROUND

Osteoarthritis (OA) is one of the most common joint disorders in the elderly which could be associated with considerable physical disability.

PATIENTS AND METHODS

In a descriptive, prospective study, 33 patients enrolled in the study from which 15 people were excluded due to incomplete course of treatment, leaving the total number of 18 patients with knee osteoarthritis. Gal-Al-As diode laser device was used as a source of low-power laser. Patients were performed laser therapy with a probe of LO7 with a wavelength of 810 nm and 50 mW output power in pulse radiation mode (F = 3,000, peak power = 80 W, Δt = 200 ns, density = 0.05 W/cm(2), dose = 6 J/cm(2), area = 1 cm(2)) and also a probe of MLO1K with a power output of 30 mW and a wavelength of 890 nm in pulse radiation mode (F = 3,000 Hz, peak power = 50 W, Δt = 200 ns, density = 0.017 W/cm(2), total dose = 10 J/cm(2)), and were given low-level laser therapy (LLLT) three times a week with a total number of 12 sessions. Data were analyzed using SPSS ver. 15, and the obtained data were reported as mean ± SD and frequency (%). To analyze the data, repeated measurement and marginal homogeneity approaches were used.

RESULTS

In the current study, a significant reduction was observed regarding the nocturnal pain, pain on walking and ascending the steps, knee circumference, distance between the hip and heel, and knee to horizontal hip to heel distance at the end of the treatment course.

CONCLUSIONS

In brief, the current study focuses on the fact that LLLT is effective in reducing pain in knee osteoarthritis.

摘要

背景

骨关节炎(OA)是老年人中最常见的关节疾病之一,可能导致严重的身体残疾。

患者与方法

在一项描述性前瞻性研究中,33名患者参与了该研究,其中15人因治疗过程不完整而被排除,最终共有18例膝骨关节炎患者。采用Gal-Al-As二极管激光设备作为低功率激光源。患者使用波长为810 nm、输出功率为50 mW的LO7探头,以脉冲辐射模式(F = 3,000,峰值功率 = 80 W,Δt = 200 ns,密度 = 0.05 W/cm²,剂量 = 6 J/cm²,面积 = 1 cm²)进行激光治疗,同时使用输出功率为30 mW、波长为890 nm的MLO1K探头,以脉冲辐射模式(F = 3,000 Hz,峰值功率 = 50 W,Δt = 200 ns,密度 = 0.017 W/cm²,总剂量 = 10 J/cm²)进行治疗,每周进行3次低强度激光治疗(LLLT),共12次。使用SPSS 15.0版对数据进行分析,所得数据以平均值±标准差和频率(%)表示。为分析数据,采用了重复测量和边际齐性方法。

结果

在本研究中,治疗疗程结束时,夜间疼痛、行走和上楼梯时的疼痛、膝关节周长、髋部与足跟之间的距离以及膝关节至水平髋部至足跟的距离均有显著降低。

结论

简而言之,本研究关注的事实是低强度激光治疗对减轻膝骨关节炎疼痛有效。

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