Akkurt Ekrem, Kucuksen Sami, Yılmaz Halim, Parlak Selman, Sallı Ali, Karaca Gülten
Department of Physical Medicine and Rehabilitation, Konya Education and Research Hospital, Hacı Şaban Mah., Meram Yeniyol Caddesi No:97, Konya, 42090, Turkey.
Department of Physical Medicine and Rehabilitation, Meram Medical School of Necmettin Erbakan University, Konya, Turkey.
Lasers Med Sci. 2016 Feb;31(2):249-53. doi: 10.1007/s10103-015-1841-3. Epub 2015 Dec 29.
The objective of this study is to investigate short- and long-term effects of high-intensity laser therapy (HILT) in lateral epicondylitis (LE) patients. Thirty patients with LE diagnosis (23 unilateral and 7 bilateral in total 37 elbows) were treated using HILT. LE patients were evaluated before, right after, and 6 months following HILT intervention post-treatment using visual analogue scale for pain (VAS) during activity and resting. Disabilities of the Arm, Shoulder, and Hand (DASH) Score and hand grip strength test (HGST) were used. The participants of the present study were also evaluated using Short-Form 36 (SF-36) before and 6 months after the treatment. Out of the 30 patients, 8 were male and 22 female with a mean age of 47.2 ± 9.7. The activity and resting VAS, DASH, and HGST scores revealed statistically significant improvement (p = 0.001) following treatment. Whereas VAS activity, DASH, and HGST scores increased after treatment until post-treatment 6 months significantly (p = 0.001), VAS resting scores remained stable (p = 0.476). A statistically significant improvement was also evident in the physical and mental components of SF-36 scores following treatment until post-treatment 6 months compared to pre-treatment scores (p = 0.001). In conclusion, the results of the present study suggest that HILT is a reliable, safe, and effective treatment option in LE patients in the short and long term considering pain, functional status, and quality of life.
本研究的目的是调查高强度激光疗法(HILT)对肱骨外上髁炎(LE)患者的短期和长期影响。30例确诊为LE的患者(23例单侧,7例双侧,共37个肘部)接受了HILT治疗。在HILT干预治疗前、治疗后即刻以及治疗后6个月,使用活动和休息时疼痛视觉模拟量表(VAS)对LE患者进行评估。采用上肢、肩部和手部功能障碍(DASH)评分以及握力测试(HGST)。本研究的参与者还在治疗前和治疗后6个月使用简短健康调查问卷(SF-36)进行评估。30例患者中,男性8例,女性22例,平均年龄47.2±9.7岁。活动和休息时的VAS、DASH和HGST评分显示治疗后有统计学意义的改善(p = 0.001)。治疗后直至治疗后6个月,VAS活动评分、DASH评分和HGST评分显著增加(p = 0.001),而VAS休息评分保持稳定(p = 0.476)。与治疗前评分相比,治疗后直至治疗后6个月,SF-36评分的身体和心理成分也有统计学意义的改善(p = 0.001)。总之,本研究结果表明,考虑到疼痛、功能状态和生活质量,HILT在短期和长期对LE患者来说是一种可靠、安全且有效的治疗选择。