Choi Hyeun-Woo, Lee Jongmin, Lee Sangyong, Choi Jioun, Lee Kwansub, Kim Byung-Kon, Kim Gook-Joo
Kyungpook National University Biological Engineering, Kyungpook National University Hospital, Republic of Korea.
Department of Physical Therapy, U1 University, Republic of Korea.
J Phys Ther Sci. 2017 Jun;29(6):1079-1081. doi: 10.1589/jpts.29.1079. Epub 2017 Jun 7.
[Purpose] This study examined the effects of High Intensity Laser Therapy on pain and function of patients with chronic back pain. [Subjects and Methods] This study evenly divided a total of 20 patients with chronic back pain into a conservative physical therapy group that received conservative physical therapy, and a high intensity laser therapy group that received High Intensity Laser Therapy after conservative physical therapy. All patients received the therapy three times a week for four weeks. For the high intensity laser therapy group, treatment was applied to the L1-L5 and S1 regions for 10 minutes by using a high intensity laser device while vertically maintaining the separation distance from handpiece to skin at approximately 1 cm. A visual analog scale was used to measure the pain and Oswestry Disability Index was used for functional evaluation. [Results] In a within-group comparison of the conservative physical therapy and high intensity laser therapy groups, both the visual analog scale and Oswestry Disability Index significantly decreased. In a between-group comparison after treatment, the high intensity laser therapy group showed a significantly lower visual analog scale and Oswestry Disability Index than the conservative physical therapy group. [Conclusion] High Intensity Laser Therapy can be an effective nonsurgical intervention method for reducing pain and helping the performance of daily routines of patients who have chronic back pain.
[目的] 本研究探讨高强度激光疗法对慢性背痛患者疼痛及功能的影响。[对象与方法] 本研究将20例慢性背痛患者平均分为接受保守物理治疗的保守物理治疗组和在保守物理治疗后接受高强度激光疗法的高强度激光治疗组。所有患者每周接受3次治疗,共4周。对于高强度激光治疗组,使用高强度激光设备对L1 - L5和S1区域进行治疗,垂直保持手持件与皮肤的距离约为1 cm,照射10分钟。采用视觉模拟评分法测量疼痛程度,采用Oswestry功能障碍指数进行功能评估。[结果] 在保守物理治疗组和高强度激光治疗组的组内比较中,视觉模拟评分和Oswestry功能障碍指数均显著降低。治疗后的组间比较中,高强度激光治疗组的视觉模拟评分和Oswestry功能障碍指数显著低于保守物理治疗组。[结论] 高强度激光疗法可成为一种有效的非手术干预方法,用于减轻慢性背痛患者的疼痛并帮助其进行日常活动。