Dundar Ahi Emine, Sirzai Hulya
Kocaeli Health and Technology University Faculty of Health Sciences, Department of Physical Therapy and Rehabilitation, Kocaeli, Turkey.
Private Romatem Hospital, Clinic of Physical Therapy and Rehabilitation, Istanbul, Turkey.
Medeni Med J. 2023 Mar 28;38(1):24-31. doi: 10.4274/MMJ.galenos.2023.67279.
The effectiveness of high-intensity laser therapy (HILT) has been demonstrated in some musculoskeletal repetitive strain injury disorders. This study aimed to determine the short-term effectiveness of HILT in de Quervain tenosynovitis (DQT).
Sixty-four patients with DQT diagnosis (32 males, 32 females; 18-65 years) were randomly divided into two groups. A short opponens splint was applied to both groups and HILT to the treatment group and sham HILT to the control group once a day, on alternate days, 3 days a week, for 5 weeks. Pre- and post-treatment evaluations were made using a visual analog scale (VAS); Quick Disabilities of the Arm, Shoulder, and Hand questionnaire; Short Form-36 Health Survey; and hand grip strength test.
The demographic results (age, gender, duration of complaint, body mass index, occupational group) of both groups were similar (p>0.05). The pre-treatment measured values were similar in both groups (p>0.05). After a 5-week treatment, a significant improvement was observed in all parameters in both groups. Post-treatment, hand grip strength levels were statistically higher in the HILT group than in the sham therapy group, and VAS levels were significantly lower (p<0.001).
HILT is a non-invasive and reliable method that increases grip strength and decreases pain in DQT.
高强度激光疗法（HILT）在一些肌肉骨骼重复性劳损疾病中的有效性已得到证实。本研究旨在确定HILT治疗桡骨茎突狭窄性腱鞘炎（DQT）的短期有效性。
64例确诊为DQT的患者（男32例，女32例；年龄18 - 65岁）被随机分为两组。两组均使用短对掌夹板，治疗组接受HILT治疗，对照组接受假HILT治疗，每天1次，隔天进行，每周3天，共5周。治疗前后采用视觉模拟量表（VAS）、手臂、肩部和手部快速残疾问卷、简明健康调查36项量表以及握力测试进行评估。
两组的人口统计学结果（年龄、性别、主诉持续时间、体重指数、职业组）相似（p>0.05）。两组治疗前的测量值相似（p>0.05）。经过5周治疗后，两组所有参数均有显著改善。治疗后，HILT组的握力水平在统计学上高于假治疗组，VAS水平显著更低（p<0.001）。
HILT是一种非侵入性且可靠的方法，可增加DQT患者的握力并减轻疼痛。
