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光生物调节和基于运动的康复对肩袖损伤患者疼痛和功能恢复的有效性。

Effectiveness of Photobiomodulation and Exercise-Based Rehabilitation on Pain and Functional Recovery in Patients With Rotator Cuff Pathology.

作者信息

Maiya G Arun, Harihar Anupama, Joseph Grace Maria, Arora Esha, Arany Praveen, Bensadoun Rene Jean, Houreld Nicolette Nadene, Laakso Liisa

机构信息

Centre for Podiatry & Diabetic Foot Care and Research, Department of Physiotherapy, Manipal College of Health Profession, Manipal Academy of Higher Education, Manipal, India.

Department of Physiotherapy, Asian Institute of Medical Science and Technology, Bedong, Kedah, Malaysia.

出版信息

Wound Repair Regen. 2025 May-Jun;33(3):e70043. doi: 10.1111/wrr.70043.

Abstract

Rotator cuff (RC) pathology encompasses a wide range of conditions, which include bursitis, tendinitis, tendinosis, partial thickness tears and full-thickness tears. To treat painful musculoskeletal problems, low-level laser therapy (LLLT) has been employed as a non-pharmacological alternative. Photobiomodulation (PBM), which uses light-emitting diodes (LEDs) and other photo-emitting devices, is a minimally invasive approach used to treat a wide range of conditions. The purpose of this pre-post study design is to evaluate the effectiveness of PBM and exercise-based rehabilitation on pain and functional recovery in patients with RC pathology. Twenty of the thirty-seven patients who were tested for shoulder disorders and found to have RC pathology were included in the study. The patients' pain levels were measured using the Numerical Pain Rating Scale (NPRS) both at baseline and 6 weeks later. The mean ± standard deviation of NPRS was calculated, data was checked for normal distribution, and the Wilcoxon rank test was conducted to compare the values. Our study showed a statistically significant reduction in pain scores from baseline (7.33 ± 0.79) to 6 weeks (2.50 ± 0.69), p < 0.001 of PBM and exercise-based rehabilitation. The knowledge about the evidence regarding the effectiveness of PBM, along with exercise-based rehabilitation, is critical.

摘要

肩袖(RC)病变包括多种情况,其中包括滑囊炎、肌腱炎、肌腱病、部分厚度撕裂和全层撕裂。为了治疗疼痛性肌肉骨骼问题,低强度激光疗法(LLLT)已被用作一种非药物替代方法。光生物调节(PBM)使用发光二极管(LED)和其他发光设备,是一种用于治疗多种病症的微创方法。本前后对照研究设计的目的是评估PBM和基于运动的康复对RC病变患者疼痛和功能恢复的有效性。在接受肩部疾病检测并被发现患有RC病变的37名患者中,有20名被纳入研究。在基线和6周后,使用数字疼痛评分量表(NPRS)测量患者的疼痛水平。计算NPRS的平均值±标准差,检查数据的正态分布,并进行Wilcoxon秩和检验以比较这些值。我们的研究表明,PBM和基于运动的康复使疼痛评分从基线时的(7.33±0.79)显著降低至6周时的(2.50±0.69),p<0.001。了解PBM与基于运动的康复有效性的相关证据至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3303/12079619/996c5e52f3a1/WRR-33-0-g001.jpg

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