Efficacy of Laser Acupuncture on Neurophysiological Parameters of Median Nerve and Hand Function in Postpartum Women: A Randomized Controlled Clinical Trial.

Afaf M Botla, Yasser R Lasheen, Shereen S Mohamed, Reem M Alwhaibi, Hoda M Zakaria, Walaa M Ragab, Manal A El-Shafei
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Abstract

Objective: This study was conducted to ascertain the efficacy of photo acupuncture (PA) on the neurophysiological parameters of the median nerve and hand function in postnatal women. Background: Carpal tunnel syndrome (CTS) has been documented in up to 62% of pregnant females. PA, a noninvasive treatment that utilizes photo therapy on acupoints, could aid in the management of CTS. Material and Methods: Thirty-six postpartum women diagnosed with CTS depending on their medical history, physical examination, and electrodiagnostic study were distributed into two equal-sized groups at random. The PA group (n = 18) received PA for 12 min on the following acupuncture points: PC4, PC6, PC7, PC8, HT2, HT3, HT7, LI10, LI11, LI4, LU9, and LU10. The treatment was given 3 times weekly for four weeks; in addition, night splints were worn. Women in the control group (n = 18) just wore night splints. Before and after the 12-session treatment, each woman was assessed using an electrodiagnostic test to measure the motor distal latency (MDL), sensory distal latency (SDL), motor conduction velocity (MCV), sensory conduction velocity (SCV), pinch dynamometer for assessing pinch strength, and the Brief Michigan Hand Questionnaire (BMHQ) for assessing hand function. Results: A statistically significant improvement was observed in both groups after therapy regarding SDL, SCV, MDL, MCV, pinch strength, and BMHQ (p < 0.05) in favor of the PA group. Conclusion: Adding PA to a night splint should be suggested as an effective conservative therapy for CTS in postpartum women.

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激光针灸对产后妇女正中神经的神经电生理参数和手部功能的疗效:随机对照临床试验》。
研究目的本研究旨在确定光针灸(PA)对产后妇女正中神经的神经生理参数和手部功能的疗效。研究背景据记录,高达 62% 的孕妇患有腕管综合征 (CTS)。PA是一种利用光疗法对穴位进行治疗的非侵入性疗法,可帮助治疗腕管综合征。材料与方法:将根据病史、体格检查和电诊断研究确诊为 CTS 的 36 名产后妇女随机分为两组,每组人数相等。PA 组(n = 18)在以下穴位上接受 12 分钟的 PA 治疗:PC4、PC6、PC7、PC8、HT2、HT3、HT7、LI10、LI11、LI4、LU9 和 LU10。治疗每周 3 次,持续 4 周;此外,还佩戴了夜间夹板。对照组(18 人)的妇女只佩戴夜间夹板。在接受 12 个疗程的治疗前后,每位妇女都接受了电诊断测试,以测量运动远端潜伏期 (MDL)、感觉远端潜伏期 (SDL)、运动传导速度 (MCV)、感觉传导速度 (SCV)、评估捏力的捏力计以及评估手部功能的密歇根手部简明问卷 (BMHQ)。结果显示治疗后,两组患者在SDL、SCV、MDL、MCV、捏力和BMHQ方面均有明显改善(P < 0.05),PA组更明显。结论建议在夜间夹板中加入 PA,作为治疗产后女性 CTS 的有效保守疗法。
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4.10
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期刊介绍: Photobiomodulation, Photomedicine, and Laser Surgery Editor-in-Chief: Michael R Hamblin, PhD Co-Editor-in-Chief: Heidi Abrahamse, PhD
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