Treatment of mild to moderate carpal tunnel syndrome in patients with diabetic neuropathy using low level laser therapy versus ultrasound controlled comparative study

Osama F. Ahmed , Ahmed M. Elkharbotly , Nahed Taha , Ahmed B. Bekheet
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引用次数: 17

Abstract

Aim

The aim of the present study was to investigate and compare between Low Level Laser Therapy (LLLT) and Ultrasound (US) in treatment of Carpal Tunnel Syndrome (CTS) using the advantage of application of treatment directly over the transverse carpal ligament, as well as over the course of the median nerve in the forearm simultaneously.

Design

Fifty patients (25–55 years) with diabetic neuropathy, diagnosed as unilateral carpal tunnel syndrome participated in the study. They were equally divided and randomly assigned into two groups; each group consisted of 25 patients.

Materials and methods

Patients in group (A) received a program of IR Gallium Arsenide LLLT (wavelength 904 nm, average power 20 mW, laser probe 7 mm diameter), with a total application of 4.8 J, while patients in group (B) received a program of US (frequency 1 MHz, power 1.0 W/cm2, pulsed mode 1:5).

Results & discussion

The results of our study showed that there were no statistical significance differences (P > 0.05) were observed between the two groups. It was concluded that both low level laser (20 mW power, 904 nm Wavelength) and ultrasound (1.0 w/cm2 power, 1 MHz frequency) are effective in the treatment of mild and moderate CTS patients.

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低水平激光治疗轻至中度腕管综合征糖尿病神经病变与超声对照比较研究。
目的:本研究的目的是探讨和比较低水平激光治疗(LLLT)和超声(US)治疗腕管综合征(CTS)的优势,利用直接应用治疗腕横韧带,以及同时应用治疗前臂正中神经的过程。设计:50例(25-55岁)诊断为单侧腕管综合征的糖尿病神经病变患者参与研究。他们被随机分为两组;每组25例。材料与方法:A组采用红外砷化镓LLLT方案(波长904 nm,平均功率20 mW,激光探头直径7 mm),总施用量4.8 J; B组采用US方案(频率1 MHz,功率1.0 W/cm2,脉冲模式1:5)。结果与讨论:我们的研究结果显示,两组间差异无统计学意义(P < 0.05)。结论:低功率激光(功率20 mW,波长904 nm)和超声(功率1.0 w/cm2,频率1 MHz)治疗轻中度CTS均有效。
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