低强度激光疗法和脉冲超声波结合运动对膝关节骨性关节炎的疗效

Dimple G U, Jagatheesan Alagesan, Buvanesh A
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摘要

背景:软骨的缓慢流失、疼痛、功能障碍和生活质量下降是膝关节退行性炎症性疾病--骨关节炎的所有特征,它会影响整个关节。脉冲超声波主要具有促进组织新陈代谢、改善纤维组织的延展性和提高疼痛阈值的特性。有限激光治疗产生的激光束波长在 600 到 800 纳米之间。目的:探讨低强度激光疗法和脉冲超声波结合运动治疗膝关节骨关节炎的效果:从 ACIAN 骨科诊所选取了 60 名参与者。根据纳入和排除标准,向受试者解释了治疗的安全性,并获得了他们的书面同意。参加治疗的受试者被分为两组,即低水平激光疗法配合运动组和脉冲超声波配合运动组。在治疗开始时,所有受试者都接受了 ROM 和 WOMAC 的前测。研究时间研究时间:2022 年 11 月至 2023 年 4 月:数据统计分析显示,不仅超声波组存在显著差异,低水平激光治疗仪组也存在显著差异。低强度激光疗法组的疗效明显高于脉冲超声组,P值小于0.0001:低强度激光疗法对膝关节骨性关节炎的疗效优于脉冲超声波疗法。
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Effectiveness of Low-Level Laser Therapy and Pulsed Ultrasound Combined with Exercise for Osteoarthritis of Knee
Background: A slow loss of cartilage, pain, functional impairment, and a decreased quality of life are allcharacteristics of the degenerative inflammatory sickness- osteoarthritis of the knee, which affects the whole joint.Pulsed ultrasound primarily has properties to boost tissue metabolism, improve the extensibility of tissues thatare fibrous, and raise pain thresholds. Laser beams having a wavelength of between 600 and 800 nanometers areproduced by limited laser treatment. It stimulates regeneration and the release of beta-endorphins by increasingprotein synthesis in synovial fluid.Purpose: To find the effectiveness of Low Level Laser Therapy and Pulsed Ultrasound combined with exercise forosteoarthritis of knee.Materials and Methods: Total of 60 participants were selected from ACIAN Ortho clinic. According to inclusionand exclusion criteria, the participants were explained about the treatment safety and written consent wasobtained. The participating subjects were divided into two groups, Low Level Laser Therapy with exercise groupand Pulsed Ultrasound with exercise group. All the subjects underwent pretest measurement with ROM andWOMAC at the beginning of the treatment. Study period : November 2022 to April 2023.Results: Statistical analysis of data showed significant differences not only in the Ultrasound group but also in LowLevel Laser Therapy. The Low Level Laser Therapy Group were significantly higher than the Pulsed Ultrasoundgroup, with a p value of <0.0001Conclusion: Low Level Laser Therapy is more effective than Pulsed Ultrasound for osteoarthritis of knee.
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