Efficiency of high intensity laser therapy in patients with knee osteoarthritis

It is aimed to compare the effects of high-intensity laser treatment (HILT) and the transcutaneous electrical nerve stimulation (TENS) and ultrasound (US) combined treatment on pain, functionality, and quality of life in the patients with knee osteoarthritis. The patients were randomized into 2 groups. Combination of hot pack, TENS and US treatment were applied to the first group and HILT was applied to the second group for 2 weeks. At every visit; resting, movement and night pain scores, function, and stiffness scores were assessed.The patients were invited for the control after the treatment and in the 6th week. A total of 48 patients (33 women and 15 men, aged between 25 and 65 years, average age of 54.25 years) participated in this study. In both groups, a statistical significant change was observed in all the parameters in posttreatment measurements. In the between-groups comparison, it was observed that HILT provided a significant recovery in pain scores both after the treatment and in the 6th week than TENS and US combined treatment. HILT in knee osteoarthritis is a statistically significant efficient method on pain and functional scales compared to TENS+US combined treatment.

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Cecil RL, Archer BH. Classification and treatment of chronic arthritis. JAMA 1926;87:741-6.

Krustanova M, Mircheva A, Stefanova K, et al. Medical rehabilitation and occupational therapy in patients with polyarthritis. Rheumatology. 2012;4:657.

Alayat MS, Aly TH, Elsayed AE, et al. Efficacy of pulsed Nd:YAG laser in the treatment of patients with knee osteoarthritis: a randomized controlled trial. Lasers Med Sci. 2017;32(3):503-11.

Woolf DA, Pfleger B. Burden of majör musculoskeletal conditions. Bull World Health Organ. 2013;81:646-56.

Ilieva EM, Oral A, Küçükdeveci AA, et al. Osteoarthritis. The role of physical and rehabilitation medicine physicians. The European perspective based on the best evidence. A paper by the UEMS-PRM Section Professional Practice Committee. Eur J Phys Rehabil Med. 2013;49:579-93.

Sinusas K. Osteoarthritis: diagnosis and treatment. Am Fam Physician. 2012;1;85:49-56.

Sowers MR, Karvonen-Gutierrez, CA. The evolving role of obesity in knee osteoarthritis. Curr Opin Rheumatol. 2010;22:533-7.

Morales TI, Hascall VC. Factors involved in the regulation of proteoglycan metabolism in articular cartilage. Arthritis Rheum. 1996;32:1197-201.

Mengshol JA, Mix KS, Brinckerhoff CE. Matrix metalloproteinases as therapeutic targets in arthritic diseases. Arthritis Rheum. 2002;46:13-20.

Smith MD, Triantafillou S, Parker A. Synovial membrane inflammation and cytokine production in patients with early rheumatoid arthritis. J Rheumatol. 1997;24:365-71.

Hochberg MC, Altman RD, April KT,et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2012;64:465-74.

Fernandes L, Hagen KB, Bijlsma JW, et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis. 2013;72:1125-35.

Mc Alindon TE, Bannuru RR, Sullivan MC, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2014;22:363-88.

Lisiński P, Zapalski W, Stryła W. Physical agents for pain management in patients with gonarthrosis. Ortop Traumatol Rehabil. 2005;7:317-21

Huang Z, Chen J, Ma J. Effectiveness of low-level laser therapy in patients with knee osteoarthritis: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2015;23:1437-44.

Zati A, Fortuna D, Benetti E, et al. High Intensity Laser Therapy in the treatment of gonarthrosis: the first clinical cases and the protocol for a multicentric, randomised, double-blind study. Scientific Report. Web Page: http://www.ahlasers.com/research/HILT_report_3.pd

Ozdemir F, Birtane M, Kokino S. The clinical efficacy of low-power laser therapy on pain and function in cervical osteoarthritis. Clin Rheumatol. 2001;20:181-4.

Atalay Gümüş S, Alkan BM, Aytekin MN. “Osteoartrite güncel yaklaşım.” Ankara Medical Journal. 2013;13;1.

Price DD, McGrath PA, Rafii A, et al. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17;4556.

Basaran S, Guzel R, Seydaoglu G, et al. Validity, reliability, and comparison of the WOMAC osteoarthritis index and Lequesne algofunctional index in Turkish patients with hip or knee osteoarthritis. Clin Rheumatol. 2010;29:74956.

Loyola-Sánchez, A, Richardson J, MacIntyre NJ. Efficacy of ultrasound therapy for the management of knee osteoarthritis: a systematic review with meta-analysis. Osteoarthritis Cartilage. 2010;18:1117-26.

Ulus Y, Tander B, Akyol Y, et al. Therapeutic ultrasound versus sham ultrasound for the management of patients with knee osteoarthritis: a randomized double‐blind controlled clinical study. Int J Rheum Dis. 2012;15:197-206.

Jamtvedt G, Dahm KT, Christie A, et al. Physical therapy interventions for patients with osteoarthritis of the knee: an overview of systematic reviews. Phys Ther. 2008;1:123-36.

Cetin N, Aytar A, Atalay A, et al. Comparing hot pack, short-wave diathermy, ultrasound, and TENS on isokinetic strength, pain, and functional status of women with osteoarthritic knees: a single-blind, randomized, controlled trial. Am J Phys Med Rehabil. 2008;6:443-51.

Rutjes AW, Nüesch E, Sterchi R, et al. Therapeutic ultrasound for osteoarthritis of the knee or hip. Cochrane Database Syst Rev. 2010;CD003132.

Loyola-Sánchez A, Richardson J, MacIntyre NJ. Efficacy of ultrasound therapy for the management of knee osteoarthritis: a systematic review with meta-analysis. Osteoarthritis Cartilage. 2010;18:1117-26.

Seçkin U, Çakar E, Özdemir B, et al. Comparison of effects of combined physical therapy program and exercise on corrupted balance functions in patients with knee bilateral osteoarthritis. Rheumatism. 2008;23:9-13.

Altay F, Durmuş D, Canturk F. Effects of TENS on pain, disability, quality of life and depression in patients with knee osteoarthritis. Turk J Rheumatol. 2010;25:116-21.

Haładaj R, Pingot J, Pingot M. Assessment of rehabilitation progress in patients with cervical radicular pain syndrome after application of high intensity laser therapy-HILT and Saunders traction device. Pol Med J. 2015;39:23-30.

Dundar U, Turkmen U. Effect of high-intensity laser therapy in the management of myofascial pain syndrome of the trapezius: a double-blind, placebo-controlled study. Lasers Med Sci. 2015;30:325-32.

Kim SH, Kim YH, Lee HR, et al. Short-term effects of high-intensity laser therapy on frozen shoulder: A prospective randomized control study. Man Ther. 2015;20:751-7.

Dundar U, Turkmen U. Effectiveness of high-intensity laser therapy and splinting in lateral epicondylitis; a prospective, randomized, controlled study. Lasers Med Sci. 2015;30:1097-107.

Fiore P, Panza F. Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of low back pain: a randomized controlled trial. Eur J Phys Rehabil Med. 2011;47:367-73.

Ekiz E. Diz osteoartriti olan hastalarda Lazer tedavisinin etkinliği. Uzmanlık Tezi, İzmir. 2010. Ege Üniversitesi Tıp Fakültesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı.

Sifta P, Danilov D. Effects of high-intensity laser on gonarthrosis. Energy for Health. 2015;4:18-22.

Kola I, Kola S. Gonarthrosis Treatment by Laser Therapy. IJSR. 2014;3:40710.

Kheshie A, Salaheldien M. High-intensity versus low-level laser therapy in the treatment of patients with knee osteoarthritis: a randomized controlled trial. Lasers Med Sci. 2014;29:1371-6.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
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