Comparison of Effects of Low Level Laser and Ultrasound Therapy in Plantar Fasciitis

Plantar Fasciitis is among the major causes of heel pain. Mechanical stress of plantar aponeurosis usually causes inflammation thus result in problem with weight bearing and difficulty in walking. Pain often exacerbates and may stick at for months with unremitting activity, limiting the activities of daily living and the functional status. The objective of the study was to compare the effects of low level laser and ultrasound therapy in patients for pain and their functional status presents with plantar fasciitis. This study was a Quasi-experimental trial and conducted at Physical therapy Center for Arthritis & Rehabilitation Excellence (PT CARE), Gulberg III Lahore. The study completed in the time duration of six months (Aug 2019 – Jan 2020). Consecutive sampling technique was used to collect the data. A sample size of `total 28 patients were taken in this study; patients were divided into two groups. Conventional Physiotherapy protocol was given to both groups as baseline treatment. (Group A patients were treated with low level laser protocol whereas Group B was treated with ultrasound therapy protocol). Functional Foot Index (FFI) score was used to ask some questions related to patients symptoms and daily activities and to measure the intensity of pain Numeric Pain Rating Scale (NPRS) was used. All participants of the study filled the FFI & NPRS score and Numeric pain rating scale on day 1 in first cycle as pretreatment values and at the end of 5th session and 10th session as first and second cycles as post treatment values respectively. Data was analyzed on SPSS 21.The means of pre-treatment NPRS in group A was 7.78 and in group B means of pre-treatment NPRS was 7.35 with p value <0.05. Means difference of NPRS for group A was 4.07 and in group B the post treatment-1 means difference 4.85 with p value <0.05. Means of post treatment-2 in group A was 1.71 and in group B was 2.64 with p value <0.05. While means of pre-treatment in group A for FFI was 77.66 in group A and group B was 73.35 with p value <0.05. Means of post treatment-1 for group A for FFI was 54.50 and for group B 58.27 with p value <0.05. And means of post treatment-2 in FFI for group-A was 28.22 and for group B was 35.88 with p values <0.05. Low Level Laser Therapy is more effective than Ultrasound Therapy in reducing pain and improving functions in patients with plantar fasciitis and vice versa.

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Effectiveness of Low Level Laser Therapy Versus Ultrasound Therapy with Plantar Fascia Streching in Subjects with Plantar Fasciitis

Indian Journal of Public Health Research & Development ◽

10.37506/v11/i1/2020/ijphrd/193792 ◽

2020 ◽

Vol 11 (1) ◽

pp. 92

Author(s):

K. Koteeswaran ◽

K. Ramya ◽

Anon Rajeshwari ◽

Manikumar Muthiah ◽

Sankara Kumaran Pandian

Keyword(s):

Laser Therapy ◽

Plantar Fasciitis ◽

Plantar Fascia ◽

Low Level Laser Therapy ◽

Ultrasound Therapy ◽

Low Level ◽

Low Level Laser ◽

Level Laser

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A Comparison of the Effect of Low-Level Laser Therapy versus Ultrasound Therapy in Patients with Chronic Plantar Fasciitis

International Journal of Clinical Skills ◽

10.4172/clinical-skills.1000127 ◽

2017 ◽

Vol 11 (5) ◽

Author(s):

Jothi Prasanna K ◽

Namgyal Doma Sherpa ◽

Sivakumar VPR

Keyword(s):

Laser Therapy ◽

Plantar Fasciitis ◽

Low Level Laser Therapy ◽

Ultrasound Therapy ◽

Low Level ◽

Low Level Laser ◽

Level Laser

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Neovascularization: topical effects of streptococcus thermophilus and low level laser therapy in treatment of diabetic wound in rats

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20193913 ◽

2019 ◽

Vol 7 (9) ◽

pp. 3357

Author(s):

Devi Kumari ◽

Hina Khan ◽

Asad R. Jiskani ◽

Muhammad Rafique ◽

Muhammad Asif ◽

...

Keyword(s):

Blood Vessel ◽

Laser Therapy ◽

Streptococcus Thermophilus ◽

Low Level Laser Therapy ◽

Blood Vessel Formation ◽

Low Level ◽

Low Level Laser ◽

Level Laser ◽

Group A ◽

Group B

Background: Diabetic wound is a major socioeconomic debilitating problem in this society. Various treatment options are available but still it requires better treatment option. In diabetes mellitus the oxygenation to the tissues is reduced. In this study effects of low level laser therapy were compared with topical application of Streptococcus thermophilus on diabetic wounds that induces formation of new blood vessel and free radical scavenging system, a comparative study to get better treatment option for diabetic wounds.Methods: 18 male rats were selected and divided randomly into three groups. Diabetes was induced in all the rats by using the Alloxan monohydrate at a dose of 120mg/kg of the body weight. Group A was treated with normal saline, group B was treated with low level laser therapy and group C was treated with Streptococcus thermophilus topically. Skin tissues were collected on day three and seven, slides were prepared for microscopic examination to observe the new blood vessels formation.Results: Mean number of new blood vessel formation was observed in group B compared with group A and C. Significant vasculogenesis was seen in group B when treated with Low level laser therapy.Conclusions: In the group of low level laser therapy new blood vessel formation was seen with better wound healing. It means LLLT provides better oxygenation to the tissues by generation of new blood vessels compared with Streptococcus thermophilus and normal saline.

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Comparative Efficacy of Low level Laser Therapy And Pulsed Ultrasound in the Management of Second - Degree Contusion

Nigerian Journal of Medical Rehabilitation ◽

10.34058/njmr.v11i2.15 ◽

2007 ◽

Author(s):

O Ayanniyi ◽

O B Ogunkunle ◽

C E Mbada

Keyword(s):

Laser Therapy ◽

Low Level Laser Therapy ◽

Comparative Efficacy ◽

Pulsed Ultrasound ◽

Low Level ◽

Low Level Laser ◽

Level Laser ◽

Group A ◽

Group B ◽

Second Degree

Low level LASER therapy (LLLT) and pulsed ultrasound have been shown to relieve pain, promote healing and tissue repair in sport injuries. The objective of this study was to investigate the comparative efficacy of LLLT and pulsed ultrasound in the management of second - degree contusion in sportsmen. This is a 2 group pre-test – post-test quasi – experimental study involving 20 sportsmen, ten were in Group A (LLLT) and ten in Group B (P-US). They were aged between 19 and 30 years with the mean age 24.9 ± 3.28 years and 27.4 ± 3.75 years for the Group A and Group B respectively. Treatment consisted of six sessions, in a period of 2 weeks. Data collected on each participants included age, weight, height, site of injury, pain intensity, swelling, calf girth and range of motion. The result of the study revealed decrease in pain for both LLLT and pulsed ultrasound (p0.05). It was concluded that both therapies are equally effective in the management of pain resulting from second – degree contusion in sportsmen. KEYWORDS: Low level LASER, pulsed ultrasound, second – degree contusions.

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Effect of Low-Level Laser Therapy versus Electroacupuncture on Postnatal Scanty Milk Secretion: A Randomized Controlled Trial

American Journal of Perinatology ◽

10.1055/s-0039-1693428 ◽

2019 ◽

Vol 37 (12) ◽

pp. 1243-1249

Author(s):

Ahmed M. Maged ◽

Marwa E. Hassanin ◽

Wafaa M. Kamal ◽

Amr H. Abbassy ◽

Mahmoud Alalfy ◽

...

Keyword(s):

Laser Therapy ◽

Low Level Laser Therapy ◽

Serum Prolactin ◽

Milk Secretion ◽

Low Level ◽

Low Level Laser ◽

Level Laser ◽

Group A ◽

The Mean ◽

Group B

Abstract Objective Postnatal scanty milk secretion is a common complaint. Some physical and medical interventions were advocated to help milk production. These interventions should be effective and safe for the mother and the infant. This study aimed to compare the effects of low-level laser therapy and electroacupuncture on postnatal scanty milk secretion. Study Design A randomized controlled study conducted on 60 healthy primiparous mothers with insufficient lactation. They were randomly divided into three equal groups: group A (control), group B (those who received low-power He–Ne laser beam on both breasts), and group C (those who received faradic current stimulation at Spleen 6, Liver 3, and Small Intestine 1 acupuncture points on both sides). All participants received 10 mg Domperidone three times a day and were given advice about lactation, nutrition, and fluid intake. Evaluation was done before and after the treatment program. Results The mean serum prolactin, infant weight, and visual analog scale (VAS) score were significantly increased in the three groups posttreatment when compared with their corresponding levels pretreatment. Posttreatment serum prolactin was significantly elevated in group C more than the other two groups (p = 0.001 and 0.012, respectively). Also, it was significantly elevated in group B more than in group A (p = 0.001). The mean value of infant weight was significantly elevated in group C when compared with its corresponding values in both groups A (p = 0.001) and B (p = 0.029). The VAS score was significantly increased in both groups B and C when compared with group A (p = 0.001). Conclusion Electroacupuncture is more effective than low-level laser therapy in increasing postnatal scanty milk secretion. Clinical Trial Registration NCT03806062.

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Evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera

Vojnosanitetski pregled ◽

10.2298/vsp1009755k ◽

2010 ◽

Vol 67 (9) ◽

pp. 755-760 ◽

Cited By ~ 6

Author(s):

Mirjana Kocic ◽

Milica Lazovic ◽

Irena Dimitrijevic ◽

Dragan Mancic ◽

Anita Stankovic

Keyword(s):

Laser Therapy ◽

Pain Syndrome ◽

Low Level Laser Therapy ◽

Low Level ◽

Low Level Laser ◽

Level Laser ◽

Before And After ◽

Interferential Current ◽

Group A ◽

Group B

Background/Aim. Complex regional pain syndrome type I (CRPS I) is characterized by continuous regional pain, disproportional according to duration and intensity and to the sort of trauma or other lesion it was caused by. The aim of the study was to evaluate and compare, by using thermovison, the effects of low level laser therapy and therapy with interferential current in treatment of CRPS I. Methods. The prospective randomized controlled clinical study included 45 patients with unilateral CRPS I, after a fracture of the distal end of the radius, of the tibia and/or the fibula, treated in the Clinical Centre in Nis from 2004 to 2007. The group A consisted of 20 patients treated by low level laser therapy and kinesy-therapy, while the patients in the group B (n = 25) were treated by interferential current and kinesy-therapy. The regions of interest were filmed by a thermovision camera on both sides, before and after the 20 therapeutic procedures had been applied. Afterwards, the quantitative analysis and the comparing of thermograms taken before and after the applied therapy were performed. Results. There was statistically significant decrease of the mean maximum temperature difference between the injured and the contralateral extremity after the therapy in comparison to the status before the therapy, with the patients of the group A (p < 0.001) as well as those of the group B (p < 0.001). The decrease was statistically significantly higher in the group A than in the group B (p < 0.05). Conclusions. By the use of the infrared thermovision we showed that in the treatment of CRPS I both physical medicine methods were effective, but the effectiveness of laser therapy was statistically significantly higher compared to that of the interferential current therapy.

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Efficacy of Cyriax Physiotherapy versus Cyriax and low level Laser Therapy on pain and grip strength in Lateral Epicondylitis

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v20i2.51548 ◽

2021 ◽

Vol 20 (2) ◽

pp. 356-360

Author(s):

Sunita Sharma ◽

Nitin Gupta ◽

Sandeep Joshi ◽

Rosy Bala ◽

Ruby Sharma

Keyword(s):

Grip Strength ◽

Laser Therapy ◽

Medical Science ◽

Lateral Epicondylitis ◽

Low Level Laser Therapy ◽

Low Level ◽

Low Level Laser ◽

Level Laser ◽

Group A ◽

Group B

Objective: The study was designed to evaluate the efficacy of Cyriax physiotherapy versus Cyriaxand Low Level Laser Therapy to compare these techniques in reducing pain and improving gripstrength in patients with lateral epicondylitis. Methodology: The study population included 30patients of lateral epicondylitis (signs and symptoms present for more than 6 weeks) diagnosedin outpatient and indoor facilities of MM Hospital, Mullana. The subjects were selected bymeans of simple random sampling. After fulfilling the inclusion and exclusion criteria, thepatients were randomly allocated in two groups: Group A and Group B. Group A received cyriaxphysiotherapy alone whereas Group B patients were subjected to combined Cyriax and low levelLaser therapy. Baseline measurements of pain and grip strength were taken before treatmentand then at 3 weeks respectively. Results: Our findings showed that there was significantlyhigher improvement in pain and grip strength in Group B (patients receiving combination ofcyriax therapy with low dose laser therapy) as compared to Group A (p<0.05). Conclusion:Cyriax physiotherapy and low level laser therapy were effective in reducing pain and improvinggrip strength after the treatment sessions. But benefits of cyriax physiotherapy with low levellaser therapy in lateral epicondylitis patients are significantly higher as compared to cyriaxphysiotherapy alone over a three week period. Hence, cyriax with low level laser therapy isproved to be a better treatment. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.356-360

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Comparison Effect of Corticosteroid Injection with Low Level Laser Therapy in Plantar Fasciitis Patients in Dr. Bratanata Hospital, Jambi

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967119s00470 ◽

2019 ◽

Vol 7 (11_suppl6) ◽

pp. 2325967119S0047

Author(s):

Charles A Simanjuntak ◽

Patrick W Gading

Keyword(s):

Laser Therapy ◽

Plantar Fasciitis ◽

Steroid Injection ◽

Low Level Laser Therapy ◽

Low Level Laser ◽

Level Laser ◽

Group A ◽

Foot Function ◽

Vas Scores ◽

Group B

Objectives: Plantar fasciitis is a common pain disorder that affects the heel and soles of the feet. These are abnormalities at the location of tendon insertions in the bone and are characterized by scarring, inflammation, or damage to the plantar fascia. Treatment options for patients with plantar fasciitis vary with little consensus on the clinical approach. Physical therapy procedures including LLLT (Low-Level Laser Therapy) are most often applied in conservative treatment of plantar fasciitis. While steroid injection is a treatment that has been proven effective in the management of short-term symptoms. The aim of this study was to compare the effects of LLLT and steroid injection on pain and functional conditions in patients with plantar fasciitis. Methods: This is a prospective study conducted in 30 patients. 15 patients were treated with local injection steroids (single Group A) and 15 patients were treated with LLLT (Group B), 8 J / cm2 per day, 3 days per week for 2 weeks. VAS scores and FFI (Foot Function Index) are measured. Results: Pain intensity was reduced in both groups after 2 weeks. VAS scores decreased to 3.47 in Group A and 3.82 in Group B in 2 weeks (p <0.05). In Group A, FFI decreased to 22.03 ± 4.45 while in Group B it decreased to 26.40 ± 2.52 in the same interval. But generally, patients who suffer from plantar fasciitis prefer LLLT compared to more invasive steroid injection therapy. Conclusion: LLLT therapy and steroid injection are effective methods for reducing pain and improving foot function in plantar fasciitis. It appears that steroid injection is superior to LLLT therapy. But fear of invasive action, patients have LLLT.

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