scholarly journals Comparison of low level laser therapy and extracorporeal shock wave in treatment of chronic lateral epicondylitis

2020 ◽  
Vol 54 (6) ◽  
pp. 591-595
Author(s):  
Turkan Turgay ◽  
◽  
Pinar Gunel Karadeniz ◽  
Gokhan Bulent Sever ◽  
◽  
...  
Keyword(s):  
Shock Wave ◽  
Laser Therapy ◽  
Lateral Epicondylitis ◽  
Low Level Laser Therapy ◽  
Low Level ◽  
Low Level Laser ◽  
Extracorporeal Shock Wave ◽  
Level Laser

Extracorporeal Shock-Wave Therapy or Low-Level Laser Therapy

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Esma Bilge Göl ◽  
Nilüfer Özkan ◽  
Cihan Bereket ◽  
Mehmet Emin Önger
Keyword(s):  
Shock Wave ◽  
Laser Therapy ◽  
Extracorporeal Shock Wave Therapy ◽  
Low Level Laser Therapy ◽  
Shock Wave Therapy ◽  
Low Level ◽  
Low Level Laser ◽  
Extracorporeal Shock Wave ◽  
Level Laser

scholarly journals TL - 18173 - The effect of low-level laser therapy in the management of plantar fasciitis

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 101S
Author(s):  
Janice De Souza Guimarães ◽  
Fabio Luciano Arcanjo de Jesus ◽  
Gustavo Leporace De Oliveira Lomelino Soares ◽  
Leonardo Fossati Metsavaht ◽  
Túlio Eduardo Marçal Vieira ◽  
...  
Keyword(s):  
Shock Wave ◽  
Laser Therapy ◽  
Plantar Fasciitis ◽  
Extracorporeal Shock Wave Therapy ◽  
Low Level Laser Therapy ◽  
Shock Wave Therapy ◽  
Low Level ◽  
Low Level Laser ◽  
Extracorporeal Shock Wave ◽  
Level Laser

Introduction: Plantar fasciitis (PF) is one of the common reasons for foot pain and is associated with substantial health and economic burden. PF often responds to a wide range of therapies that are predominantly conservative. We performed a meta-analysis to investigate the effects of low-level laser therapy on pain and disability in patients with PF. Methods: Studies were comprehensively searched in Pubmed MEDLINE, the PEDro database, the Scientific Electronic Library Online, and the Cochrane Central Register of Controlled Trials, from the earliest date available to January 2019. Randomized controlled trials that evaluated the effects of low-level laser therapy versus control or another intervention for patients with PF were included. Mean differences (MD) and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed using the I2 test. Calculations were performed using a random effects model, with two comparisons: low-level laser therapy compared with the control (no intervention); low-level laser therapy compared with extracorporeal shock wave therapy. Results: Eight trials met the study criteria, including 473 PF patients. The main outcomes included changes from baseline in the Visual Analogue Scale Score (pain) and Foot Function Index (disability). Low-level laser therapy resulted in improvement in pain MD (-2.27 95% CI: -2.72 to -1.82 N=184) compared with the control. No significant difference in disability MD (-1.81 95% CI: -7.4 to 3.8 N=110) was found in participants in the low-level laser therapy group compared with the control group. Compared with extracorporeal shock wave therapy, low-level laser therapy did not achieve a significant reduction in pain intensity MD (0.45 95% CI: -2.4 to 3.3 N=141). In addition, no serious adverse events were reported.  Conclusion: Low-level laser therapy may improve pain and should be considered as a component of care for PF patients. However, this superiority disappeared when it was compared to extracorporeal shock wave therapy.  

scholarly journals COMPARATIVE STUDY ON THE EFFECTIVENESS OF LOW LEVEL LASER THERAPY VERSUS PHONOPHORESIS IN THE MANAGEMENT OF LATERAL EPICONDYLITIS

2013 ◽  
Vol 03 (01) ◽  
pp. 35-44
Author(s):  
Mohamed Faisal C. K. ◽  
Mary Sumila ◽  
Lawrence Mathias ◽  
Ajith S.
Keyword(s):  
Soft Tissue ◽  
Laser Therapy ◽  
Lateral Epicondylitis ◽  
Soft Tissue Injuries ◽  
Low Level Laser Therapy ◽  
Low Level ◽  
Low Level Laser ◽  
Sodium Diclofenac ◽  
Level Laser ◽  
Laser Group

Abstract Background and Objectives: The use of electro physical agents for the management of any soft tissue injuries in Physical Therapy practice is very common for an early recovery from the injury. Among that, Low Level Laser Therapy (LLLT) and Phonophoresis are found to be very effective in soft tissue injuries. So the objective of this study is to know the comparative effectiveness of LLLT versus Phonophoresis in the treatment of lateral epicondylitis. Methods: Convenient sample of 40 patients with lateral epicondylitis were recruited for this study. They were assigned equally either to a laser (n = 20) or a Phonophoresis (n = 20) group. Laser group received the treatment with Ga-As (904nm) IR semiconductor diode laser. For Phonophoresis group a gel containing 1% sodium diclofenac was used as coupling agent. Each group was treated 3 times a week, for a total of 8 treatments, and was evaluated subjectively and objectively before and at the end of the treatment, by using VAS, pain free grip strength and functional pain scale as variables. Results: Comparison between laser group and Phonophoresis group is done using Mann Whitney U test. Comparison between pre and post is done using Wilcoxon's signed rank sum test. Form selection to the post treatment assessment, a significant decrease in symptoms was found in both laser and phonophoresis groups. But it is concluded that statistically; low level laser therapy was not significantly better than phonophoresis with the results of VAS (P = 0.53), FPS (P = 0.253), pain free grip strength. (P = 0.426). Interpretation and conclusions: The result of this study suggest that low level laser therapy as well as phonophoresis with sodium diclofenac gel as couplant medium gives a good result in the management of lateral epicondylitis. This study concludes that statistically there was no significant difference between Low level laser therapy and Phonophoresis with sodium diclofenac gel as coupling agent in the management of lateral epicondylitis.

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

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

scholarly journals Comparison of effects of low-level laser therapy and extracorporeal shock wave therapy in calcaneal spur treatment: A prospective, randomized, clinical study

2021 ◽  
Vol 67 (2) ◽  
pp. 218-224
Author(s):  
Sevtap Badil Güloğlu ◽  
Ümit Yalçın
Keyword(s):  
Shock Wave ◽  
Laser Therapy ◽  
Plantar Fascia ◽  
Extracorporeal Shock Wave Therapy ◽  
Low Level Laser Therapy ◽  
Shock Wave Therapy ◽  
Low Level Laser ◽  
Extracorporeal Shock Wave ◽  
Level Laser ◽  
Painful Heel

Objectives: In this study, we aimed to evaluate and compare the efficacy of low-level laser therapy (LLLT) and extracorporeal shock wave therapy (ESWT) in the treatment of calcaneal spurs. Patients and methods: A total of 62 patients (14 males, 48 females; mean age: 47.6±11.7 years; range, 18 to 70 years) who were diagnosed with calcaneal spurs based on clinical examination and plain radiography between April 2019 and September 2019 were included in this study. A total of 15 sessions of plantar fascia gastroc-soleus stretching exercises and cold pack treatments were given to both groups. The LLLT (904 nm wavelength, 3,000 Hz, 8 J/cm2 dose to the painful heel area and insertion of the plantar fascia on the medial calcaneal area, five points for a total of 5 min for three weeks) was applied to the first group (n=31), whereas ESWT (10 Hz, 2,000 shock waves with a 2.5 bar pressure into the areas of the painful heel, insertion of the plantar fascia on the medial calcaneal area) was applied the second group (n=31). All patients were evaluated using the Visual Analog Scale (VAS) and Foot Function Index (FFI) before and after treatment. Results: In both groups, the median VAS and FFI scores after treatment showed a significant improvement, compared to pre-treatment scores (p=0.001). There was no significant difference between the groups in terms of the median post-treatment VAS scores (p>0.05). In the ESWT group, the median FFI pain and total scores after treatment were significantly lower than in the LLLT group (p=0.033). The change in the median FFI pain and total scores were significantly higher in the ESWT group (p=0.046). Conclusion: Both treatment modalities are effective and not superior to each other in terms of disability and activity limitation reduction, although a greater improvement in the FFI pain and total scores can be achieved with the ESWT. Based on these findings, we recommend both non-invasive treatment methods to be used in the treatment of calcaneal spurs in the clinical practice.

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