دورية أكاديمية
أعرض في EDS

Effect of Low-Level Laser Therapy on Knee Range of Motion and Functional Abilities After Total Knee Arthroplasty.

التفاصيل البيبلوغرافية
العنوان: Effect of Low-Level Laser Therapy on Knee Range of Motion and Functional Abilities After Total Knee Arthroplasty.
المؤلفون: Alghamdi BA; Orthopedic, Department of Surgery, College of Medicine, Umm Al-Qura University, Al-Qunfudhah, SAU., Karkousha RN; Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Cairo, EGY., Elgeidi AA; Orthopedic and Traumatology, Orthopedic Department, Faculty of Medicine, Mansoura University, Mansoura, EGY., Amin FS; Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Cairo, EGY., Tolba AM; Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Delta University for Science and Technology, Gamsa, EGY.
المصدر: Cureus [Cureus] 2023 Dec 21; Vol. 15 (12), pp. e50893. Date of Electronic Publication: 2023 Dec 21 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Objective: The aim of this study was to determine the effectiveness of combined low-level laser therapy (LLL) and rehabilitation in patients following recent total knee replacement (TKR).
Methods: A double-blind randomized controlled study was conducted at the Orthopedic Department of Mansoura University Hospital. Forty-four patients were chosen from a total of 58 patients who met the inclusion criteria and were assigned randomly into control and experimental groups of equal size. Ultimately, 40 patients completed the study (20 from each group). Both groups participated in an intensive functional rehabilitation program, and the experimental group also received LLL therapy around the knee at the incisional line, the medial and lateral intra-articular space, above and below the patella, and at the popliteal fossa at low fluence (6 J/cm 2 , 650 nm continuous wave) and 60 s per point with a total dose of 48 J per session over 12 treatment sessions for six weeks. Knee range of motion (ROM) was measured with a digital goniometer, and functional abilities were assessed with the Arabic version of the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index.
Results: There were significant differences in all variables pre- and post-treatment within each group. Before treatment, there was no significant difference in any of the measured variables between the groups ( P >0.05). After treatment, there were significant differences in knee flexion ROM and WOMAC index ( P <0.05) but no significant difference in knee extension ROM between the groups ( P >0.05).
Conclusion: The addition of low-level laser therapy to a rehabilitation program post-TKR resulted in substantial enhancements in knee flexion range of motion and the WOMAC index.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Alghamdi et al.)
References: J Bone Joint Surg Am. 2005 Sep;87 Suppl 1(Pt 2):264-70. (PMID: 16140799)
Arch Orthop Trauma Surg. 2014 Sep;134(9):1335-41. (PMID: 24990654)
Photomed Laser Surg. 2008 Oct;26(5):425-32. (PMID: 18922085)
J Orthop Sports Phys Ther. 2012 Feb;42(2):135-44. (PMID: 22333656)
S Afr J Sports Med. 2019 Jan 01;31(1):v31i1a6058. (PMID: 36817986)
Osteoarthritis Cartilage. 2004 Jun;12(6):459-68. (PMID: 15135142)
J Am Acad Orthop Surg. 2017 Jul;25(7):499-508. (PMID: 28644188)
Arch Phys Med Rehabil. 2004 Apr;85(4):546-56. (PMID: 15083429)
Lancet. 2012 Apr 7;379(9823):1331-40. (PMID: 22398175)
MOJ Orthop Rheumatol. 2015;2(5):. (PMID: 26858986)
J Lasers Med Sci. 2016 Spring;7(2):112-9. (PMID: 27330707)
J Lasers Med Sci. 2017 Summer;8(Suppl 1):S12-S19. (PMID: 29071029)
Clin Orthop Relat Res. 2010 Apr;468(4):1096-106. (PMID: 20087698)
J Arthroplasty. 2017 Sep;32(9):2717-2724. (PMID: 28487091)
Cochrane Database Syst Rev. 2008 Apr 16;(2):CD004957. (PMID: 18425906)
Photomed Laser Surg. 2006 Apr;24(2):158-68. (PMID: 16706694)
Adv Clin Exp Med. 2014 September-October;23(5):835-842. (PMID: 25491701)
J Clin Laser Med Surg. 2004 Apr;22(2):105-10. (PMID: 15165384)
Acta Reumatol Port. 2011 Jul-Sep;36(3):268-81. (PMID: 22113602)
Arch Phys Med Rehabil. 2012 Jul;93(7):1292-4. (PMID: 22494947)
Lasers Surg Med. 2003;32(3):233-8. (PMID: 12605431)
J Rural Med. 2017 May;12(1):33-37. (PMID: 28593015)
J Bone Joint Surg Am. 2004 Jul;86(7):1479-84. (PMID: 15252096)
Int J Radiat Biol. 2019 Feb;95(2):120-143. (PMID: 30614743)
J Biomed Opt. 2016 Aug 1;21(8):88001. (PMID: 27548776)
Int Orthop. 2013 Oct;37(10):1917-23. (PMID: 23835560)
Anesth Pain Med. 2014 Jun 21;4(3):e17350. (PMID: 25237637)
J Clin Orthop Trauma. 2018 Oct-Dec;9(4):295-299. (PMID: 30449974)
فهرسة مساهمة: Keywords: functional abilities; low level laser; osteoarthritis; range of motion; rehabilitation; total knee replacement
تواريخ الأحداث: Date Created: 20240122 Latest Revision: 20240123
رمز التحديث: 20240123
مُعرف محوري في PubMed: PMC10799633
DOI: 10.7759/cureus.50893
PMID: 38249281
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.50893