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2016 | 08 | 2 |

Tytuł artykułu

Evaluation of the efficacy of low level laser therapy and cryotherapy in the treatment of gonarthrosis

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: Gonarthrosis is the most common form of osteoarthritis and it is included in the group of civilization diseases. Searching for the optimal treatment of this disease is still ongoing. Physical treatment methods play an important role. The aim of the study was to evaluate the effectiveness of laser therapy and cryotherapy in the treatment of the symptoms of degenerative changes in the knee joint. Material and methods: The study involved 40 patients diagnosed with osteoarthritis of the knee. The patients were divided into two groups. Group I (n = 20) were patients who used low-level laser therapy (LLLT). Group II (n = 20) were patients who used cryotherapy. Before and after surgery, all patients were examined in the following areas: assessment of pain using the VAS (Visual-Analogue Scale); Pain assessment questionnaire modified by Laitinen; Sit-up test; measurement of circumference of knee joints. Statistical analyses were performed using Statistica 12.5. Results: The study has demonstrated a statistically significant improvement in the reduction of pain, a reduction in the swelling of knee joints and an improvement in the functionality of patients in both groups, with no statistically significant differences between the groups. Conclusions: Both low level laser therapy and cryotherapy proved to be effective treatments for the symptoms of osteoarthritis of the knee. There were no statistically significant differences in the efficacy of low level laser therapy and cryotherapy.

Słowa kluczowe

Twórcy

  • Department of Physiotherapy, Division of Basic Therapy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Torun, Poland
  • Department of Physiotherapy, Division of Basic Therapy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
  • Municipal Specialist Clinic in Torun, Poland
  • Gdansk University of Physical Education and Sport, Gdansk, Poland
  • Department of Physiotherapy, Division of Basic Therapy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Torun, Poland
autor
  • Gdansk University of Physical Education and Sport, Gdansk, Poland

Bibliografia

  • [1] Górecki A. Problemy leczenia zmian zwyrodnieniowych stawu biodrowego i kolanowego [The problems treatment of degenerative changes in the hip and knee] In: Kruczyński J, ed. Dekada kości i stawów 2000-2010 [The bone and joint decade 2000-2010]. Kraków; 2000, 22-32. Polish.
  • [2] Földes K, Bálint P, Gaál M, Buchanan WW, Bálint GP. Nocturnal pain correlates with effusions in diseased hips. J Rheumatol. 1992;19:1756-1758.
  • [3] Mc Alindon TE, Snow S, Cooper C, Dieppe PA. Radiographic patterns of osteoarthritis of the knee joint in the community: the importance of the patellofemoral joint. Ann Rheum Dis. 1992;51:844-849.
  • [4] Pinals RS. Mechanisms of joint destruction, pain and disability in osteoarthritis. Drugs. 1996;52(Supl.):14-20.
  • [5] Liu H, Colavitti R, Rovira II, Finkel T. Redox-dependent transcriptional regulation. Circ Res. 2005;97(10):967-74.
  • [6] Cidral-Filho FJ, Mazzardo-Martins L, Martins DF, Santos ARS. Light emitting diode therapy induces analgesia in a mouse model of postoperative pain through activation of peripheral opioid receptors and the L-arginine/nitric oxide pathway. Lasers Med Sci. 2014;29:695-702.
  • [7] Moriyama Y, Nguyen J, Akens M, Moriyama EH, Lilge L. In vivo effects of low-level laser therapy on inducible nitric oxide synthase. Laser Surg Med. 2009;41(3):227-231.
  • [8] Mitchell UH, Mack GL. Low-level laser treatment with near-infrared light increases venous nitric oxide levels acutely: a single-blind, randomized clinical trial of efficacy. Am J Phys. Med Rehabil. 2013;92:151-156. Chow RT, Johnson MI, Lopes-Martins RA, Bjordal JM. Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials. Lancet. 2009;374:1897-1908.
  • [9] Straburzyńska-Lupa A, Straburzyński G. Fizjoterapia z elementami klinicznymi [Physiotherapy with clinical elements]. Warszawa: Wydawnictwo Lekarskie PZWL; 2008. Polish.
  • [10] Nakamura T, Ebihara S, Ohkuni I, Izukura H, Harada T, Ushigome N. Low level laser therapy for chronic knee joint pain patients. Laser Ther. 2014;23(4):273-7.
  • [11] Ammar TA. Monochromatic infrared photo energy versus low level laser therapy in patients with knee osteoarthritis. J Lasers Med Sci. 2014;5(4):176-82.
  • [12] Kheshie AR, Alayat MS, Ali MM. High-intensity versus low-level laser therapy in the treatment of patients with knee osteoarthritis: a randomized controlled trial. Lasers Med Sci. 2014;29(4):1371-6.
  • [13] Al Rashoud AS, Abboud RJ, Wang W, Wigderowitz C. Efficacy of low-level laser therapy applied at acupuncture points in knee osteoarthritis: a randomised double-blind comparative trial. Physiotherapy. 2014;100(3):242-8.
  • [14] Alghadir A, Omar MT, Al-Askar AB, Al-Muteri NK. Effect of low-level laser therapy in patients with chronic knee osteoarthritis: a single-blinded randomized clinical study. Lasers Med Sci. 2014;29(2):749-55.
  • [15] Huang Z, Chen J, Ma J, Shen B, Pei F, Kraus VB. Effectiveness of low-level laser therapy in patients with knee osteoarthritis: a systematic review and metaanalysis. Osteoarthritis Cartilage. 2015;23(9):1437-44.
  • [16] Kopacz Ł, Lubkowska A, Byczkowska I, et al. Wartość terapeutyczna krioterapii miejscowej w leczeniu pacjentów z gonartrozą [The therapeutic value of local cryotherapy in the treatment of patients with gonarthrosis]. Fizjoterapia Pol. 2014;4(13):31-36. Polish.
  • [17] Pop T, Skrzypek B, Pop K, Rusek W. Wpływ kriogimnastyki na poprawę sprawności funkcjonalnej i jakość życia pacjentów z chorobą zwyrodnieniową stawu kolanowego [Impact of local cryogymnastics on functional efficiency, quality of life and pain perception among patients with gonarthrosis]. Postępy Rehab. 2012;26(3):27-33. Polish.
  • [18] Fidut-Wrońska J, Latosiewicz R, Janikowska K, Sokołowski K. Ocena skuteczności włączenia krioterapii miejscowej w leczeniu gonartrozy [Assessment the effectiveness of the inclusion of local cryotherapy in the treatment of gonarthrosis]. Fizjoterapia Pol. 2012;3(4):241-250. Polish.

Typ dokumentu

Bibliografia

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