Kronik omuz ağrılı olgularda yüksek yoğunluklu lazer terapinin ağrı, fonksiyonellik ve yaşam kalitesi üzerine etkisi

Abstract

Amaç: Bu çalışmanın amacı, kronik omuz ağrılı hastalarda geleneksel tedaviye eklenen yüksek yoğunluklu lazer tedavisinin (HILT) ağrı, fonksiyonellik ve yaşam kalitesi üzerine etkilerini araştırmaktır. Yöntemler: Çalışmaya (18-75 yaşları arasında) kronik omuz ağrısı olan 50 kişi katıldı. Hastalar rastgele iki gruba (CT grubu veya CT+HILT grubu) ayrılarak ve her iki gruba da 3 hafta boyunca, haftada 5 seans olmak üzere geleneksel terapi programı uygulandı ve sadece CT+HILT grubuna (n=25) geleneksel tedaviye ek olarak HILT uygulandı. Üst ekstremite hareket açıklığı, ağrı eşiği, kas kuvveti, engellilik durumu ve yaşam kalitesi tedavi öncesinde ve hemen sonrasında değerlendirildi. Bulgular: Gruplar arası karşılaştırmalarda Independent-Samples T-test ve grup içi karşılaştırmalarda Paired-Samples T-test; normal dağılıma uymayan verilerin karşılaştırılmasında ise Mann Whitney-U and Wilcoxon testleri kullanıldı. Analizler p<0.05 güven aralığında anlamlı kabul edildi. Her iki grupta da tedavi sonrasında tüm sonuç ölçümlerinde iyileşme olduğu gözlemlendi. Değerlendirilen değerler arasındaki farklar ve yüzdelerdeki artış açısından iki grup arasında omuzun iç rotasyonel kuvveti artış yüzdesi haricinde (p=0,04) anlamlı bir fark yoktu. Sonuçlar: Her iki grup da tedaviden yararlandı, ancak tedavilerin etkinliği birbirlerinden üstün değildi. Kronik omuz ağrısının tedavisinde HILT'in geleneksel tedaviye eklenebilecek alternatif bir seçenek olabileceği düşünülmektedir.

Keywords

• Omuz ağrısı
• kronik ağrı
• lazer terapi
• fizyoterapi

The effect of high-intensity laser therapy on pain, functionality, and quality of life in patients with chronic shoulder pain

Abstract

Purpose: The purpose of this study was to investigate the effects of high-intensity laser therapy (HILT) added to conventional therapy (CT) on pain, functionality, and quality of life in patients with chronic shoulder pain. Methods: Fifty people with chronic shoulder pain (18-75 years) participated in the study. Participants were randomized into two groups (CT group or CT+HILT group), and both received CT program for 3 weeks, 5 sessions a week and only CT+HILT group (n=25) received HILT in addition to CT. Upper extremity range of motion, pain threshold, muscle strength, disability, and quality of life were assessed before and immediately after the treatment. Results: For intergroup comparisons Independent-Samples T-test and intra-group comparisons Paired-Samples T-test were used and for the data that did not show normal distribution Mann Whitney-U and Wilcoxon tests were used. Analyzes were considered significant at a confidence interval of p<0.05. After the treatment, improvements in all outcome measures were observed in both groups. There was no significant difference between the two groups in terms of the differences between the outcome measures and increase in the percentages, except shoulder internal rotational strength (p=0.04). Conclusion: Both groups benefited from the treatment, but the efficacy of the treatments was not superior to each other. In the treatment of chronic shoulder pain, HILT might be an additive option to CT.

Keywords

• Shoulder pain
• chronic pain
• laser therapy
• physiotherapy

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