Hemiplejik Omuz Ağrısı için Yüksek Yoğunluklu Lazer Terapisi: Bir Etkinlik Araştırması

Yıl 2025, Cilt: 7 Sayı: 2, 262 - 272, 23.06.2025

Emine Bilir , Onur Kara , Sevgi Gümüş Atalay , Özge Tezen , Öznur Uzun , İrem Karaköseoğlu

https://doi.org/10.52827/hititmedj.1593963

Öz

Amaç: Hemiplejik omuz ağrısı, inme sonrası en sık görülen komplikasyonlardan biridir. Yüksek yoğunluklu lazer terapisi, konvansiyonel tedavi stratejileri arasında yeni bir tedavi seçeneğidir. Bu çalışmada, konvansiyonel fizik tedavi ajanları ile yüksek yoğunluklu lazer terapisinin etkinliğini karşılaştırmayı amaçladık.
Gereç ve Yöntem: Randomize, vaka-kontrol çalışması. Katılımcılar (n = 43) iki gruba randomize edildi. Grup 1: yüksek yoğunluklu lazer tedavisi (n = 22) ve grup 2: geleneksel fizik tedavi (n = 21) ve ayrıca her iki gruba da terapötik egzersiz programları uygulandı. Hastalar tedavi öncesi ve tedavi sonrası görsel analog skala, kol motor yetenek testi, fonksiyonel bağımsızlık ölçüm puanları ve modifiye rankin puanları ile klinik parametreler açısından değerlendirildi. Hastalara ultrasonografik tanı değerlendirmesi yapıldı.
Bulgular: Sosyodemografik özellikler ve klinik veriler ve ultrasonografik bulgular gruplar arasında benzerdi (p>0,05). Her iki grupta da grup içi karşılaştırmalar aktivite ve gece ağrısı skorlarında anlamlı bir azalma ve kol motor yetenek testi fonksiyon ve hareket skorlarında ve fonksiyonel bağımsızlık ölçüsü skorlarında anlamlı bir artış gösterdi (p<0,05).
Sonuç: Çalışma sonuçlarımıza göre her iki tedavi uygulaması da hemiplejik omuz ağrısı için etkiliydi. Sonuç olarak, yüksek yoğunluklu lazer tedavisi hemiplejik omuz ağrısı için güncel bir tedavi seçeneği olabilir.

Anahtar Kelimeler

Ağrı , hemiplejik omuz ağrısı , inme , konvansiyonel fizik tedavi , lazer tedavisi

Proje Numarası

E2-22-1902

High-Intensity Laser Therapy for Hemiplegic Shoulder Pain: An Investigation of Efficacy

Öz

Objective: Hemiplegic shoulder pain is one of the most common complications after stroke. High-intensity laser therapy is a new treatment option between conventional treatment strategies. We aimed to compare the effectiveness of conventional physical therapy agents and high-intensive laser therapy in this study.
Material and Method: Randomized, case-control trial. Participants (n=43) were randomized into two groups. Group 1: high-intensive laser therapy (n=22), and group 2: conventional physical therapy (n=21), and additionally, therapeutic exercise programs were applied both groups. Patients were assessed before treatment and after treatment for clinical parameters with a visual analog scale, an arm motor ability test, functional independence measure scores, and modified ranking scores. Patients underwent sonographic diagnostic evaluation.
Results: Sociodemographic characteristics and clinical data and ultrasonographic findings were similar between groups (p>0.05). In both groups, within-group comparisons showed a significant decrease in activity and nocturnal pain scores and a significant increase in arm motor ability test function and movement scores and functional independence measure scores (p<0.05). Compared to the conventional physical therapy group, the HILT group showed a significantly greater improvement in the VAS night score (p<0.05).
Conclusion: Our study results indicate that both treatment interventions were efficacious in the management of hemiplegic shoulder pain. Therefore, high-intensity laser therapy presents as a potential alternative therapeutic modality for hemiplegic shoulder pain, demonstrating a comparable level of effectiveness.

Anahtar Kelimeler

Hemiplegia , laser therapy , physical therapy modalities , shoulder pain , ultrasound therapy

Etik Beyan

Ethical approval for the conduct of this research was acquired from the hospital's Institutional Review Board. The decision number is E2-22-1902. NIH Clinical Trials registration number: NCT06407596

Destekleyen Kurum

yok

Proje Numarası

E2-22-1902

Kaynakça

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