首页> 外文期刊>Photomedicine and laser surgery >Comparing the effects of exercise program and low-level laser therapy with exercise program and polarized polychromatic non-coherent light (bioptron light) on the treatment of lateral elbow tendinopathy.
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Comparing the effects of exercise program and low-level laser therapy with exercise program and polarized polychromatic non-coherent light (bioptron light) on the treatment of lateral elbow tendinopathy.

机译:比较锻炼程序和低水平激光疗法与锻炼程序和偏振多色非相干光(生物体光)对外侧肘肌腱病的治疗效果。

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摘要

BACKGROUND DATA: The use of low-level laser therapy (LLLT) and polarized polychromatic non-coherent light as supplements to an exercise program has been recommended for the management of lateral elbow tendinopathy (LET). OBJECTIVE: To investigate whether an exercise program supplemented with LLLT is more successful than an exercise program supplemented with polarized polychromatic non-coherent light in treating LET. MATERIALS AND METHODS: Patients with unilateral LET for at least 4 wk were sequentially allocated to receive either an exercise program with LLLT or an exercise program with polarized polychromatic non-coherent light. The exercise program consisted of eccentric and static stretching exercises of wrist extensors. In the LLLT group a 904-nm Ga-As laser was used in continuous mode, and the power density was 130 mW/cm(2), and the dose was 0.585 J/point. In the group receiving polarized polychromatic non-coherent light the Bioptron 2 was used to administer the dose perpendicularly to the lateral epicondyle at three points at an operating distance of 5-10 cm for 6 min at each position. The outcome measures were pain and function and were evaluated at baseline, at the end of the treatment (week 4), and 3 mo after the end of treatment (week 16). RESULTS: Fifty patients met the inclusion criteria. At the end of treatment there was a decline in pain and a rise in function in both groups compared with baseline (p < 0.0005 on the paired t-test). There were no significant differences in the reduction of pain and the improvement of function between the groups at the end of treatment and at the 3-mo follow-up (p > 0.0005 on the independent t-test). CONCLUSIONS: The results suggest that the combination of an exercise program with LLLT or polarized polychromatic non-coherent light is an adequate treatment for patients with LET. Further research to establish the relative and absolute effectiveness of such a treatment approach is needed.
机译:背景资料:建议使用低水平激光疗法(LLLT)和偏振多色非相干光作为锻炼程序的补充,以治疗外侧肘肌腱病(LET)。目的:研究补充LLLT的运动程序是否比补充偏振多色非相干光的运动程序治疗LET更成功。材料与方法:单侧LET至少4周的患者被依次分配为接受LLLT锻炼计划或偏振多色非相干光锻炼计划。锻炼程序包括腕部伸肌的偏心和静态拉伸锻炼。在LLLT组中,以连续模式使用904 nm Ga-As激光器,功率密度为130 mW / cm(2),剂量为0.585 J /点。在接收偏振多色非相干光的组中,使用Bioptron 2在三个位置以5-10 cm的操作距离在三个位置垂直于外侧上con垂直给药剂量6分钟。结果指标是疼痛和功能,并在基线,治疗结束时(第4周)和治疗结束后3个月(第16周)进行了评估。结果:五十名患者符合纳入标准。在治疗结束时,与基线相比,两组患者的疼痛均减轻且功能增强(配对t检验的p <0.0005)。在治疗结束时和在3个月的随访中,两组之间的疼痛减轻和功能改善之间无显着差异(独立t检验p> 0.0005)。结论:结果表明,将运动程序与LLLT或偏振多色非相干光相结合是LET患者的适当治疗方法。需要进一步的研究来确定这种治疗方法的相对和绝对有效性。

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