Effects of low-level laser therapy and interferential current therapy in the treatment of complex regional pain syndrome/ Kompleks bolgesel agri sendromu tedavisinde dusuk doz lazer terapi ve interferans akim terapisinin etkileri

• Published in: Türkiye fiziksel tip ve rehabilitasyon dergisi Vol. 60; no. 2; p. 98
• Main Authors: Dimitrijevic, Irena M, Lazovic, Milica P, Kocic, Mirjana N, Dimitrijevic, Lidija R, Mancic, Dragan D, Stankovic, Anita M
• Format: Journal Article
• Language: English
• Published: Galenos Yayinevi Tic. Ltd 01.06.2014
• Subjects: Analysis; Care and treatment; Complex regional pain syndromes; Health aspects; Lasers in surgery; Serbia
• ISSN: 1302-0234
• DOI: 10.5152/tftrd.2014.08466

Objective: The aim of this study is to estimate and compare the effects of low-level laser therapy and interferential current therapy in patients with complex regional pain syndrome type I. Material and Methods: Prospective randomized clinical research, including 45 patients with post-traumatic unilateral complex regional pain syndrome type I, treated at the Clinical Center Nis from December 2004 to January 2007. Low-level laser therapy and kinesitherapy were applied in group A (n=20), whereas group B (n=25) was treated with interferential current and kinesitherapy. For assessment of the therapeutic effect, the following parameters were tested: pain intensity was determined by visual analog scale, figure-of-eight measurement was used to determine the circumference of the affected part of the extremity, and range of motion of the affected joint was measured by a standard goniometer. Results: Statistically significant differences were obtained for all tested parameters in both groups, but the difference was greater in group A compared to group B (p<0.05). Conclusion: The results of this study show that both physical procedures are effective in the treatment of complex regional pain syndrome type I, but the efficiency of laser therapy is statistically significantly higher compared to interferential current therapy. Key Words: Complex regional pain syndrome, low-level laser therapy, interferential current Amac: Bu calismanin amaci, kompleks bolgesel agri sendromu tip I hastalarinda dusuk doz lazer terapisi ve interferans akim terapisinin etkilerini degerlendirmek ve karsilastirmaktir. Gerec ve Yontemler: Prospektif randomize klinik arastirmaya post-travmatik tek tarafli kompleks bolgesel agri sendromu tip I olan, Aralik 2004 ile Ocak 2007 arasi Nis Klinik Merkezinde tedavi edilen 45 hasta dahil edildi. A grubuna (n=20) dusuk doz lazer terapisi ve kineziterapi, B grubuna (n=25) interferans akim terapisi ve kineziterapi uygulandi. Terapotik etki, asagidaki parametreler ile test edildi; agri siddeti visual analog skala ile ekstremitenin etkilenen kisminin cevresi sekizli figur olcumu ile, etkilenen eklemde hareket genisligi standart aciolcer ile olculerek degerlendirildi. Bulgular: Her iki grupta da test edilen tum parametreler icin istatistiksel olarak anlamli farkliliklar elde edildi, fakat fark B grubuna kiyasla A grubunda daha fazla idi (p<0,05). Sonuc: Bu calismanin bulgulari, her iki fiziksel yonteminde de kompleks bolgesel agri sendromu tip I tedavisinde etkili oldugunu gosterdi, ancak lazer terapisinin etkinligi interferans akim terapisine kiyasla istatistiksel olarak anlamli derecede yuksekti. Anahtar Kelimeler: Kompleks bolgesel agri sendromu, dusuk doz lazer terapisi, interferans akim