thérapie au laser

8 avril 2018

COLD LASERS IN PAIN MANAGEMENT

Low energy laser therapy has been shown — at appropriate dosimetry, wavelength, duration, and site-specific application — to reduce tissue pain/tenderness, normalize circulation patterns in tissue trauma, and increase collagen formation in wounds. by Tiziano Marovino, PT, DPT, MSc, BA, BHSc, BRLS, Dip.PT, FAAPM    
8 avril 2018

Seeing the Light

How Light Therapy is surprising skeptics and gaining converts By Rich Smith Once he saw the light, a 59-year-old Texan became a changed man. Not emotionally or spiritually, but physically. The man was a patient at Park Cities Physical Therapy in Dallas, suffering from right upper extremity reflex sympathetic dystrophy. A diabetic with heart disease, he’d developed complex regional pain syndrome after a surgical procedure that compromised circulation in his forearm and hand.    
8 avril 2018

A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders

Bjordal JM et al  Australian Journal of Physiotherapy 49: 107-116   We investigated if low level laser therapy (LLLT) of the joint capsule can reduce pain in chronic joint disorders. A literature search identified 88 randomised controlled trials, of which 20 trials included patients with chronic joint disorders. Six trials were excluded for not irradiating the joint capsule. Three trials used doses lower than a dose range nominated a priori for reducing inflammation in the joint capsule. These trials found no significant difference between active and placebo treatments. The remaining 11 trials including 565 patients were of acceptable methodological quality with an average PEDro score of 6.9 (range 5-9). In these trials, LLLT within the suggested dose range was administered to the knee, temporomandibular or zygapophyseal joints. The results showed a mean weighted difference in change of pain on VAS of 29.8 mm (95% CI, 18.9 to 40.7) in favour of the active LLLT groups. Global health status improved for more patients in the active LLLT groups ( relative risk of 0.52; 95% CI 0.36 to 0.76). Low level laser therapy with the suggested dose range significantly reduces pain and improves health status in chronic joint disorders, but the heterogeneity […]
8 avril 2018

Le Tunnel Carpien

Signes & Symptômes Définition: Le syndrome du tunnel carpien est lié à la compression du nerf médian du poignet. Ce nerf est responsable de la sensibilité du pouce et des 2 ou 3 doigts voisins. Il est également le nerf moteur qui commande les muscles à la base du pouce. Le tunnel carpien, formé par le ligament carpien transverse et les os carpiens. Le «canal carpien» est en fait un tunnel formé en arrière par les 8 petits osselets du poignet, qui ont la forme d’une gouttière ; cette gouttière est fermée en avant par un ligament très épais, le «ligament annulaire antérieur du carpe».   Symptômes : Elle se traduit initialement par des fourmillements dans les doigts, puis par des douleurs nocturnes aux mains. Par la suite, une douleur brûlante et paresthésies à la surface ventrale de la main et des doigts avec une douleur irradiation de l’avant-bras, apparaîssent graduellement. De plus, une diminution de la sensation de distribution du nerf médian et une atrophie des muscles à la base du pouce peuvent survenir. Les symptômes peuvent aligner des dysfonctionnements mineurs ou sévères. Les cas modérés se résolvent par l’évitement des facteurs. Une fois une femme enceinte donne naissance, par exemple, l’oedème des poignets disparaît et […]
8 avril 2018

Low level laser therapy for tendinopathy. Evidence of a dose-response pattern

Bjordal JM et al University of Bergen, Section of Physiotherapy Science, 5020 Bergen, NORVEGE Physical Therapy Reviews 2001;6:91-99   To investigate whether low-level laser therapy (LLLT) can reduce pain from tendinopathy, we performed a review of randomized placebo-controlled trials with LLLT for tendinopathy. The literature search for trials using LLLT published after 1980 was conducted on Medline, Embase, and the Cochrane Library, together with a hand-search of physiotherapy journals in English and Scandinavian languages. Validity assessment of each trial was done according to predefined criteria for location-specific dosage and irradiation of the skin directly overlying the affected tendon. The literature search identified 78 randomized controlled trials with LLLT, of which 20 included tendinopathy. Seven trials were excluded for not meeting validity criteria on treatment procedure or trial design. Twelve of the remaining 13 trials investigated the effect of LLLT for patients with subacute and chronic tendinopathy, and provided a pooled mean effect of 21% [95% confidence interval (CI) 5.9-36.1]. If results from only the nine trials adhering to assumed optimal treatment parameters were included, the mean effect over placebo increased to 32% (95% CI: 23.0-41.0). LLLT can reduce pain in subacute and chronic tendinopathy if a valid treatment procedure and […]