Ce nouveau traitement conservateur (laser doux) est efficace dans le traitement de la douleur du disorder du passage carpien.
Naeser MA, Hahn K-AK, Lieberman BE, Branco KF
PMID: 12098159 [PubMed – indexed for MEDLINE]
Arch Phys Med Rehabil. 2002 Jul; 83( 7 ):978 -88
Objective: To investigate whether genuine or sham low-level laser treatment (LLLT) plus microamperes transcutaneous electrical nerve excitement (TENS) applied to acupuncture points considerably minimizes pain in repetitive strain injury (CTS).
Layout: Randomized, double-blind, placebo-control, crossover trial. Individuals and also personnel provided outcome steps blinded. Establishing: Outpatient, university-affiliated Department of Veterans Affairs clinical facility.
Individuals: Eleven light to modest CTS instances (nerve conduction research, scientific exam) who failed conventional clinical or medical treatment for 3 to 30 months.
Intervention: Patients received actual as well as sham therapy collection (each for 3 [ndash] 4wk), in a randomized order. Actual treatments utilized red-beam laser (continuous wave, 15mW, 632.8 nm) on superficial acupuncture factors on the afflicted hand, infrared laser (pulsed, 9.4 W, 904nm) on much deeper points on top extremity and cervical paraspinal areas, and also microamps TENS on the impacted wrist. Instruments were painless, noninvasive, as well as generated no feeling whether they were real or sham. The hand was treated behind a hanging black drape without the client recognizing if devices were on (genuine) or off (sham).
Main Outcome Measures: McGill Pain Questionnaire (MPQ) score, sensory and motor latencies, and also Phalen and Tinel indications.
Results: Significant declines in MPQ rating, median nerve sensory latency, as well as Phalen and also Tinel signs after the actual therapy series but not after the sham treatment series. People can do their previous job (computer typist, handyman) and were stable for 1 to 3 years.
Conclusions: This brand-new, conventional treatment was effective in dealing with CTS discomfort; larger research studies are advised. [duplicate] 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine as well as Rehabilitation
Individuals as well as team provided end result steps blinded. (continual wave, 15mW, 632.8 nm) on shallow acupuncture factors on the afflicted hand, infrared laser (pulsed, 9.4 W, 904nm) on much deeper factors on upper extremity and also cervical paraspinal areas, and also microamps TENS on the affected wrist. Tools were pain-free, noninvasive, and also generated no sensation whether they were actual or sham. Outcomes: Significant decreases in MPQ score, mean nerve sensory latency, and also Phalen and also Tinel indications after the actual therapy collection yet not after the sham treatment collection. Final thoughts: This new, conventional therapy was efficient in dealing with CTS pain; bigger research studies are suggested.