thérapie au laser

08/04/2018

Est-ce vraiment un syndrome du canal carpien? Compression proximale du nerf médian

Martin C. Normand, PhD, DC & Martin Descarreaux, DC JCCA 2000; 44(3): 149-156   But: Cette étude vise à réviser les différents aspects cliniques et théoriques des syndromes de compression du nerf médian, afin de différencier les syndromes du canal carpien des autres compressions plus proximales du nerf médian. Source des données: Toutes les études et données pertinentes de l’article, proviennent de recherches répertoriées dans MEDLINE entre 1966 et 1998 et de volumes de références traitant du sujet de l’article. Résultats: Le syndrome du canal carpien est la plus fréquente compression du nerf médian. Toutefois, des compressions au coude sous le ligament de Struthers, à l’avant-bras sous le rond pronateur et le biceps et une compression de la branche antérieure du nerf médian peuvent amener des signes et symptômes semblables à ceux du syndrome du canal carpien. Ce sont les tests orthopédiques et l’évaluation neurologique (électromyographie et vitesse de conduction nerveuse) qui permettent de préciser le diagnostic et le site exact de la compression nerveuse. Conclusion: Afin d’éviter les traitements inefficaces, il faut s’assurer, en présence des signes et symptômes d’une atteinte du nerf médian, que le diagnostic est précis et que le site et le mécanisme de compression du […]
08/04/2018

Improvement of pain and disability in elderly patients with degenerative osteoarthritis of the knee treated with narrow-band light therapy

Jean Stelian et al Geriatric Medical Center, Shmuel Harofe Hospital, Beer Yaakov, Israel. PMID: 1727843 [PubMed – indexed for MEDLINE] J Am Geriatr Soc. 1992 Jan;40(1):23-6   OBJECTIVE: To evaluate the effects of low-power light therapy on pain and disability in elderly patients with degenerative osteoarthritis of the knee. DESIGN: Partially double-blinded, fully randomized trial comparing red, infrared, and placebo light emitters. PATIENTS: Fifty patients with degenerative osteoarthritis of both knees were randomly assigned to three treatment groups: red (15 patients), infrared (18 patients), and placebo (17 patients). Infrared and placebo emitters were double-blinded. INTERVENTIONS: Self-applied treatment to both sides of the knee for 15 minutes twice a day for 10 days. MAIN OUTCOME MEASURES: Short-Form McGill Pain Questionnaire, Present Pain Intensity, and Visual Analogue Scale for pain and Disability Index Questionnaire for disability were used. We evaluated pain and disability before and on the tenth day of therapy. The period from the end of the treatment until the patient’s request to be retreated was summed up 1 year after the trial. RESULTS: Pain and disability before treatment did not show statistically significant differences between the three groups. Pain reduction in the red and infrared groups after the treatment was […]
08/04/2018

La douleur du syndrome du tunnel carpien traitée avec le laser doux et la stimulation nerveuse à microampère transcutané: une étude contrôlée

Ce nouveau traitement conservateur (laser doux) est efficace dans le traitement de la douleur du syndrome du tunnel carpien.  Carpal tunnel syndrome pain treated with low-level laser and microamperes transcutaneous electric nerve stimulation: a controlled study  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 real or sham low-level laser therapy (LLLT) plus microamperes transcutaneous electric nerve stimulation (TENS) applied to acupuncture points significantly reduces pain in carpal tunnel syndrome (CTS). Design: Randomized, double-blind, placebo-control, crossover trial. Patients and staff administered outcome measures blinded. Setting: Outpatient, university-affiliated Department of Veterans Affairs medical center. Participants: Eleven mild to moderate CTS cases (nerve conduction study, clinical examination) who failed standard medical or surgical treatment for 3 to 30 months. Intervention: Patients received real and sham treatment series (each for 3[ndash ]4wk), in a randomized order. Real treatments used red-beam laser (continuous wave, 15mW, 632.8nm) on shallow acupuncture points on the affected hand, infrared laser (pulsed, 9.4W, 904nm) on deeper points on upper extremity and cervical paraspinal areas, and microamps TENS on the affected wrist. Devices were painless, noninvasive, and produced no sensation whether they were […]
08/04/2018

Le succès de la gestion des employées de bureau avec des traumatismes liés au stress répétitif ou le syndrome du tunnel carpien par une nouvelle modalité de traitement – le laser doux

Le laser a rapidement atténué la douleur et les picotements dans les bras, les mains et les doigts  et a diminué la douleur le long des apophyses épineuses impliquées. Successful management of female office workers with “repetitive stress injury” or “carpal tunnel syndrome” by a new treatment modality–application of low level laser. Wong E, Lee G, Zucherman J, Mason DT. Western Heart Institute, St. Mary’s Medical Center, San Francisco, CA 94117, USA. Int J Clin Pharmacol Ther. 1995 Apr;33(4):208-11. PMID: 7620690 [PubMed – indexed for MEDLINE]   Female office workers with desk jobs who are incapacitated by pain and tingling in the hands and fingers are often diagnosed by physicians as “repetitive stress injury” (RSI) or “carpal tunnel syndrome” (CTS). These patients usually have poor posture with their head and neck stooped forward and shoulders rounded; upon palpation, they have pain and tenderness at the spinous processes C5-T1 and the medial angle of the scapula. In 35 such patients we focused the treatment primarily at the posterior neck area and not the wrists and hands. A low level laser (100 mW) was used and directed at the tips of the spinous processes C5-T1. The laser rapidly alleviated the pain and […]
08/04/2018

Effet du laser doux pour la polyarthrite rhumatoïde pour les patients atteints de du syndrome du tunnel carpien

En conséquence, nous suggérons que la thérapie au laser doux peut être utilisé comme une bonne méthode alternative de traitement des patients ayant une arthrite rhumatoïde qui souffrent également du syndrome du tunnel carpien. Effect of low level laser therapy in rheumatoid arthritis patients with carpal tunnel syndrome Ekim A, Armagan O, Tascioglu F, Oner C, Colak M. Osmangazi University, Department of Physical Therapy and Rehabilitation, Eskisehir, Turkey. PMID: 17629805 [PubMed – indexed for MEDLINE] Swiss Med Wkly. 2007 Jun 16;137(23-24):347-52   OBJECTIVE: the aim of the present study was to evaluate the efficacy of low level laser therapy (LLLT) in patients with rheumatoid arthritis (RA) with carpal tunnel syndrome (CTS). MATERIAL AND METHODS: a total of 19 patients with the diagnosis of CTS in 19 hands were included and randomly assigned to two treatment groups; LLLT (Group 1) (10 hands) with dosage 1.5 J/ per point and placebo laser therapy group (Group 2) (9 hands). A Galium-Aluminum-Arsenide diode laser device was used as a source of low power laser with a power output of 50 mW and wavelength of 780 nm. All treatments were applied once a day on week days for a total period of 10 days. Clinical […]