Comparison of high-intensity laser therapy and ultrasound treatment in the patients with lumbar discopathy

Ismail Boyraz, Ahmet Yildiz, Bunyamin Koc, Hakan Sarman, Ismail Boyraz, Ahmet Yildiz, Bunyamin Koc, Hakan Sarman

Abstract

The aim of the present study was to evaluate the efficiency of high intensity laser and ultrasound therapy in patients who were diagnosed with lumbar disc herniation and who were capable of performing physical exercises. 65 patients diagnosed with lumbar disc were included in the study. The patients were randomly divided into three groups: Group 1 received 10 sessions of high intensity laser to the lumbar region, Group 2 received 10 sessions of ultrasound, and Group 3 received medical therapy for 10 days and isometric lumbar exercises. The efficacy of the treatment modalities was compared with the assessment of the patients before the therapy at the end of the therapy, and in third month after the therapy. Comparing the changes between groups, statically significant difference was observed in MH (mental health) parameter before treatment between Groups 1 and 2 and in MH parameter and VAS score in third month of the therapy between Groups 2 and 3. However, the evaluation of the patients after ten days of treatment did not show significant differences between the groups compared to baseline values. We found that HILT, ultrasound, and exercise were efficient therapies for lumbar discopathy but HILT and ultrasound had longer effect on some parameters.

References

    1. Manchikanti L. Epidemiology of low back pain. Pain Physician. 2000;3(2):167–192.
    1. Katz J. N. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. The Journal of Bone & Joint Surgery Series A. 2006;88(2):21–24. doi: 10.2106/jbjs.e.01273.
    1. Naeser M. A., Hahn K.-A. K., Lieberman B. E., Branco K. F. Carpal tunnel syndrome pain treated with low-level laser and microamperes transcutaneous electric nerve stimulation: a controlled study. Archives of Physical Medicine and Rehabilitation. 2002;83(7):978–988. doi: 10.1053/apmr.2002.33096.
    1. Özdemir F., Birtane M., Kokino S. The clinical efficacy of low-power laser therapy on pain and function in cervical osteoarthritis. Clinical Rheumatology. 2001;20(3):181–184. doi: 10.1007/s100670170061.
    1. Arisu H. D., Türköz E., Bala O. Effects of Nd: yag laser irradiation on osteoblast cell cultures. Lasers in Medical Science. 2006;21(3):175–180. doi: 10.1007/s10103-006-0398-6.
    1. Spivak J. M., Grande D. A., Ben-Yishay A., Menche D. S., Pitman M. I. The effect of low-level Nd: YAG laser energy on adult articular cartilage in vitro. Arthroscopy. 1992;8(1):36–43. doi: 10.1016/0749-8063(92)90133-v.
    1. Fortuna D., Rossi G., Paolini C., et al. Laser Florence 2001: A Window on the Laser Medicine World. International Society for Optics and Photonics; 2002. Nd: YAG pulsed-wave laser as support therapy in the treatment of teno-desmopathies of athlete horses: a clinical and experimental trial.
    1. Gur A., Karakoc M., Cevik R., Nas K., Sarac A. J., Karakoc M. Efficacy of low power laser therapy and exercise on pain and functions in chronic low back pain. Lasers in Surgery and Medicine. 2003;32(3):233–238. doi: 10.1002/lsm.10134.
    1. Djavid G. E., Mehrdad R., Ghasemi M., Hasan-Zadeh H., Sotoodeh-Manesh A., Pouryaghoub G. In chronic low back pain, low level laser therapy combined with exercise is more beneficial than exercise alone in the long term: a randomised trial. Australian Journal of Physiotherapy. 2007;53(3):155–160. doi: 10.1016/s0004-9514(07)70022-3.
    1. Zdrodowska B., Leszczyńska-Filus M., Leszczyński R., Błaszczyk J. The influence of laser therapy on selected functional parameters of patients with spondyloarthrosis of the lower section of the spine. Polski Merkuriusz Lekarski. 2014;36(212):101–105.
    1. Chan A. K., Myrer J. W., Measom G. J., Draper D. O. Temperature changes in human patellar tendon in response to therapeutic ultrasound. Journal of Athletic Training. 1998;33(2):130–135.
    1. Koes B. W., Van Tulder M., Lin C.-W. C., Macedo L. G., McAuley J., Maher C. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. European Spine Journal. 2010;19(12):2075–2094. doi: 10.1007/s00586-010-1502-y.
    1. Fiore P., Panza F., Cassatella G., et al. Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of low back pain: a randomized controlled trial. European Journal of Physical and Rehabilitation Medicine. 2011;47(3):367–373.
    1. Alayat M. S. M., Atya A. M., Ali M. M. E., Shosha T. M. Long-term effect of high-intensity laser therapy in the treatment of patients with chronic low back pain: a randomized blinded placebo-controlled trial. Lasers in Medical Science. 2014;29(3):1065–1073. doi: 10.1007/s10103-013-1472-5.
    1. Conte P. G., Santamato A., Fiore P., Lopresto A., Mazzaracchio M. Treatment of chronic low back pain: back school versus Hilterapia. Energy for Health. 2009;3(3):p. 10.
    1. Enwemeka C. S., Parker J. C., Dowdy D. S., Harkness E. E., Sanford L. E., Woodruff L. D. The efficacy of low-power lasers in tissue repair and pain control: a meta-analysis study. Photomedicine and Laser Surgery. 2004;22(4):323–329. doi: 10.1089/pho.2004.22.323.
    1. Basford J. R., Sheffield C. G., Harmsen W. S. Laser therapy: a randomized, controlled trial of the effects of low- intensity Nd:YAG laser irradiation on musculoskeletal back pain. Archives of Physical Medicine and Rehabilitation. 1999;80(6):647–652. doi: 10.1016/s0003-9993(99)90167-3.
    1. Ebadi S., Ansari N. N., Naghdi S., et al. The effect of continuous ultrasound on chronic non-specific low back pain: a single blind placebo-controlled randomized trial. BMC Musculoskeletal Disorders. 2012;13(1, article 192) doi: 10.1186/1471-2474-13-192.
    1. Durmus D., Durmaz Y., Canturk F. Effects of therapeutic ultrasound and electrical stimulation program on pain, trunk muscle strength, disability, walking performance, quality of life, and depression in patients with low back pain: a randomized-controlled trial. Rheumatology International. 2010;30(7):901–910. doi: 10.1007/s00296-009-1072-7.
    1. Koldaş Doğan Ş., Sonel Tur B., Kurtaiş Y., Atay M. B. Comparison of three different approaches in the treatment of chronic low back pain. Clinical Rheumatology. 2008;27(7):873–881. doi: 10.1007/s10067-007-0815-7.
    1. Grubisić F., Grazio S., Jajić Z., Nemcić T. Therapeutic ultrasound in chronic low back pain treatment. Reumatizam. 2005;53(1):18–21.

Source: PubMed

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