Comparison of extracorporeal shock wave therapy and high-intensity laser therapy on pain, grip strength, and function in patients with lateral epicondylalgia: a randomized controlled study

Karaca, İbrahim; Gül, Hatice; Erel, Suat

doi:10.1007/s10103-022-03631-y

Cited by 10 publications

(5 citation statements)

References 44 publications

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“…Karaca et al applied HILT and extracorporeal shock wave therapy to patients with lateral epicondylitis. The highest increase in grip strength was found in the HILT group [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

The effect of high-intensity laser therapy on pain and lower extremity function in patellofemoral pain syndrome: a single-blind randomized controlled trial

Ozlu,

Atilgan

2024

Lasers Med Sci

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Patellofemoral pain syndrome (PFPS) is a set of symptoms that negatively affect the daily life activities of the individual, leading to functional disability and significant loss of labor, especially in young adults. PFPS is usually due to weakness of the vastus medialis obliquus (VMO) resulting in abnormal patellar tracking and pain. Our study aims to compare the efficacy of high-intensity laser therapy (HILT) on pain and lower extremity function in the treatment of PFPS with different electrophysical agents (EPAs). The study was designed as a single-blind randomized controlled trial. Forty-five people with PFPS (aged 25–45 years) were included in the study. The patients were randomly divided into three groups and a total of ten sessions of treatment were administered to all three groups for 2 weeks, 5 days a week. High-intensity laser (HILT) and exercise program were applied to group 1. Ultrasound (US), transcutaneous electrical nerve stimulation (TENS), and exercise program were applied to group 2. In group 3, US, interferential current (IFC), and exercise program were applied. Both groups underwent three evaluations: pre-treatment, post-treatment, and 12 weeks after treatment. Outcome measures included the visual analog scale for pain severity (VAS), knee flexion range of motion (FROM), Q angle, pain threshold, muscle strength of quadriceps and hamstring, Kujala patellofemoral scoring, lower extremity functional scale (LEFS), and Timed Up and Go Test (TUG). The ANOVA was used for comparing the data of the groups, and two-way repeated measure ANOVA was used to compare at the pre-post and post-intervention 3rd month. The LSD and Bonferroni post hoc tests were also used to identify the between-group differences. Groups 2 and 3 were statistically effective in pain and functionality (p < 0.05). Group 1 was found to be statistically more effective than other groups in reducing pain (95% confidence interval (CI), 0.000/0.000; p = 0.000), increasing knee flexion angle (95% CI, 127.524/135.809; p = 0.000), and increasing lower extremity function (95% CI, 75.970/79.362; p = 0.000). This study indicated that high-intensity laser therapy was found to be a more effective method in the treatment of patellofemoral pain syndrome after 3 months of follow-up compared to US-TENS combination and US-interferential current combination treatments. Also, HILT can be used as an effective method in combination with an appropriate exercise program including vastus medialis strengthening to reduce pain and increase functionality in the patients with PFPS.

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“…Karaca et al applied HILT and extracorporeal shock wave therapy to patients with lateral epicondylitis. The highest increase in grip strength was found in the HILT group [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

The effect of high-intensity laser therapy on pain and lower extremity function in patellofemoral pain syndrome: a single-blind randomized controlled trial

Ozlu,

Atilgan

2024

Lasers Med Sci

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“…Высокоинтенсивная лазерная терапия. УВТ и высокоинтенсивную лазерную терапию (ВИЛТ) сравнивали в нескольких исследованиях по лечению остеоартрита коленного сустава [65][66][67]. Результаты показали, что оба метода приводят к статистически значимому улучшению состояния суставов, однако ВИЛТ оказался более эффективным в снижении боли, улучшении физической функции и снижении инвалидности по сравнению с УВТ.…”

Section: ограничения в доступных методах лечения гонартроза I-ii степениunclassified

“…Д.Б. Нурпеисов -сбор и анализ литературы по теме ударно-волновой терапии, разработка структуры статьи В нескольких исследованиях [65][66][67] было показано, что ВИЛТ может быть более эффективной по сравнению с УВТ в аспектах снижения боли, улучшения физической функции и снижения степени инвалидности у пациентов. Эти исследования предполагают, что ВИЛТ может оказывать более мощное противовоспалительное и анальгетическое действие, что делает её предпочтительным выбором для некоторых категорий пациентов, особенно тех, кто страдает от выраженного болевого синдрома и значительного снижения подвижности.…”

Section: дополнительная информацияunclassified

Effectiveness of extracorporeal shock wave therapy in treating grade I–II gonarthrosis: a scientific review

Nurpeisov,

Em,

Kurilenko

2024

Physical and rehabilitation medicine, medical rehabilitation

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This review article explores the use of extracorporeal shock wave therapy (ESWT) in treating grades 1-2 gonarthrosis (knee osteoarthritis). The authors conduct a comprehensive analysis of existing studies and compare ESWT with conventional treatment methods such as placebo, corticosteroids, hyaluronic acid, and pharmacological treatments. Key findings from the review indicate a significant improvement in pain reduction and enhanced functional state of the knee joint in patients treated with ESWT compared to other methods. The authors emphasize the non-invasiveness and safety of ESWT, noting the absence of serious side effects, which makes this therapy a preferred option for clinical use. The article stands out due to its thorough analysis of available literature and a focus on the comparative effectiveness of ESWT, providing a basis for medical recommendations. Additionally, the authors highlight the need for further research to refine optimal application parameters for ESWT and to confirm its long-term effectiveness, particularly in comparison with other modern treatment methods for gonarthrosis. This approach underscores the uniqueness of this review, which not only informs about the current state of research in the field of gonarthrosis treatment but also stimulates further scientific developments in this direction, supporting clinical practice with evidence-based methods.

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“…The most impressive quantitative positive outcome (5.0 ES) was achieved when using 6W (1064nm, BTL6000) to treat patients with lateral epicondylitis. 53 Treatment involved an initial 45 seconds of 4W (12W/cm 2 ) to provide analgesia followed by 12 minutes of 6W administration. Only four sessions were conducted over two weeks.…”

Section: Shoulder and Arm -6w At 6w/cmmentioning

confidence: 99%

The Importance of Power in Photobiomodulation, a Systematic Review and Meta-analysis of High Intensity Laser Therapy

Penberthy,

Vorwaller

2024

Preprint

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Low-level light therapy (LLLT; ≤0.5 Watts; W) has advanced to the stage of guideline recommended treatment with payer coverage for treating shallow tissue oral mucositis. However, LLLT often fails in trials treating deeper tissue pathologies due to an inability to penetrate and deliver sufficient therapeutic light. By contrast, Class IV high-intensity laser therapy (HILT; 0.5-80W) typically at 100-fold higher powers has proven successful for treating these same deeper tissue pathologies. To evaluate the range of indications responding favorably to Class IV HILT, we searched PubMed, Google Scholar, and Cochrane databases from 2018 to March 2024 using the keywords "laser" AND "photobiomodulation" OR "therapy" AND "high" AND "patients" NOT "surgical", focusing on controlled trials. Effect sizes were determined using Cohen’s d. Fifty-six identified studies (n=1,486 HILT vs n=1,494 controls) reported zero serious adverse events. HILT reduced pain in 100% of the trials focused on the knee (n=10), spine, shoulder/arm, and wounds with large effect sizes (>90%). Positive outcomes were demonstrated for the hand/wrist (n=5), feet, face/jaw, bone osteoporosis, and endometriosis. Improvements in range of motion (94%; n=16), functional outcomes (84%; n=37), quality of life (80%; n=20), knee cartilage thickness, rotator cuff tear size, and nerve conduction were demonstrated. Larger effect sizes occurred in follow-up measurements made after cessation of treatment (n=18) indicating that benefits were sustained and not merely transient. The average (median, range) power used was 9.5W (10.5, 0.5-30) and the average power density was 9.1W/cm2 (8; 1-30). We conclude that Class IV HILT is an exceptionally safe, effective, and increasingly recognized treatment that is in a promising discovery phase of research for an expanding list of indications with deep-tissue pathologies. The medical and payer communities should include HILT as a viable treatment option for indications showing positive outcomes in the published research.

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Comparison of extracorporeal shock wave therapy and high-intensity laser therapy on pain, grip strength, and function in patients with lateral epicondylalgia: a randomized controlled study

Cited by 10 publications

References 44 publications

The effect of high-intensity laser therapy on pain and lower extremity function in patellofemoral pain syndrome: a single-blind randomized controlled trial

The effect of high-intensity laser therapy on pain and lower extremity function in patellofemoral pain syndrome: a single-blind randomized controlled trial

Effectiveness of extracorporeal shock wave therapy in treating grade I–II gonarthrosis: a scientific review

The Importance of Power in Photobiomodulation, a Systematic Review and Meta-analysis of High Intensity Laser Therapy

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