Abstract
The objective of this study is to investigate short- and long-term effects of high-intensity laser therapy (HILT) in lateral epicondylitis (LE) patients. Thirty patients with LE diagnosis (23 unilateral and 7 bilateral in total 37 elbows) were treated using HILT. LE patients were evaluated before, right after, and 6 months following HILT intervention post-treatment using visual analogue scale for pain (VAS) during activity and resting. Disabilities of the Arm, Shoulder, and Hand (DASH) Score and hand grip strength test (HGST) were used. The participants of the present study were also evaluated using Short-Form 36 (SF-36) before and 6 months after the treatment. Out of the 30 patients, 8 were male and 22 female with a mean age of 47.2 ± 9.7. The activity and resting VAS, DASH, and HGST scores revealed statistically significant improvement (p = 0.001) following treatment. Whereas VAS activity, DASH, and HGST scores increased after treatment until post-treatment 6 months significantly (p = 0.001), VAS resting scores remained stable (p = 0.476). A statistically significant improvement was also evident in the physical and mental components of SF-36 scores following treatment until post-treatment 6 months compared to pre-treatment scores (p = 0.001). In conclusion, the results of the present study suggest that HILT is a reliable, safe, and effective treatment option in LE patients in the short and long term considering pain, functional status, and quality of life.
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References
Dorf ER, Chhabra AB, Golish SR et al (2007) Effect of elbow position on grip strength in the evaluation of lateral epicondylitis. J Hand Surg (Am) 32:882–886
Smidt N, Lewis M, Van Der Windt DA, Hay EM, Bouter LM, Croft P (2006) Lateral epicondylitis in general practice: course and prognosticindicators of outcome. J Rheumatol 33(10):2053–2059
Luk JK, Tsang RC, Leung HB (2014) Lateral epicondylalgia: midlifecrisis of a tendon. Hong Kong Med J 20:145–51
Brown AW, Weber DC (2000) Physical agent modalities. In: Braddom RL (ed) Physical medicine and rehabilitation. WBSaunders, Harcourt Health Sciences Company, London, pp 440–458
Dundar U, Turkmen U, Toktas H, Ulasli AM, Solak O (2015) Effectiveness of high-intensity laser therapy and splinting in lateral epicondylitis; a prospective, randomized, controlled study.Lasers. Med Sci 30(3):1097–1107
Beaton D, Katz J, Fossel A, Wright J, Tarasuk V (2001) Measuring the whole or the parts? validity, reliability and responsiveness of the disabilities of the arm, shoulder and hand outcome measure in different regions of the upper extremity. J Hand Ther 14:128–146
Bohannon RW, Schaubert KL (2005) Test-retest reliability of grip-strength measures obtained over a 12-week interval from community-dwelling elders. J Hand Ther 18:426–427
Ware JE Jr (2000) SF-36 health survey update. Spine (Phila Pa 1976) 25(24):3130–3139
Bjordal JM, Lopes-Martins RA, Joensen J, Couppe C, Ljunggren AE, Stergioulas A, Johnson MI (2008) A systematic review with procedural assessments and meta-analysis of low level laser therapy in lateral elbowtendinopathy (tennis elbow). BMC Musculoskelet Disord 29(9):75
Tumilty S, Munn J, McDonough S, Hurley DA, Basford JR, Baxter GD (2010) Low level laser treatment of tendinopathy: asystematicreview with meta-analysis. Photomed Laser Surg 28(1):3–16
Bisset L, Paungmali A, Vicenzino B, Beller E (2005) A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia. Br J Sports Med 39:411–422
Kujawa J, Zavodnik L, Zavodnik I, Buko V, Lapshyna A, Bryszewska M (2004) Effect of low-intensity (3.75–25 J/cm2) near-infrared (810 nm) laser radiation on red blood cell ATPaseactivities and membrane structure. J Clin Laser Med Surg 22:111–117
Santamato A, Solfrizzi V, Panza F, Tondi G, Frisardi V, Leggin BG, Ranieri M, Fiore P (2009) Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of people with subacromial impingement syndrome: a randomized clinical trial. Phys Ther 89:643–652
Zati A, Valent A (2006) Laser therapy in Medicine. In: Medica M (ed.) Terapia Elsica: Nuove Tecnologie in Medicina Riabilitatiya, pp. 162–185
Nicolau RA, Martinez MS, Rigau J, Tomas J (2004) Neurotransmitter release changes induced by low power 830 nm diode laser irradiation on the neuromuscular junctions of the mouse. Lasers Surg Med 35:236–241
Fiore P, Panza F, Cassatella G, Russo A, Frisardi V, Solfrizzi V, Ranieri M, Di Teo L, Santamato A (2011) Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of low back pain: a randomized controlled trial. Eur J Phys Rehab Med 47(3):367–73
Alayat MSM, Atya AM, Ali MME, Shosha TM (2014) 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 Med Sci 29(3):1065–73
Kheshie AR, Alayat MSM, Ali MME (2014) High-intensity versus low-level laser therapy in the treatment of patients with knee osteoarthritis: a randomized controlled trial. Lasers Med Sci 29(4):1371–6
Alayat MS, Elsodany AM, El Fiky AA (2014) Efficacy of high and low level laser therapy in the treatment of Bell’s palsy: a randomized double blind placebo-controlled trial. Lasers Med Sci 29(1):335–42
Ebid AA, Thabet AA, Helal OF (2011) Effect of pulsed high intensity Nd:YAG laser in treatment of chronic diabetic foot ulcer. Energy for Health. Int J Inf Sci Cult 7:25–30
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The authors would like to thank Dr. Harun Simsek for editing the present manuscript.
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The current study has not been sent to any journal for consideration except Lasers in Medical Science. All of the authors agreed to submit this study (Long-Term Effects of High-Intensity Laser Therapy in Lateral Epicondylitis Patients) to Lasers in Medical Science to be published. The authors whose names appear on this submission have contributed sufficiently to the scientific work and, therefore, share collective responsibility and accountability for the results.
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Akkurt, E., Kucuksen, S., Yılmaz, H. et al. Long term effects of high intensity laser therapy in lateral epicondylitis patients. Lasers Med Sci 31, 249–253 (2016). https://doi.org/10.1007/s10103-015-1841-3
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DOI: https://doi.org/10.1007/s10103-015-1841-3