| Abstract | Cilj istraživanja:
Cilj ovog istraživanja je bio procijeniti učinak terapije laserom visokog intenziteta (HIL = HighIntensity Laser BTL) na smanjenje boli, vodećeg simptoma bolesti, u bolesnika s izvan-zglobnim reumatskim bolestima (IZRB).
Ispitanici i metode:
Praćen je terapijski učinak terapije HIL-om (model BTL-6000, 12W, 1064nm) kao monoterapijskog oblika liječenja, na skupini od 152 bolesnika s IZRB, podijeljenih u 7 podskupina, s obzirom na zahvaćenost regije: RAME (n=24), LAKAT ... More (n=17), RUČNI ZGLOB I ŠAKA (n=18), KUK-NATKOLJENICA (n=20), KOLJENO (n=21), NOŽNI ZGLOB (n=32) i STOPALO (n=20). Od ukupnog broja bolesnika na početku istraživanja, 45 ih nije zadovoljilo kriterije uključenja u analizu podataka po završenom praćenju. Bolesnici su bili prosječne životne dobi od 45 godine (raspon 14-77) te su prije i poslije terapije subjektivno procijenili osjećaj boli vizualno-analognom skalom (VAS).
Rezultati:
Istraživanje je pokazalo statistički značajnu učinkovitost HIL-a na bol u IZRB. Razina statističke značajnosti određena je t-testom. Prosječno smanjenje boli na VAS je, prema entitetima: SINDROM BOLNOG RAMENA (n=20) smanjenje VAS boli sa 6,7±1,4 na 3,8±2,2 uz prosječnu razliku -2,9±1,7, P<0,0001. EPIKONDILITIS (n=17): smanjenje VAS boli sa 6,5±1,3 na 3,4±2,4 uz prosječnu razliku -3,1±2,P<0,0001. SINDROM DE QUERVAIN (n=11): smanjenje sa 6,0±1,8 na 3,2±1,5 uz prosječnu razliku -2,8±1,8,P<0,001. TENDINITIS KUKA I NATKOLJENICE (n=10): smanjenje sa 7,2±1,6 na 3,4±2,2 uz prosječnu razliku -3,8±2,6,P<0,01. SKAKAČKO KOLJENO (n=18): smanjenje sa 5,8±2,1 na 3,6±2,4 uz prosječnu razliku -2,2±2,2,P<0,001. TENDINOPATIJA AHILOVE TETIVE (n=10): smanjenje sa 5,6±2,0 na 3,6±1,8 uz prosječnu razliku -2,1±1,6,P<0,001. PLANTARNI FASCITIS (n=8): smanjenje sa 6,5±1,6 na 4,4±2,4 uz prosječnu razliku -2,1±1,3,P<0,01. METATARZALGIJA etaža (n=9): smanjenje sa 8,1±1,6 na 5,0±1,4 uz prosječnu razliku -3,1±2,3,P<0,01.
Zaključak:
Monoterapija HIL-om je pokazala statistički značajnu učinkovitost na liječenje boli, kod svih praćenih IZRB, te se zbog svoje učinkovitosti može preporučiti kao metoda izbora liječenja boli za sva ispitivana područja. Less |
| Abstract (english) | Objectives:
The aim of this study was to evaluate the effect of high intensity laser therapy (HIL = High Intensity Laser) on reduction of pain, the leading symptom of the disease, in patients with extra-articular rheumatism.
Patients and methods:
The study followed the therapeutic effect of HIL therapy (model BTL-6000, 12W, 1064nm) as a monotherapeutic form of treatment in a group of 152 patients with extra-articular rheumatism divided into 7 regional sub-groups: ARM (n = 24), ELBOW (n = ... More 17), WRIST and HAND (n = 18), HIP and THIGH (n = 20), KNEE (n = 21), ANKLE (n = 32) and FEET (n = 20). Of the total number of patients 45 did not meet the criteria for inclusion in the analysis of the data after completion of monitoring. The average age of patients was 45 years (range 14-77) .The patients subjectively assessed the feeling of pain on the visual analogue scale (VAS) before and after therapy.
Results:
The study showed statistically significant efficiency of HIL therapy on pain reduction in extra-articular rheumatism. Statistical significance was determined by the t-test. The average reduction of pain on the VAS scale was, by clinical entities: painful shoulder syndrome (n = 20) reductionin VAS pain from 6.7± 1.4 to 3.8± 2.2 with an average difference -2.9± 1.7,P<0.0001. Epicondylitis (n = 17): VAS pain reduction from 6.5 ±1.3 to 3.4± 2.4 with an average difference -3.1±2,P<0.0001. De Quervain syndrome (n = 11): decrease from 6.0±1.8 to 3.2±1.5 with an average difference -2.8± 1.8,P<0.001. Tendonitis of the hip and the thigh (n = 10): decrease from 7.2±1.6 to 3.4±2.2 with an average difference -3.8±2.6P<0.01. Jumper's knee (n = 18): decrease from 5.8±2.1 to 3.6±2.4 with an average difference -2.2±2.2,P<0.001. Achilles tendinopathy (n = 10): decrease from 5.6±2.0 to 3.6±1.8 with an average difference -2.1±1.6,P<0.001. Plantar fasciitis (n = 8): decrease from 6.5±1.6 to 4.4 ±2.4 with an average difference -2.1±1.3,P<0.01. Metatarsalgia (n = 9): decrease from 8.1±1.6 to 5.0±1.4 with an average difference -3.1±2.3,P<0.01.
Conclusion:
Monotherapy with HIL showed statistically significant efficacy in the treatment of pain in all monitored extra-articular diseases , and because of its effectiveness, can be recommended as a method of choice for the treatment of all monitored extra-articular diseases. Less |
