Carpal tunnel syndrome (CTS) is the most common neuropathy compression syndrome. The effectiveness of low-level laser therapy (LLLT) as one of the conservative therapy for CTS is still debatable. High-intensity laser therapy (HILT) is developed with higher energy and deeper tissue penetration than LLLT. This study aimed to compare the effect of HILT and LLLT on sensory and motoric electrophysiologic parameters in moderate CTS patients. This was an experimental randomized pre and post-test group study. Sixteen patients (fifteen females and one male) with moderate CTS were randomly assigned into two groups. The HILT group was given HILT with analgesic dosage 10 J/cm 2 and biostimulation dosage 120 J/cm 2 . The LLLT group was given LLLT with dosage 6 J/cm 2 . All treatments were given for ten sessions in 2 weeks. Combined sensory index (CSI), sensory nerve conduction velocity (SNCV), and distal motoric latency (DML) were recorded before and three days after the last treatment. The mean decrease of CSI was more significant in HILT group (-0.37±0.37 ms; p=0.03). There were no significant differences in the mean increase of SNCV (HILT = 3.16±3.15 m/s, LLLT= 2.74±1.42 m/s; p=0.73) and mean decrease in DML between two groups (HILT = -0.20 ± 0.18 ms , LLLT = -0.14 ± 0.21 ms; p=0.52). In conclusion, the HILT is more effective than LLLT in improving the CSI values in moderate CTS patients.
Pendahuluan: COVID-19 ditandai dengan adanya keluhan demam, batuk, lemas, gangguan saluran napas dan saluran cerna. Perawatan pada ruang isolasi disertai dengan tirah baring lama akan membuat pasien mengalami sindroma dekondisi. Laporan Kasus: Pasien laki-laki, 58 tahun pasca COVID-19 derajat berat dengan keluhan sesak bila beraktivitas, mudah lelah, batuk tidak efektif, lemas pada keempat ekstremitas akibat tirah baring lama (sindrom dekondisi). Dekondisi diartikan sebagai berkurangnya fungsi anatomis dan fisiologis yang disebabkan oleh penyakit, usia, atau inaktivitas fisik. Pasien mendapatkan program latihan peningkatan lingkup gerak sendi, ketahanan aerobik, penguatan otot, keseimbangan dan koordinasi, serta latihan mobilisasi bertahap. Pasien juga mendapatkan latihan pernapasan, terapi fisik dada dan latihan batuk efektif. Tujuh hari pasca rehabilitasi, Pasien telah dapat mengatur pola napas dan melakukan ambulasi mandiri. Pasien diperbolehkan pulang untuk melanjutkan terapi latihan mandiri di rumah. Simpulan: Latihan pernapasan, terapi fisik dada, latihan aerobik, latihan penguatan otot pada keempat ekstremitas, latihan koordinasi dan keseimbangan, serta latihan mobilisasi aktif secara bertahap sangat penting pada pemulihan pasien pasca COVID-19 derajat berat.
Background: Canes have been recommended as walking aids for knee osteoarthritis to reduce the loading on the affected knee. Patients are usually recommended to hold the cane in the contralateral hand to the affected knee. Nevertheless, some patients prefer to hold the cane ipsilateral to the affected knee. However, the effect of using ipsilateral or contralateral tripod cane on functional mobility in patients with knee osteoarthritis is still unknown Objective: To compare the immediate effect of ipsilateral and contralateral tripod cane usage on functional mobility in patients with symptomatic knee osteoarthritis Method: This cross-sectional study involved 30 overweight or obese patients with symptomatic unilateral or bilateral knee osteoarthritis (Kellgren Lawrence grade 2 and 3) who never use a cane. Functional mobility was evaluated with Time Up and Go test in three conditions; without walking aid, with tripod cane contralateral and ipsilateral to the more painful knee. Results: The TUG time of aid-free walking is 4.75 (p < 0.001, 95% CI 3.79 - 5.71) seconds faster than ipsilateral cane use and 6.69 (p < 0.001, 95%CI 5.35 - 8.03) seconds faster than contralateral cane use. The TUG time of ipsilateral cane use is 1,94 (95% CI, 1.13 - 2.79) seconds faster than contralateral. Conclusion: Patients with symptomatic knee OA who use tripod cane ipsilateral to the more painful knee have higher functional mobility than the contralateral.
Pandemi COVID-19 berimbas pada peningkatan durasi penggunaan gawai untuk kegiatan pendidikan daring yang berdampak buruk bagi kesehatan mata, salah satunya, Computer Vision Syndrome (CVS). Penelitian ini bertujuan untuk mengetahui hubungan durasi penggunaan gawai dengan CVS pada mahasiswa kedokteran Fakultas Kedokteran dan Ilmu Kesehatan Universitas Katolik Indonesia Atma Jaya. Metode penelitian potong lintang dengan 98 responden (76 perempuan, 22 laki-laki) berusia 17-21 tahun, menggunakan Modified computer vision syndrome questionnaire dan aplikasi pengukur durasi penggunaan gawai. Rerata durasi penggunaan gawai adalah 610 menit per hari. Sebanyak 70% responden menggunakan gawai dengan rerata durasi >8,9 jam per hari. Prevalensi CVS ditemukan sebesar 47,9%, dimana 25,5% responden mengalami CVS derajat ringan dan 22,4% responden mengalami CVS derajat sedang hingga berat. Analisis Bivariat dengan uji Chi-square memperlihatkan hubungan yang bermakna antara durasi penggunaan gawai dengan derajat keparahan CVS (p<0,05). Simpulan penelitian ini, terdapat hubungan antara durasi penggunaan gawai dengan derajat keparahan Computer Vision Syndrome pada mahasiswa Fakultas Kedokteran Unika Atma Jaya Jakarta selama masa pandemi Covid-19.
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