Carpal Tunnel Syndrome Treated with a Diode Laser: A Controlled Treatment of the Transverse Carpal Ligament

Chang, Wen‐Dien; Wu, Jih‐Huah; Jiang, Joe‐Air; Yeh, Chia-Yu; Tsai, Chien-Tsung

doi:10.1089/pho.2007.2234

Cited by 68 publications

(56 citation statements)

References 17 publications

(24 reference statements)

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“…We also found that LLLT could not maintain this effect for the next five weeks, and thus further research with longer follow-up periods were required. The analgesic effect of LLLT is still controversial, but the clinical effect is confirmed 4,8) . 5,7,8,12) , and enhance the respiration metabolism of the cells 13) .…”

Section: Discussionmentioning

confidence: 99%

“…The analgesic effect of LLLT is still controversial, but the clinical effect is confirmed 4,8) . 5,7,8,12) , and enhance the respiration metabolism of the cells 13) . Those metabolisms reduce the wastes from the inflammation including leukotrienes and metabolite which could improve the healing process.…”

Section: Discussionmentioning

confidence: 99%

“…For the sample size of our study, a type I error of 0.05 (α = 0.05) was chosen and the power was set to 0.8 (β = 0.2). The required the number of samples, which was calculated based on the literature, was at least 14 for each group 8) . The 90 patients were randomly assigned to two groups based on the criterion of a double blind experiment.…”

Section: Methodsmentioning

confidence: 99%

“…The efficacy of LLLT in treating CTS is controversial. The beam energy of LLLT was more than 9 J in studies [6][7][8] which found the treatment to be effective, while the energy was less than 6 J in a study which found it ineffective 9) . Besides, regarding pain, there are several reports of the effectiveness of LLLT on physiological factors and it has been shown to be an effective treatment by meta-analysis 3,5) .…”

Section: Introductionmentioning

confidence: 99%

“…Besides, regarding pain, there are several reports of the effectiveness of LLLT on physiological factors and it has been shown to be an effective treatment by meta-analysis 3,5) . Recently, some researchers used LLLT to treat CTS and irradiated the transverse carpal ligament of the wrist 8) . Based on that research, we tried to research the specificity of LLLT for CTS by investigating the clinical outcomes and neurophysiological results in cases of mild to moderate CTS.…”

Section: Introductionmentioning

confidence: 99%

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Low-level Laser Treatment Relieves Pain and Neurological Symptoms in Patients with Carpal Tunnel Syndrome

Jiang

Chang

et al. 2011

J Phys Ther Sci

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Abstract.[Purpose] This placebo-controlled study investigated the therapeutic effects of low-level laser treatment (LLLT) on the transverse carpal ligament in carpal tunnel syndrome (CTS). [Subjects and Methods] Idiopathic CTS patients were recruited and were randomly assigned to two groups. The laser group (n = 45) received laser treatment (10 Hz, 60 mW, 9.7 J/cm 2 , 830 nm), and the placebo group (n = 42) received sham laser treatment. The visual analog scale (VAS), Boston Questionnaire scale, neurological symptoms and nerve conduction study (NCS) were conducted before, immediately after and 5 weeks after the treatment.[Results] After LLLT, there was statistically significant decrease in VAS in the laser group (p<0.05). Especially, the effect of LLLT on pain alleviation in the mild CTS group continued after five weeks. Regarding the Boston Questionnaire scale neurological symptoms and NCS, only mild CTS patients in the laser group showed statistically significant improvements after treatment (p<0.05).[Conclusions] LLLT with 830 nm diode lasers on the transverse carpal ligament had verifiable therapeutic effects for mild CTS patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Low-level Laser Treatment Relieves Pain and Neurological Symptoms in Patients with Carpal Tunnel Syndrome

Jiang

Chang

et al. 2011

J Phys Ther Sci

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Low-level laser therapy for carpal tunnel syndrome

Rankin

Sargeant

Rehman

et al. 2017

Cochrane Database of Systematic Reviews

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The effectiveness of the low-power laser and kinesiotaping in the treatment of carpal tunnel syndrome, a pilot study

2018

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In mild and moderate cases of carpal tunnel syndrome (CTS), the conservative approach is suggested. The purpose of this study is to assess and compare the effect of low-power laser versus the combination of low-power laser and kinesiotaping on pain, muscle strength, functionality, and electrophysiologic parameters in the patients with CTS. The study was planned as single-blind, prospective, randomized control. 64 hands diagnosed with CTS were included in the study. The patients were randomly divided into three groups by closed envelope method. Low-power laser therapy was applied to Group 1 (21 hands), kinesiotaping and low-power laser therapy in group 2 (22 hands), sham laser therapy in Group 3 (21 hands). All patients were assessed by visual numeric pain scale (VNS), hand grip strength (HGS), finger pinch strength (FPS), the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ), before treatment, after treatment (3rd week), and after (12th week) 3 months the treatment with the same physician. Motor and sensory nerve conduction studies were performed with electroneuromyography (ENMG) before the treatment (0th week) and at the end of the 12th week. Comparison of the group 1 with the group 3 showed significantly better improvement in the former in VNS, BCTSQ at 3rd week and 12th week compared to 0th week, and in FPS and HGS at 3rd week. Comparison of the group 2 with the group 3 showed significantly better improvement in the former VNS, BCTSQ, FPS and HGS at 3rd and 12th week compared to 0th week. When Group 1 and Group 2 were compared there was no statistically significant difference in any parameters in the 3rd week, but there was a statistically significant difference in favor of group 2 in FPS and HGS parameters at the 12th week. We have found that the kinesiotaping method applied with low-power laser treatment does not provide any additional benefit to the low-power laser treatment in the short term, however, in the long term, the increase in the HGS and FPS has occurred. In conclusion, low-power laser and kinesiotaping method in the treatment of CTS may be an effective and reliable treatment option in clinical parameters.

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Carpal Tunnel Syndrome Treated with a Diode Laser: A Controlled Treatment of the Transverse Carpal Ligament

Abstract: LLLT was effective in alleviating pain and symptoms, and in improving functional ability and finger and hand strength for mild and moderate CTS patients with no side effects.

Cited by 68 publications

References 17 publications

Low-level Laser Treatment Relieves Pain and Neurological Symptoms in Patients with Carpal Tunnel Syndrome

Low-level Laser Treatment Relieves Pain and Neurological Symptoms in Patients with Carpal Tunnel Syndrome

Low-level laser therapy for carpal tunnel syndrome

The effectiveness of the low-power laser and kinesiotaping in the treatment of carpal tunnel syndrome, a pilot study

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