Low Level Laser Therapy for Radial Nerve Palsy Patients : Our Experience

Oshima, Chikara; Nakazawa, Hitoshi; Izukura, Hideaki; Miyagi, Midori; Mizutani, Akito; Harada, Takashi; Ohshiro, Toshio; Ebihara, Satoru

doi:10.5978/islsm.18-or-06

Cited by 5 publications

(8 citation statements)

References 16 publications

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“…We identified thirty-eight studies evaluating the effectiveness of at least one EM to treat peripheral neuropathies. Thirty-four RCTs (n = 1766) assessed the effects in CTS [ 36 – 69 ], two (n = 93) in ulnar neuropathy at the elbow (UNE) [ 70 , 71 ], one comparative study (n = 19) in radial nerve palsy [ 72 ], and another (n = 107) in brachial, median, ulnar, and radial nerve palsy [ 73 ]. The characteristics and main outcomes of each study are described in S5 Table .…”

Section: Resultsmentioning

confidence: 99%

“…Two comparative studies evaluated EMs for the treatment of hand paralysis. One compared LLLT alone versus LLLT plus splint for radial palsy [ 72 ], and the other used ultrasound, electrostimulation, thermal and manual therapy in a unified therapeutic protocol for brachial, median, ulnar, and radial palsy [ 73 ].…”

Section: Resultsmentioning

confidence: 99%

“…One of the main limitations to have a broader picture of all pathologies was the scarce availability of studies evaluating traumatic peripheral neuropathies. We found a predominance of trials studying entrapment injuries (94.7% of these trials assessed CTS), and only two trials assessed hand paralysis [ 72 , 73 ]. We do not include studies published in a language other than English.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of electrophysical modalities in the sensorimotor rehabilitation of radial, ulnar, and median neuropathies: A meta-analysis

et al. 2021

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Introduction People with ulnar, radial or median nerve injuries can present significant impairment of their sensory and motor functions. The prescribed treatment for these conditions often includes electrophysical therapies, whose effectiveness in improving symptoms and function is a source of debate. Therefore, this systematic review aims to provide an integrative overview of the efficacy of these modalities in sensorimotor rehabilitation compared to placebo, manual therapy, or between them. Methods We conducted a systematic review according to PRISMA guidelines. We perform a literature review in the following databases: Biomed Central, Ebscohost, Lilacs, Ovid, PEDro, Sage, Scopus, Science Direct, Semantic Scholar, Taylor & Francis, and Web of Science, for the period 1980–2020. We include studies that discussed the sensorimotor rehabilitation of people with non-degenerative ulnar, radial, or median nerve injury. We assessed the quality of the included studies using the Risk of Bias Tool described in the Cochrane Handbook of Systematic Reviews of Interventions and the risk of bias across studies with the GRADE approach described in the GRADE Handbook. Results Thirty-eight studies were included in the systematic review and 34 in the meta-analysis. The overall quality of evidence was rated as low or very low according to GRADE criteria. Low-level laser therapy and ultrasound showed favourable results in improving symptom severity and functional status compared to manual therapy. In addition, the low level laser showed improvements in pinch strength compared to placebo and pain (VAS) compared to manual therapy. Splints showed superior results to electrophysical modalities. The clinical significance of the results was assessed by effect size estimation and comparison with the minimum clinically important difference (MCID). Conclusions We found favourable results in pain relief, improvement of symptoms, functional status, and neurophysiological parameters for some electrophysical modalities, mainly when applied with a splint. Our results coincide with those obtained in some meta-analyses. However, none of these can be considered clinically significant. Trial registration PROSPERO registration number CRD42020168792; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=168792.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effectiveness of electrophysical modalities in the sensorimotor rehabilitation of radial, ulnar, and median neuropathies: A meta-analysis

et al. 2021

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“…In human medicine, this modality can be also associated with surgical techniques [ 146 , 185 ]. For improving plantar spasticity, it was described a 5-day/week protocol [ 186 ] for 3–4 weeks, although longer treatments of 6–12 weeks could be necessary with pulse frequencies of 30–50 Hz and a pulse duration of 300 microseconds [ 186 , 187 , 188 , 189 , 190 , 191 ]. Treatment time has to consider potential fatigue, but usually ranges from 20 to 30 min per session [ 188 , 189 , 190 ].…”

Section: How To Improve Pni Repair?mentioning

confidence: 99%

Early Intensive Neurorehabilitation in Traumatic Peripheral Nerve Injury—State of the Art

Gouveia,

Cardoso,

Carvalho

et al. 2024

Animals

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Traumatic nerve injuries are common lesions that affect several hundred thousand humans, as well as dogs and cats. The assessment of nerve regeneration through animal models may provide information for translational research and future therapeutic options that can be applied mutually in veterinary and human medicine, from a One Health perspective. This review offers a hands-on vision of the non-invasive and conservative approaches to peripheral nerve injury, focusing on the role of neurorehabilitation in nerve repair and regeneration. The peripheral nerve injury may lead to hypersensitivity, allodynia and hyperalgesia, with the possibility of joint contractures, decreasing functionality and impairing the quality of life. The question remains regarding how to improve nerve repair with surgical possibilities, but also considering electrical stimulation modalities by modulating sensory feedback, upregulation of BDNF, GFNF, TrKB and adenosine monophosphate, maintaining muscle mass and modulating fatigue. This could be improved by the positive synergetic effect of exercises and physical activity with locomotor training, and other physical modalities (low-level laser therapy, ultrasounds, pulsed electromagnetic fields, electroacupuncture and others). In addition, the use of cell-based therapies is an innovative treatment tool in this field. These strategies may help avoid situations of permanent monoplegic limbs that could lead to amputation.

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“…In human medicine, this modality can be also associated with surgical techniques [146,185]. For improving plantar spasticity, it was described a 5-day/week protocol [186] for 3-4 weeks, although longer treatments of 6-12 weeks could be necessary with pulse frequencies of 30-50 Hz and a pulse duration of 300 microseconds [186][187][188][189][190][191].…”

Section: Electrostimulation Modalitymentioning

confidence: 99%

Early Intensive Neurorehabilitation in Traumatic Peripheral Nerve Injury – State of the Art

Gouveia,

Cardoso,

Carvalho

et al. 2024

Preprint

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Traumatic nerve injuries are common lesions that affect several hundred thousand humans, as well as dogs and cats. The assessment of nerve regeneration trough animal models may provide information for translational research and future therapeutic options that can be applied mutually in veterinary and human medicine, in a one health perspective. This review offers a hands-on vision about the non-invasive and conservative approaches on peripheral nerve injury, focusing the role of neurorehabilitation in nerve repair and regeneration. The peripheral nerve injury may lead to hypersensitivity, allodynia and hyperalgesia, with the possibility of joint contractures, decreasing functionality and impairing the quality of life. The question remains regarding how to improve nerve repair with surgical possibilities, but also considering electrical stimulation modalities by modulating sensory feedback, upregulation BDNF, GFNF, TrKB and adenosine monophosphate, maintaining muscle mass and modulating fatigue. This could be improved by the positive synergetic effect of exercises and physical activity with locomotor training, and other physical modalities, such as low-level laser therapy and ultrasounds. In addition, the use of cell-based therapies is an innovative treatment tool in this field. These strategies may help avoiding situations of permanent monoplegic limbs that could lead to amputation.

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Low Level Laser Therapy for Radial Nerve Palsy Patients : Our Experience

Abstract: The present study demonstrated that LLLT was an effective form of treatment for radial nerve palsy. In addition, patients were advised to avoid any incorrect posture which might induce radial nerve palsy.

Cited by 5 publications

References 16 publications

Effectiveness of electrophysical modalities in the sensorimotor rehabilitation of radial, ulnar, and median neuropathies: A meta-analysis

Effectiveness of electrophysical modalities in the sensorimotor rehabilitation of radial, ulnar, and median neuropathies: A meta-analysis

Early Intensive Neurorehabilitation in Traumatic Peripheral Nerve Injury—State of the Art

Early Intensive Neurorehabilitation in Traumatic Peripheral Nerve Injury – State of the Art

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