Vol. 5 (11) pp. 441-448 DOI: 10.21474/IJAR01/5789

COMPARISON OF THE EFFICACY OF DIFFERENT DOSAGE OF LASER ON CLINICAL PROFILE OF PATIENTS WITH KNEE OSTEOARTHRITIS.

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  • Principal, GianSagar College of Physiotherapy, Rajpura, Patiala.
  • MPT student, GianSagar College of Physiotherapy.
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Abstract

Background: Due to the lack of consensus on the dosage of laser which can be beneficial for the patients with knee osteoarthritis needs to be established. Aim: The aim of the present study was to examine the effect of different doses of LASER in patients with knee osteoarthritis. Study design: Experimental study design comparative in nature. Sample size: 60 Procedure: Subjects in the age range of 40-65 years were recruited and divided randomly into 3 groups with group A receiving laser dose of 4 J/cm2, group B receiving dose of 5J/cm2 and group C receiving dose of 3 J/cm2. Conventional physiotherapy and strengthening exercises was given to all the three groups. Whole procedure was continued for 2 weeks. Outcome measures included VAS, WOMAC, ROM of flexion of both right and left knees. Results: The pre and post treatment readings of VAS, WOMAC and ROM of flexion of both knees showed significant improvement as evident from paired t-test score at 5% level of significance. The findings of ANOVA test showed significant difference of VAS and WOMAC among the three groups. Post-hoc analysis using Tukey?s HSD showed that the mean difference was statistically significantly difference between group B with group A and C for both the VAS and WOMAC. Conclusion: Though statistically the results came out to be significant in all the three groups but clinically more improvement was noticed in group B than in other groups. More studies are required to establish the dose used in group B i.e. 5J/cm2.

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How to Cite This Article

Amandeep Singh and Manpreet Kaur. (2017); COMPARISON OF THE EFFICACY OF DIFFERENT DOSAGE OF LASER ON CLINICAL PROFILE OF PATIENTS WITH KNEE OSTEOARTHRITIS., International Journal of Advanced Research (IJAR), 5 (11), 441-448, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/5789

Corresponding Author

Dr. Amandeep Singh
Principal, Gian Sagar College of Physiotherapy, Rajpura, Patiala

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References

  1. Alghadir, A.,Omar, M.T.,?Al-Askar, A.B. andAl-Muteri, N.K. (2014) Effect of low-level laser therapy in patients with chronic knee osteoarthritis: a single-blinded randomized clinical study. Lasers Medical Science, 29 (2): 749-55.
  2. Atkinson, K., Coutts, F. Anne-Marie Hassenkamp, A.M. Nd, ?Physiotherapy in Orthopaedics: A Problem-solving Approach?, 2ndedn, Elsevier Churchill livestone.
  3. Basirnia, A., Sadeghipoor, G. and Djavid, E.G. (1998) The Effect of Low Power Laser Therapy (Cold Laser) on Osteoarthritis of the Knee. RadiologiaMedica, 95 (4): 303-9.
  4. Bjordal, J.M., Johnson, M.I., Lopes-Martins, R.A., Bogen, B. And Chow, R. (2007) Short-term efficacy of physical interventions in osteoarthritic knee pain. A systematic review and meta-analysis of randomized placebo controlled trials. BMC Musculoskeletal Disorders, 8: 51.
  5. Cheing, G.L., Chan, C.W. and Chan, K.M. (2002) Does four weeks of TENS and/or isometric exercise produce cumulative reduction of osteoarthritic knee pain?, Clinical Rehabilitation, 16: 749?60.
  6. deBie, R., de Vet, H. and Lenssen, T. (1998) Low level laser therapy in ankle sprain : a randomised clinical trial. Archives of Physical Medicine & Rehabilitation, 79: 1415-1420.
  7. Gur, A.,Karakoc, M.,?Cevik, R.,?Nas, K.,?Sarac, A.J. and ?Karakoc, M. (2003) Efficacy of low power laser therapy and exercise on pain and functions in chronic low back pain? Lasers in Surgery & Medicine, 32 (3): 233-8.
  8. Hafez,A.R., Alenazi,A.M, Kachanathu,S.J., Alroumi,A.M. and Mohamed, E.S. (2014)Knee Osteoarthritis: A Review of Literature. Physical Medicine & Rehabilitation- International, 1(5): 1-8.
  9. Hurley, M.V., Scott, D.L., Rees, J. and Newham, D. (1997) Sensorimotor changes and functional performance in patients with knee osteoarthritis. Annals of the Rheumatic Diseases, 56 (6): 641?648.
  10. Jogunola, O.O. (2013) Relative therapeutic efficacy of ketoprofeniontophoresis and transcutaneous electrical nerve stimulation in the management of osteoarthritic knee pains: a pilot study. Nigerian Journal of Medical Rehabilitation 16 (1): 1-10.
  11. Jordan, K.M., Arden, N.K., Doherty, M. and Bannwarth (2003) EULAR Recommendations: an evidence based approach to the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Annals of the Rheumatic Diseases,62 (12): 1145 -1155.
  12. Konstantinovic, L.K., Kanjuh, Z.M., Milovanovic, A.N., Cutovic, M.R., Djurovic, A.G., Savic, V.G., Dragin, A.S. and Milovanovic, N. (2010) Acute Low Back Pain with Radiculopathy: A Double-Blind, Randomized, Placebo-Controlled Study. Photomedicine and Laser Surgery, 28 (4): 553-560.
  13. Kozanoglu, E., Basaran, S., Guzel, R. and Guler-Uysal, F. (2003) Short term efficacy of ibuprofen phonophoresis versus continuous ultrasound therapy in knee osteoarthritis. Swiss Medical Weekly, 14: 333?338.
  14. Kumar, A. (2012) Joint Proprioception in Normal and Osteoarthritic Knees. Journal of Yoga and Physical Therapy, 2: 1-3.
  15. Liana, F., Bogardus, S.T., Concato, J. and Wittink, D.R. (2004) Treatment options in Knee Osteoarthritis. Archives of Internal Medicine, 164 (12): 1299-1304.
  16. Mahajan, A., Verma, S. and Tandon, V. (2005) Osteoarthritis. Journal of the Association of Physicians of India, 53: 634-641.
  17. Pryor, B.A. (2011) Current Perspective in Clinical Treatment and Management in Workers, Bentham Science Publishers.
  18. Radha, M.S. and Gangadhar, M.S. (2015) Prevalence of knee osteoarthritis patients in Mysore city, Karnataka. International Journal of Recent Scientific Research, 6: 3316-3320.
  19. Rayegani, S.M., Bahrami, M.H., Elyaspour, D., Saeedi, M. and Sanjri, H., (2012) Therapeutic Effects of Low Level Laser Therapy (LLLT) in Knee Osteoarthritis Compared to Therapeutic Ultrasound. Journal of Lasers in Medical Sciences, 3 (2): 71-74.
  20. Shadab, M., Zulkifle, M., Ansari, A.H. and Itrat M. (2014) Prevalence of knee osteoarthritis in patients visiting NIUM hospital Bangalore. International Journal of Herbal Medicine, 2(2): 61-64.
  21. Soleimanpour, H., Gahramani, K., Taheri, R., Samad, E.J., Safari, S., Esfanjani, R.B. and Iranpour, A. (2014) The effect of low-level laser therapy on knee osteoarthritis: prospective, descriptive study. Journal of Lasers in Medical Sciences, 14: 1576-1581.
  22. Soriano, F. and Rios, R. (1998) GA laser treatment of chronic low back pain: a prospective, randomised and double blind study, Laser Therapy, 10: 175 -180.
  23. Sullivan, S.B. and Schmitz, T.J. (2001) Physical Rehabilitation, 4th edn, Jean Francois Vilian, US.
  24. Tascioglu, F., Armagan,O., Tabak, Y., Corapci, I. and Oner, C. (2004) Low power laser treatment in patients with knee osteoarthritis. Swiss Medical Weekly, vol. 134 (17-18): 254-258.
  25. Trelles, M.A., Rigau, J., Sala, P., Calderhead, G. and Ohshiro, T. (1991) Infrared Diode Laser in Low Reactive-Level Laser Therapy (LLLT) For Knee Osteoarthritis.Laser Therapy, 3: 149-153.
  26. Youssef, E.F., Muaidi, Q.I. and Shanb, A.A. (2016) Effect of Laser Therapy on Chronic Osteoarthritis of the Knee in Older Subjects?, Journal of Lasers in Medical Sciences, 7 (2): 112-119.
  27. Yucesoy, B., Charles, L.E., Baker, B. And Burchfiel, C.M. (2015) Occupational and genetic risk factors for osteoarthritis: a review. Work, 51 (2): 261-273.

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