背景:虽然腕管综合征(CTS)是一种常见的神经肌肉疾病,关于其保守治疗的研究是不充分和矛盾的。
目的:本研究旨在探讨和比较低功率激光治疗(LPLT)和Kinesio贴剂(KT)治疗CTS的有效性。
方法:本研究纳入60例CTS患者。一个小组接受了15次KT会议,第二组在3周内接受了15次LPLT治疗.所有患者均采用手握力(HGS)评估,视觉模拟评分(VAS)-疼痛,DouleurNeuropathique-4(DN4)评分,波士顿问卷(BQ),治疗前后的神经肌电图。
结果:治疗前,两组间的所有临床和神经生理参数相似.治疗后,两组在HGS方面都有显著改善,VAS-疼痛,DN4和BQ。然而,LPLT组有明显更好的HGS,VAS-疼痛,DN4,和BQ比KT组。此外,两组治疗后正中神经运动远端潜伏期和正中神经感觉传导速度均有显著改善,LPLT组的改善明显优于KT组。
结论:在CTS患者中,LPLT和KT均为有效治疗。然而,LPLT组的改善情况明显优于KT组.
BACKGROUND: Although carpal tunnel syndrome (CTS) is a common neuromuscular disorder, studies on its conservative treatment are inadequate and contradictory.
OBJECTIVE: This study aimed to investigate and compare the effectiveness of low power laser therapy (LPLT) and Kinesio taping (KT) for the treatment of CTS.
METHODS: Sixty patients with CTS were included in this study. One group received 15 sessions of KT, and the second group underwent 15 sessions of LPLT within three weeks. All patients were assessed with hand grip strength (HGS), Visual Analogue Scale (VAS)-pain, Douleur Neuropathique-4 (DN4) score, Boston Questionnaire (BQ), and electroneuromyography before and after treatment.
RESULTS: Before treatment, all clinical and neurophysiological parameters were similar between the groups. After treatment, both groups significantly improved in terms of HGS, VAS-pain, DN4, and BQ. However, the LPLT group had significantly better HGS, VAS-pain, DN4, and BQ than the KT group. In addition, while median nerve motor distal latency and median nerve sensory conduction velocity improved significantly with treatment in both groups, the LPLT group\'s improvement was significantly better than that of the KT group.
CONCLUSIONS: In patients with CTS, both LPLT and KT were effective treatments. However, the LPLT group had significantly better improvements than the KT group.