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Therapeutic Effects of Low-Level Laser Combined with LED on Post-operative Hand

  • Jeong-Sun Lee (Department of Physical Therapy, The Graduate School, Daegu Catholic University) ;
  • Hwa-Kyung Shin (Department of Physical Therapy, Daegu Catholic University)
  • Received : 2024.01.15
  • Accepted : 2024.02.27
  • Published : 2024.02.28

Abstract

Purpose: This study was performed to identify and investigate the therapeutic effects of low-level laser (LLL) combined with a light-emitting diode (LED) on post-operative wound healing and functional recovery after hand orthopedic surgery. Methods: The study subjects were twenty patients who had passed the acute inflammatory phase after hand orthopedic surgery and were assigned equally to an experimental or a control group. Phototherapy was administered three times weekly for two weeks. Changes in wound length, edema, pain, and hand function were measured. Results: Significant differences in wound length, edema, pain, and hand function were observed between the experimental and control groups (p<0.05). However, no significant intergroup difference was observed (p>0.05). Nonetheless, a comparison of results showed changes in the experiment group over the two-week study period were significantly greater than in the control group (p<0.05). Conclusion: These findings show that combined LLL plus LED phototherapy positively influences post-operative hand rehabilitation.

Keywords

Acknowledgement

이 결과물은 2021년도 대구가톨릭대학교 교내 연구비 지원에 의한 것임(2021-1185).

References

  1. Meyer TM. Psychological aspects of mutilating hand injuries. Hand Clin. 2003;19(1):41-9.
  2. Standring S. Gray's anatomy. 40th ed. Churchill livingstone, Edinburgh. 2009:955-89.
  3. Gustafsson M, Windahl J, Blomberg K. Ten years follow-up of trauma-related psychological distress in a cohort of patients with acute traumatic hand injury. Int J Orthop Trauma Nurs. 2012;16(3):128-35.
  4. Levangie P, Norkin C. Joint structure and function: a comprehensive analysis. 4th ed. Philadelphia, FA Davis, 2005:305-46.
  5. Kwak JI, Lee HS, Lee JH et al. Physiotherapy survey of patients with hand injury. J Kor Phys Ther. 2001;13(1):83-96.
  6. Kim HR, Kim MJ. A study on physiotherapy for patients with hand injuries caused by industrial accidents. J Kor Phys Ther Sci. 2003;10(2):246-57.
  7. Bae SS, Hwang BG, Kwak JI. Early physiotherapy for patients with hand injuries to return to work. J Kor Phys Ther. 1999;11(2):11-20.
  8. Forsch RT. Essentials of skin laceration repair. Am Fam Physician. 2008;78(8):945-51.
  9. Lee YG. Wound care for surgical patients. Abstracts of the Korean Surgical Society Conference. 2012:119-22.
  10. Kubota H, Manske P, Aoki M et al. Effect of motion and tension on injured flexor tendonsin chickens. J Hand Surg Eur. 1996;21(3):456-63.
  11. Leal Junior E, Lopes-Martins R, Baroni B et al. Effect of 830 nm low-level laser therapy applied before high-intensity exercises on skeletal muscle recovery in athletes. Lasers Med Sci. 2009;24(6):857-63.
  12. Tuner J, Hode L. The laser therapy handbook. Sweden, Prima Books, 2004:1-589.
  13. Simunovic Z. Low level laser therapy with trigger points technique: a clinical study on 243 patients. J Clin Laser Med Surg. 1996;14(4):163-7.
  14. Laakso EL, Richardson C, Cramond T. Pain scores and side effect in response to low level laser therapy for myofascial trigger points. Laser Ther. 1997;9(2):67-72.
  15. Barolet D. Light-emitting diodes (LEDs) in dermatology. Semin Cutan Med Surg. 2008;27(4):227-38.
  16. Lins RD, Dantas EM, Lucena KC et al. Biostimulation effects of low-power laser in the repair process. An Bras Dermatol. 2010;85:849-55.
  17. Bibikova A, Oron U. Regeneration in denervated toad(Bufo Siridis) gastrocnemius muscle and the promotion of the process by low energy irradiation. Anat Rec. 1995;241(1):123-8.
  18. Sander G, Reinert O, Tepe R et al. Chiropractic adjustive manipulation on subjects with acute low back pain: visual analog pain scores and plasma beta-endolphin levels. J Manipulative Physiol Ther. 1990;13(7):391-5.
  19. Jebsen R, Taylor N, Trieschmann R et al. An objective and standardized test of hand function. Arch Phys Med Rehabil. 1969;50(6):311-9.
  20. Han T, Kim J, Lee S et al. The significance of the hand function test in the hemiplegic patients. J Korean Acad Rehab Med. 1992;16(4):423-30.
  21. Han T, Yoon K, Jung S. The chronological review of uninvolved hand function in stroke patients. J Korean Acad Rehab Med. 2004;28(1):13-9.
  22. Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel index for stroke rehabilitation. J Clin Epidemiol. 1989;42(8):703-9.
  23. Hopkins J, McLoda T, Seegmiller J et al. Low-level laser therapy facilitates superficial wound healing in humans: a triple-blind, sham-controlled study. J Athl Train. 2004;39(3):223.
  24. Chun MW. Wound repair effect of white LED irradiation. J Korean Inst Electr Electron Mater Eng. 2011;24(1):42-6.
  25. Jung PS, Lee SJ. Bioactivity regulation effect of low-power lasers. Clin Otolaryngol. 2004;15(2):167-73.
  26. Dungel P, Hartinger J, Chaudary S et al. Low level light therapy by LED of different wavelength induces angiogenesis and improves ischemic wound healing. Lasers Surg Med. 2014;46:773-80.
  27. AlGhamdi KM, Kumar A, Moussa NA. Low-level laser therapy: a useful technique for enhancing the proliferation of various cultured cells. Lasers Med Sci. 2012;27:237-49.
  28. Villeco J. Edema: quiet, but important factor. J Hand Ther. 2012;25(2):153-62.
  29. Baek W, Byun I, Yun I et al. The effect of light-emitting diode (590/830 nm)-based low-level laser therapy on posttraumatic edema of facial bone fracture patients. J Craniomaxillofac Surg. 2017;45(11):1875-7.
  30. Stergioulas A. Low-level laser treatment can reduce edema in second degree ankle sprains. J Clin Laser Med Sur. 2004;22(2):125-8.
  31. Jang H, Lee H. Meta-analysis of pain relief effects by laser irradiation on joint areas. Photomed Laser Surg. 2012;30(8):405-17.
  32. Bjordal JM, Couppe C, Chow RT et al. A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders. Aust J Physiother. 2003;49(2):107-16.
  33. Meireles S, Jones A, Jennings F et al. Assessment of the effectiveness of low-level laser therapy on the hands of patients with rheumatoid arthritis: a randomized double-blind controlled trial. Clin Rheumatol. 2010;29(5):501-9.
  34. Brosseau L, Wells G, Marchand S et al. Randomized controlled trial on low level laser therapy (LLLT) in the treatment of osteoarthritis (OA) of the hand. Lasers Surg Med. 2005;36(3):210-9.
  35. Moritz A. Oral laser application. Germany Berlin, Quintessence, 2006:523.
  36. Saito S, Shimizu N. Stimulatory effects of low-power laser irradiation on bone regeneration in midpalatal surure during expansion in the rat. Am J Orthod Dentofac Orthop. 1997;111(5):525-32.
  37. Poorpezeshk N, Ghoreishi SK, Bayat M et al. Early low-level laser therapy improves the passive range of motion and decreases pain in patients with flexor tendon injury. Photomed Laser Surg. 2018;36(10):530-5.
  38. Barbosa R, Marcolino A, Souza V et al. Effect of low-level laser therapy and strngth training protocol on hand grip by dynamometry. J Lasers Med Sci. 2017;8(3):112-7.
  39. Schlager M, Oehler K, Huebner KU et al. Healing of burns after treatment with 670nm iow-power laser light. Plast Reconstr Surg. 2000;105:1635-42.
  40. Parekh S, Trauner KB, Zarins B et al. Photodynamic modulation of wound healing with BPDAMA and CASP. Laser Surg Med. 1999;24:375-81.
  41. Libberecht K, Lafaire C, Van Hee R. Evaluation and functional assessment of flexor tendon repair in the hand. Acta Chirurgica Belgica. 2006;106(5):560-5.