대한한의학회지 (The Journal of Korean Medicine)

  • 제45권1호
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  • Pages.45-64
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  • 2024
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  • 1010-0695(pISSN)
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  • 2288-3339(eISSN)
대한한의학회 (The Society of Korean Medicine)
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뇌졸중 환자에 대한 레이저 치료의 효과: 체계적 문헌고찰 및 메타분석

The Effect of Laser Therapy for Stroke Patients : A Systematic Review and Meta-analysis

  • 안다영 (상지대학교 한의과대학 내과학교실) ;
  • 선승호 (상지대학교 한의과대학 내과학교실)
  • Da-young An (Department of Internal Korean Medicine, College of Korean Medicine, Sangji University) ;
  • Seung-ho Sun (Department of Internal Korean Medicine, College of Korean Medicine, Sangji University)
  • 투고 : 2023.11.17
  • 심사 : 2024.02.16
  • 발행 : 2024.03.01
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초록

Objectives: This study is purposed to investigate the effect and safety of laser therapy for stroke patients by systematic review and meta-analysis of the randomized controlled trials (RCTs). Methods: RCTs on the treatment of laser therapy for stroke patients were selected among the literature published from January 2000 to June 2022 in twelve domestic and foreign databases. The quality of the literature was evaluated using the Cochrane's Risk of Bias tool and RevMan 5.4 was used for the synthesis of results. Results: Total 2,598 patients with stroke were finally selected from 18 RCTs. Meta-analysis showed that laser therapy was effective in significantly improving activities of daily living (MBI), motor function (effective rate), upper motor function (FMA-UE), shoulder pain related factors (CGRP, ET-1, BK). Overall, the risk of bias was uncertain or low in the quality assessment of the literature. Conclusions: Although it is unclear that laser therapy is more effective than sham laser, laser therapy might be more effective in improving symptoms than conventional rehabilitation alone. Furthermore, no serious adverse events were founded in laser therapy studies. However, the quality of the selected literature was generally low. Therefore, further studies with high methodological quality on laser therapy for stroke patients would be required in the future.

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참고문헌

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