The Effectiveness of Using Laser Therapy on Outcome of Carpal Tunnel Syndrome Patients : A Literature Review
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Abstract
Carpal Tunnel Syndrome (CTS) is a neuropathy caused by compression of the median nerve that passes through the carpal tunnel structure in the wrist. If the CTS condition is not treated, complications will occur such as irreversible damage to the median nerve resulting in permanent impairment and disability, chronic wrist pain, and muscle atrophy and weakness. Currently there are various CTS therapies such as splinting , local injection of corticosteroids, oral medications such as prednisone, physical therapy such as carpal bone mobilization, ultrasound therapy , and nerve glides exercises , as well as surgical therapy. However, these various therapies have not provided optimal results and there are complications such as neuromas, hypertrophic wounds, dysesthesia, wrist joint stiffness, and the inability of various to reduce CTS symptoms. Therefore, more effective therapy with minimal side effects is needed. Therefore, in this literature review, an analysis of the effect of laser therapy on various outcomes of CTS patients as an innovative therapy was carried out. Study searches were performed on various databases such as Pubmed, ScienceDirect , Directory of Open Access Journal , Epistemonikos, and Cochrane Library . From the search results obtained a total of 389 studies. The 7 studies that met the inclusion and exclusion criteria were the studies that were analyzed in this literature review. Various types of laser therapy showed better outcome results than the control group, with LLLT laser therapy showing the best results in various outcomes in CTS patients. LLLT laser therapy also shows better results when combined with other types of therapy. No adverse events were reported with any type of laser therapy in all inclusion studies. Therapy is the newest type of innovative therapy with better effects and minimal side effects compared to conventional therapy in CTS patients.
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References
S. M. Rayegani, M. Moradi-Joo, S. A. Raeissadat, M. H. Bahrami, M. Seyed-Nezhad, and S. Heidari, “Effectiveness of low-level laser therapy compared to ultrasound in patients with carpal tunnel syndrome: A systematic review and meta-analysis,” J. Lasers Med. Sci., vol. 10, no. Suppl 1, p. S82, 2019.
T. Wolny and P. Linek, “Is manual therapy based on neurodynamic techniques effective in the treatment of carpal tunnel syndrome? A randomized controlled trial,” Clin. Rehabil., vol. 33, no. 3, pp. 408–417, Mar. 2019, doi: 10.1177/0269215518805213.
T. P. Franke, B. W. Koes, S. J. Geelen, and B. M. Huisstede, “Do Patients With Carpal Tunnel Syndrome Benefit From Low-Level Laser Therapy? A Systematic Review of Randomized Controlled Trials,” Arch. Phys. Med. Rehabil., vol. 99, no. 8, pp. 1650-1659.e15, Aug. 2018, doi: 10.1016/j.apmr.2017.06.002.
W. K. W. Cheung et al., “Low-level laser therapy for carpal tunnel syndrome: systematic review and network meta-analysis,” Physiotherapy, vol. 106, pp. 24–35, Mar. 2020, doi: 10.1016/j.physio.2019.06.005.
T. Wolny and P. Linek, “The Effect of Manual Therapy Including Neurodynamic Techniques on the Overall Health Status of People With Carpal Tunnel Syndrome: A Randomized Controlled Trial,” J. Manipulative Physiol. Ther., vol. 41, no. 8, pp. 641–649, Oct. 2018, doi: 10.1016/j.jmpt.2018.11.001.
D. B. Piazzini et al., “A systematic review of conservative treatment of carpal tunnel syndrome,” Clin. Rehabil., vol. 21, no. 4, pp. 299–314, Apr. 2007, doi: 10.1177/0269215507077294.
J. C. Kim, S. H. Jung, S.-U. Lee, and S. Y. Lee, “Effect of extracorporeal shockwave therapy on carpal tunnel syndrome,” Medicine (Baltimore)., vol. 98, no. 33, p. e16870, Aug. 2019, doi: 10.1097/MD.0000000000016870.
G. Akgol, M. S. Elbasti, A. Gulkesen, G. Alkan, A. Kaya, and H. Ulusoy, “Comparison of low power laser and kinesio taping for the treatment of carpal tunnel syndrome: A prospective randomized study,” J. Back Musculoskelet. Rehabil., vol. 34, no. 4, pp. 545–553, 2021.
A. Güner, L. Altan, and M. Kasapoğlu Aksoy, “The effectiveness of the low-power laser and kinesiotaping in the treatment of carpal tunnel syndrome, a pilot study,” Rheumatol. Int., vol. 38, no. 5, pp. 895–904, 2018.
M. Asheghan, A. Khatibi Aghda, V. Sobhani, S. Ebrahim Hashemi, and M. Taghi Hollisaz, “A randomized comparative trial of corticosteroid phonophoresis, local corticosteroid injection, and low-level laser in the treatment of carpal tunnel syndrome,” LASER Ther., vol. 29, no. 1, pp. 11–17, 2020, doi: 10.5978/islsm.20-OR-01.
M. Alam, M. Khan, S. I. Ahmed, and S. S. Ali, “Effectiveness of neural mobilization and ultrasound therapy on pain severity in carpal tunnel syndrome,” Biomed. Res. Ther., vol. 5, no. 4, pp. 2187–2193, 2018.
K. Shem, J. Wong, and B. Dirlikov, “Effective self-stretching of carpal ligament for the treatment of carpal tunnel syndrome: A double-blinded randomized controlled study,” J. Hand Ther., vol. 33, no. 3, pp. 272–280, Jul. 2020, doi: 10.1016/j.jht.2019.12.002.
S. Kooner, D. Cinats, C. Kwong, G. D. Matthewson, and G. Dhaliwal, “Conservative treatment of cubital tunnel syndrome: A systematic review,” Orthop. Rev. (Pavia)., vol. 11, no. 2, Jun. 2019, doi: 10.4081/or.2019.7955.
M. Hernández-Secorún et al., “Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review,” Int. J. Environ. Res. Public Health, vol. 18, no. 5, p. 2365, Feb. 2021, doi: 10.3390/ijerph18052365.
S. M. Georgeto, G. L. Picharski, R. A. C. Andraus, R. A. da Silva, S. Ngomo, and K. B. P. Fernandes, “Outcomes of bilateral carpal tunnel syndrome treatment – A systematic review and meta-analysis,” J. Plast. Reconstr. Aesthetic Surg., vol. 75, no. 9, pp. 3250–3259, Sep. 2022, doi: 10.1016/j.bjps.2022.06.070.
M. Nalbant, O. Ümit Yemişci, S. Özen, and Ş. Tezcan, “Ultrasonographic and electrophysiological outcomes of carpal tunnel syndrome treated with low-level laser therapy: A double-blind, prospective, randomized, sham-controlled study,” Arch. Rheumatol., vol. 37, no. 1, pp. 19–30, Mar. 2022, doi: 10.46497/ArchRheumatol.2022.8605.
D. Klokkari and I. Mamais, “Effectiveness of surgical versus conservative treatment for carpal tunnel syndrome: A systematic review, meta-analysis and qualitative analysis,” Hong Kong Physiother. J., vol. 38, no. 02, pp. 91–114, Dec. 2018, doi: 10.1142/S1013702518500087.
S. Haghighat, Z. Zabihi, and S. Khosrawi, “Effects of low-level laser therapy with wrist splinting on outcome of patients with carpal tunnel syndrome; a randomized, double-blind, placebo-controlled trial,” Int. J. Med. Investig., vol. 7, no. 4, pp. 5–14, 2018.
S. Badıl Güloğlu, M. Bilgilisoy Filiz, K. K. Kılıç, Ş. Koldaş Doğan, İ. E. Toslak, and N. F. Toraman, “Treatment of carpal tunnel syndrome by low-level laser therapy versus corticosteroid injection: a randomized, prospective clinical study,” Lasers Med. Sci., vol. 37, no. 4, pp. 2227–2237, Jun. 2022, doi: 10.1007/s10103-021-03489-6.
B. M. Huisstede, M. S. Randsdorp, J. van den Brink, T. P. C. Franke, B. W. Koes, and P. Hoogvliet, “Effectiveness of Oral Pain Medication and Corticosteroid Injections for Carpal Tunnel Syndrome: A Systematic Review,” Arch. Phys. Med. Rehabil., vol. 99, no. 8, pp. 1609-1622.e10, Aug. 2018, doi: 10.1016/j.apmr.2018.03.003.
G. Choi, L. S. Wieland, H. Lee, H. Sim, M. S. Lee, and B. Shin, “Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome,” Cochrane Database Syst. Rev., vol. 2019, no. 9, Dec. 2018, doi: 10.1002/14651858.CD011215.pub2.
L. H. A. Sousa, C. de O. Costa, E. M. Novak, and G. S. Giostri, “Complex regional pain syndrome after carpal tunnel syndrome surgery: A systematic review,” Neurol. India, vol. 70, no. 2, p. 491, 2022.
B. M. Huisstede, J. van den Brink, M. S. Randsdorp, S. J. Geelen, and B. W. Koes, “Effectiveness of Surgical and Postsurgical Interventions for Carpal Tunnel Syndrome—A Systematic Review,” Arch. Phys. Med. Rehabil., vol. 99, no. 8, pp. 1660-1680.e21, Aug. 2018, doi: 10.1016/j.apmr.2017.04.024.
J. Du et al., “Manual Therapy and Related Interventions for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis,” J. Integr. Complement. Med., vol. 28, no. 12, pp. 919–926, Dec. 2022, doi: 10.1089/jicm.2022.0542.
F. J. Martin-Vega, M. J. Vinolo-Gil, V. Perez-Cabezas, M. Rodríguez-Huguet, C. Garcia-Munoz, and G. Gonzalez Medina, “Use of Sonophoresis with Corticosteroids in Carpal Tunnel Syndrome: Systematic Review and Meta-Analysis,” J. Pers. Med., vol. 12, no. 7, p. 1160, Jul. 2022, doi: 10.3390/jpm12071160.
M. R. Asadi et al., “Effect of Low-Level Laser Therapy Combined with Therapeutic Ultrasound on Hand Pain and Function Following Carpal Tunnel Syndrome: A Randomized Controlled Trial,” Middle East J. Rehabil. Heal. Stud., vol. 8, no. 4, 2021, doi: https://doi.org/10.5812/mejrh.116063.
T. Wolny and P. Linek, “Neurodynamic Techniques Versus ‘Sham’ Therapy in the Treatment of Carpal Tunnel Syndrome: A Randomized Placebo-Controlled Trial,” Arch. Phys. Med. Rehabil., vol. 99, no. 5, pp. 843–854, May 2018, doi: 10.1016/j.apmr.2017.12.005.
M. R. Asadi et al., “Effect of Low-Level Laser Therapy Combined with Therapeutic Ultrasound on Hand Pain and Function Following Carpal Tunnel Syndrome: A Randomized Controlled Trial,” Middle East J. Rehabil. Heal. Stud., vol. 8, no. 4, pp. 605–612, Sep. 2021, doi: 10.5812/mejrh.116063.
E. S. Cage, J. J. Beyer, and N. A. Ebraheim, “Injections for treatment of carpal tunnel syndrome: A narrative review of the literature,” J. Orthop., vol. 37, pp. 81–85, Mar. 2023, doi: 10.1016/j.jor.2023.02.011.
R. A. B. Lopes-Martins, R. L. Marcos, E. C. P. Leal-Junior, and J. M. Bjordal, “Low-Level Laser Therapy and World Association for Laser Therapy Dosage Recommendations in Musculoskeletal Disorders and Injuries,” Photomed. Laser Surg., vol. 36, no. 9, pp. 457–459, Sep. 2018, doi: 10.1089/pho.2018.4493.