Tratamento da síndrome do túnel do carpo com laser
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://hdl.handle.net/11449/132121 http://www.athena.biblioteca.unesp.br/exlibris/bd/cathedra/11-11-2015/000851769.pdf |
Resumo: | The carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. After surgery different types of complication may occur, than search for new clinical forms of treatment is necessary. The aim of this study was to test the effectiveness of low intensity laser therapy in patients with CTS. Patients with clinical and ENMG diagnosis of CTS never previously treated were included and submitted to clinical evaluation and conduction studies before and after treatment. Sensory and motor conduction studies were performed by conventional described techniques. Low intensity laser treatment was by 660 nm wave length, average power of 30 nw, continuous operation area of 0.06 cm2, fluence of irradiation of 10 J/cm2, exposure of 10 seconds per point, totaling 6 points of irradiation on the carpal tunnel, from the proximal to the distal sense. Laser was positioned at 90o to the skin, 2 sessions per week during 3 months were performed (24 sessions). To this moment 20 hands of 13 patients were studied. Visual analogic scale of pain (VAS), strength of the abductor pollicis brevis and sensory velocity of the median nerve showed improvement after the treatment (p < 0.0001, 0.0003 and 0.045, respectively). No correlation between these 3 parameters were observed from the Spearman correlation test. In our opinion low intensity laser therapy is a new, no expensive and easy to apply encouraging treatment for CTS |
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Tratamento da síndrome do túnel do carpo com laserSíndrome do túnel carpalFeixes de laserEletromiografiaRadiaçãoNeuropatiaCarpal tunnel syndromeThe carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. After surgery different types of complication may occur, than search for new clinical forms of treatment is necessary. The aim of this study was to test the effectiveness of low intensity laser therapy in patients with CTS. Patients with clinical and ENMG diagnosis of CTS never previously treated were included and submitted to clinical evaluation and conduction studies before and after treatment. Sensory and motor conduction studies were performed by conventional described techniques. Low intensity laser treatment was by 660 nm wave length, average power of 30 nw, continuous operation area of 0.06 cm2, fluence of irradiation of 10 J/cm2, exposure of 10 seconds per point, totaling 6 points of irradiation on the carpal tunnel, from the proximal to the distal sense. Laser was positioned at 90o to the skin, 2 sessions per week during 3 months were performed (24 sessions). To this moment 20 hands of 13 patients were studied. Visual analogic scale of pain (VAS), strength of the abductor pollicis brevis and sensory velocity of the median nerve showed improvement after the treatment (p < 0.0001, 0.0003 and 0.045, respectively). No correlation between these 3 parameters were observed from the Spearman correlation test. In our opinion low intensity laser therapy is a new, no expensive and easy to apply encouraging treatment for CTSA síndrome do túnel do carpo (CTS) é a neuropatia compressiva mais comum. Após cirurgias descompressivas diferentes tipos de complicações podem ocorrer, donde a necessidade de procurarmos novas opções de tratamento. O objetivo deste estudo foi avaliar eventual eficácia da terapia com Laser de baixa intensidade na CTS. Foram realizadas avaliações clínicas e ENMG antes e após tratamento com Laser de baixa intensidade. Terapia com Laser utilizou emissor de Laser gálioíndio- fósforo-alumínio, com comprimento de onda de 660 nm, potência média de 30 nW, regime contínuo de área de 0,06 cm2. A fluência de irradiação foi de 10 J/cm2, com energia de 0,6 J, com exposição de 10 segundos por ponto, e 2 J/cm² no modo varredura, totalizando 6 pontos de irradiação sobre o canal do carpo, no sentido proximal-distal, sobre o trajeto anatômico do nervo mediano, no retináculo flexor. O Laser foi posicionado a 90o em relação à pele. Foram realizadas 2 sessões por semana, durante 12 semanas (total de 24 sessões). Os dados antes e após tratamento foram analisados pelo teste t de Student para amostras correlatas. Até o momento foram estudadas 20 mãos de 13 pacientes. Escala visual analógica de dor, força muscular do músculo abdutor pollicis brevis e velocidades de condução sensitiva do nervo mediano apresentaram melhora após tratamento (p < 0.0001, 0.0003 and 0.045, respectivamente). Entre estes 3 parâmetros não foram observadas correlações pelo teste de correlação de Spearman. Em nossa opinião terapia com Laser de baixa intensidade para pacientes com síndrome do túnel do carpo é inovadora, barata e não invasiva, com resultados iniciais encorajadoresUniversidade Estadual Paulista (Unesp)Resende, Luiz Antônio de Lima [UNESP]Universidade Estadual Paulista (Unesp)Monteiro, Tamiris Aparecida [UNESP]2015-12-10T14:24:00Z2015-12-10T14:24:00Z2015-02-27info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis73 f.application/pdfMONTEIRO, Tamiris Aparecida. Tratamento da síndrome do túnel do carpo com laser. 2015. 73 f. Dissertação (mestrado) - Universidade Estadual Paulista Júlio de Mesquita Filho, Faculdade de Medicina de Botucatu, 2015.http://hdl.handle.net/11449/132121000851769http://www.athena.biblioteca.unesp.br/exlibris/bd/cathedra/11-11-2015/000851769.pdf33004064006P81346461670550428Alephreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporinfo:eu-repo/semantics/openAccess2024-09-02T17:28:51Zoai:repositorio.unesp.br:11449/132121Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-09-02T17:28:51Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Tratamento da síndrome do túnel do carpo com laser |
title |
Tratamento da síndrome do túnel do carpo com laser |
spellingShingle |
Tratamento da síndrome do túnel do carpo com laser Monteiro, Tamiris Aparecida [UNESP] Síndrome do túnel carpal Feixes de laser Eletromiografia Radiação Neuropatia Carpal tunnel syndrome |
title_short |
Tratamento da síndrome do túnel do carpo com laser |
title_full |
Tratamento da síndrome do túnel do carpo com laser |
title_fullStr |
Tratamento da síndrome do túnel do carpo com laser |
title_full_unstemmed |
Tratamento da síndrome do túnel do carpo com laser |
title_sort |
Tratamento da síndrome do túnel do carpo com laser |
author |
Monteiro, Tamiris Aparecida [UNESP] |
author_facet |
Monteiro, Tamiris Aparecida [UNESP] |
author_role |
author |
dc.contributor.none.fl_str_mv |
Resende, Luiz Antônio de Lima [UNESP] Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Monteiro, Tamiris Aparecida [UNESP] |
dc.subject.por.fl_str_mv |
Síndrome do túnel carpal Feixes de laser Eletromiografia Radiação Neuropatia Carpal tunnel syndrome |
topic |
Síndrome do túnel carpal Feixes de laser Eletromiografia Radiação Neuropatia Carpal tunnel syndrome |
description |
The carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. After surgery different types of complication may occur, than search for new clinical forms of treatment is necessary. The aim of this study was to test the effectiveness of low intensity laser therapy in patients with CTS. Patients with clinical and ENMG diagnosis of CTS never previously treated were included and submitted to clinical evaluation and conduction studies before and after treatment. Sensory and motor conduction studies were performed by conventional described techniques. Low intensity laser treatment was by 660 nm wave length, average power of 30 nw, continuous operation area of 0.06 cm2, fluence of irradiation of 10 J/cm2, exposure of 10 seconds per point, totaling 6 points of irradiation on the carpal tunnel, from the proximal to the distal sense. Laser was positioned at 90o to the skin, 2 sessions per week during 3 months were performed (24 sessions). To this moment 20 hands of 13 patients were studied. Visual analogic scale of pain (VAS), strength of the abductor pollicis brevis and sensory velocity of the median nerve showed improvement after the treatment (p < 0.0001, 0.0003 and 0.045, respectively). No correlation between these 3 parameters were observed from the Spearman correlation test. In our opinion low intensity laser therapy is a new, no expensive and easy to apply encouraging treatment for CTS |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-12-10T14:24:00Z 2015-12-10T14:24:00Z 2015-02-27 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
MONTEIRO, Tamiris Aparecida. Tratamento da síndrome do túnel do carpo com laser. 2015. 73 f. Dissertação (mestrado) - Universidade Estadual Paulista Júlio de Mesquita Filho, Faculdade de Medicina de Botucatu, 2015. http://hdl.handle.net/11449/132121 000851769 http://www.athena.biblioteca.unesp.br/exlibris/bd/cathedra/11-11-2015/000851769.pdf 33004064006P8 1346461670550428 |
identifier_str_mv |
MONTEIRO, Tamiris Aparecida. Tratamento da síndrome do túnel do carpo com laser. 2015. 73 f. Dissertação (mestrado) - Universidade Estadual Paulista Júlio de Mesquita Filho, Faculdade de Medicina de Botucatu, 2015. 000851769 33004064006P8 1346461670550428 |
url |
http://hdl.handle.net/11449/132121 http://www.athena.biblioteca.unesp.br/exlibris/bd/cathedra/11-11-2015/000851769.pdf |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
73 f. application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
publisher.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.source.none.fl_str_mv |
Aleph reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
repositoriounesp@unesp.br |
_version_ |
1810021409203683328 |