Tratamento da síndrome do túnel do carpo com laser

Detalhes bibliográficos
Autor(a) principal: Monteiro, Tamiris Aparecida [UNESP]
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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spelling 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
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