高强度激光和低强度激光之间有什么区别吗? 随机对照试验的元分析
Minhui Zhang1, Zhengyang Zhao, Zhijian Wu
1School of Sport Sciences, Nanjing Normal University.
American journal of physical medicine & rehabilitation
|August 26, 2025
概括
高强度激光疗法 (HILT) 和低强度激光疗法 (LLLT) 均有效治疗网球手肘疼痛并改善功能. 激光治疗与带的结合为网球手肘康复提供了协同效益.
科学领域:
- 整形医学
- 身体医学与康复
- 生物医学工程
背景情况:
- 球员肘部 (侧侧膜炎) 是一种常见的疾病,导致肘部疼痛和功能障碍.
- 目前对网球手肘的治疗选择各不相同,目前正在研究有效的治疗方法.
研究的目的:
- 系统地评估和比较高强度激光疗法 (HILT) 与低强度激光疗法 (LLLT) 治疗网球肘的疗效.
- 评估激光治疗对减轻疼痛,握力和功能结果的影响.
主要方法:
- 来自PubMed,Scopus,Embase和Web of Science的随机对照试验 (RCT) 的系统审查和元分析.
- 使用柯克兰偏差风险工具进行包含RCT的质量评估.
- 使用RevMan 5.4软件进行的数据合成和分析.
主要成果:
- 分析了12项涉及网球手肘激光治疗的RCT.
- 与基线相比,HILT和LLLT都显著改善了疼痛,握力和功能.
- 在疼痛缓解方面,LLLT显示出更一致的显著性 (P < 0. 001),而在握力方面,HILT显示出更强的效果 (P < 0. 05).
- 激光与带的联合治疗产生了协同效应,增强了疼痛缓解和功能改善.
结论:
- 高强度激光治疗 (HILT) 和低强度激光治疗 (LLLT) 是对网球手肘症状的有效治疗方法.
- 在缓解疼痛方面具有很高的效果,而在改善握力方面则具有很高的效果.
- 激光疗法,特别是与带相结合时,在多种模式的网球手肘康复计划中具有显著的前景.
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