Article

Carpal tunnel syndrome (CTS) is one of the most common peripheral
neuropathies in the upper extremity.
The aim of this review was to
systematically and critically appraise the available literature for the
effectiveness of Low-Level Laser Therapy (LLLT) on pain, self-reported hand
function, and grip strength compared to placebo treatment in adults with CTS.
METHODOLOGY: Seven databases were searched from 2000 to March 2015 namely:
Cinahl, Cochrane Library, EBSCOhost, PEDro, PubMed, Science Direct, and Scopus.
Key search terms were: CTS, LLLT, and physiotherapy. Specific inclusion and
exclusion criteria were applied. The methodological quality was appraised with
the PEDro scale. Data were extracted and captured on an Excel spreadsheet.
RESULTS: The nine included randomized control trials (RCTs) had an average score
of 8.2/11 according to the PEDro scale. The heterogeneity of the LLLT regimes
used made statistical pooling inappropriate for this review and results were
described narratively. CONCLUSION: No strong evidence exists concerning the
effects of LLLT on CTS in adults. Studies that used 780-860 nm Lasers and energy
dosages of 9-11 J/cm(2) or 10.8 J reported a more favorable outcome for pain,
symptom severity, and functional ability as well as grip strength at the end of
treatment and short-term follow up.

Langue : ANGLAIS