Journal of Rafsanjan University of Medical Sciences

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Background and Objective: Ankle sprain is the most common injuries of ankle joint that 22% of sport injuries is related to ankle sprain.The aim of this study is to compare the effect of 1% hydrocortisone phonophoresis (1% HcP) with Low level laser therapy (LLLT)  on treatment of 2^nd degree ankle sprain.

Materials and Methods: This double-blinded clinical trial was performed in Fattemieh physiotherapy clinic of Rafsanjan during 2013 -2014. Ninety patients who were all suffering from ankle sprains were divided randomly into three equal groups The first group. received 1% HcP, the second group received LLLT and third one was tried by Conventional Treatment (CT). Pain intensity, improvement of movement and inflammation were assessed during first, fifth and tenth sessions. Intensity of pain, movements and inflammation were evaluated by Visual Analogue Scale (VAS), goniometer and meter, respectively. Data were analyzed by two – way repeated measures ANOVA, followed by TUKEY’s multiple comparisons test and chi-square test.

Results: The findings showed that 10 sessions of LLLT can be more effective than  1% HcP and CT on reduction of pain in state of rest of sprained ankle (p<0.001). In relation to ankle movements, 1% HcP was more effective than LLLT and CT (p<0.001). In relation to reducing inflammation 1% HcP, LLLT and CT were observed any significant difference (p=0.79). Also in relation to improvement of ecchymosis, 1%  HcP was effective in comparison LLLT and CT (p<0.001).

Conclusion: It can be concluded that 10 sessions of LLLT could be more effective than 1% HcP and CT in reduction of pain in ankle sprain, but in the improvement of movement 1% HcP could be more effective than LLLT and CT.

Key words: 1% Hydrocortisone Phonophoresis (HcP) , Low Level Laser Therapy, Ankle Sprain, Treatment

Funding: This research was funded by Rafsanjan University of Medical Sciences.

Conflict of interest: None declared

Ethical approval: The Ethic Committee of Rafsanjan University of Medical Sciences approved this study.

How to cite this article: Shahimoridi D, Abdollahpour HR, Sheikh Fathollahi M. Comparison of 1% Hydrocortisone Phonophoresis with Low-Level Laser Therapy on Treatment of 2^nd Degree Ankle Sprain. J RafsanjanUniv Med Sci 2015 14(8): 781-94. [Farsi]

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Background and Objective: Lateral epicondylitis of the elbow is the most common contractile lesion of the elbow and causes inflamation and pain at the origin of the wrist extensor muscles. The aim of this study was comparison of the effect of 1% Hydrocortisone Phonophoresis (1% HcP) with Low Level Laser Therapy (LLLT) on treatment of lateral epicondylis of elbow.

Materials and Methods: This randomized double blinded clinical trial was performed in Fatemieh physiotherapy clinic of Rafsanjan during 2015-2016. Seventy eight patients conflicted to epicondylitis of elbow were divided randomly into three equal groups. The first, second and third groups received 1% HcP, LLLT, and conventional therapy (CT), respectively. Intensity of local pain, radicular pain, sensitivity to palpation and grip strength were assessed during the first, fifth, and tenth sessions and 10 days after end of the treatment. Pain intensity and grip strenth were evaluated by visual analogue scale and dynamometer, respectively. Data were analyzed using two-way repeated measures ANOVA, followed by Tukey’s multiple comparisons test and chi-square test.

Results: The findings showed that 10 sessions of LLLT can be more effective than 1% HcP and CT in reduction of pain in lateral epicondylitis of elbow (p<0.001). Also the results of this study showed that LLLT in increasing grip strength can be more effective than CT (p=0.005) but LLLT in comparison with 1% HcP was not significantly different (P>0.05). In the tenth sessions, chi-squire test revealed that LLLT can be more effective than 1% HcP and conventional therapy in reduction of radicular pain and sensitivity to palpation of lateral epicondylitis of elbow (p<0.001).

Conclusion: From results of this study it can be concluded that during 10 sessions, LLLT could be more effective than 1% HcP and CT in reduction of local pain, radicular pain, and sensitivity to palpation of lateral epicondylitis of elbow.

Key words: Low Level Laser Therapy (LLLT), 1% Hydrocortisone Phonophoresis (1% HcP), Lateral Epicondylitis of Elbow

Funding: This research was funded by Rafsanjan University of Medical Sciences.

Conflict of interest: None declared.

Ethical approval: The Ethic Committee of Rafsanjan University of Medical Sciences approved the study.

How to cite this article: Shahimoridi D, Eghbali M, Abdollahpour HR, Mollahosseini M, Sheikh Fathollahi M. Comparison of 1% Hydrocortisone Phonophoresis with Low Level Laser on Treatment of Lateral Epicondylitis of Elbow: A Randomized Double-blind Clinical Trial. J Rafsanjan Univ Med Sci 2016; 15(8): 715-26. [Farsi]

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Background and Objectives: Since the myofascial pain syndrome is a common condition in the trapezius muscle, the present study aimed to determine and compare the effects of laser therapy, exercise and medication among patients diagnosed with myofascial pain syndrome of the upper trapezius muscle, referred to the clinics of physical medicine in Isfahan in 2013.
Materials and Methods: In this clinical trial study, 44 patients were randomly assigned to an exercise-medication treatment group (24 individuals) and a laser-exercise-medication treatment group (20 individuals). Symptoms were assessed based on Visual Analogue Scale ( VAS) , Neck Disability Index (NDI), and Shoulder Pain and Disability Index (SPDI) in three stages including before treatment, subsequently after treatment and one month after treatment. Independent t-test and repeated measures ANOVA were used to analyze the statistical data.
Results: A significant difference was found among the studied groups before and after starting treatment for VAS, NDI and SPDI indices (p<0.001). However, laser therapy provided a higher effect on VAS in comparison with the control group subsequently after treatment (p=0.032). Nevertheless, evaluation after one month from treatment did not show a significant difference in the 2 treatment methods for the three indices (p>0.05).
Conclusion: According to the results, exercise-medication therapy and laser-exercise-medication therapy may result in similar effects for relieving pain and eliminating symptoms in patients with myofascial pain syndrome in long-term, but subsequently after treatment, laser-exercise-medication therapy provides a higher effect on VAS.
Key words: Exercise therapy, Drug therapy, Laser therapy, Myofascial pain syndrome
 
Funding: This study was funded by Isfahan University of Medical Sciences.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Isfahan University of Medical Sciences approved the study (392364).
 
How to cite this article: Taheri P, Vahdatpour B , Andalib S, Baradaran Mahdavi S. The Effect of Low-Level Laser Therapy, Exercise Therapy and Medication on Myofascial Pain Syndrome of Upper Trapezius: A Clinical Trial Study. J Rafsanjan Univ Med Sci 2019; 18 (4): 365-76. [Farsi]

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Background and Objectives: Frozen shoulder or adhesive capsulitis of the shoulder is one of the most common diseases of the shoulder. In this diseases capsule of shoulder is stiff, shortening, adhesive, painful and frozen. The aim of this study was to determine and compare the effect of electroacupuncture (EA) and Low Level Laser Therapy (LLLT) on treatment of frozen shoulder.
Material and Methods: This single-blind clinical trial was performed in Fathemieh physiotherapy Clinic in Rafsanjan in 2017. Seventy-five patients conflicted to frozen shoulder were randomly divided into three equal groups of  25. The first, second and third groups received EA, LLLT and conventional therapy (CT), respectively during 10 sessions. Intensity of pain and range of motions were assessed during the first, fifth and tenth sessions and 1 month after the end of treatment. Pain intensity and range of motions were evaluated by Visual Analog Scale (VAS) and goniometer. Data was analyzed using two-way repeated measures ANOVA along with Tukey’s post hoc test and Chi-square test.
Result: The findings of this study showed that EA during 10 sessions was more effective than LLLT and CT in reduction of pain in frozen shoulder (p˂0.001). Also in relation to the improvement of range of motion for frozen shoulder, EA was more effective than LLLT and CT (p˂0.001).
Conclusion: According to this study, it seems that during 10 sessions EA might be more effective than LLLT and CT in reducing pain and improving range of motion in frozen shoulder.
Key words: Electroacupuncture, Low level laser therapy, Frozen shoulder, Physiotherapy
 
Funding: This research was funded by Rafsanjan University of Medical Sciences.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Rafsanjan University of Medical Sciences approved the study (IR.RUMS.REC.1396.65).
 
How to cite this article: Shahimoridi D, Egbali M, Mollahosseini M, Sheikh Fathollahi M. Comparing the Effects of Electroacupuncture and Low Level Laser on Treatment of Frozen Shoulder Disease: A Single Blind Clinical Trial. J Rafsanjan Univ Med Sci 2019; 18 (4): 339-52. [Farsi]