Comparison of the Effectiveness of High Intensity Laser therapy (HILT) and Low-Level Laser Therapy (LLLT) on Functional Improvement in Knee Osteoarthritis Patients
DOI:
https://doi.org/10.36408/mhjcm.v11i2.967Keywords:
Knee Osteoarthritis, Functional improvement, HILT, LLLTAbstract
BACKGROUND : Knee osteoarthritis causes sore, joint stilted, progressive deformity and functional encroachment. The current therapeutic focus on rectifying function and assuaging symptoms, especially pain. There are two types of laser therapy, namely Low-Level Laser Therapy (LLLT) and High Intensity Laser Therapy (HILT). High Intensity Laser Therapy (HILT) is a high-intensity laser radiation with photochemical, photothermal, and photomechanical action possess many therapeutic steads including analgesic, anti-edematous, and biostimulating effects. In this study, we compare the effectiveness of HILT with LLLT on functional enhancement in knee osteoarthritis assessed by the Knee Injury and Osteoarthritis Outcome Score (KOOS).
AIMS : To compare the effectiveness of HILT with LLLT on functional enhancement in patients with knee osteoarthritis.
METHOD : This research is a quasi-experimental pre-test and post-test with controlled group design. There were 27 subjects of knee osteoarthritis patients who were divided into 2 treatment groups, the first treatment group admit HILT therapy (14 patients) and the second treatment group admit LLLT therapy (13 patients). Knee Injury and Osteoarthritis Outcome Score (KOOS) was measured before and after 4 weeks of treatment.
RESULT : There was a significant difference in the mean value of functional improvement as measured by KOOS before and after treatment in each group (p < 0.001) and there was a significant difference in the mean value of KOOS in the two groups (p < 0.001).
CONCLUSION : The administration of HILT has shown significant escalation of functional improvement compared to the administration of LLLT in patients with knee osteoarthritis.
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References
1. Kawano M, Araújo I, Castro M, Matos M. Assessment of quality of life in patients with knee osteoarthritis. Acta Ortopédica Brasileira 2015;23:307-10.
2. Primorac D, Molnar V, Rod E, Jeleč Ž, Čukelj F, Matišić V, et al. Knee Osteoarthritis: A Review of Pathogenesis and State-Of-The-Art Non-Operative Therapeutic Considerations. Genes (Basel) 2020;11(8):854.
3. Health Ministry of Indonesia. The Main Finding of Basic Health Research 2018. Jakarta: Health Ministry; 2018.
4. Bruyère O, Reginster J, Croisier J, Crielaard J, Maquet D. Rehabilitation in osteoarthritis. Therapy 2010;7(6):669-74.
5. Kolasinski S, Neogi T, Hochberg M, Oatis C, Guyatt G, Block J, et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Care & Research 2020;72.
6. da Costa BR, Pereira TV, Saadat P, Rudnicki M, Iskander SM, Bodmer NS, et al. Effectiveness and safety of non-steroidal anti-inflammatory drugs and opioid treatment for knee and hip osteoarthritis: network meta-analysis. BMJ 2021;375:n2321.
7. Nazari A, Moezy A, Nejati P, Mazaherinezhad A. Efficacy of high-intensity laser therapy in comparison with conventional physiotherapy and exercise therapy on pain and function of patients with knee osteoarthritis: a randomized controlled trial with 12- week follow up. Lasers in Medical Science 2019;34
8. Collins NJ, Prinsen CAC, Christensen R, Bartels EM, Terwee CB, Roos EM. Knee Injury and Osteoarthritis Outcome Score (KOOS): systematic review and meta-analysis of measurement properties. Osteoarthr Cartil. 2016; 24(8):1317–29
9. Ahmad MA, Mohamad MS, Yusof A. Effects of low-level and high-intensity laser therapy as adjunctive to rehabilitation exercise on pain, stiffness and function in knee osteoarthritis: a systematic review and meta-analysis. Physiotherapy. 2022 Mar 1;114:85–95.
10. Elvir-Lazo OL, Yumul R, White PF. Cold laser therapy for acute and chronic pain management. Top Pain Manag. 2020;36(2):1–10
11. Alfredo PP, Bjordal JM, Dreyer SH, Meneses SRF, Zaguetti G, Ovanessian V, et al. Efficacy of low level laser therapy associated with exercises in knee osteoarthritis: a randomized double-blind study. Clinical rehabilitation 2011;26(6):523-33
12. Pejcic A, Mirkovic D. Anti-inflammatory effect of low level laser treatment on chronic periodontitis. Med Laser Appl. 2011;26(1):27–34
13. Kheshie AR, Alayat MSM, Ali MME. High-intensity versus low-level laser therapy in the treatment of patients with knee osteoarthritis: A randomized controlled trial. Lasers Med Sci. 2014;29(4):1371–6
14. Alfahad NR, Alruwaili MA, Alothaim HF. Evaluation of Knee Injury and Osteoarthritis Outcome Scale (KOOS). Int J Rec Innov Med Clin Res. 2022;4(2):10-17
15. Kim GJ, Choi J, Lee S, Jeon C, Lee K. The effects of high intensity laser therapy on pain and function in patientswith knee osteoarthritis. J Phys Ther Sci. 2016 Nov;28(11):3197
16. Clynes MA, Jameson KA, Edwards MH, Cooper C, Dennison EM. Impact of osteoarthritis on activities of daily living: does joint site matter? Aging Clin Exp Res. 2019;31(8):1049
17. Litwic A, Edwards MH, Dennison EM, Cooper C. Epidemiology and burden of osteoarthritis. Br Med Bull. 2013;105(1):185–99
18. Vannini F, Spalding T, Andriolo L, Berruto M, Denti M, Espregueira-Mendes J, et al. Sport and early osteoarthritis: the role of sport in aetiology, progression and treatment of knee osteoarthritis. Knee Surgery, Sport Traumatol Arthrosc. 2016;24(6):1786–96
19. Ordahan B, Karahan AY, Kaydok E. The effect of high-intensity versus low-level laser therapy in the management of plantar fasciitis: a randomized clinical trial. Lasers Med Sci. 2018;33(6):1363–9
20. Kawano MM, Araújo ILA, Castro MC, Matos MA. Assessment of quality of life in patients with knee osteoarthritis. Acta Ortop Bras. 2015;23(6):307
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