Efficacy of Laser Acupuncture on Carpal Tunnel Syndrome after Delivery
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- Category: Vol. 92, December 2024
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Efficacy of Laser Acupuncture on Carpal Tunnel Syndrome after Delivery, SARA M. AHMED, MAGDA S. MORSY and MOHAMED F. ABOELEINEN
Abstract Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, which results from median nerve compression at the wrist, leading to pain, paresthesia and muscle weakness in the hand and forearm. Laser acupuncture (LA), a non-invasive therapy which uses Laser light to stimu-late specific acupuncture points, is greatly helpful to relief pain of CTS. Aim of Study: This study was conducted to investigate the effect oflaser acupuncture on carpal tunnel syndrome after de-livery. Patients and Methods: This study was carried out on Forty multiparous women suffering from Carpal Tunnel Syndrome after delivery, They were selected randomly from the outpa-tient Orthopedic Clinic at Zagazig University Hospitals. Their ages were ranged from (25-35) years old, their body mass index didn’t exceed 30kg/m2, and Their Parity will be ranged from (2-4) children. All patients were divided randomly into 2 groups equal in number, study group (A) & Control group (B). Study group (A) This group was consisted of 20 patients. Each patient in this group had received LLLT on the acupoints PC6 (Neigu-an) and PC7 (Daling) for dominant hand for 90 seconds, 3 times/ week for 8 weeks. Also each patient was asked to perform an exercise program in her dominant hand for 30 minutes, 3 times/ week for 8 weeks. Also, each patient was asked to wear cock up splint throughout the treatment course which was adjusted at neutral angle all day and take it off during exercising and taking a shower throughout the treatment course (8 weeks). Control group (B) was consists of 20 patients, each patient in this group had received sham laser on the acupoints PC6 (Neiguan) and PC7 (Daling) for dominant hand for 90 seconds, 3 times/week for 8 weeks. Also each patient was asked to perform an exer-cise program in her dominant hand for 30 minutes, 3 times/ week for 8 weeks. Also, each patient was asked to wear cock up splint throughout the treatment course which was adjusted at neutral angle at all day and take it off during exercising and taking a shower throughout the treatment course (8 weeks). All patients in both groups (A&B) were evaluated by Visual Ana-logue Scale (VAS) and measuring serum cortisol level in blood plasma before starting and after the end of treatment program. Results: Both groups showed a statistically significant de-crease in both visual analogue scale and serum cortisol level after treatment, Group (A) achieved percentage of decrease in visual analogue scale by 83.78% and achieved percentage of decrease in serum cortisol level by 61.66% while group (B) achieved percentage of decrease in visual analogue scale by 25.0% and achieved percentage of decrease in serum cortisol level by 16.61%. By comparing 2 groups (A&B) it was found that percentage of decrease in VAS and serum cortisol level in group (A) was more pronounced and more notable when com-pared with group (B). Conclusion: It was concluded that laser acupuncture is very effective in relieving pain of Carpal tunnel Syndrome after delivery.