THERAPEUTIC EFFECTS OF HIGH POWER THERAPEUTIC LASER IN NON OPERATIVE ANTERIOR CRUCIATE LIGAMENT (ACL) TEAR -A RANDOMIZED CLINICAL CONTROL TRAIL
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Keywords
Anterior Cruciate Ligament Tear, High power laser therapy, low intensity pulsed ultra sound, KOOS, IKDC
Abstract
Background: Anterior Cruciate Ligament (ACL)Tear is an important cause of functional impairment in adults and athletes. An early and efficient intervention of ACL tear is important because it prevents from developing early Osteoarthritis. This study is aimed at exploring the therapeutic benefits of High power therapeutic laser in non operative ACL tear.
Methodology: The subjects with ACL tear were selected based on the selection criteria and randomly divided in to two groups. Group-A subjects received high power therapeutic laser treatment. Group-B subjects received Low intensity pulsed therapeutic Ultrasound. Both groups were treated for 3 days a week for a total of 8 weeks.
Data Analysis: All the values were tabulated and statistically analyzed by using paired and unpaired t-test. Data analysis revealed significant difference between the two groups in the parameter functional disability.
Conclusion: High power therapeutic laser treatment is effective in reducing pain, early healing and improving functional capabilities in Subjects with non operative ACL tear
References
2. Kujawa J, Zavodnik L, Zavodnik I, Buko V, Lapshyna A, Bryszewska M. Effect of lowintensity (3.75-25 J/cm2) near-infrared (810nm) laser radiation on red blood cell ATPase activities and membrane structure. J Clin Laser Med Surg. 2004 Apr;22(2):111-7.
3. Mochizuki-Oda N, Kataoka Y, Cui Y, Yamada H, Heya M, Awazu K. Effects of near-infra-red laser irradiation on adenosine triphosphate and adenosine diphosphate contents of rat brain tissue. Neurosci Lett. 2002 Ma 3;323(3):207-10.
4. Oron U, Ilic S, De Taboada L, Streeter J. Ga-As (808 nm) laser irradiation enhances ATP production in human neuronal cells in culture. Photomed Laser Surg. 2007 Jun;25(3):180-2. 5.Assessment of Differences Between the Modified Cincinnati and International Knee Documentation Committee Patient Outcome Scores http://drrobertlaprademd.com/wp-content/uploads/2015/07/assessment-of-modified-cincinnati-and-ikdc-scores-2009.pdf
6.Greco, N. J., Anderson, A. F., Mann, B. J., Cole, B. J., Farr, J., Nissen, C. W., & Irrgang, J. J. (2010). Responsiveness of the International Knee Documentation Committee subjective knee form in comparison to the Western Ontario and McMaster Universities Osteoarthritis Index, modified Cincinnati Knee Rating System, and Short Form 36 in patients with focal articular cartilage defects. The American journal of sports medicine, 38(5), 891- 902. http://ajs.sagepub.com/content/38/5/891.short
7. Selfe J, Whitaker J, Hardaker N. A narrative literature review identifying the minimum clinically important difference for skin temperature asymmetry at the knee. Thermology International 2008, 18(2):41-44.
8. Vardasca R. Symmetry of temperature distribution in the upper and lower extremities. Thermology International 2008, 18(4):154
9. Hughston JC. Complications of anterior cruciate ligament surgery. Orthop Clin North Am 1985;16:237-40.
10. Jomha NM, Borton DC, Clingeleffer AJ, Pinczewski LA. Long-term osteoarthritic changes in anterior cruciate ligament reconstructed knees. Clin Orthop Relat Res 1999; 358(358): 188-93.
11. Karlsson J, Kartus J, Magnusson L, Larsson J, Brandsson S, Eriksson BI. Subacute versus delayed reconstruction of the anterior cruciate ligament in the competitive athlete. Knee Surg Sports Traumatol Arthrosc 1999;7:146-51.
12. Keene GC, Bieckerstaff D, Rae PJ, Paterson RS. The natural history of meniscal tears in anterior cruciate ligament insufficiency. Am J Sports Med 1993;21:672–9.
13. Larkin JJ, Barber-Westin SD. The effect of injury chronicity and progressive rehabilitation on singleincision arthroscopic anterior cruciate ligament reconstruction. Arthroscopy 1998;14:15–22.
14. Laxdal G, Kartus J, Ejerhed L, Sernert N, Magnusson L, Faxen E, KarlssonJ. Outcome and risk factors after anterior cruciate ligament reconstruction: a follow-up study of 948 patients. Arthroscopy 2005;21:958–964.
15. Marcacci M, Zaffagnini S, Iacono F, Neri MP, Petitto A. Early versus late reconstruction for anterior cruciate ligament rupture. Results after five years of followup. Am J Sports Med 1995;23:690–693.
16. Meighan AA, Keating JF, Will E. Outcome after reconstruction of the anterior cruciate ligament in athletic patients. A comparison of early versus delayed surgery. J Bone Joint Surg Br 2003;85:521–524.
17. Meunier A, Odensten M, Good L. Long-term results after primary repair or non-surgical treatment of anterior cruciate ligament rupture: a randomized study with a 15-year follow-up. Scand J Med Sci Sports 2007;17(3): 230-7.
18. Mohtadi NGH, Webster-Bogaert S, Fowler PJ. Limitation of motion following anterior cruciate ligament reconstruction: a case control study. Am J Sports Med 1991;19:620-4.
19. Noyes FR, Mangine RE, Barber S. Early knee motion after open and arthroscopic anterior cruciate ligament reconstruction. Am J Sports Med 1987;15:149-60.
20. Peterson W, Laperell H. Combined injuries of the medial collateral ligament and the anterior cruciate ligament: early ACL reconstruction versus late ACL reconstruction. Arch Orth Tr Surg 1999;119:258-62.
21. Roos EM1, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD.Knee Injury and Osteoarthritis Outcome Score (KOOS)--development of a self-administered outcome measure.J Orthop Sports Phys Ther. 1998 Aug;28(2):88-96.
22. Amis, A. A., & Dawkins, G. P. (1991). Functional anatomy of the anterior cruciate ligament. Fibre bundle actions related to ligament replacements and injuries. Journal of Bone & Joint Surgery, British Volume, 73(2), 260-267.
23. Boden, B. P., Griffin, L. Y., & Garrett, W. E. (2000). Etiology and prevention of noncontact ACL injury. Physician and Sports Medicine, 28(4), 53-62.
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Gowrishankar Potturi
Lecturer, Department Of Physiotherapy, Faculty Of Paramedical Sciences, Uttar Pradesh University Of Medical Sciences, Saifai, Etawah, U.P, India.
Ahmad Merajul Hasan Inam
Associate Professor, Department of Physiotherapy, Integral University, Lucknow.
Krishna Reddy Vajrala
Associate Professor, Department of Physiotherapy, Galgotias University, Greater Noida.
Mohd Javed Iqbal
Associate Professor, Department of Physiotherapy, Integral University, Lucknow
Anjali Agarwal
Faculty Member, Department of Physiotherapy, Faculty of Paramedical Sciences, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, India-206130.