Efficacy of Pulsed High Intensity Laser Therapy in Treatment of Psoriatic Hand Arthritis
DOI:
https://doi.org/10.48047/CU/54/04/4913-4921Keywords:
High-intensity laser therapy, psoriatic arthritis, handgrip strength, joint swelling and tenderness, visual analog scaleAbstract
Introduction: Psoriatic arthritis (PsA) is a long-lasting inflammatory condition affecting the joints in 10-20% of individuals with psoriasis (Pso). It causes pain, stiffness, swelling, and joint damage. Pulsed high-intensity laser therapy (PHILT) has shown the potential to reduce inflammation, relieve pain, improve mobility, and enhance function. This study looked at the impact of integrating PHILT into the standard treatment for psoriatic hand arthritis (PsHA). Material and methods: Seventy-six patients of both genders, aged 30-50, with asymmetric PsHA, were randomly assigned into two equal groups. The study group (Group A, n=38) received PHILT alongside a conventional physical therapy program that included heat therapy, stretching, and strengthening exercises. The control group (Group B, n=38) underwent a sham PHILT along with the
same physical therapy regimen. Treatment continued three sessions a week for eight consecutive weeks. Variables were measured pre and post-intervention, including handgrip strength (HGS), joint swelling, tenderness counts, and the visual analog scale (VAS). Results: After the eight-week treatment period, group (A) exhibited significant improvements in
outcome measures compared to group (B). Progression in group (A) was 33.17% for HGS, 53.72% for joint swelling count, 61.14% for joint tenderness count, and 57.43% for VAS, while in group (B) was, 17.02%, 25.87%, 24.93%, and 32.38% respectively when resembled to their levels before therapy (p < 0.01). Conclusions: Counting PHILT into routine physical therapy may yield better results for patients with PsHA than traditional treatment alone.
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References
Nestle FO, Kaplan DH, Barker J. Psoriasis. The New England journal of medicine. 2009;361(5):496-509. 2. Fitzgerald O, Winchester R. Psoriatic arthritis: from pathogenesis to therapy. Arthritis research & therapy. 2009;11(1):214.
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