LASEROTERAPIJA BOLA KOD AKUTNOG CERVIKALNOG SINDROMA

Slavisa Minic ,
Slavisa Minic
S. Ivkovic
S. Ivkovic

Published: 01.12.2013.

Volume 43, Issue 4 (2014)

pp. 13-19;

https://doi.org/10.5937/pramed1404013m

Abstract

Cervikalni sindrom obuhvata grupu različitih oboljenja i poremećaja čiji je zajednički simptom bol u cervikalnom delu sa ili bez iradijacije. U opštoj populaciji, oko dve trećine svih osoba tokom života ima bolove u vratnoj kičmi. Prevalenca je najveća u srednjem životnom dobu (30-50 godina). Cervikalni sindrom je zastupljen u odnosu 1 : 6 ako je reč o bolnim sindromima lokalizovanim na celoj kičmi, a u odnosu 1:4,5 ako se govori o lumbalnoj kičmi. Cervikalni bolni sindrom je zastupljen u 8% slučajeva od svih bolnih stanja na lokomotornom aparatu. Ženski pol je ugroženiji skoro 2 puta. Osnovni cilj ovog istarživanja se odnosi na akutni cervikalni sindrom. Iispituju se efekti primene lasera male snage propisane kao dodatne terapije NSAIL (nesteroidni antiinflamatorni lekovi) na subjektivne smetnje pacijenta (bol). U metodologiji su postavljene tri grupe pacijenata sa po 30 ispitanika i to grupa koja je uzimala samo diklofenak, grupa koja je pored diklofenaka imala i TENS (transkutana elektronervna stimulacija) terapiju i grupa koja je pored diklofenaka imala primenu LLLT (lasera male snage).Dobijeni rezultati nakon terapijskog programa koji je trajao 21 dan su sledeći: cervikalni sindrom je učestalo oboljenje i to kod osoba preko 50 godina. U zaključku se može reći da je primena diklofenaka (NSAIL) u kombinaciji sa LLLT najoptimalniji terapiski koncept kod akutnog cervikalnog sindroma.

Keywords

References

1.
Bošković K, Zamurović A, Stojanović R. Treatment of painless symptomes of cervical syndrome by physical procedures. Acta Rheum Belgrad. 1999;(1):18–28.
2.
Jevtić M, Klinička Kineziterapija, Med, Fak, Kragujevac. 2006;
3.
Melzack R. From the gate to the neuromatrix. Pain. 1999;121–6.
4.
Travell &, Simons. II-Lower Extremities. Myofascial Pain and Dysfunction: The Trigger Point Manual. 1992;
5.
Hashmi JT, Huang Y, Sharma SK, Kurup DB, De Taboada L, Carroll JD, et al. Effect of pulsing in low‐level light therapy. Lasers in Surgery and Medicine. 2010;42(6):450–66.
6.
Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Practice & Research Clinical Rheumatology. 2010;24(6):783–92.
7.
Côté P, Cassidy J;, Lawrence D, Cassidy J, Mcgregor M, Meeker W, et al. The epidemiology of neck pain. 1997;
8.
Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine. 1994;1307–9.
9.
Guez M, Hildingsson C, Nilsson M. The prevalence of neck pain: a population-based study from northern Sweden Acta Orthop Scand. 2002;(4):455–9.
10.
Lazović M, Devečerski G, Švirtlih I. 2004;34–5.
11.
Simons T, Simons. Myofascial Pain and Dysfunction: The Trigger Point Manual. 1999;
12.
Ephraim K Brenman. FDA Approves Cymbalta for Chronic Musculoskeletal Pain.
13.
Moll J. Krankengymnastik. 2003;404–11.
14.
Schreiber-Wilnow K. Korper-Selbst-und Gruppenerleben in der stationaren Konzentrativen Bewegunstherapie. 1999;
15.
Schor R, Undn, Copelmann. 1992;110–20.
16.
Handwerker H, Kobal G. Psychophysiology of experimentally induced pain. Physiol Rev. 1993;639–71.
17.
Handwerker H, Reeh P. Pain and inflammation. 1991;59–70.
18.
Kostić. Med Fak Niš. 2002;
19.
Kostović I, Judaš M, Temelji. 1997;
20.
Melzack R, Patrik D, Wall. Pain Mechanismus: A New Theory. Science, New Series. (3699):971–9.
21.
Walter H, Striebel. 2002;
22.
Quevedo A, Robert C, Coghill. Attentional Modulation of Spatial Integration of Pain: Evidence for Dynamic Spatial Tuning Department of Neurobiology and Anatomy. :27157–21010.
23.
Kroeling P, Gross A, Houghton P. Electrotherapy for neck disorders. Cervical Overview Group Cochrane Database Syst Rev. 2005;
24.
Schmidt R, Schaible HG. Modulation of nociceptive information at the presynaptic terminals of primary afferent fibers. 1999;424–49.
25.
Schmidt R, Langohr H, Klotz J, Berlit P. Kopf-und Gesichtsschmerzen. :591–633.
26.
Kojović Z, Mihajlović V, Sivački-Žitnik S. 2004;34–53.
27.
Conić. Osnovi fizikalne medicine i rehabilitacije, Naučna knjiga. 1980;
28.
Konečni. 1984;
29.
Binder. Neck pain. Clin Evid. 2002;232–4.
30.
Binder. Neck pain. Clin Evid Concise. 2004;1534–50.
31.
American Academy of Family Physicians. Family Health & Medical Guide. 1996;
32.
Jevtić. Fizikalna medicina I rehabilitacija. Med Fak Kragujevac. 1999;
33.
Konstantinović L, Antonić M, Brdarenski Z. Vojnosanit Pregl. 1997;(5):459–63.
34.
Krasheninnkoff M, Ellitsgaard N, Rogvi-Hansen B, Zeuthen A, Harden K, Larsen R, et al. No effects of low power laser in lateral epicondylitis. Scand J Rheumatol. 1994;(5):260–3.
35.
Lazović M. 1997;
36.
Simunović Z. Low level laser therapy with trigger points technique: a clinical study on 243 patients. J Clin Laser Med Surg. 1996;(4):163–7.
37.
Tam G. Low power laser therapy and analgesic action. J Clin Laser Med Surg. 1999;(1):29–33.
38.
Vasseljen O, Hoeg N, Kjelstad B, Johnsson A. Low level laser er versus placebo in the treatment of tennis elbow. Scand J Rehabil Med. 1992;(1):37–42.
39.
Shiroto C. Retrospective study of diode laser therapy for pain attenuation in 3635 patients: Detailed analysis by questionaire. Laser Therapy. 1989;(1):41.
40.
(2).
41.
State H, Branch K, Mitrovica. Centar of rehabilitation ZC K. Mitrovica SUMMARY Cervical syndrome comprises a group of different diseases and disorders whose common symptom of pain is the cervical region with or without irradiation. In the general population, about the two-third of all people throughout lifetime has pain in the cervical spine. The most common occurrence is in the middle age (30-50 years). The cervical syndrome is present in a ratio of 1:6 if a pain syndrome is localized in the entire spine , and in the ratio of 1:4.5 in speaking of the lumbar spine. The cervical pain syndrome is present in 8% of cases of all painful conditions of the locomotor apparatus. 2AD;

Citation

Copyright

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Most read articles

Indexed by