Evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera

Background/Aim. Complex regional pain syndrome type I (CRPS I) is characterized by continuous regional pain, disproportional according to duration and intensity and to the sort of trauma or other lesion it was caused by. The aim of the study was to evaluate and compare, by using thermovison, the eff...

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Main Authors: Kocić Mirjana, Lazović Milica, Dimitrijević Irena, Mančić Dragan, Stanković Anita
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2010-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501009755K.pdf
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author Kocić Mirjana
Lazović Milica
Dimitrijević Irena
Mančić Dragan
Stanković Anita
author_facet Kocić Mirjana
Lazović Milica
Dimitrijević Irena
Mančić Dragan
Stanković Anita
author_sort Kocić Mirjana
collection DOAJ
description Background/Aim. Complex regional pain syndrome type I (CRPS I) is characterized by continuous regional pain, disproportional according to duration and intensity and to the sort of trauma or other lesion it was caused by. The aim of the study was to evaluate and compare, by using thermovison, the effects of low level laser therapy and therapy with interferential current in treatment of CRPS I. Methods. The prospective randomized controlled clinical study included 45 patients with unilateral CRPS I, after a fracture of the distal end of the radius, of the tibia and/or the fibula, treated in the Clinical Centre in Nis from 2004 to 2007. The group A consisted of 20 patients treated by low level laser therapy and kinesy-therapy, while the patients in the group B (n = 25) were treated by interferential current and kinesy-therapy. The regions of interest were filmed by a thermovision camera on both sides, before and after the 20 therapeutic procedures had been applied. Afterwards, the quantitative analysis and the comparing of thermograms taken before and after the applied therapy were performed. Results. There was statistically significant decrease of the mean maximum temperature difference between the injured and the contralateral extremity after the therapy in comparison to the status before the therapy, with the patients of the group A (p < 0.001) as well as those of the group B (p < 0.001). The decrease was statistically significantly higher in the group A than in the group B (p < 0.05). Conclusions. By the use of the infrared thermovision we showed that in the treatment of CRPS I both physical medicine methods were effective, but the effectiveness of laser therapy was statistically significantly higher compared to that of the interferential current therapy.
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spelling doaj-art-02ede7600a1947c2b27717bb9cbeaaee2025-08-20T03:55:23ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502010-01-0167975576010.2298/VSP1009755KEvaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic cameraKocić MirjanaLazović MilicaDimitrijević IrenaMančić DraganStanković AnitaBackground/Aim. Complex regional pain syndrome type I (CRPS I) is characterized by continuous regional pain, disproportional according to duration and intensity and to the sort of trauma or other lesion it was caused by. The aim of the study was to evaluate and compare, by using thermovison, the effects of low level laser therapy and therapy with interferential current in treatment of CRPS I. Methods. The prospective randomized controlled clinical study included 45 patients with unilateral CRPS I, after a fracture of the distal end of the radius, of the tibia and/or the fibula, treated in the Clinical Centre in Nis from 2004 to 2007. The group A consisted of 20 patients treated by low level laser therapy and kinesy-therapy, while the patients in the group B (n = 25) were treated by interferential current and kinesy-therapy. The regions of interest were filmed by a thermovision camera on both sides, before and after the 20 therapeutic procedures had been applied. Afterwards, the quantitative analysis and the comparing of thermograms taken before and after the applied therapy were performed. Results. There was statistically significant decrease of the mean maximum temperature difference between the injured and the contralateral extremity after the therapy in comparison to the status before the therapy, with the patients of the group A (p < 0.001) as well as those of the group B (p < 0.001). The decrease was statistically significantly higher in the group A than in the group B (p < 0.05). Conclusions. By the use of the infrared thermovision we showed that in the treatment of CRPS I both physical medicine methods were effective, but the effectiveness of laser therapy was statistically significantly higher compared to that of the interferential current therapy.http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501009755K.pdfreflex sympathetic dystrophylaser therapy, low-levelelectric stimulation therapyinfrared raystreatment outcome
spellingShingle Kocić Mirjana
Lazović Milica
Dimitrijević Irena
Mančić Dragan
Stanković Anita
Evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera
Vojnosanitetski Pregled
reflex sympathetic dystrophy
laser therapy, low-level
electric stimulation therapy
infrared rays
treatment outcome
title Evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera
title_full Evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera
title_fullStr Evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera
title_full_unstemmed Evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera
title_short Evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera
title_sort evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera
topic reflex sympathetic dystrophy
laser therapy, low-level
electric stimulation therapy
infrared rays
treatment outcome
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501009755K.pdf
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