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PERBANDINGAN DENSITAS ENERGI LOW-LEVEL LASER THERAPY (LLLT) 10J/CM2 DENGAN 5 J/CM2 TERHADAP PENYEMBUHAN LUKA KAKI DIABETES Purwitasari Darmaputri; Nury Nusdwinuringtya; Nyoman Murdana; Tri Juli Edi Tarigan; Dewi Friska
Majalah Kedokteran Indonesia Vol 70 No 2 (2020): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v70i2.173

Abstract

Latar Belakang: Luka kaki diabetes merupakan masalah umum pasien diabetes melitus (DM). Salah satu terapi adjuvan yang dapat mempercepat penyembuhan luka adalah Low- Level Laser Therapy (LLLT), namun belum ada pedoman pasti mengenai dosisnya. Di Indonesia belum ada penelitian yang membandingkan densitas energi terhadap penyembuhan luka diabetes.Metode: Studi eksperimental ini dilakukan pada 28 subyek dengan luka kaki diabetes yang telah dirandomisasi. Kelompok A mendapat perawatan luka rutin dan LLLT 5J/cm2. Kelompok B mendapat perawatan luka rutin dan LLLT 10J/cm2. Dilakukan intervensi selama 4 minggu dengan frekuensi 2x/minggu.Hasil: Selisih ukuran luka setelah intervensi antara kelompok A dan B adalah 4.15 mm2 dan 7.5 mm2 (p=0.178). Total kecepatan pemulihan luka kelompok A dan B adalah 4.15(-10-34.5) mm2/4 minggu dan 7.5(-2.8-34) mm2/4 minggu (p=0.168). Kesimpulan: Pemberian LLLT dengan 5J/cm2 maupun 10J/cm2 tidak memberikan efek bermakna secara statistik terhadap penyembuhan luka kaki diabetes.
Effect of Low Level Laser Therapy (LLLT) on Pain, Trismus and Quality of Life (QOL) in Post Lower Third Molar Removal Patients : A Randomized Controlled Trial Andi Dala Intan; Nyoman Murdana; SA Nuhonni; Lilies Dwi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 01 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2081.049 KB) | DOI: 10.36803/ijpmr.v5i01.193

Abstract

Background: Low-Level Laser Therapy (LLLT) is a physical modality used in a rehabilitation support service. Patients with lower third molar impacted experience decline in QOL due to inflamatory response,such as bleeding, swelling, stiffness and pain. This leads to disability in daily activities, such as eating and drinking during several days post removal.Methods: It is a randomized controlled trial (RCT) and single blind study. A total of 21 subjects in LLLT and 21 subjects in control groups with the age range of 18-30 years. Subjects in the study group were given a totaldose of 54 J, energy density 18J/cm2 on day 0, 3 and 7 post lower third molar impacted surgery. Both groups were assessed for QOL values using the Short Form 36 (SF-36) before and after therapy.Result: Decrease in Pain (VAS) and Trismus on the third and seventh day post operatively were statistically significant (p <0.05) between the two groups. QOL improvement on the SF-36 domains of Role Physically(RP), Bodily Pain (BP), General Health (GH) was statistically significant (p <0.05) in both groups. Moreover, QOL improvement in Physical Components (PCS) was also significant between the two groups.Conclusion: LLLT could reduce postoperative pain of lower third molar impacted patients from day 0 to 3 and completely painless on the seventh day postoperatively. LLLT therapy eliminated Trismus on the third dayafter the surgey. Increase QOL in patients with lower third molar impacted removal after LLLT was evident in the physical component. The positive changes in pain and trismus reduction, also QOL improvement postLLLT can restore patients’ activities of daily living as usual in a short period of time.Keywords : Low Level Laser Therapy (LLLT), Pain, Trismus, Quality of Life, Rehabilitation, Lower Third Molar Removal.
Effect of Low Level Laser Therapy (LLLT) on Pain, Trismus and Quality of Life (QOL) in Post Lower Third Molar Removal Patients : A Randomized Controlled Trial Andi Dala Intan; Nyoman Murdana; SA Nuhonni; Lilies Dwi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 01 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2081.049 KB) | DOI: 10.36803/ijpmr.v5i01.193

Abstract

Background: Low-Level Laser Therapy (LLLT) is a physical modality used in a rehabilitation support service. Patients with lower third molar impacted experience decline in QOL due to inflamatory response,such as bleeding, swelling, stiffness and pain. This leads to disability in daily activities, such as eating and drinking during several days post removal.Methods: It is a randomized controlled trial (RCT) and single blind study. A total of 21 subjects in LLLT and 21 subjects in control groups with the age range of 18-30 years. Subjects in the study group were given a totaldose of 54 J, energy density 18J/cm2 on day 0, 3 and 7 post lower third molar impacted surgery. Both groups were assessed for QOL values using the Short Form 36 (SF-36) before and after therapy.Result: Decrease in Pain (VAS) and Trismus on the third and seventh day post operatively were statistically significant (p <0.05) between the two groups. QOL improvement on the SF-36 domains of Role Physically(RP), Bodily Pain (BP), General Health (GH) was statistically significant (p <0.05) in both groups. Moreover, QOL improvement in Physical Components (PCS) was also significant between the two groups.Conclusion: LLLT could reduce postoperative pain of lower third molar impacted patients from day 0 to 3 and completely painless on the seventh day postoperatively. LLLT therapy eliminated Trismus on the third dayafter the surgey. Increase QOL in patients with lower third molar impacted removal after LLLT was evident in the physical component. The positive changes in pain and trismus reduction, also QOL improvement postLLLT can restore patients’ activities of daily living as usual in a short period of time.Keywords : Low Level Laser Therapy (LLLT), Pain, Trismus, Quality of Life, Rehabilitation, Lower Third Molar Removal.