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All Journal Majalah Kedokteran Bandung Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Respiratory Science
Nury Nusdwinuringtyas
Faculty of Medicine University of Indonesia/ Dr. Cipto Mangunkusumo Hospital, Jakarta,
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Perbandingan Terapi Laser Tingkat Rendah Dan Terapi Laser Intensitas Tinggi Terhadap Nyeri Dan Kemampuan Fungsional Pada Osteoarthritis Lutut Astri, Setia Wati; Murdhana, Nyoman; Nusdwinuringtyas, Nury; Kekalih, Aria; Sunarjo, Peggy; Soewito, Ferius
Majalah Kedokteran Indonesia Vol 72 No 6 (2022): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.72.6-2022-826

Abstract

Introduction: Osteoarthritis (OA) of the knee causes disability due to pain and will affect the functional ability to walk. Low-Level Laser Therapy (LLLT) has been shown to reduce pain in knee OA, while High Intensity Laser Therapy (HILT) is able to reach deeper joint areas. Method: This study aimed to compare the effect differences between LLLT and HILT on pain and functional capacity in knee OA. Methods: This is a double-blind randomized controlled trial with 61 subjects randomized into LLLT (n=31) and HILT (n=30) groups. All the subjects were knee OA patient with Visual Analog Scale (VAS) ≥ 4. The laser therapy and exercise were given 3 times per week for 6 sessions. The pain scale evaluated using VAS and functional ability evaluated using 50-feet walk test. Result: After 6 sessions, both LLLT and HILT group showed reduced VAS score [∆VAS Score LLLT = 3 (2 – 4), HILT = 3 (2 – 5)] and increased walking speed (∆ walking speed for LLLT = 0.23 (0.02 – 1.24) m/s, HILT = 0.22 (0.08 – 0.7) m/s) which were statistically (p less than 0.001) and clinically significant. HILT group had faster walking speed and greater VAS reduction compared to LLLT group (p less than 0.001), but there was no significant difference in walking speed between two groups (p=0.655). Conclusion: HILT and LLLT combined with exercise were effective in reducing pain and increasing functional ability in knee OA after 6 sessions of intervention. Pain and functional ability improvement was faster and greater in HILT group than LLLT group.
Co-Authors Adang Bachtiar Agus Dwi Susanto Anita Ratnawati Aria Kekalih Astri, Setia Wati C Martin Rumende Cleopas Martin Rumende Damayanti, Triya Dian Marta Sari Faisal Yunus Fauzan, Adri Ferius Soewito Fiona Lestari, Fiona Hening Laswati Putra Idrus Alwi Islamadina, Balqis Laras, Sekar Maylani, Lina Muhammad Ilyas Murdhana, Nyoman Paulus, Anitta Florence Stans Poerwandari, Dewi Sunarjo, Peggy Tedjasukmana, Deddy Telly Kamelia Widjajalaksmi Widjajalaksmi Widjanantie, Siti Chandra