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   <dc:title>Does laser therapy improve pain or pinch strength for thumb carpometacarpal joint osteoarthritis as an isolated treatment? A randomized controlled trial.</dc:title>
   <dc:creator>Cantero-Téllez, Raquel</dc:creator>
   <dc:creator>Valdes, Kristin</dc:creator>
   <dc:creator>Villafañe, Jorge Hugo</dc:creator>
   <dc:creator>Medina-Porqueres, Iván</dc:creator>
   <dc:subject>Osteoartritis</dc:subject>
   <dc:subject>Congresos y conferencias</dc:subject>
   <dcterms:abstract>Objective: Osteoarthritis (OA) is a chronic and prevalent joint disorder that greatly impacts quality of life and has&#xd;
a high economic burden on health resources. Although a number of conservative therapies have&#xd;
proven to be effective for the management of hand OA, only modest treatment effects were reported&#xd;
for most individual interventions.&#xd;
The aim of the proposed study is to assess the effect of laser therapy on pain and pinch strength in&#xd;
subjects with thumb carpometacarpal osteoarthritis (CMC OA)&#xd;
Materials and Methods: 43 patients, (mean ± SD age: 71 ±12 years; 57% female) with the diagnosis of CMC joint OA grade&#xd;
1-2 were randomized to the control (n=21) or experimental (n=23) groups. The primary outcome&#xd;
measures were pain intensity [Visual Analogue Scale (VAS)], and the secondary outcome measure was&#xd;
key pinch strength (dynamometer).&#xd;
The experimental group received laser therapy and control group received a placebo treatment. All&#xd;
outcome measures were collected at baseline, immediately following the intervention at 4 weeks, and&#xd;
at 12 weeks following the intervention.&#xd;
Results: The experimental group evidenced a 2-point improvement VAS pain score following the treatment.&#xd;
There was a gain of 0.7 kg of pinch strength in the experimental group following the treatment. The&#xd;
effects of both pinch strength gains and pain reduction diminished by the 12 week follow up.&#xd;
Conclusions: High intensity laser therapy effectively decreases pain intensity when used as a isolated treatment for&#xd;
early CMC OA, but the effect of treatment decreases after 3 months.</dcterms:abstract>
   <dcterms:dateAccepted>2019-06-17T08:11:57Z</dcterms:dateAccepted>
   <dcterms:available>2019-06-17T08:11:57Z</dcterms:available>
   <dcterms:created>2019-06-17T08:11:57Z</dcterms:created>
   <dcterms:issued>2019-06-17</dcterms:issued>
   <dc:type>conference output</dc:type>
   <dc:identifier>https://hdl.handle.net/10630/17815</dc:identifier>
   <dc:language>eng</dc:language>
   <dc:relation>11th IFSHT Congress</dc:relation>
   <dc:relation>Berlin, Alemania.</dc:relation>
   <dc:relation>17-21 Junio 2019</dc:relation>
   <dc:rights>open access</dc:rights>
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