الفهرس 
Title: Effect of low level laser therapy on complex regional pain syndrome after stroke
AbstractOnly 14 pages are availabe for public view
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Abstract
Background and Purpose : The common complication after stroke is pain and dysfunction of shoulder of paralyzed arm, as well as the swelling of the hand. Different noninvasive modalities of treatment were used to reduce pain of shoulder and swelling of hand. The aim of this study was to determine the effects of LASER therapy on complex regional pain syndrome in stroke patients. Subjects: 30 stroke patients with pain and dysfunction of shoulder of paralyzed arm, as well as the swelling of the hand participated in this study. Methods: The patients were divided into two equal groups. The study group received 15 successive session three times per week for 5 weeks of low level LASER therapy over stellate ganglia and sympathetic chain. The control group received placebo treatment sessions of low level LASER therapy. Both groups received a selected physical therapy program for complex regional pain syndrome patients for total six weeks. Visual analogue scale, DASH index, barthel index, volumeter measurement were performed for all patients before and after treatment sessions. Results: The results revealed that, patients of the study group (A) showed greater improvement in shoulder pain compared with placebo stimulation group. Volumeter measurement shows a significant decrease of hand edema in all patients receiving active treatment than the control group regarding to visual analogue scale results revealed that there was no statistical significance between before and after treatment in group (B). ADL function of paralyzed arm using bartel index and DASH index showed more improvement in the study group compared to the control group. Conclusions: Low level LASER therapy reduces pain in shoulder and edema of hand in complex regional pain syndrome patients with stroke