Low-level laser therapy effect on vertebral artery blood flow in elderly with cervical disc degeneration. A randomized controlled trial-Reference-Cited by-同舟云学术

Low-level laser therapy effect on vertebral artery blood flow in elderly with cervical disc degeneration. A randomized controlled trial

Published:2024-06-20 Issue:2 Volume:24 Page:197-202
ISSN:
Container-title:Fizjoterapia Polska
language:
Short-container-title:Fiz Pol

Author:

Abo-zaid Shymaa Yussuf¹,Bleedy Nermeen²,Ahmed Abdelrazak A.³,Asal Mahmoud S.,Abbas Amany M⁴,Abuzaid Ibrahim Ismail⁵

Affiliation:

1. Department of Physical Therapy For Cardiovascular/Respiratory and Geriatrics, Faculty of Physical Therapy, South Valley University, Qena, Egypt

2. Physical Therapy Department, College of Allied Health Sciences, Jerash University, Jerash, Jordan

3. Department of Physical Therapy For Neuromuscular Disorders and Its Surgery, Faculty of Physical Therapy, South Valley University, Qena, Egypt / College of Applied Medical Sciences, Jerash University, Jerash, Jordan

4. Department of Physical Therapy For Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, South Valley University, Qena, Egypt / College of Applied Medical Sciences, Jerash University, Jerash, Jordan

5. Department of Physical Therapy For Cardiovascular/Respiratory and Geriatrics, Faculty of Physical Therapy, South Valley University, Qena, Egypt / College of Applied Medical Sciences, Jerash University, Jerash, Jordan

Abstract

Aims of the study. This study aimed to studying the effect of Low level laser therapy (LLLT) on vertebral artery blood flow in elderly with cervical disc degeneration. The effect of degenerative changes in the cervical spine on the vertebral arteries and on the supply of blood to the brain stem and the inner ear is now well known. In 20–30% of cases, ischemia of the posterior cranial fossa caused by vertebrobasilar insufficiency leads to death. Materials and methods. Research involved sixty patients of both gender, whose ages between 60 and 75 years, how are suffering from cervical disc degeneration. Subjects were randomly assigned to two equal groups. Group (A), Study Group, received low level laser therapy (LLLT) with a wavelength of 830 nm and power of 200 mW on vertebral artery bilaterally and routine physical therapy exercises. Group (B), the control group, received only routine physical therapy exercises. Both groups received three sessions per week for 12 weeks. Blood flow in both vertebral arteries was measured by assessing Resistivity Index using ultrasound Doppler, pre and post treatment for both groups. Results. There was no significant difference between groups pretreatment (p > 0.05). There was a significant decrease in resistivity index of right and left vertebral arteries of group A compared with that of group B post treatment (p < 0.01). There was a significant decrease in resistivity index of right and left vertebral arteries of group A and B post treatment compared with pre treatment (p < 0.001). The percent of change of resistivity index of right and left vertebral arteries in group A was 8.7 and 6.12% respectively and that in group B was 2.63 and 1.45% respectively. Conclusion. When LLLT was applied using the study's settings, older patients with cervical disc degeneration experienced bilateral improvements in blood flow through the vertebral arteries.

Publisher

DJ Studio Dariusz Jasinski

Reference19 articles.

1. Nodar RH. Tinnitus reclassified: new oil in an old lamp. Otolaryngol. Head Neck. Surg. 1996;114:582–585.

2. McHwain JC. Glutamic acid in the treatment of tinnitus. J Laryngol Otol. 1987;101:552–554.

3. Miyagami M. Vertigo and dizziness caused by circulatory disturbances of the vertical artery. Otolaryngology (Tokyo). 1975;47:891–899.

4. Mapstone T, Spetzler RF. Vertebrobasilar insufficiency secondary to vertebral artery occlusion from a fibrous band. Case report. J Neurosurg. 1982;56:581–583.

5. Machała W, Gaszyński W, Olszewski J, Zalewski P. The effect of degenerative cervical spine lesions and blood flow velocity in vertebrobasilar arterial system in Doppler measurement. Neur Neurochir Pol. 1995;29:17–23.