Laser Therapy What Is Laser Therapy?What Is Laser Therapy? What Is Laser Therapy? Laser sources are...

High Intensity Laser Therapy

Sharing Experience

DEMC Specialist HospitalBy: Riza Sharom Abdul Razak

Physiotherapy & Rehabilitation

Laser TherapyLaser TherapyLaser TherapyLaser Therapy What Is Laser What Is Laser What Is Laser What Is Laser

Therapy?Therapy?Therapy?Therapy?

What Is Laser What Is Laser What Is Laser What Is Laser


What Is Laser What Is Laser What Is Laser What Is Laser


Laser sources are classified according to

their wavelength and maximum output

power:

Classes from I. up to III.R - mainly in

industrial applications



power:

Class III.B – conventional LLLT (up to

500mW)



power:

Class IV.

� High Intensity Laser Therapy

� Laser surgery

IV. Class laser can be surgical or therapeutic

Effects of the laser depend on the

concentration of the energy – in area

and in time


Surgical Laser Beam – energy

collimated into a fine beam causes tissue

destruction

Laser SurgeryLaser SurgeryLaser SurgeryLaser Surgery

Surgical Laser Beam

• No Open Wounds

• Less Complication

• Less Surgical Scars

• Reduce the Need Of Usage Mechanical

Ventilations


Therapeutic Laser Beam- dispersal of

same energy causes strong tissue

stimulation

Theraputic Laser Theraputic Laser Theraputic Laser Theraputic Laser Theraputic Laser Theraputic Laser Theraputic Laser Theraputic Laser

Analgesia

Via Melzack gate control mechanism

Theraputic Laser Theraputic Laser Theraputic Laser Theraputic Laser

Analgesia


Biostimulation

Acceleration of healing

Theraputic Laser Theraputic Laser Theraputic Laser Theraputic Laser

Analgesia


Biostimulation

Acceleration of healing

Anti-inflamatory, anti-aedematous effect

Additional effects

Biological systems naturally react to light energy

Technology progress allows to maximize this

therapeutic influence on human tissue

1) Low Level Laser Therapy

(Cold Laser Class III.B)

Biological systems naturally react to light energy

Technology progress allows to maximize this

therapeutic influence on human tissue

1) Low Level Laser Therapy

(Cold Laser Class III.B)

2) High Intensity Laser Therapy

– Power 7 - 12W

– Wavelengths 810 - 1064nm

– IV. Class laser

COLD LASERCOLD LASERCOLD LASERCOLD LASER

&&&&

HIGH INTENSITY HIGH INTENSITY HIGH INTENSITY HIGH INTENSITY

LASERLASERLASERLASER

Parameters of the source:

Power

Wavelength

� Therapeutic window

Other light specs

Parameters of the tissue:

Pigmentation

Fat, liquid, blood content

�� COLD LASER THERAPY

�� COLD LASER THERAPY

PHYSIOTHERAPY

Department

PHYSIOTHERAPY

Department

BTL – 6000

PHYSIOTHERAPYPHYSIOTHERAPYPHYSIOTHERAPYPHYSIOTHERAPY

DepartmentDepartmentDepartmentDepartment

12 WATT HIGH LASER THERAPYStandard accesories

Ergonomic handpieceStandard 30mm spacerMagnetic holderNavi-light

Footswitch control

Safety eyewear – 2 pcs

CASE STUDYCASE STUDYCASE STUDYCASE STUDY

1111


Name : Madam Y

Age : 59 year

Diagnosis:

Left Knee Chondral Injury with

Effusion.


Patient c/o: She was unable to fully flex her left

knee initially and complained of pain at medial

aspect of the knee especially during cross and side

sitting.

History of Fall during running 3/12.

Went to see Doctor due to increase pain.

Case StudyCase StudyCase StudyCase Study

Left Knee Chondral Injury with Effusion


Left Knee Chondral Injury with Effusion


PALPATION

Significant effusion detected at medial side of Left

Knee.

Tenderness with pressure.


Treatment Mode: Analgesic

Preset Mode : Knee Arthrosis

Power: 10 W

Dosage: 15 J

Area : 50cm/Square

Case Study Case Study Case Study Case Study

Patient was reviewed back after 2/7

Patient c/o pain and effusion were significantly

reduced and she was able to flex the knee in almost

full range of motion.

Thru examination, swelling and tenderness has

reduced.

Laser TherapyLaser TherapyLaser TherapyLaser Therapy

Therapeutic Therapeutic Therapeutic Therapeutic

UltrasoundUltrasoundUltrasoundUltrasound



Therapeutic Ultrasound: Osteoarthritis Symptom-Modification and Potential for Disease Modification (2013)



Loss of Energy Due To Reflection & Refraction



Dangers of Cavitation &


2222


Mr. Z

Age: 38 yrs.

Diagnosis: Right Carpal Tunnel Syndrome

Patient c/o Pins & Needles at Lateral side of

hands past 1 year.


Carpal Tunnel Syndrome


Case StudyCase StudyCase StudyCase Study Case StudyCase StudyCase StudyCase Study

He has undergone several Physiotherapy

sessions at DEMC and was treated with Wax

Bath and Ultrasound.

Patient received 2 sessions of laser therapy

for when HILT was available..


Treatment Program: Carpal Tunnel Syndrome

Dosage : Increased to 100 from 50.


Follow Up 3/7

Pain & Needles at his hands has reduced for

about 50%.

Able to perform functional hand movements

without difficulty.


3333


Mr. R

Age: 37yrs

Diagnosis: Swelling at PIP Joint of Right Little

Finger

Amateur motorbike racer


History:

Hx. of Bike Crash during Amateur Road Racing

Training at Sepang International Circuit.

Right hand trapped at Right Handlebar with

violent shock at the tarmac.




Swelling at Proximal IP of Rt Little Finger.

Unable to flex fully + Pain.

Pain and swelling aggravated by flexion. Did

not seek any medical treatments for 2 weeks.


On 3rd weeks pain and tenderness still persist

but swelling has subsides.

Patient seek medical treatments due to have a

training sessions in 1/52.


Initial Treatment: Analgesic

Pt C/o Significant Reduction In Pain & Increase

ROM

Treatment repeated later on the same day.

Patient c/o pain has reduce a lot for the next

day. No further treatment needed.

ConclusionConclusionConclusionConclusion

Deep Heat Treatment is Beneficial to Treat Joint and

Muscle Pain with Even Intensity/Dosage

However, sensitive skins sometimes cannot tolerate

the heat produce by Laser Therapy

SummarySummarySummarySummary

High Intensity Laser Therapy is an

effective tools of treatment.

Recovery rate can be accelerated and

add on value could be introduced in

Treatment Programs.

Laser Therapy What Is Laser Therapy?What Is Laser Therapy? What Is Laser Therapy? Laser sources are...

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