EFFECTIVENESS OF HIGH INTENSITY LASER THERAPY ON PAIN AND INCISIONAL WOUND HEALING OF CESAREAN SECTION: A CASE REPORT
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Keywords
Abdomen, Pregnancy, Surgical wound.
Abstract
Caesarean section (C-section) is a surgical procedure done in complex pregnancies that can save a mother's life and the lives of her child by operating through a laceration in the mother's abdomen and uterus. The first 48 hours following surgery are generally characterized mild to severe pain from C- section that may lead to difficulty of performing activity of daily living and early interaction between mother and infants. The pain and incisional wound healing can be treated by LASER therapy and other physiotherapy management also, the purpose of this case report is to evaluate the effectiveness of class IV LASER therapy in the treatment of incisional wounds of post C-section. A 34 years old female who underwent her first cesarean section was recruited after assessing diabetes, sepsis, hemorrhage and dermatological complications within 12 hours of surgery and was irradiated with Class IV LASER (Lite Cure, Gallium-Aluminum-Arsenide) therapy with a power of 10 W and energy of 10 Joules/cm2 for 2.5 minutes. The treatment was given for 3 consecutive days. Pain and incisional wound healing were assessed with visual analog scale (VAS) and Redness, Oedema, Ecchymosis, Discharge, Approximation (REEDA) scale respectively at baseline and after 3 days of intervention. The baseline VAS and REEDA scale scores improved from 7.8 to 1.6 and 12 to 02 post-intervention respectively. The result showed significant improvements in pain and incisional wound healing after 3 sessions. Therefore, class IV LASER therapy is a safe and non-invasive therapeutic intervention to manage pain and improve incisional wound healing amongst post C-Section female.
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Md Ashraf Hussain
BPT, (MPT), Department of Cardiopulmonary Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy & Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana, India, (ORCID: 0000-0002-0236-7493)
Nurnahara Begum Barbhuiya
BPT, (MPT), Department of Paediatrics Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy & Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana, India, (ORCID: 0000-0002-4777-5765)
Yasmin Rahman
BPT, (MPT), Department of Neurological Physiotherapy, Sharda University), Greater Noida, Uttar Pradesh India, (0009-0000-0527-2038)