Comparison of Therapeutic Ultrasound and Low Level Laser Therapy Over Pain and Scar Health in Post Episiotomy

Background: Episiotomy is a surgical procedure made in the perineum of the gravida in the late second stage of labour in order to facilitate delivery of the fetus.various study had done on episiotomy to relieve pain but there is a lack of study on scar health in episiotomy.

Objective: To find out the effectiveness of therapeutic ultrasound and low level laser therapy over pain and scar health in post episiotomy.

Method: Quasi-Experimental study 10 subjects with age group of 25 to 30 years into two groups (GROUP A & GROUP B). GROUP A (5 subjects) treated with therapeutic ultrasound. GROUP B (5 subjects) treated with low level laser therapy. Outcome measures for pain and scar healing was evaluated using Numerical Pain Rating Scale(NPRS) and Patient and Observer Scar Assessment Scale (POSAS).

Results: There is no statistically significant difference in the post test mean values of Numerical Pain Rating Scale(NPRS) between GROUP-A and GROUP-B with the significant value of 0.216 (p>0.05). There is a significant difference in the posttest mean values of Patient and Observer Scar Assessment Scale(POSAS) between GROUP-A and GROUP-B with the significant value of 0.042 (p<0.05).

Conclusion: This study concludes that low level laser therapy promotes the scar health better than the Therapeutic Ultrasound in episiotomy.