Effects of High - Intensity Laser in Treatment of Patients with Chronic Low Back Pain

Gocevska, Marija; Dimitrova, Erieta Nikolikj; Gjerakaroska-Savevska, Cvetanka

doi:10.3889/oamjms.2019.117

Cited by 12 publications

(24 citation statements)

References 28 publications

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“…These results are supported by the study of Gocevska et al [46], who conducted a study comparing the impact of two physical methods, high-intensity laser therapy and ultrasound treatment, in the therapy of patients having chronic low back pain. Patients experiencing chronic low back pain who were managed with a high-intensity laser had significantly decreased low back pain and disability as well as increased ROM, according to this study.…”

Section: Discussionsupporting

confidence: 52%

Effect of High Power Laser Therapy on Patients with Chronic Discogenic Sciatica: A Randomized Clinical Trial

Abdelmageed

Galal

Elserty

2022

JPRI

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Back Ground: Sciatica is a frequent clinical illness that may be intensely painful, disabling, and life-altering. Objectives: The goal of this research was to see how high-power laser therapy affects the intensity of pain, angle of straight leg raise, six-minute walk test and electrophysiological studies in patients with chronic discogenic sciatica. Methods: A lumbar disc herniation at L5-S1 caused chronic unilateral sciatica in thirty-six male patients were included in this study. The patients have been divided into 2 identical groups [the control group (G1) and the study group (G2)] randomly. Participants in the control group (G1) got a designed physiotherapy program that included ultrasound, stretching exercise, back muscles strengthening exercise and sciatic nerve flossing technique. While patients in the study group (G2) got the same designed physiotherapy program as G1 plus high power laser therapy (HPLT). The outcome measures were latency and amplitude of Hoffmann reflex (H-reflex) for evaluating S1 nerve root function, visual analog scale (VAS) for evaluating pain level, angle of straight leg raise (SLR) and six-minute walk test (6MWT) for assessing functional impairment. Both groups were assessed before and after 4 weeks of therapy. Results: The findings demonstrated that both groups showed a significant reduction in pain level and latency of H-reflex following therapy. The angle of SLR, 6-minute walking distance (6MWD), and the amplitude of the H-reflex all improved significantly in both groups. After therapy, the study group's VAS and H reflex latency were significantly decreased than the control group's (p < 0.01). In addition, the study group's 6MWD, angle of SLR, and H reflex amplitudes were significantly increased than the control group's (p < 0.01) following therapy. Conclusion: High power laser therapy (HPLT) is a successful treatment for patients suffering from chronic discogenic sciatica.

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Section: Discussionsupporting

confidence: 52%

Effect of High Power Laser Therapy on Patients with Chronic Discogenic Sciatica: A Randomized Clinical Trial

Abdelmageed

Galal

Elserty

2022

JPRI

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“…The laser analgesic effect is due to increased secretion of endogenous opioids such as β-endorphins, by which the pain is centrally inhibited [11]. However, the mechanism of analgesia has not been well established but has been attributed to the antiinflammatory and bio-stimulating effects of laser [12,13].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effects of low-level laser and pulsed and continuous ultrasound on pain and physical disability in chronic non-specific low back pain: a randomized controlled clinical trial

Rubira

et al. 2019

Adv Rheumatol

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Objective: To compare the short-term effects of pulsed laser and pulsed and continuous ultrasound on pain and functional disability in women with chronic non-specific low back pain. Methods: The sample was composed of 100 volunteers randomly allocated into four groups: The Pulsed Laser Group (n = 26) was treated with 3 J/cm 2 ; the Pulsed Ultrasound Group (n = 24; 3 MHz) was treated with 1 W/cm 2 ; the Continuous Ultrasound Group (n = 26; 1 MHz) was treated with 1 W/cm 2 ; and a Control Group (n = 24), where the patients were still waiting for treatment. Before and after 10 sessions of treatment, the intensity of pain was assessed using the visual analogue scale (VAS), the quality of pain was evaluated using the McGill pain questionnaire and functional disability was investigated using the Roland-Morris questionnaire. Results: The three treated groups exhibited a decrease in pain (p < 0.001); the Pulsed Laser Group showed the greater relative gain (91.2%), Meanwhile, the Control Group exhibited a worsening of − 5.8%. The three treated groups demonstrated improvement in the quality of pain (McGill) in the total, sensory and affective dimensions (p < 0.005; p < 0.002; p < 0.013, respectively). All treated groups showed a decrease in functional disability (p < 0.001), but the Pulsed Ultrasound Group showed the highest relative gain (83.3%). Conclusions: The three modalities have significant effects to decreasing low back pain and improving functional disability in women with non-specific chronic low back pain, but the pulsed low-level laser had the best results on pain while the pulsed ultrasound had the best results on improve the functional disability.

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“…Thirty-one studies were read in full and eighteen were excluded (thirteen were not HILT, and five did not meet the eligibility criteria for the study population). This resulted in 13 relevant studies included in this systematic review [34][35][36][37][38][39][40][41][42]. Table 2 presents a summary of the characteristics of the included studies and Figure 2 shows the flow of musculoskeletal studies within the search process.…”

Section: Search Resultsmentioning

confidence: 99%

“…Of the musculoskeletal pain studies included, we found nine studies that investigated chronic low back pain [34,[37][38][39][41][42][43][44][45], two trials that focused on chronic neck pain [35,36], one study that examined myofascial pain syndrome of a trapezius muscle [40], and one study that assessed myogenic temporomandibular joint disorder [46]. Table 2 provides a summary of patient characteristics, sample sizes, co-interventions and comparators, outcome measures, and duration of follow-up.…”

Section: Characteristics Of Included Musculoskeletal Pain Studiesmentioning

confidence: 99%

High-Intensity Laser Therapy (HILT) as an Emerging Treatment for Vulvodynia and Chronic Musculoskeletal Pain Disorders: A Systematic Review of Treatment Efficacy

Starzec-Proserpio

Bardin

Fradette

et al. 2022

JCM

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High-intensity laser therapy (HILT) has been gaining popularity in the treatment of chronic musculoskeletal pain, including vulvodynia. The objective of this study was to critically appraise and synthesize the available evidence on the efficacy of HILT for reducing pain and improving function in vulvodynia and other chronic primary musculoskeletal pain conditions. Electronic databases and the grey literature were searched. Effects on pain intensity, function, and adverse events were assessed. One study investigating HILT in the treatment of vulvodynia and 13 studies on the treatment of chronic musculoskeletal pain were selected. The study assessing vulvodynia showed favorable results for reducing pain. Regarding chronic musculoskeletal pain, 12 out of the 13 studies selected consistently showed that HILT was more effective than the placebo/active comparator for reducing pain and improving function. The available effect sizes for pain showed large to huge effects. Similar effects were observed for function except for two studies showing moderate effects. The GRADE score was moderate. Conclusions: There are insufficient data to support the use of HILT in vulvodynia, but the promising results encourage further research. HILT appears to be effective in musculoskeletal pain conditions. More high-quality studies are needed to identify effective laser protocols.

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Effects of High - Intensity Laser in Treatment of Patients with Chronic Low Back Pain

Cited by 12 publications

References 28 publications

Effect of High Power Laser Therapy on Patients with Chronic Discogenic Sciatica: A Randomized Clinical Trial

Effect of High Power Laser Therapy on Patients with Chronic Discogenic Sciatica: A Randomized Clinical Trial

Comparison of the effects of low-level laser and pulsed and continuous ultrasound on pain and physical disability in chronic non-specific low back pain: a randomized controlled clinical trial

High-Intensity Laser Therapy (HILT) as an Emerging Treatment for Vulvodynia and Chronic Musculoskeletal Pain Disorders: A Systematic Review of Treatment Efficacy

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