Evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera

Kocić, Miodrag; Lazović, Milica; Dimitrijevic, Irena; Mancic, Dragan; Stanković, Anita

doi:10.2298/vsp1009755k

Cited by 12 publications

(10 citation statements)

References 12 publications

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“…PBMT has analgesic, anti‐edematous and anti‐inflammatory activities, and regenerative properties [21]. The use of complementary therapies such as PBMT in the treatment of CRPS aims to reduce costs and adverse effects during treatment; however, there is a dearth of studies addressing electrophysical agents and CRPS‐I [22]. Notwithstanding this, those few studies published in the literature do not share a consensus on the methodology.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, patients suffering from this disease experience high medical and social costs related to loss of productivity and associated disability [10]. Although PBMT is a commonly used method to reduce pain, edema, and improve nerve regeneration [16,22,23]. Treatment protocol for CRPS, comparing different wavelengths, has not yet been performed, which justify the relevance of this study and analyze the effects of 660 and 830 nm wavelengths.…”

Section: Introductionmentioning

confidence: 99%

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Photobiomodulation Decreases Hyperalgesia in Complex Regional Pain Syndrome: An Experimental Mouse Model Subjected to Nicotine

et al. 2020

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Background and Objectives: Complex regional pain syndrome (CRPS) is defined as an extreme and chronic pain condition, and photobiomodulation has relevance as a complementary treatment for CRPS. The objective of this study was to verify the effects of photobiomodulation (PBMT) therapy protocols at two wavelengths 660 and 830 nm, associated or not to nicotine in complex regional pain syndrome type I (CRPS-I). Study Design/Materials and Methods: Sixty-four Swiss mice were divided into the following groups: (i) Naive, (ii) Sham, (iii) Control, (iv) 660 nm, (v) 830 nm, (vii) Nicotine, (vii) Nicotine/660 nm, and (viii) Nicotine/830 nm. CRPS-I was induced in an experimental ischemia/reperfusion model by affixing an elastic ring, proximal to the ankle joint of the right hind mouse paw, for 3 hours. Nicotine, in the respective groups was administered for 28 days prior to the induction of CRPS-I. PBMT was applied immediately after the procedure and for 20 consecutive days. The animals were evaluated for mechanical hyperalgesia, thermal hyperalgesia, paw edema at baseline and for 7, 14, and 21 days. Statistical analyses comprised a mixed-effects model, using the Tukey post hoc test (P < 0.05). Results: The PBMT wavelengths in 660 and 830 nm groups had beneficial effects (P < 0.05) in reducing mechanical and thermal hyperalgesia, but the effects at 660 nm were significantly better than 830 nm. At reducing edema, both wavelengths had significant effects statistically, absolutely no difference between them. Conclusions: The use of PBMT (660 and 830 nm) was effective in reducing mechanical hyperalgesia and thermal hyperalgesia; however, PBMT at 660 nm generated significant results. In reducing edema, both wavelengths had similar effects, which were significant statistically. The deleterious effects of nicotine were evident statistically and were softened when treated with PBMT (P < 0.05). Lasers Surg. Med.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Photobiomodulation Decreases Hyperalgesia in Complex Regional Pain Syndrome: An Experimental Mouse Model Subjected to Nicotine

et al. 2020

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“…Sobre a utilização da termografia na chamada medicina da dor, há relato de sua utilidade em várias situações como: síndrome da dor complexa regional, neuralgia pós-herpética, lesão cervical, atrite inflamatória, disfunção tempero-mandibular, cefaleia e síndrome de dor miofascial. 4 Nessa revisão, foram encontradas situações semelhantes como: síndrome da dor complexa regional, 13 síndrome da dor miofascial em dois estudos, 14,17 e outras situações como: dor muscular tardia,9 distensão lombar aguda, 10 lombalgia crônica, 11 artrite reumatoide, 12 osteoartrite de joelho, 15,19 Fenômeno de Raynaud's, 16 epicondilite lateral, 18 tendinites e epicondilites. 20 Sobre os recursos utilizados nos artigos analisados, estes foram variados.…”

Section: Discussionunclassified

“…O recurso terapêutico mais usado pelos estudos foi o laser. Em 5 estudos, 13,[15][16][17]20 esta modalidade foi usada. Talvez a escolha pelo laser se deu devido ao fato de ser este um recurso que pode exercer ação positiva sobre os fibroblastos, proliferação de osteoblastos, síntese de colágenos, regeneração óssea 15 além do efeito analgésicos e revascularizador, ou seja, o laser pode causar efeitos biomodulador, bioquímicos, bioelétricos e bionergéticos 21 e tem sido estudado em várias situações nas quais a reabilitação é necessária, como por exemplo, dor e tempo de fadiga em músculos espásticos em pacientes com AVC.…”

Section: Discussionunclassified

Uso da termografia como método de avaliação na medicina física e de reabilitação

Alfieri

Santos

Battistella³

2018

Acta Fisi.

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Por indicar a temperatura corporal, a avaliação termográfica pode servir como indicativo de alteração fisiológica em algumas condições clínicas nas quais a reabilitação se faz necessária. Objetivo: Conhecer a quantidade de publicações sobre o uso da termografia como instrumento de avaliação de desfecho de pesquisa clínica em estudos de reabilitação. Método: Foi feita uma busca na base de dados PubMed. Como descritor foi utilizado somente o MeSH term Thermography e escolhidos os artigos que reportavam pesquisa clínica. Resultados: De 6957 artigos encontrados, 316 eram Clinical trials, destes, 304 foram excluídos por não atenderem os critérios de inclusão, permanecendo assim 12 estudos. Estes foram classificados segundo a escala de JADAD. Apenas três estudos foram considerados com boa qualidade metodológica. Nos estudos incluídos, as condições clínicas avaliadas foram: dor muscular tardia, lombalgia, artrite reumatoide, síndrome da dor complexa regional, dor miofascial, osteoartrite, Fenômeno de Raynaud's, e tendinites. Diversos recursos terapêuticos foram utilizados, sendo o laser usado em 5 estudos. Apenas um estudo não conseguiu identificar mudanças após os procedimentos de reabilitação quando usada a termografia como avaliação. Conclusão: Essa revisão mostrou que poucos estudos e com baixa qualidade metodológica usaram a termografia como método de avaliação em programas de reabilitação.

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“…58 Despite their common presence, clinical trials investigated treatment options(benzodiazepines, botulinum toxin or baclofen) are all non comparative, so their effectiveness is yet to be established. 59,60 Regarding physical modalities in treatment of CRPS, there are limited evidences of superior effect of low level laser therapy to interferential currents in decreasing temperature in extremity 61 , pain, swelling and disability compared with electrotherapy (TENS and stabile galvanization) 62 Electromagnetic field therapy has been shown ineffective for CRPS in the high quality RCT. 63 Interestingly, there are no studies on transcutaneous electrical nerve stimulation(TENS) although it is an physical modality widely used for pain control, compering effects of physical and occupational therapy for CRPS, it is shown that both have positive effect on pain reduction and improved function, with some of the studies showing a slightly better effect and cost effectiveness for physical therapy 64,65 .…”

Section: Physical Therapymentioning

confidence: 99%

How to treat complex regional pain syndrome in rehabilitation settings?

Nedeljković

2013

ACTA CHIR IUG

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Complex regional pain syndrome is chronic neuropatic pain condition which usually arise after trauma. It is associated with some of the sensory, vasomotor, sudomotor, motor and trophic symptoms and sings. Due to variability of symptoms and long-lasting pain, these patients are hard to rehabilitate. They exhibit activity related fear and so have pronounced functional limitations. Adequate rehabilitation procedures, frequently long lasting, are essential for their optimal recovery, so rehabilitation specialist should constantly update their knowledge on this issue. Emerging researches on pathophysiology, diagnosis and treatment of CRPS created a need for systematization of current body of evidence. Available researches on efficacy of different treatment options are still insufficient to create precise therapy guidelines, so future researches are needed in order to promote better rehabilitation outcomes.

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Evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera

Abstract: By the use of the infrared thermovision we showed that in the treatment of CRPS I both physical medicine methods were effective, but the effectiveness of laser therapy was statistically significantly higher compared to that of the interferential current therapy.

Cited by 12 publications

References 12 publications

Photobiomodulation Decreases Hyperalgesia in Complex Regional Pain Syndrome: An Experimental Mouse Model Subjected to Nicotine

Photobiomodulation Decreases Hyperalgesia in Complex Regional Pain Syndrome: An Experimental Mouse Model Subjected to Nicotine

Uso da termografia como método de avaliação na medicina física e de reabilitação

How to treat complex regional pain syndrome in rehabilitation settings?

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