A Preliminary Clinical Study Comparing the Effect of Low Level Laser Therapy (Lllt) and Corticosteroid Therapy in the Treatment of Facial Palsy

Yamada, Hiromichi; Yamanaka, Yumiko; Orihara, Hiromi; Ogawa, Hideoki

doi:10.5978/islsm.95-or-19

Cited by 13 publications

(32 citation statements)

References 6 publications

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“…The final sample consisted of nine randomized placebo- or active-controlled [40, 43–50] and four quasi-randomized [51–54] trials published between 1994 and 2014 with a total sample size of 440 patients.…”

Section: Resultsmentioning

confidence: 99%

“…Noninvasive SGB was performed using therapeutic US, TENS, and light irradiation in two [43, 44], four [40, 45, 47, 48], and seven [46, 49–54] trials, respectively. The applied parameters of modalities used for SGB and treatment protocols are summarized in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…With regard to treated conditions, patients with neuropathic pain disorders, namely CRPS type I [40, 43, 44, 46, 53], glossodynia [52], and postherpetic neuralgia [49], were treated in seven trials; patients with atypical facial palsy [50, 51, 54] were treated in three trials; patients with conditions related to sympathetic cardiovascular changes following a coronary artery bypass graft surgery [47] or a hysterectomy [48] were treated in two trials; and patients with posttraumatic hypothermia-related vasoconstriction were treated in one trial by applying TENS on the area near the stellate ganglion [45]. …”

Section: Resultsmentioning

confidence: 99%

“…The immediate analgesic and sympatholytic effects of noninvasive SGB and the short-term follow-up of clinical outcomes within 1 month after the end of the treatment protocol were reported in five trials conducting one SGB session [40, 45, 46, 48, 49] and seven trials performing 6–22 SGB sessions using various protocols within an overall treatment period of 1–12 weeks [43, 44, 47, 50, 52–54]. The medium-term follow-up of clinical outcomes 3 months after the end of the treatment protocol was reported in three trials [50, 51, 54].…”

Section: Resultsmentioning

confidence: 99%

“…The medium-term follow-up of clinical outcomes 3 months after the end of the treatment protocol was reported in three trials [50, 51, 54]. None of the included trials reported long-term outcomes.…”

Section: Resultsmentioning

confidence: 99%

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Efficacy of Noninvasive Stellate Ganglion Blockade Performed Using Physical Agent Modalities in Patients with Sympathetic Hyperactivity-Associated Disorders: A Systematic Review and Meta-Analysis

et al. 2016

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BackgroundStellate ganglion blockade (SGB) is mainly used to relieve symptoms of neuropathic pain in conditions such as complex regional pain syndrome and has several potential complications. Noninvasive SGB performed using physical agent modalities (PAMs), such as light irradiation and electrical stimulation, can be clinically used as an alternative to conventional invasive SGB. However, its application protocols vary and its clinical efficacy remains controversial. This study investigated the use of noninvasive SGB for managing neuropathic pain or other disorders associated with sympathetic hyperactivity.Materials and MethodsWe performed a comprehensive search of the following online databases: Medline, PubMed, Excerpta Medica Database, Cochrane Library Database, Ovid MEDLINE, Europe PubMed Central, EBSCOhost Research Databases, CINAHL, ProQuest Research Library, Physiotherapy Evidence Database, WorldWideScience, BIOSIS, and Google Scholar. We identified and included quasi-randomized or randomized controlled trials reporting the efficacy of SGB performed using therapeutic ultrasound, transcutaneous electrical nerve stimulation, light irradiation using low-level laser therapy, or xenon light or linearly polarized near-infrared light irradiation near or over the stellate ganglion region in treating complex regional pain syndrome or disorders requiring sympatholytic management. The included articles were subjected to a meta-analysis and risk of bias assessment.ResultsNine randomized and four quasi-randomized controlled trials were included. Eleven trials had good methodological quality with a Physiotherapy Evidence Database (PEDro) score of ≥6, whereas the remaining two trials had a PEDro score of <6. The meta-analysis results revealed that the efficacy of noninvasive SGB on 100-mm visual analog pain score is higher than that of a placebo or active control (weighted mean difference, −21.59 mm; 95% CI, −34.25, −8.94; p = 0.0008).ConclusionsNoninvasive SGB performed using PAMs effectively relieves pain of various etiologies, making it a valuable addition to the contemporary pain management armamentarium. However, this evidence is limited by the potential risk of bias.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Efficacy of Noninvasive Stellate Ganglion Blockade Performed Using Physical Agent Modalities in Patients with Sympathetic Hyperactivity-Associated Disorders: A Systematic Review and Meta-Analysis

et al. 2016

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Chiropractic management of Bell palsy with low level laser and manipulation: a case report

Rubis¹

2013

Journal of Chiropractic Medicine

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Treatment of facial nerve palsies with laser and endermotherapy: a report of two cases

Panhóca¹,

Nogueira²,

Bagnato³

2020

Laser Phys. Lett.

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Facial nerve palsy involves paralysis of unknown origin caused by trauma, infectious disease or metabolic disorders. The aim of this study was to employ low-level laser therapy (LLLT) in the recovery of two patients with facial nerve palsies due to trauma and Bell’s palsy (BP), respectively. LLLT was used with a gallium aluminum arsenide laser (780 nm) in the first case and in the second case LLLT (660 nm and 808 nm) was used synergistically with a vacuum therapy device. No medication was administered during laser treatment and vacuum therapy. The treatments resulted in complete recovery and normal facial expression in both patients including improved facial movement and facial symmetry at rest. With this result in mind, we believe LLLT and combined vacuum therapy may be an alternative treatment to decrease the recovery time of facial expression in normal patients with facial nerve palsies and BP.

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A Preliminary Clinical Study Comparing the Effect of Low Level Laser Therapy (Lllt) and Corticosteroid Therapy in the Treatment of Facial Palsy

Cited by 13 publications

References 6 publications

Efficacy of Noninvasive Stellate Ganglion Blockade Performed Using Physical Agent Modalities in Patients with Sympathetic Hyperactivity-Associated Disorders: A Systematic Review and Meta-Analysis

Efficacy of Noninvasive Stellate Ganglion Blockade Performed Using Physical Agent Modalities in Patients with Sympathetic Hyperactivity-Associated Disorders: A Systematic Review and Meta-Analysis

Chiropractic management of Bell palsy with low level laser and manipulation: a case report

Treatment of facial nerve palsies with laser and endermotherapy: a report of two cases

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