Adjuvant laser acupuncture in the treatment of whiplash injuries: a prospective, randomized placebo-controlled trial

Aigner, N; Fialka, Christian; Radda, C; Vécsei, V.

doi:10.1007/s00508-006-0530-4

Cited by 27 publications

(16 citation statements)

References 23 publications

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“…These findings are of direct relevance to the clinical application of LLLT showing its effectiveness in painful conditions such as neck or back pain. Clinically, LI is applied transcutaneously to multiple points, such as tender points, 78 trigger points, 79 or acupuncture points, 80 in the region of injury or pathology. The neural network of nociceptor fibers within the epidermis would be most affected by the transmitted photons, as photon density is maximal in the epidermis and decreases exponentially.…”

Section: Discussionmentioning

confidence: 99%

Inhibitory Effects of Laser Irradiation on Peripheral Mammalian Nerves and Relevance to Analgesic Effects: A Systematic Review

Chow

Armati

Laakso

et al. 2011

Photomedicine and Laser Surgery

239

113

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Section: Discussionmentioning

confidence: 99%

Inhibitory Effects of Laser Irradiation on Peripheral Mammalian Nerves and Relevance to Analgesic Effects: A Systematic Review

Chow

Armati

Laakso

et al. 2011

Photomedicine and Laser Surgery

239

113

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show abstract

“…41 Therefore, only six acupuncture studies for acute neck pain/whiplash were reviewed. Harmful adverse events were rarely reported, and four studies testing electroauricular acupuncture, 42 laser acupuncture, 43 and distant acupuncture 44,45 reported a significant effect compared to SA, while in the other studies, the results of laser, 46 dry needling, 44 and auricular acupuncture 47 were reported to be negative. After weighing the benefits and risks, a rating between B and C was suggested.…”

Section: Acupuncture For Selected Neurologic Disorders: An Overview Omentioning

confidence: 99%

The Status and Future of Acupuncture Clinical Research

Park

Linde

Manheimer

et al. 2008

The Journal of Alternative and Complementary Medicine

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On November 8-9, 2007, the Society for Acupuncture Research (SAR) hosted an international conference to mark the tenth anniversary of the landmark National Institutes of Health Consensus Development Conference on Acupuncture. More than 300 acupuncture researchers, practitioners, students, funding agency personnel, and health policy analysts from 20 countries attended the SAR meeting held at the University of Maryland School of Medicine, Baltimore, MD. This paper summarizes important invited lectures in the area of clinical research. Specifically, included are: a review of the recently conducted German trials and observational studies on low-back pain (LBP), gonarthrosis, migraine, and tension-type headache (the Acupuncture Research Trials and the German Acupuncture Trials, plus observational studies); a systematic review of acupuncture treatment for knee osteoarthritis (OA); and an overview of acupuncture trials in neurologic conditions, LBP, women's health, psychiatric disorders, and functional bowel disorders. A summary of the use of acupuncture in cancer care is also provided. Researchers involved in the German trials concluded that acupuncture is effective for treating chronic pain, but the correct selection of acupuncture points seems to play a limited role; no conclusions could be drawn about the placebo aspect of acupuncture, due to the design of the studies. Overall, when compared to sham, acupuncture did not show a benefit in treating knee OA or LBP, but acupuncture was better than a wait-list control and standard of care, respectively. In women's health, acupuncture has been found to be beneficial for patients with premenstrual syndrome, dysmenorrhea, several pregnancy-related conditions, and nausea in females who have cancers. Evidence on moxibustion for breech presentation, induction of labor, and reduction of menopausal symptoms is still inconclusive. In mental health, evidence for acupuncture's efficacy in treating neurologic and functional bowel disorder is still inconclusive. For chronic cancer-related problems such as pain, acupuncture may work well in stand-alone clinics; however, for acute or treatment-related symptoms, integration of acupuncture care into a busy and complex clinical environment is unlikely, unless compelling evidence of a considerable patient benefit can be established.

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“…Studies performed by Carvalho et al, 21 Gur et al (lower back), 22 and Heussler et al 23 were excluded because they had no placebo group. Studies by de Bie et al, 24 Ekim et al, 25 Rogvi-Hansen et al, 26 Aigner et al, 27 Yurtkuran et al, 28 and Shen et al 16 were excluded because there was no description of irradiation on the joint area or irradiation was performed only on the acupuncture points. Two studies from Konstantinovic et al 29,30 were excluded because the primary cause of pain in the subjects was radiculopathy.…”

Section: Excluded Studiesmentioning

confidence: 99%

Meta-Analysis of Pain Relief Effects by Laser Irradiation on Joint Areas

Jang

Lee

2012

Photomedicine and Laser Surgery

104

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Background: Laser therapy has been proposed as a physical therapy for musculoskeletal disorders and has attained popularity because no side effects have been reported after treatment. However, its true effectiveness is still controversial because several clinical trials have reported the ineffectiveness of lasers in treating pain. Methods: In this systematic review, we investigate the clinical effectiveness of low-level laser therapy (LLLT) on joint pain. Clinical trials on joint pain satisfying the following conditions are included: the laser is irradiated on the joint area, the PEDro scale score is at least 5, and the effectiveness of the trial is measured using a visual analogue scale (VAS). To estimate the overall effectiveness of all included clinical trials, a mean weighted difference in change of pain on VAS was used. Results: MEDLINE is the main source of the literature search. After the literature search, 22 trials related to joint pain were selected. The average methodological quality score of the 22 trials consisting of 1014 patients was 7.96 on the PEDro scale; 11 trials reported positive effects and 11 trials reported negative effects. The mean weighted difference in change of pain on VAS was 13.96 mm (95% CI, 7.24-20.69) in favor of the active LLLT groups. When we only considered the clinical trials in which the energy dose was within the dose range suggested in the review by Bjordal et al. in 2003 and in World Association for Laser Therapy (WALT) dose recommendation, the mean effect sizes were 19.88 and 21.05 mm in favor of the true LLLT groups, respectively. Conclusions: The review shows that laser therapy on the joint reduces pain in patients. Moreover, when we restrict the energy doses of the laser therapy into the dose window suggested in the previous study, we can expect more reliable pain relief treatments.

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Adjuvant laser acupuncture in the treatment of whiplash injuries: a prospective, randomized placebo-controlled trial

Abstract: Adjuvant laser acupuncture with a 5 mW HeNe laser and an irradiation time of 15 s appears to be ineffective in the management of whiplash injuries.

Cited by 27 publications

References 23 publications

Inhibitory Effects of Laser Irradiation on Peripheral Mammalian Nerves and Relevance to Analgesic Effects: A Systematic Review

Inhibitory Effects of Laser Irradiation on Peripheral Mammalian Nerves and Relevance to Analgesic Effects: A Systematic Review

The Status and Future of Acupuncture Clinical Research

Meta-Analysis of Pain Relief Effects by Laser Irradiation on Joint Areas

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