Comparative study of combination therapy with non-steroidal anti inflammatory drugs and different doses of low level laser therapy in acute low back pain

Panah, Hosein Mozhdehi; Abbasi, Mahnaz; Yazdi, Zohreh; Hayati, Maryam

doi:10.1016/j.jbmt.2021.05.015

Cited by 5 publications

(3 citation statements)

References 35 publications

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“…50 One double-blind RCT ( n = 546) 51 showed low-level laser therapy (wavelength 904 nm; frequency 5000 Hz; and power density of 20 mW/cm 2 ) plus nonsteroidal anti-inflammatory drugs (NSAIDs) was more effective than sham low-level laser therapy plus NSAIDs on pain ( P < .0005, Cohen effect size 0.78) and disability ( P < .0001, Cohen effect size 0.26) in patients with acute LBP (Level of Evidence II). Another double-blind RCT ( n = 65) 52 found that low-level laser therapy plus drug therapy was more effective for improving pain and disability than drug therapy alone in acute LBP patients (Level of Evidence II). We recommend selecting low-level laser therapy for acute LBP (Level of Evidence II, B).…”

Section: Resultsmentioning

confidence: 99%

Physical therapy for acute and sub-acute low back pain: A systematic review and expert consensus

Wang,

Witchalls

et al. 2024

Clin Rehabil

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Objective To review the effectiveness of different physical therapies for acute and sub-acute low back pain supported by evidence, and create clinical recommendations and expert consensus for physiotherapists on clinical prescriptions. Data sources A systematic search was conducted in PubMed and the Cochrane Library for studies published within the previous 15 years. Review methods Systematic review and meta-analysis, randomized controlled trials assessing patients with acute and sub-acute low back pain were included. Two reviewers independently screened relevant studies using the same inclusion criteria. The Physiotherapy Evidence Database and the Assessment of Multiple Systematic Reviews tool were used to grade the quality assessment of randomized controlled trials and systematic reviews, respectively. The final recommendation grades were based on the consensus discussion results of the Delphi of 22 international experts. Results Twenty-one systematic reviews and 21 randomized controlled trials were included. Spinal manipulative therapy and low-level laser therapy are recommended for acute low back pain. Core stability exercise/motor control, spinal manipulative therapy, and massage can be used to treat sub-acute low back pain. Conclusions The consensus statements provided medical staff with appliable recommendations of physical therapy for acute and sub-acute low back pain. This consensus statement will require regular updates after 5–10 years.

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Section: Resultsmentioning

confidence: 99%

Physical therapy for acute and sub-acute low back pain: A systematic review and expert consensus

Wang,

Witchalls

et al. 2024

Clin Rehabil

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“…Os valores de temperatura nos diferentes casos clínicos são mostrados na TABELA 1. Em relação às dores associadas à coluna vertebral, em especial da lombar, estudos também mostram a eficácia do uso do Laser (PANAH et al, 2021;NARDIN et al, 2022) e US (DURMOS et al, 2010;FIORE et al, 2011;EBADI et al, 2012. Panah et al (2021, aplicaram o laser infravermelho (810 nm) com 100 mW de potência com doses de 3 J/cm 2 ou 6 J/cm 2 em 6 pontos na área paravertebral durante 12 sessões (3 vezes por semana durante 4 semanas) e associou com anti-inflamatório não esteróide, resultando em efeito analgésico e redução da incapacidade relacionada à dor em pacientes com dor lombar aguda comparado ao grupo que só recebeu o medicamento.…”

Section: Resultsunclassified

Efeitos sinérgicos do ultrassom e laser na reabilitação física avaliados por imagens termográficas

Marton,

Laurenti,

Bagnato

et al. 2023

Braz. J. Develop.

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O objetivo do atual estudo foi investigar os efeitos sinérgicos do Ultrassom e Laser através de análises termográficas no processo de reabilitação física em diferentes casos clínicos. Foram realizados 4 casos clínicos: (1) capsulite adesiva de ombro esquerdo; (2) lombociatalgia bilateral e tendinite dos isquitibiais; (3) lombalgia crônica direita e esquerda com dor sacro ilíaca e; (4) lombalgia e ciatalgia com dores predominantes do lado esquerdo. Os tratamentos foram realizados com o uso de um equipamento que inclui Ultrassom e Laser em uma mesma manopla. As avaliações termográficas foram realizadas no período pré e pós-tratamento. Foi constatado que o tratamento melhorou o quadro clínico agudo e crônico, evidenciado pela simetria das temperaturas cutâneas entre os lados direito e esquerdo do corpo.

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“…LLLT has been applied to the treatment of chronic or acute pain, with accumulating evidence of safety and efficacy. As a result, some reports have shown that LLLT can relieve rheumatoid arthritis pain, morning stiffness, and chronic and acute back pain with few side effects [ 16 – 18 ]. However, the efficacy of LLLT varies from disease to disease.…”

Section: Discussionmentioning

confidence: 99%

Feasibility study of a LED light irradiation device for the treatment of chronic neck with shoulder muscle pain/stiffness

Odagiri

Yamauchi²,

Toda³

et al. 2022

PLoS ONE

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Neck with shoulder muscle stiffness/pain is a common disorder. Commonly used physical therapy, pharmacotherapy, acupuncture, and moxibustion only temporarily alleviate the disorder in most cases, thus the disorder often recurs. Low power laser therapy is often used for neck and shoulder stiffness/pain and has been effective in clinical trials. In this study, we evaluated the safety and effectiveness of a newly developed self-care device for disorders including neck with shoulder muscle stiffness/pain. The device incorporates light-emitting diodes (LEDs), which are safer than lasers, as its light source. Ten adults with neck with shoulder muscle stiffness/pain were subject to LED irradiation (wavelength 780 nm ± 15 nm, output 750 mW, power density 3.8 W/cm2, energy density 5.7×102 J/cm2) for 3 minutes on the affected shoulder at a standard acupuncture point (GB21, Jianjing). Immediately after irradiation, the subjective symptoms of the neck with shoulder muscle stiffness and pain evaluated by a visual analog scale were improved from 58.3 mm ± 18.7 mm to 45.5 mm ± 21.5 mm and from 45.8 mm ± 23.3 mm to 39.4 mm ± 21.8 mm, respectively. The symptoms further improved after 15 minutes of irradiation. The skin temperature at the irradiated point increased from 34.3°C ± 1.1°C to 41.0°C ± 0.7°C. The increase in skin temperature was observed within approximately 5 cm of the irradiated area. There was no effect on the heart rate variability, a measure of the autonomic nervous system; however, the baroreflex sensitivity was slightly increased. No irradiation-related adverse skin events were observed. Our LED irradiation device was found to be safe, and it improved the subjective symptoms of muscle stiff neck with shoulders.

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Comparative study of combination therapy with non-steroidal anti inflammatory drugs and different doses of low level laser therapy in acute low back pain

Cited by 5 publications

References 35 publications

Physical therapy for acute and sub-acute low back pain: A systematic review and expert consensus

Physical therapy for acute and sub-acute low back pain: A systematic review and expert consensus

Efeitos sinérgicos do ultrassom e laser na reabilitação física avaliados por imagens termográficas

Feasibility study of a LED light irradiation device for the treatment of chronic neck with shoulder muscle pain/stiffness

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