Effect of low-level laser therapy plus exercise therapy on pain, range of motion, muscle strength, and function in knee osteoarthritis – a systematic review and meta-analysis

Malik, Shikha; Sharma, Shalini; Dutta, Neha; Khurana, Dimple; Sharma, Raj Kumar; Sharma, Saurabh

doi:10.1080/08990220.2022.2157387

Cited by 4 publications

(9 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, a meta‐analysis of different studies on LLLT for the treatment of chronic neck pain found no significant difference in adverse effects between LLLT and placebo or other active treatments and the adverse effects reported were generally mild and self‐limiting 25 . In a randomised controlled trial on TENS for chronic low back pain, there were no significant adverse effects reported 14 .…”

Section: Discussionmentioning

confidence: 99%

“…LLLT and TENS have been extensively studied for their therapeutic effects on various medical conditions 23–25 . As of 2021, a vast number of studies have been conducted to explore the efficacy of LLLT and TENS, with many focusing on musculoskeletal disorders, such as chronic low back pain and osteoarthritis 23–25 .…”

Section: Discussionmentioning

confidence: 99%

“…LLLT and TENS have been extensively studied for their therapeutic effects on various medical conditions. [23][24][25] As of 2021, a vast number of studies have been conducted to explore the efficacy of LLLT and TENS, with many focusing on musculoskeletal disorders, such as chronic low back pain and osteoarthritis. [23][24][25] A systematic review and meta-analysis published in 2019 found that LLLT was effective in reducing pain and improving function in patients with chronic low back pain.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

RETRACTED: Comparative effectiveness of low‐level laser therapy and transcutaneous electrical nerve stimulation in symptomatic Temporomandibular Disorders: A Randomised Control Trial

Batra

Srivastava

Shivakumar

et al. 2023

J of Oral Rehabilitation

View full text Add to dashboard Cite

BackgroundMyofascial pain is one of the most common facial region pains, presenting itself with various signs and symptoms like tenderness of masticatory muscles and difficulty in mouth opening. Considering its multifactorial aetiology various treatment modalities are present.ObjectiveThe aim of this study is to compare the effectiveness of transcutaneous electrical nerve stimulation (TENS)and low‐level laser therapy (LLLT) for the patients of temporomandibular disorders (TMDS).MethodsThe study was conducted with 20 patients diagnosed with TMDS. Group A received LLLT at 660 nm, 6 J/point, two sessions/week for 4 weeks and group B received TENS at 2–250 Hz, two sessions/week for 4 weeks.ResultsPain Score decreased and mouth opening increased in both groups with time, however, the difference between the two groups was not statistically significant. Right and left lateral excursions showed improvement at different intervals in both groups. However, the LLLT group showed significant improvement.ConclusionClinical trial showed improvement in visual analogue scale (VAS), maximum mouth opening (MMO) and lateral excursion in the different time intervals in both the groups with LLLT showed more improvement with lateral excursions movements.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

RETRACTED: Comparative effectiveness of low‐level laser therapy and transcutaneous electrical nerve stimulation in symptomatic Temporomandibular Disorders: A Randomised Control Trial

Batra

Srivastava

Shivakumar

et al. 2023

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…In Tascioglu’s study ( Tascioglu et al, 2004 ), treating KOA patients five times per week with ten treatments in total using an 830 nm Gal-Al-As diode laser device did not significantly improve the clinical assessments including Visual Analogue Scale (VAS) pain, WOMAC pain, stiffness and physical function subscales, suggesting that PBMT with this chosen laser type and dose regimen had no effects on pain in KOA patients. Some other studies also showed that the combination of PBMT did not optimize the positive therapeutic effects of single exercise therapy for KOA ( Vassão et al, 2020a ; Vassão et al, 2020b ; Malik et al, 2023 ). In a systematic review by Huang et al (2015) , they analyzed nine RCTs and found no evidence to support the effectiveness of PBMT in improving patients’ WOMAC pain, stiffness, and functional scores.…”

Section: Light Parameters and Effectiveness Of Pbmt In Treating Koa P...mentioning

confidence: 96%

“…They elucidate that PBMT reduces KOA pain and disability at 4–8 J with 785–860 nm wavelength and at 1–3 J with 904 nm wavelength per treatment spot. In Malik’s recent study, PBMT reduces pain at 4–8 J with a wavelength of 640–905 nm per point applied twice a week for a total of 10–16 sessions ( Malik et al, 2023 ). All of these researches provide reference for the dosage of applied PBMT.…”

Section: Light Parameters and Effectiveness Of Pbmt In Treating Koa P...mentioning

confidence: 99%

Current advances of photobiomodulation therapy in treating knee osteoarthritis

Zhang,

2023

Front. Cell Dev. Biol.

View full text Add to dashboard Cite

Knee osteoarthritis (KOA) is manifested by low-grade joint inflammation, irreversible cartilage degeneration, subchondral bone remodeling and osteophyte formation. It is one of the most prevalent degenerative diseases in the elderly. KOA usually results in chronic joint pain, physical impairment even disability bringing a huge socioeconomic burden. Unfortunately, there is so far no effective interventions to delay the progression and development of KOA. There is a pressing need for explorations and developments of new effective interventions. Photobiomodulation therapy (PBMT), also known as low-level light therapy (LLLT), has attracted widespread attention in treating KOA because it is drug-free, non-invasive, safe and useful with rarely reported side effects. It provides the biological stimulatory effects primarily by enhancing the activity of mitochondrial cytochrome c oxidase. This stimulation, in turn, fosters cell proliferation and tissue regeneration. In addition to this, the paper provides a concise overview of the light parameters and the effectiveness of PBMT when applied in the treatment of KOA patients in clinical settings. It also delves into the experimental evidence supporting the modulatory effects of PBMT and its potential underlying mechanisms in addressing synovitis, cartilage degeneration, and pain resolution.

show abstract

Photobiomodulation therapy for chronic knee pain in obese patients in pre-rehabilitation for bariatric surgery: randomised, placebo-controlled, double-blinded, clinical trial protocol

Amorim,

Belchior,

Silva Rodarte

et al. 2024

BMJ Open

View full text Add to dashboard Cite

IntroductionObesity has become a worldwide public health problem and is directly linked to loss of quality of life, complications and comorbidities. One of them is chronic pain, especially in the knees, which increases significantly and proportionally with weight gain. In patients with severe obesity, with indication for bariatric surgery, the presence of chronic pain disables and often prevents their participation in a pre-surgical rehabilitation programme. As an analgesic therapy, photobiomodulation (PBM) has been studied with safety, efficacy, well-tolerated used and low costs. Thus, this study aims to evaluate the use of PBM for the treatment of chronic knee pain in obese patients undergoing a pre-surgical rehabilitation programme for bariatric surgery.Methods and analysesThis is a double-blinded, randomised, placebo-controlled clinical, superiority, trial protocol. The PBM will be applied in bilateral knees and lumbar paraspinal points levels referring to the roots of innervation of the knee. The outcomes evaluated will be pain intensity, functionality, quality of life and clinical signs of neurological sensitization of chronic knee pain pathways.Ethics and disseminationThis protocol has already been approved by the Comitê de Ética em Pesquisa do Hospital das Clínicas da Universidade Federal de Goiás/EBSERH—Ethics Committee and it is following SPIRIT guidelines. The results will be statistically analysed and subsequently published in peer-reviewed journals.Trial registration numberClinical Trials Platform (https://clinicaltrials.gov/) with the numberNCT05816798.

show abstract

Effect of low-level laser therapy plus exercise therapy on pain, range of motion, muscle strength, and function in knee osteoarthritis – a systematic review and meta-analysis

Cited by 4 publications

References 47 publications

RETRACTED: Comparative effectiveness of low‐level laser therapy and transcutaneous electrical nerve stimulation in symptomatic Temporomandibular Disorders: A Randomised Control Trial

RETRACTED: Comparative effectiveness of low‐level laser therapy and transcutaneous electrical nerve stimulation in symptomatic Temporomandibular Disorders: A Randomised Control Trial

Current advances of photobiomodulation therapy in treating knee osteoarthritis

Photobiomodulation therapy for chronic knee pain in obese patients in pre-rehabilitation for bariatric surgery: randomised, placebo-controlled, double-blinded, clinical trial protocol

Contact Info

Product

Resources

About