Low-Level Laser Therapy: Potential and Complications

Arjmand, Babak; Khodadost, Mahmood; Sherafat, Somayeh Jahani; Tavirani, Mostafa Rezaei; Ahmadi, Nayeb Ali; Hamzeloo-Moghadam, Maryam; Okhovatian, Farshad; Tavirani, Sina Rezaei; Rostami‐Nejad, Mohammad

doi:10.34172/jlms.2021.42

Cited by 20 publications

(11 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although the exact mechanisms of LLLT are unknown, it is hypothesized to increase angiogenesis and bone formation while decreasing inflammation, as tested in animal studies[ 31 , 32 ]. LLLT could accelerate fracture healing and thus improve patient outcomes by enhancing callus formation, but there is limited evidence for its use in patients with bone fractures[ 33 ]. Further research into the mechanisms of LLLT and the appropriate parameters for therapeutic use and minimal side effects need to be studied before clinical application.…”

Section: Pain Managementmentioning

confidence: 99%

Managements of osteoporotic vertebral compression fractures: A narrative review

Patel¹,

Liu²,

Ebraheim³

2022

WJO

View full text Add to dashboard Cite

Osteoporotic vertebral compression fractures (OVCFs) are the most common fragility fracture and significantly influence the quality of life in the elderly. Currently, the literature lacks a comprehensive narrative review of the management of OVCFs. The purpose of this study is to review background information, diagnosis, and surgical and non-surgical management of the OVCFs. A comprehensive search of PubMed and Google Scholar for articles in the English language between 1980 and 2021 was performed. Combinations of the following terms were used: compression fractures, vertebral compression fractures, osteoporosis, osteoporotic compression fractures, vertebroplasty, kyphoplasty, bisphosphonates, calcitonin, and osteoporosis treatments. Additional articles were also included by examining the reference list of articles found in the search. OVCFs, especially those that occur over long periods, can be asymptomatic. Symptoms of acute OVCFs include pain localized to the mid-line spine, a loss in height, and decreased mobility. The primary treatment regimens are pain control, medication management, vertebral augmentation, and anterior or posterior decompression and reconstructions. Pain control can be achieved with acetaminophen or nonsteroidal anti-inflammatory drugs for mild pain or opioids and/or calcitonin for moderate to severe pain. Bisphosphonates and denosumab are the first-line treatments for osteoporosis. Vertebroplasty and kyphoplasty are reserved for patients who have not found symptomatic relief through conservative methods and are effective in achieving pain relief. Vertebroplasty is less technical and cheaper than kyphoplasty but could have more complications. Calcium and vitamin D supplementation can have a protective and therapeutic effect. Management of OVCFs must be combined with multiple approaches. Appropriate exercises and activity modification are important in fracture prevention. Medication with different mechanisms of action is a critical long-term causal treatment strategy. The minimally invasive surgical interventions such as vertebroplasty and kyphoplasty are reserved for patients not responsive to conservative therapy and are recognized as efficient stopgap treatment methods. Posterior decompression and fixation or Anterior decompression and reconstruction may be required if neurological deficits are present. The detailed pathogenesis and related targeted treatment options still need to be developed for better clinical outcomes.

show abstract

Section: Pain Managementmentioning

confidence: 99%

Managements of osteoporotic vertebral compression fractures: A narrative review

Patel¹,

Liu²,

Ebraheim³

2022

WJO

View full text Add to dashboard Cite

show abstract

“…Interestingly, a low wavelength leads to the highest photon absorption. 27 Low-intensity lasers are a kind of laser device which affects the cellular mechanisms in a non-thermal and non-invasive manner. 28 LLLT must include some criteria such as: wavelength range (300-10 600 nm), 0.001-0.1 W power output, and 0.01-10 W/cm 2 intensity.…”

Section: Immunology Of Rheumatoid Arthritismentioning

confidence: 99%

Low-Level Laser Therapy for Rheumatoid Arthritis: A Review of Experimental Approaches

2022

View full text Add to dashboard Cite

Introduction: Rheumatoid arthritis (RA) is an inflammatory and autoimmune disorder that is characterized by joint inflammation, pain, physical disability, and morning stiffness. In the present study, the effect of low-level laser therapy (LLLT) on RA was reviewed. Methods: "Low-level laser therapy", "rheumatoid arthritis disease", and "photobiomodulation" keywords were searched in Google Scholar, PubMed, and Medline. Results: A literature survey led to a discussion about the immunology of the RA, laser therapy, mechanism of LLLT action, and anti-inflammatory and immunomodulatory properties of LLLT. Conclusion: It was concluded that LLLT could improve RA patients’ quality of life, reduce pain, and enhance physical movement.

show abstract

“…A fototerapia laser é utilizada como uma ferramenta terapêutica para alívio da dor, caracterizando-se por possuir propriedades de biomodulação decorrentes do efeito fotoquímico, o qual consiste na ação da luz sobre os processos moleculares e bioquímicos normalmente existentes nos tecidos. Um exemplo deste efeito fotoquímico é a aceleração da fase anti-inflamatória que ocorre nos processos de reparos teciduais (Arjmand, 2021). Esta terapia tem sido utilizada para tratar dores musculoesqueléticas (Borba, 2021), incluindo fibromialgia e dor miofascial e esse efeito pode se dar pela inibição da síntese de prostaglandinas E2 (PGE2).…”

Section: Introductionunclassified

Efeito da fototerapia laser na percepção álgica, no medo do movimento e na qualidade de vida de sujeitos com dor miofascial associada à fibromialgia

Rodrigues

Silva

Bonjardim

et al. 2022

RSD

View full text Add to dashboard Cite

O estudo avaliou a eficácia da fototerapia laser no ponto gatilho miofascial do músculo trapézio em pacientes fibromiálgicos. 25 indivíduos foram diagnosticados com dor miofascial e fibromialgia e divididos em grupos: Laser (n=8), Laser + medicamento (n=10) e Medicamento (n=7) e tratados durante 5 semanas. As variáveis mensuradas foram: 1) Intensidade da dor pela Escala Visual Analógica (EVA); 2) Limiar de dor à pressão (LDP) por meio de algômetro de pressão; 3) Estado geral da dor por meio do Questionário de Rolland-Morris (QIRM); 4) Medo de movimentar pela Escala de Tampa para Cinesiofobia (ETC) e 5) Avaliação do impacto da Fibromialgia na qualidade de vida (QIF). Os dados obtidos foram analisados por meio da análise de variância (ANOVA) de duas vias para medidas repetidas, seguida pelo pós-teste de Tukey, quando apropriado. Para os casos em que a interação entre os fatores (Tratamento e Tempo) foi significativa, foi conduzida ANOVA para medidas repetidas de uma via para cada grupo de tratamento. Todos os testes foram bi-caudais e foi considerado p<0,05. Verificou-se diminuição da intensidade da dor e aumento do LDP no músculo trapézio superior na 5ª e 10ª sessões em relação ao basal para os grupos em que a fototerapia foi utilizada. Não houve interação significativa entre os escores das variáveis QIRM, ETC e QIF entre os grupos. A escala QIF, rigidez e ansiedade, mostraram diferença significativa entre os grupos. A fototerapia laser promoveu uma diminuição da intensidade da dor local e um aumento do LDP do músculo trapézio.

show abstract

Low-Level Laser Therapy: Potential and Complications

Cited by 20 publications

References 31 publications

Managements of osteoporotic vertebral compression fractures: A narrative review

Managements of osteoporotic vertebral compression fractures: A narrative review

Low-Level Laser Therapy for Rheumatoid Arthritis: A Review of Experimental Approaches

Efeito da fototerapia laser na percepção álgica, no medo do movimento e na qualidade de vida de sujeitos com dor miofascial associada à fibromialgia

Contact Info

Product

Resources

About