scholarly journals Effectiveness of Low-Level Laser Therapy Combined With an Exercise Program to Reduce Pain and Increase Function in Adults With Shoulder Pain: A Critically Appraised Topic

2013 ◽  
Vol 22 (1) ◽  
pp. 72-78 ◽  
Author(s):  
Aimee L. Thornton ◽  
Cailee W. McCarty ◽  
Mollie-Jean Burgess
Keyword(s):  
Laser Therapy ◽  
Shoulder Pain ◽  
Exercise Program ◽  
Low Level Laser Therapy ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Low Level ◽  
Low Level Laser ◽  
Shoulder Range Of Motion ◽  
Level Laser

Clinical Scenario:Shoulder pain is a common musculoskeletal condition that affects up to 25% of the general population. Shoulder pain can be caused by any number of underlying conditions including subacromial impingement syndrome, rotator-cuff tendinitis, and biceps tendinitis. Regardless of the specific pathology, pain is generally the number 1 symptom associated with shoulder injuries and can severely affect daily activities and quality of life of patients with these conditions. Two of the primary goals in the treatment of these conditions are reducing pain and increasing shoulder range of motion (ROM).3 Conservative treatment has traditionally included a therapeutic exercise program targeted at increasing ROM, strengthening the muscles around the joint, proprioceptive training, or some combination of those activities. In addition, these exercise programs have been supplemented with other interventions including nonsteroidal anti-inflammatory drugs, corticosteroid injections, manual therapy, activity modification, and a wide array of therapeutic modalities (eg, cryotherapy, EMS, ultrasound). Recently, low-level laser therapy (LLLT) has been used as an additional modality in the conservative management of patients with shoulder pain. However, the true effectiveness of LLLT in decreasing pain and increasing function in patients with shoulder pain is unclear.Focused Clinical Question:Is low-level laser therapy combined with an exercise program more effective than an exercise program alone in the treatment of adults with shoulder pain?

The Effects of Low-Level Laser Therapy on Pain Associated With Tendinopathy: A Critically Appraised Topic

2016 ◽  
Vol 25 (1) ◽  
pp. 83-90 ◽  
Author(s):  
Andrew T. Doyle ◽  
Christine Lauber ◽  
Kendra Sabine
Keyword(s):  
Electrical Stimulation ◽  
Laser Therapy ◽  
Low Level Laser Therapy ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Bottom Line ◽  
Low Level ◽  
Moist Heat ◽  
Low Level Laser ◽  
Level Laser

Clinical Scenario:Tendinopathies plague many active individuals, causing pain and reducing sport activity by decreasing range of motion and strength. There are many modalities that have been used to treat pain associated with chronic inflammation, such as ultrasound, moist heat packs, and electrical stimulation. Low-level laser therapy (LLLT) is one such modality. Potential benefits of managing pain associated with tendinopathies have been investigated using LLLT. Cellular respiration and metabolism are thought to be increased by LLLT acting on the mitochondrial cytochromes. The effects LLLT may have on cellular activity could increase blood flow to progress the healing process by reducing the pain-spasm cycle. The purpose of this critically appraised topic is to identify the clinical effectiveness of LLLT on pain associated with tendinopathy and to identify the parameters used to achieve statistically and clinically relevant pain outcomes.Focused Clinical Question:What is the effect of LLLT on pain associated with tendinopathy?Clinical Bottom Line:Although LLLT significantly decreases pain from baseline, its use may be no better than placebo or traditional treatments such as ultrasound, moist heat packs, electrical stimulation, or therapeutic exercise to reduce pain associated with tendinopathy. Total accumulated joules across the treatment sessions may need to be taken into account as a parameter.

Effectiveness of an aquatic exercise program and low-level laser therapy on articular cartilage in an experimental model of osteoarthritis in rats

2016 ◽  
Vol 57 (5) ◽  
pp. 398-407 ◽  
Author(s):  
Luiz Paulo Milares ◽  
Lívia Assis ◽  
Amanda Siqueira ◽  
Vitoria Claudino ◽  
Heloisa Domingos ◽  
...  
Keyword(s):  
Articular Cartilage ◽  
Laser Therapy ◽  
Experimental Model ◽  
Exercise Program ◽  
Aquatic Exercise ◽  
Low Level Laser Therapy ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser

scholarly journals Low-Level Laser Therapy for Fibromyalgia: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 3 (22;3) ◽  
pp. 241-254
Author(s):  
Yi-Chun Kuan
Keyword(s):  
Systematic Review ◽  
Laser Therapy ◽  
Meta Analysis ◽  
Exercise Program ◽  
Low Level Laser Therapy ◽  
Tender Points ◽  
Low Level ◽  
Low Level Laser ◽  
Led Phototherapy ◽  
Level Laser

Background: Fibromyalgia is a chronic disorder characterized by widespread pain and tenderness. Low-level laser therapy (LLLT), an emerging nonpharmacological treatment, has been used for relieving musculoskeletal or neuropathic pain. Objective: The objective of this review and meta-analysis was to determine the efficacy of LLLT on patients with fibromyalgia. Study Design: This study involved systematic review and quantitative meta-analysis of published randomized controlled trials (RCTs). Setting: This study examined all RCTs evaluating the effect of LLLT on fibromyalgia. Methods: We performed a systematic review and meta-analysis of RCTs evaluating the effect of LLLT on patients with fibromyalgia. PubMed, EMBASE, and the Cochrane Library were searched for articles published before August 2018. RCTs meeting our selection criteria were included. The methodological quality of the RCTs was evaluated according to the Cochrane risk-for-bias method. Review Manager version 5.3 was used to perform the meta-analysis. The primary outcomes were the total scores on the Fibromyalgia Impact Questionnaire (FIQ), pain severity, and number of tender points. The secondary outcomes were changes in fatigue, stiffness, anxiety, and depression. Standardized mean difference (SMD), 95% confidence intervals (CI), and P values were calculated for outcome analysis. Results: We identified 9 RCTs that included 325 fibromyalgia patients undergoing LLLT or placebo laser treatment with or without an exercise program. The meta-analysis showed that patients receiving LLLT demonstrated significantly greater improvement in their FIQ scores (SMD: 1.16; 95% CI, 0.64-1.69), pain severity (SMD: 1.18; 95% CI, 0.82-1.54), number of tender points (SMD: 1.01; 95% CI, 0.49-1.52), fatigue (SMD: 1.4; 95% CI, 0.96-1.84), stiffness (SMD: 0.92; 95% CI, 0.36-1.48), depression (SMD: 1.46; 95% CI, 0.93-2.00), and anxiety (SMD: 1.46; 95% CI, 0.45-2.47) than those receiving placebo laser. Furthermore, when compared with the standardized exercise program alone, LLLT plus the standardized exercise program provided no extra advantage in the relief of symptoms. On the other hand, the results of the only RCT using combined LLLT/LED phototherapy showed significant improvement in most outcomes except for depression when compared to placebo. When compared with pure exercise therapy, combined LLLT/LED phototherapy plus exercise therapy had additional benefits in reducing the severity of pain, number of tender points, and fatigue. Limitations: There were some limitations in this review, mostly because of the low-to-middle methodological quality of the selected studies; for example, there was no clear allocation process and only patients were blinded in most studies. In addition, one study used per-protocol analysis with a 20% loss to follow-up. On the other hand, the differences in laser types, energy sources, exposure times, and associated medication status in these studies may have resulted in some heterogeneity. Conclusions: Our results provided the most up-to-date and relevant evidence regarding the effects of LLLT in fibromyalgia. LLLT is an effective, safe, and well-tolerated treatment for fibromyalgia. Key words: Low-level laser therapy, fibromyalgia, meta-analysis, FIQ, pain, tender points, exercise

scholarly journals To Study the Efficacy of Low Level Laser Therapy as Compared to Patellofemoral Mobilization along with Knee Strengthening Exercises (Conventional treatment) in Patients with Bilateral Patellofemoral Knee Osteoarthritis- A Randomised Split- Body Design.

2021 ◽  
Vol 5 (10) ◽  
Author(s):  
Hanisha Goyal
Keyword(s):  
Knee Osteoarthritis ◽  
Laser Therapy ◽  
Conventional Treatment ◽  
Exercise Program ◽  
Low Level Laser Therapy ◽  
Control Group ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser ◽  
Experimental Group

Purpose: The main purpose of the study was to find out the effects of Low Level Laser Therapy in patients presenting with diagnosis of bilateral patellofemoral knee osteoarthritis. The objective of our research is: To improve functional outcome. Methodology: A split-body-experimental design was done by random sampling for 4 weeks. A minimum of 20 subjects (i.e., 40 knees) were assigned for the study and low level laser therapy was applied to the right 20 knee (experimental group) and left 20 knee (control group) received conventional treatment in bilateral osteoarthritis, therefore number of knees tested were 20 for low level laser therapy and other 20 will receive conventional treatment Result: Statistically significant improvement was indicated in respect to all parameters taken in WOMAC scale such as pain, stiffness and physical function. There was also significant decrease in swelling by both conventional and additional low level laser therapy. Improvements in all parameters of the experimental group were more statistically significant when compared to parameters of control group (p <0.05). Conclusion: This study suggests that there is significant improvement with additional Low Level Laser therapy as well as with conventional treatment in patients with patellofemoral knee osteoarthritis but there is more significant improvement in experimental group in which Low level laser therapy was given along with exercise program. There is decrease in pain, swelling and stiffness. Hence, addition of Low Level laser therapy in patella-femoral knee osteoarthritis is more effective than conventional treatment. Keywords: Patellofemoral osteoarthritis, Low Level laser therapy, knee joint, isometric strengthening.

Assessment of healing of dental implant surgical site following Low-Level Laser Therapy using Bio-Clinical parameters: An Exploratory Study

2020 ◽  
Author(s):  
VARSHA PALLED ◽  
DR. JITENDRA RAO ◽  
DR. RAGHUWAR DAYAL SINGH ◽  
DR. SHUCHI TRIPATHI ◽  
DR. KALPANA SINGH ◽  
...  
Keyword(s):  
Laser Therapy ◽  
Test Group ◽  
Low Level Laser Therapy ◽  
Control Group ◽  
Clinical Parameters ◽  
Implant Stability ◽  
Low Level ◽  
Implant Stability Quotient ◽  
Low Level Laser ◽  
Level Laser

The purpose of this study was to evaluate whether Low-Level Laser Therapy (LLLT) improves the healing of the implant surgical site with clinical and biochemical parameters.Thirty patients with an edentulous space spanning a single tooth were selected. The patients were randomly allocated to two groups - the control group and the test group. The test group received laser energy at a power of 2J/cm 2 with a total of 4-6J energy over each implant. Clinical parameters (Implant Stability Quotient, probing index, modified sulcus bleeding index)and osteoprotegerin (OPG) were assessed at baseline and follow-up intervals (2 weeks, 6 weeks, and 3 months).The test group showed significantly higher implant stability quotient compared to thecontrol group at 2 weeks(57.93±3.95 and 35.67±3.08; p&lt;0.01) and 3months(58.86±3.75 and 67.06±3.78; p&lt;0.01). A significant rise in OPG levels of the test group(686.30±125.36pg/ml at baseline and 784.25±108.30pg/ml at 3months;p&lt;0.01) was seen contrary to significant decline in the control group (839.50±249.08pg/ml at baseline,415.30±78.39pg/ml at 3months;p&lt;0.01). Within the limitations of the study, the study suggests that the healing of peri-implant hard and soft tissues may be enhanced with the use of LLLT as an explicit modality during the post-operative period.

Low-level laser therapy for neurosensory recovery after sagittal ramus osteotomy

2020 ◽  
Vol 69 (3) ◽  
Author(s):  
Paulo Esteves Pinto Faria ◽  
Astrid Temprano ◽  
Fábio Piva ◽  
Eduardo Sant'ana ◽  
Dênis Pimenta
Keyword(s):  
Laser Therapy ◽  
Low Level Laser Therapy ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser
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