Long-term effect of high-intensity laser therapy for persistent shoulder pain: A case report

2020 ◽  
Vol 33 (6) ◽  
pp. 947-951
Author(s):  
Javier Aceituno-Gómez ◽  
Venancio Miguel García-Madero ◽  
Juan José Criado-Álvarez ◽  
Jaime González-González ◽  
Julio Gómez-Soriano ◽  
...  
Keyword(s):  
Case Report ◽  
Laser Therapy ◽  
Shoulder Pain ◽  
High Intensity ◽  
Rating Scale ◽  
Term Effect ◽  
Long Term Effect ◽  
High Intensity Laser ◽  
Intensity Laser

BACKGROUND AND OBJECTIVE: This case report describes the long-term effect of the high-intensity laser therapy (HILT) in a patient with chronic shoulder pain refractory in comparison to other treatments. CASE DESCRIPTION: Ten sessions of HILT were applied in a thirty-one-year-old woman diagnosed with subacromial syndrome. Assessment was carried out through different tests: Shoulder Pain and Disability Index (SPADI), Numeric Pain Rating Scale (NPRS) and pressure pain threshold (PPT). All measurements were taken at four different points: at the end of the 10 sessions, after one month, three months after the intervention and nine months after the initial intervention. RESULTS: There was a clinically significant improvement in NPRS (decrease of 5 points), PPT (increase of 1.5 kg/cm2) and SPADI (decrease of 24 points) one month after the intervention. After three months, the increase of NPRS and SPADI required a 5-session intervention to support the clinical improvement. Six months after these booster sessions an increase in PPT and a decrease in NPRS and SPADI were observed. CONCLUSION: Results indicate the suitability of developing new research lines which will optimize the use of HILT.

scholarly journals Photobiomodulation for Complex Regional Pain Syndrome: A Case Report and Literature Summary

2021 ◽  
Vol 6 (4) ◽  
pp. 1-1
Author(s):  
Megan Sweeney ◽  
◽  
Harold Kraft ◽  
Keyword(s):  
Case Report ◽  
Complex Regional Pain Syndrome ◽  
Laser Therapy ◽  
High Intensity ◽  
Pain Syndrome ◽  
Therapeutic Options ◽  
Range Of Movement ◽  
Pain Condition ◽  
High Intensity Laser ◽  
Intensity Laser

Complex Regional Pain Syndrome (CRPS) is a highly debilitating chronic pain condition characterized by continuous regional pain disproportionate to duration and intensity of the initial damaging stimulus. In CRPS, abnormal perception, transmission, and modulation of pain by nerve cells and the autonomic nervous system induces extreme increases in perceived pain that may be accompanied by swelling, temperature sensitivity, color fluctuations, and/or skin changes. CRPS most commonly affects the extremities but may spread to other limbs or bodily locations. Since there is currently no cure for the underlying processes that play a role in causing this debilitating condition, therapeutic options seek to mitigate some of the symptoms of CRPS to improve quality of life. A recent systematic review found low-quality evidence of efficacy for all currently available CRPS treatments as well as a lack of consensus about first-line treatments. The pathophysiological complexity of CRPS, in addition to the lack of non-invasive, efficacious therapies for this extremely burdensome pain condition, highlights the vital need to explore novel therapeutic options in both research and clinical practice. Photobiomodulation through the repeated application of high-intensity laser therapy in a clinical setting has been shown to modulate nociception, minimize inflammation, and reduce different types of chronic and acute pain. The present case report describes a clinical protocol using laser therapy for CRPS, presents longitudinal pain scores, and summarizes mechanisms of action supporting the subsequent reduction of CRPS symptoms. After a series of laser treatments, the patient showed marked improvement in range of movement, hypersensitivity, pain, and function. Photobiomodulation through high-intensity laser therapy may represent a promising therapy for individuals affected by CRPS, although further randomized, controlled trials are recommended to evaluate efficacy on different disease-affected areas, assess dose-response relationships, and refine optimal treatment frequency.

Long-term effect of high-intensity laser therapy in the treatment of patients with chronic low back pain: a randomized blinded placebo-controlled trial

2013 ◽  
Vol 29 (3) ◽  
pp. 1065-1073 ◽  
Author(s):  
Mohamed Salaheldien Mohamed Alayat ◽  
Azza Mohamed Atya ◽  
Mohamed Mohamed Ebrahim Ali ◽  
Tamer Mohamed Shosha
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Controlled Trial ◽  
Term Effect ◽  
Low Back ◽  
Long Term Effect ◽  
High Intensity Laser ◽  
Intensity Laser

Long term effects of high intensity laser therapy in lateral epicondylitis patients

2015 ◽  
Vol 31 (2) ◽  
pp. 249-253 ◽  
Author(s):  
Ekrem Akkurt ◽  
Sami Kucuksen ◽  
Halim Yılmaz ◽  
Selman Parlak ◽  
Ali Sallı ◽  
...  
Keyword(s):  
Laser Therapy ◽  
High Intensity ◽  
Lateral Epicondylitis ◽  
Long Term Effects ◽  
High Intensity Laser ◽  
Intensity Laser

Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial

2019 ◽  
Vol 33 (5) ◽  
pp. 894-903 ◽  
Author(s):  
Javier Aceituno-Gómez ◽  
Juan Avendaño-Coy ◽  
Julio Gómez-Soriano ◽  
Venancio Miguel García-Madero ◽  
Gerardo Ávila-Martín ◽  
...  
Keyword(s):  
Laser Therapy ◽  
Shoulder Pain ◽  
High Intensity ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Control Group ◽  
Subacromial Impingement ◽  
High Intensity Laser ◽  
Intensity Laser ◽  
Experimental Group

Objectives: To evaluate the effectiveness of high-intensity laser therapy on shoulder pain and function in subacromial impingement syndrome. Design: Clinical controlled trial with alternate allocation. Setting: Hospital Department of Rehabilitation. Subjects: A total of 46 participants with subacromial impingement syndrome. Intervention: Participants were sequence allocated to an intervention group (high-intensity laser therapy + exercise therapy) and control group (sham-laser + exercise therapy) and received 15 sessions (five days a week during three weeks). Main measures: Patiens were evaluated at baseline, after 15 sessions, and at one month and at three months after completing the intervention. The main outcome variables were pain and functionality as measured by visual analogue scale; pressure pain threshold; Shoulder Pain and Disability Index; Constant-Murley Score; and QuickDASH. Secondary outcomes were number of sessions at discharge and drug use. Results: A total of 21 patients in high-intensity laser therapy group (56.7 ± 8.9 years) and 22 patients in sham-laser group (61.3 ± 8.9 years) concluded the study. Visual analogue scale (cm) at baseline, one-month, and three-months were 6.2 ± 0.5, 3 ± 2.6, and 2.6 ± 2.4 for the control group and 5.4 ± 1.5, 3.6 ± 1.3, and 1.8 ± 1.7 for experimental group, respectively. Shoulder Pain and Disability Index (points) at baseline, one-month, and three-monts were 51.8 ± 16.1, 16.3 ± 16.1, and 13.6 ± 17.1 in the control group and 41.8 ± 20.6, 20.5 ± 19.7, 11 ± 14.5 in experimental group, respectively. No differences were found between groups ( P > 0.05). Conclusion: The effect of high-intensity laser therapy plus exercise is not higher than exercise alone to reduce pain and improve functionality in patients with subacromial syndrome.

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