Comparison of the effects of low level laser and insoles on pain, functioning, and muscle strength in subjects with stage 2 posterior tibial tendon dysfunction: A randomized study

2021 ◽  
pp. 1-10
Author(s):  
Cansu Koltak ◽  
Yasin Yurt
Keyword(s):  
Muscle Strength ◽  
Low Level Laser Therapy ◽  
Posterior Tibial Tendon ◽  
Foot Pain ◽  
Posterior Tibial Tendon Dysfunction ◽  
Low Level ◽  
Posterior Tibial ◽  
Low Level Laser ◽  
Level Laser

BACKGROUND: Low level laser therapy (LLLT) is known to be effective in tendinopathies. No study yet investigated the effect of LLLT on posterior tibial tendon dysfunction (PTTD) in comparison to orthotic treatment. OBJECTIVE: The aim was to compare the effects of LLLT and insole application on pain, function and muscle strength in subjects with stage 2 PTTD. METHODS: Fifty-two subjects with stage 2 PTTD were randomly assigned to the LLLT and insole groups. The foot pain, function and strength of invertor and evertor muscles of the subjects was evaluated before and after treatment, and after 9 months. RESULTS: Significant improvement was observed in the foot function and pain (p< 0.05) in both groups after treatment, but in the 9-month follow-up, the insole group had better values. The increase in 180∘.sec-1 concentric invertor muscle strength was found significant after the treatment and in month-9 as compared to the initial values (p< 0.05). CONCLUSIONS: Both treatments are effective in reducing treating foot pain, as well as improving the function in subjects with stage 2 PTTD. However, at the end of the 9-month follow-up, it was seen that insoles were more effective. Neither method had a clinically important effect on muscle strength.

Follow-up of pressure ulcer treatment with photodynamic therapy, low level laser therapy and cellulose membrane

2021 ◽  
Vol 30 (4) ◽  
pp. 304-310
Author(s):  
Luciano Pereira Rosa ◽  
Francine Cristina da Silva ◽  
Suzete Carvalho Landulfo Luz ◽  
Regiane Lima Vieira ◽  
Beatriz Rocha Tanajura ◽  
...  
Keyword(s):  
Photodynamic Therapy ◽  
Laser Therapy ◽  
Pressure Ulcer ◽  
Low Level Laser Therapy ◽  
Cellulose Membrane ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser ◽  
Hospitalised Patients

Objective: A pressure ulcer (PU) is an area of tissue trauma caused by continuous and prolonged pressure, often associated with hospitalised patients immobilised due to neurological problems, negatively affecting their quality of life, and burdening the public budget. The aim of this study was to report the follow-up, for 45 weeks, of three patients with neurological lesions due to trauma who subsequently developed PUs, and who were treated with a combination of photodynamic therapy (PDT), low level laser therapy (LLLT) and cellulose membrane (CM). Method: PDT was mediated by the photosensitiser curcumin on a 1.5% emulsion base. Blue LED light at 450 nm was delivered continuously for 12 minutes at an irradiance of 30mW/cm2 and total energy delivered to the tissue was 22J/cm2. LLLT was performed with 660 nm laser, punctuated and continuous, twice a week with parameters: spot size 0.04cm2, power of 40mW, 10 seconds per point, fluence of 10J/cm2 and irradiance of 1000mW/cm2. Results: All PUs had a significant reduction (range: 95.2–100%) of their area after 45 weeks of follow-up and two PUs had complete healing at 20 weeks and 30 weeks. All of the PUs showed a reduction in contamination with the PDT treatments in different proportions. Conclusion: From the results obtained, we conclude that the combination of PDT, LLLT and CM is a promising treatment for PU healing.

Efficacy of Nonsurgical Mechanical Debridement With and Without Adjunct Low-Level Laser Therapy in the Treatment of Peri-Implantitis: A Randomized Controlled Trial

2020 ◽  
Vol 46 (5) ◽  
pp. 526-531 ◽  
Author(s):  
Fawaz Alqahtani ◽  
Nasser Alqhtani ◽  
Sree Lalita Celur ◽  
Darshan Devang Divakar ◽  
Abdulaziz A. Al-Kheraif ◽  
...  
Keyword(s):  
Bone Resorption ◽  
Laser Therapy ◽  
Low Level Laser Therapy ◽  
Periodontal Pocket ◽  
Low Level ◽  
Low Level Laser ◽  
Probing Depth ◽  
Level Laser ◽  
Significant Difference

We hypothesized that in the long term (6-month follow-up), nonsurgical mechanical debridement (NSMD) with adjunct low-level laser therapy (LLLT) is more effective for the treatment of peri-implantitis than NSMD alone. The aim of the present 6-month follow-up convenience-sample cohort study was to assess the efficacy of LLLT as an adjunct to NSMD in the treatment of peri-implantitis. A questionnaire was used to collect demographic information. Patients with peri-implantitis in the test and control groups underwent NSMD with and without adjunct LLLT, respectively. Randomization was done by tossing a coin. In the test group, the laser was applied perpendicular to the periodontal pocket for 20 seconds at a constant distance of 15 mm and with a continuous wavelength (3.41 J/cm2 delivery with a 1.76 cm2 spot and average output of 0.3 W). In both groups, peri-implant probing depth, bleeding upon probing, and crestal bone resorption were assessed at baseline and at the 3-month and 6-month follow-up. Group comparisons were performed, and P &lt; .05 was considered statistically significant. Sixty-seven individuals with peri-implantitis were included. The mean age of participants who underwent NSMD with adjunct LLLT and NSMD alone was 46.5 ± 3.4 and 45.3 ± 1.1 years, respectively. At the 3- and 6-month follow-up, peri-implant (P &lt; .05), bleeding upon probing (P &lt; .05), and probing depth (P &lt; .05) were significantly higher among patients who underwent NSMD alone compared with patients who underwent NSMD with adjunct LLLT. There was no significant difference in crestal bone resorption in all patients up to the 6-month follow-up. In the short term, NSMD with adjunct LLLT was a useful treatment protocol for the treatment of peri-implant soft-tissue inflammation.

The effect of low level laser therapy (LLLT) on bone remodelling after median diastema closure: A one year and half follow-up study

2009 ◽  
Vol 68 (3) ◽  
pp. 116-122 ◽  
Author(s):  
Sherif Essam Zahra ◽  
Abbadi Adel Elkasi ◽  
Mouchira Salah Eldin ◽  
Vaska Vandevska-Radunovic
Keyword(s):  
Laser Therapy ◽  
Bone Remodelling ◽  
Low Level Laser Therapy ◽  
Low Level ◽  
Follow Up Study ◽  
Low Level Laser ◽  
Level Laser ◽  
One Year

Acute low-level laser therapy effects on peripheral muscle strength and resistance in patients with fibromyalgia

2019 ◽  
Vol 35 (2) ◽  
pp. 505-510 ◽  
Author(s):  
Ranieli Cavalcante dos Santos ◽  
Katiana Walécia Holanda S. Souza Guedes ◽  
Juliana Maria de Sousa Pinto ◽  
Mayron F. Oliveira
Keyword(s):  
Muscle Strength ◽  
Laser Therapy ◽  
Low Level Laser Therapy ◽  
Low Level ◽  
Low Level Laser ◽  
Peripheral Muscle ◽  
Level Laser

scholarly journals Uso do laser de baixa potência em estrias de distensão: ensaio clínico randomizado controlado

2018 ◽  
Vol 28 (2) ◽  
pp. 28710
Author(s):  
Bethina Bernardon Busatta ◽  
Karoline Calichio Medeiro ◽  
Lorrainy Rufino Velozo ◽  
Camila Mayumi Martin Kakihata ◽  
Francyelle dos Santos Soares ◽  
...  
Keyword(s):  
Treatment Group ◽  
Treated Group ◽  
Low Level Laser Therapy ◽  
Control Group ◽  
Low Level ◽  
Non Invasive ◽  
Low Level Laser ◽  
Level Laser ◽  
Epilepsy Diagnosis

AIMS: To analyze the effects of low-level laser therapy (660nm) in the treatment of striae alba.METHODS: A randomized clinical trial was conducted with 20 women equally divided into a control group and a treatment group. For inclusion, they should have striae alba in the gluteal region and accept to participate in the study. Exclusion criteria were other treatment for striae, pregnancy, steroid use, smoking, cancer diagnosis, hemorrhagic areas on the skin, diagnosis of epilepsy, diagnosis of thrombosis, or any cognitive impairment. Twelve applications of 660 nm laser were performed for four weeks. After another four weeks of follow-up, a reevaluation was performed. After each application, photos were taken from the region to evaluate the size of the striae by means of scanned planimetry, which calculates the percentage of area occupied by the striae. For this evaluation, the photos taken at the first application (AV1), the sixth (AV2), the 12th (AV3) and the last evaluation, after four weeks of treatment completion (AV4), were used. Qualitative evaluations were also performed by touch (depth) and visual inspection (hue and size).RESULTS: The analysis by planimetry showed that there was no difference between the area occupied by the striae when comparing the various evaluations of the same group, until the AV3. However in AV4 (four weeks after the last laser application) of the treatment group, there was a statistically significant decrease of the stria area in relation to AV1. In the control group, there was no difference between AV4 and the other evaluations. In the comparison between the two groups, there was no difference in the first three evaluations. However in AV4 the treatment group showed a smaller area of the striae in relation to the control group. In the qualitative analysis the treated group had lower visibility and less depth of the striae to the touch.CONCLUSIONS: Therapy with 12 sessions of low-level laser for four weeks had a positive effect on the treatment of striae alba, with results becoming evident only four weeks after the last application. The 660 nm laser showed to be a non-invasive, painless and fast-applied method.

scholarly journals Influence of postoperative low-level laser therapy on the osseointegration of self-tapping implants in the posterior maxilla: A 6-week split-mouth clinical study

2015 ◽  
Vol 72 (3) ◽  
pp. 233-240 ◽  
Author(s):  
Borka Mandic ◽  
Zoran Lazic ◽  
Aleksa Markovic ◽  
Bojan Mandic ◽  
Miska Mandic ◽  
...  
Keyword(s):  
Success Rate ◽  
Low Level Laser Therapy ◽  
Low Density ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser ◽  
Posterior Maxilla ◽  
The Difference ◽  
Paired T Test

Background/Aim. Low-level laser therapy (LLLT) has been proven to stimulate bone repair, affecting cellular proliferation, differentiation and adhesion, and has shown a potential to reduce the healing time following implant placement. The aim of this clinical study was to investigate the influence of postoperative LLLT osseointegration and early success of self-tapping implants placed into low-density bone. Methods. Following the split-mouth design, self-tapping implants (n = 44) were inserted in the posterior maxilla of 12 patients. One jaw side randomly received LLLT (test group), while the other side was placebo (control group). For LLLT, a 637 nm gallium-aluminum-arsenide (GaAlAs) laser (Medicolaser 637, Technoline, Belgrade, Serbia) with an output power of 40 mW and continuous wave was used. Low-level laser treatment was performed immediately after the surgery and then repeated every day in the following 7 days. The total irradiation dose per treatment was 6.26 J/cm? per implant. The study outcomes were: implant stability, alkaline-phosphatase (ALP) activity and early implant success rate. The follow-up took 6 weeks. Results. Irradiated implants achieved a higher stability compared with controls during the entire follow-up and the difference reached significance in the 5th postoperative week (paired t-test, p = 0.030). The difference in ALP activity between the groups was insignificant in any observation point (paired t-test, p > 0.05). The early implant success rate was 100%, regardless of LLLT usage. Conclusion. LLLT applied daily during the first postoperative week expressed no significant influence on the osseointegration of selftapping implants placed into low density bone of the posterior maxilla. Placement of self-tapping macro-designed implants into low density bone could be a predictable therapeutic procedure with a high early success rate regardless of LLLT usage.

scholarly journals Low-Level Laser Therapy for Temporomandibular Disorders: A Systematic Review with Meta-Analysis

2018 ◽  
Vol 2018 ◽  
pp. 1-13 ◽  
Author(s):  
Gang-Zhu Xu ◽  
Jie Jia ◽  
Lin Jin ◽  
Jia-Heng Li ◽  
Zhan-Yue Wang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Laser Therapy ◽  
Methodological Quality ◽  
Low Level Laser Therapy ◽  
Low Level ◽  
Low Level Laser ◽  
Jadad Scale ◽  
Level Laser

Objectives. We systematically reviewed randomized controlled trials (RCTs) of the effect of low-level laser therapy (LLLT) versus placebo in patients with temporomandibular disorder (TMD). Methods. A systematic search of multiple online sources electronic databases was undertaken. The methodological quality of each included study was assessed using the modified Jadad scale, and the quality of evidence was evaluated using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Results. A total of 31 RCTs were included. Total modified Jadad scale scores showed that the methodological quality was high in 30 studies and low in 1 study. Combining data from all clinically heterogeneous studies revealed positive effects of LLLT on pain relief, regardless of the visual analogue scale (VAS) score or the change of VAS score between the baseline and the final follow-up time point, while dosage analyses showed discrepant results about the effects of high or low doses for patients with TMD. Follow-up analyses showed that LLLT significantly reduced pain at the short-term follow-up. Temporomandibular joint function outcomes indicated that the overall effect favored LLLT over placebo. Conclusion. This systematic review suggests that LLLT effectively relieves pain and improves functional outcomes in patients with TMD.

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