scholarly journals A Randomised-Controlled Clinical Study Examining the Effect of High-Intensity Laser Therapy (HILT) on the Management of Painful Calcaneal Spur with Plantar Fasciitis

2021 ◽  
Vol 10 (21) ◽  
pp. 4891
Author(s):  
Piotr Tkocz ◽  
Tomasz Matusz ◽  
Łukasz Kosowski ◽  
Karolina Walewicz ◽  
Łukasz Argier ◽  
...  
Keyword(s):  
Pain Management ◽  
High Intensity ◽  
Plantar Fasciitis ◽  
Heel Pain ◽  
The Other ◽  
Control Group ◽  
Study Group ◽  
Calcaneal Spur ◽  
High Intensity Laser ◽  
Intensity Laser

Calcaneal spur and plantar fasciitis are the most common causes of plantar heel pain. There are many effective physical modalities for treating this musculoskeletal disorder. So far, the are no clear recommendations confirming the clinical utility of high-intensity laser therapy (HILT) in the management of painful calcaneal spur with plantar fasciitis. This study aimed to evaluate the effectiveness of HILT in pain management in patients with calcaneal spur and plantar fasciitis. A group of 65 patients was assessed for eligibility based on the CONSORT guidelines. This study was prospectively registered in the Australian New Zealand Clinical Trial Registry platform (registration number ACTRN12618000744257, 3 May 2018). The main eligibility criteria were: cancer, pregnancy, electronic and metal implants, acute infections, impaired blood coagulation, cardiac arrhythmias, taking analgesic or anti-inflammatory medications, non-experience of heel pain, or presence of other painful foot conditions. Finally, 60 patients were randomly assigned into two groups: study group (n = 30, mean age 59.9 ± 10.1), treated with HILT (7 W, 149.9 J/cm2, 1064 nm, 4496 J, 12 min), and placebo-controlled group (n = 30, mean age 60.4 ± 11.9), treated with sham HILT therapy. Both groups received ultrasound treatments (0.8 W/cm2, 1 MHz frequency, 100% load factor, 5 min). Treatment procedures were performed once a day, five times per week for three weeks (total of 15 treatment sessions). Study outcomes focused on pain intensity and were assessed before (M1) and after (M2) the treatment as well as after 4 (M3) and 12 (M4) weeks using the Visual Analogue Scale (VAS) and the Laitinen Pain Scale (LPS). According to VAS, a statistically significant decrease in the study group was observed between M1 and M2 by 3.5 pts, M1 and M3 by 3.7 pts, and M1 and M4 by 3.2 pts (p < 0.001). On the other hand, the control group showed a statistically significant decrease (p < 0.001) between M1 and M2 by 3.0 pts, M1 and M3 by 3.4 pts, and M1 and M4 by 3.2 pts. According to LPS, a statistically significant decrease in the study group was observed between M1 and M2 by 3.9 pts, M1 and M3 by 4.2 pts, and M1 and M4 by 4.0 pts (p < 0.001). On the other hand, the control group showed a statistically significant decrease between M1 and M2 by 3.2 pts (p = 0.002), M1 and M3 by 4.0 pts (p < 0.001), and M1 and M4 by 3.9 pts (p < 0.001). However, there were no statistically significant differences between the groups in VAS and LPS (p > 0.05). In conclusion, the HILT does not appear to be more effective in pain management of patients with calcaneal spurs and plantar fasciitis than the conservative standard physiotherapeutic procedures.

scholarly journals Effects of High Intensity Laser Therapy in the Treatment of Tendon and Ligament Injuries in Performance Horses

Animals ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. 1327 ◽  
Author(s):  
Paulina Zielińska ◽  
Jakub Nicpoń ◽  
Zdzisław Kiełbowicz ◽  
Maria Soroko ◽  
Krzysztof Dudek ◽  
...  
Keyword(s):  
Laser Therapy ◽  
High Intensity ◽  
Statistical Modelling ◽  
Treated Group ◽  
Ligament Injury ◽  
Control Group ◽  
Ligament Injuries ◽  
High Intensity Laser ◽  
Injury Treatment ◽  
Intensity Laser

The aim of this study was to evaluate the effects of high intensity laser therapy (HILT) on tendon and ligament injury treatment in horses. Twenty six horses with tendinopathies were randomly assigned to a HILT treated or to a non-treated group. Each horse was subjected to the same rehabilitation programme. Horses from the treatment group underwent a series of fifteen HILT treatments with the same parameters. Clinical and ultrasound assessments were performed by the same veterinarian and were carried out before (day 0), during (day 13–15) and after treatment (day 38–40). Clinical evaluation included: pain, swelling and lameness of the affected limb. The ultrasound examination evaluated lesion echogenicity and lesion percentage. After the treatment, pain, swelling and lameness were significantly improved by HILT compared with the control group (p = 0.023, 0.008 and 0.044, respectively). No significant changes were found in lesion echogenicity degree between both groups in measurements taken during treatment (p = 0.188) and after treatment (p = 0.070). For lesion percentage reduction, the statistical modelling showed a significant improvement in the HILT group compared with the control group during (p = 0.038) and after treatment (p = 0.019). In conclusion, HILT promoted analgesic and anti-oedema effects, with visual lameness reduction in horses with tendon and ligament injuries, and reduced lesion percentage but did not influence change in lesion echogenicity.

scholarly journals Effects of High - Intensity Laser in Treatment of Patients with Chronic Low Back Pain

2019 ◽  
Vol 7 (6) ◽  
pp. 949-954 ◽  
Author(s):  
Marija Gocevska ◽  
Erieta Nikolikj-Dimitrova ◽  
Cvetanka Gjerakaroska-Savevska
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
High Intensity ◽  
Rating Scale ◽  
Control Group ◽  
Ultrasound Therapy ◽  
Low Back ◽  
High Intensity Laser ◽  
Intensity Laser

BACKGROUND: Chronic low back pain lasts longer than 12 weeks and is characterised by pain, muscle weakness, reduced functional ability and psychosocial burden. AIM: To compare the effects of two physical modalities, high-intensity laser against ultrasound therapy in the treatment of patients with chronic low back pain. MATERIAL AND METHODS: This was a prospective, monocentric, controlled clinical study comprising a group of 54 patients at the age between 25 and 65 years. Patients were divided into two groups: examined group of 27 patients (high-intensity laser and exercises) and a control group of 27 patients (ultrasound therapy and exercises). The results were evaluated by the Numeric Pain Rating Scale, Oswestry Disability Index and Schober’s test. Clinical findings were evaluated at the same time points for all patients, before treatment, at two weeks and three months following treatment. Statistical analyses were made to compare the differences between the results obtained on admission and the two consecutive control check-ups. Statistical significance was defined as a P value < 0.05. RESULTS: The examined group showed statistically significantly better results than the control group after completion of the treatment (at two weeks) and at follow up after three months. CONCLUSION: This study has shown that patient with chronic low back pain treated with a high-intensity laser has significantly reduced low back pain, reduced disability and improved range of motion. Its positive effect maintained for three months. It seems to be an effective, safe and useful physical modality in the treatment of a patient with chronic low back pain.

scholarly journals Efficacy of High-Intensity Laser Therapy and Silicone Insole in Plantar Fasciitis

2018 ◽  
Vol 06 (05) ◽  
Author(s):  
Ferit Akkurt ◽  
Halil Ekrem Akkurt ◽  
Halim Yılmaz ◽  
Yücel Olgun ◽  
Zafer Sen
Keyword(s):  
Laser Therapy ◽  
High Intensity ◽  
Plantar Fasciitis ◽  
High Intensity Laser ◽  
Intensity Laser

scholarly journals Effectiveness of High Intensity Laser Therapy for Reduction of Pain in Knee Osteoarthritis

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Anna Angelova ◽  
Elena M. Ilieva
Keyword(s):  
Laser Therapy ◽  
High Intensity ◽  
Cumulative Effect ◽  
Control Group ◽  
Maximum Pressure ◽  
Osteoarthritis Of The Knee ◽  
Old Patients ◽  
Randomized Clinical Study ◽  
High Intensity Laser ◽  
Intensity Laser

Introduction. Osteoarthritis is the most common type of arthritis. It is the main cause of chronic musculoskeletal pain and disability among the elderly population. Aim. This is a pilot, randomized clinical study about the effect of high intensity laser therapy in patients with osteoarthritis of the knee (OA of the knee). Material and Method. 72 patients (aged between 39 and 83 years) with (clinically and radiographically proved) OA of the knee were included in the study. They were randomized in two groups: therapeutic (test) one (n=37, 65,11 ± 1,40 (mean ± SD) years old; patients were treated with HILT) and control group (n=35, 64,71 ± 1,98; patients receive sham laser). Both groups had seven sessions of treatment. VAS and dolorimetry were used for assessment of pain before and after the therapy. Pedobarometric analysis (static and dynamic) was used to assess comparatively the contact surface area and maximum pressure under the heel. Results. Pain levels measured by VAS and dolorimetry decreased significantly in the therapeutic group after seven days of treatment (p< 0,001). Conclusion. The results after seven days of treatment show more intensive and cumulative effect after the application of high intensity laser therapy in comparison to sham laser. This is the reason why HILT can be a method of choice in the treatment of gonarthrosis.

scholarly journals Fifteen years of experience in plastic liquor fistulas using high-intensity laser radiation

2021 ◽  
pp. 192-201
Author(s):  
M. Yu. Korkmazov ◽  
M. S. Angelovich ◽  
M. A. Lengina ◽  
A. P. Yastremsky
Keyword(s):  
Cerebrospinal Fluid ◽  
Laser Radiation ◽  
High Intensity ◽  
Plastic Material ◽  
Main Group ◽  
Long Term Results ◽  
Control Group ◽  
Years Of Experience ◽  
High Intensity Laser ◽  
Intensity Laser

Introduction. The need to close liquor fistulas as early as possible is associated with a high risk of intracranial complications. Certain difficulties in closing bone defects are due to the variability of the exact localization of the fistulous canal, the choice of the surgical approach, and the reliability of the plastic material. The literature describes various methods for eliminating basal liquorrhea, however, the advantage of none of them has not been proven, which determines the relevance of the search for new methods.Objective. Based on the analysis of long-term results, to study the efficiency of plastic closure of cerebrospinal fluid fistulas using high-intensity laser radiation.Materials and methods. An analysis of 15 years of experience in studying the effectiveness of plastic closure of cerebrospinal fluid fistulas in 126 operated patients with basal liquorrhea was carried out. The duration of the disease ranged from 2 months to 1.5 years. The main group consisted of 94 patients who underwent plastic closure of CSF fistulas using high-intensity laser radiation with a wavelength of 0.97 pm and a power of 2.5-3.5 W. The control group consisted of 32 patients who did not receive coherent laser radiation. In addition to the generally accepted methods of postoperative management, low-frequency ultrasonic cavitation irrigation of the operated cavities was used to accelerate the reparative processes in all patients.Results and discussion. The average follow-up period after surgery was over 13 years. When comparing the results of treatment, the main criterion for evaluating the effectiveness of the operation was the frequency of relapses. In 15 (12.3%) cases, a relapse was noted, of which 5 (3.71%) were patients in the main group and in 10 (8.32%) patients in the control group, who were closed by repeated surgeryConclusion. The clinical features of the basal liquorrhea include the variability in the localization of the fistulous canals, certain difficulties in their detection, a wide variety of plastic closure methods, and a high percentage of relapses. A prospective uncontrolled study has shown that this method of CSF fistula plasty using improves the efficiency of surgical treatment.

scholarly journals Clinical effects of high-intensity laser therapy on patients with chronic refractory wounds: a randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045866
Author(s):  
Qian Lu ◽  
Zhifei Yin ◽  
Xuefeng Shen ◽  
Jinhua Li ◽  
Panpan Su ◽  
...  
Keyword(s):  
Treatment Group ◽  
Randomised Controlled Trial ◽  
High Intensity ◽  
Wound Dressing ◽  
Wound Care ◽  
Controlled Trial ◽  
Control Group ◽  
High Intensity Laser ◽  
Randomised Controlled ◽  
Intensity Laser

ObjectiveTo investigate the effectiveness of high-intensity laser therapy (HILT) on chronic refractory wounds.DesignRandomised controlled trial.SettingThe outpatient wound care department of the Affiliated Jiangsu Shengze Hospital of Nanjing Medical University from August 2019 to June 2020.ParticipantsSixty patients were enrolled in this study and were randomised into control (n=30) and treatment (n=30) groups.Interventions and outcome measuresThe control group was treated only with conventional wound dressing, whereas the treatment group received irradiation with HILT in addition to standard wound care, such as debridement, wound irrigation with normal saline solution and application of dressing and sterile gauze. Patient scores on the Bates-Jensen Wound Assessment Tool (BWAT) and Pressure Ulcer Scale for Healing (PUSH) were evaluated before and after 1, 2 and 3 weeks of treatment.ResultsOne patient was excluded from the control group, and a total of 59 subjects completed the trial. The BWAT scores significantly decreased in the treatment group compared with the control group at the end of 3-week treatment (difference=−3.6; 95% CI −6.3 to–0.8; p<0.01). Similarly, patients in treatment group showed a significant reduction of PUSH scores compared with the control group (difference=−5.3; 95% CI −8.1 to –2.6; p<0.01).ConclusionsThe therapeutic effects of HILT on chronic refractory wounds are significant and far more superior to those of conventional wound dressing.Trial registration numberChinese Clinical Trial Registry; ChiCTR1900023157. URL: http://www.chictr.org.cn/showproj.aspx?proj=38866

scholarly journals The Beneficial Effects of High-Intensity Laser Therapy and Co-Interventions on Musculoskeletal Pain Management: A Systematic Review

2020 ◽  
Vol 11 (1) ◽  
pp. 81-90 ◽  
Author(s):  
Kamran Ezzati ◽  
E-Liisa Laakso ◽  
Amir Salari ◽  
Anahita Hasannejad ◽  
Reza Fekrazad ◽  
...  
Keyword(s):  
Pain Management ◽  
Laser Therapy ◽  
Musculoskeletal Pain ◽  
Effect Size ◽  
High Intensity ◽  
Therapeutic Interventions ◽  
Beneficial Effects ◽  
Positive Effects ◽  
High Intensity Laser ◽  
Intensity Laser

Introduction: High-intensity laser therapy (HILT) has been used more recently in the therapeutic protocols of pain managements. Adding therapeutic interventions to laser therapy is usual in clinical practice. This study aimed to evaluate the efficacy of HILT and beneficial effects of adding cointerventions to HILT in musculoskeletal pain management. Methods: The following databases were searched up to August 2018: Medline, PubMed, EMBASE, Cochrane, Google Scholar, Springer and ISI. The keywords of pain, HILT, high power laser therapy, laser therapy, photobiomodulation, physical therapy and rehabilitation were searched. The quality of the articles was assessed using the PEDro scale. The primary measure was pain severity expected to be reported in all studies. Effect size was calculated as standardized mean differences divided by the standard deviation of either the treatment or other group. Results: Initially 52 potential studies were found. Eighteen of these studies were excluded based on title and abstract. The full text of 34 remaining articles was screened and 15 of the studies were excluded. All included studies had high quality (PEDro ≥7). Approximately, 94% of included articles (n=18) revealed positive effects of HILT on pain. The effect sizes for HILT and placebo/comparator groups were 0.9-9.11 and 0.21-11.22 respectively. Also, the differences of effect size between two groups were between 0.03 to 5.85. Conclusion: It is early to determine that HILT may be an effective non-invasive agent in the management of musculoskeletal pain, as few studies have shown its clinical efficacy. Adding related co-interventions to HILT may enhance the beneficial effects of laser therapy. The variability of the study methods and outcomes suggests that further long-term follow-up, randomized controlled clinical trials with appropriate methodological design are needed regarding the effectiveness of HILT on pain.

Effects of High-Intensity Laser Therapy on Pain Sensitivity and Motor Performance in Patients with Thumb Carpometacarpal Joint Osteoarthritis: A Randomized Controlled Trial

Pain Medicine ◽  
2019 ◽  
Vol 21 (10) ◽  
pp. 2357-2365
Author(s):  
Raquel Cantero-Téllez ◽  
Jorge Hugo Villafañe ◽  
Kirstin Valdes ◽  
Santiago García-Orza ◽  
Mark D Bishop ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Laser Therapy ◽  
High Intensity ◽  
Pain Sensitivity ◽  
Controlled Trial ◽  
Control Group ◽  
High Intensity Laser ◽  
Thumb Carpometacarpal ◽  
Intensity Laser ◽  
Experimental Group

Abstract Objective To examine the effects of high-intensity laser therapy (HILT) on pain sensitivity and motor performance in patients with thumb carpometacarpal (CMC) osteoarthritis (OA). Design Prospective, triple-blinded, randomized, placebo-controlled trial. Setting Private practice, Malaga, Spain. Subjects Forty-three patients (mean ± SD age = 71 ± 12 years) with a diagnosis of thumb CMC OA grade 1–2 were randomized to the control group (N = 21) or experimental group (N = 22). Methods The experimental group (ExpG) received high-intensity laser therapy (HILT), and the control group (ConG) received a placebo treatment. The outcome measures were pain intensity (visual analog scale) and key pinch strength measurements (dynamometer). All outcome measures were collected at baseline, immediately following the intervention, at four weeks, and at 12 weeks following the intervention. Results Analysis of variance revealed a group × time interaction (F = 40.8, P &lt; 0.001) for pain intensity, with those patients receiving LT experiencing a greater reduction in pain compared with those receiving placebo therapy at the end of the intervention (P &lt; 0.001), as well as at 12 weeks after the intervention. Although mean values in the ExpG were higher than in the ConG for key pinch at assessment, these differences were not statistically significant. Conclusions HILT effectively diminishes pain intensity when used as an isolated treatment for patients with thumb CMC OA, but the effect of treatment decreases after 12 weeks.

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