In chronic low back pain, low level laser therapy combined with exercise is more beneficial than exercise alone in the long term: a randomised trial
Djavid GE, Mehrdad R, Ghasemi M, Hasan-Zadeh H, Sotoodeh-Manesh A, Pouryaghoub G
The Australian journal of physiotherapy · 69 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2007-01-01 · Aust J Physiother · vol. 53 · número 3 · págs. 155–160
- Editorial
- Elsevier BV
- Citado
- 138 citas · más que el 94% de estudios similares · 4.1× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 42 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Musculoskeletal pain and rehabilitation · Laser Applications in Dentistry and Medicine · Pain Management and Treatment
- Palabras clave
- chronic low back pain, low-level laser therapy, exercise therapy, lumbar range of motion, pain intensity, disability, long-term outcomes
- MeSH
- humans, low back pain, chronic disease, pain measurement, disability evaluation, range of motion, articular, treatment outcome, combined modality therapy, exercise, adult, middle aged, female, male, low-level light therapy
6 autores
- Gholamreza Esmaeeli Djavid🇮🇷Academic Center for Education, Culture and Research
- Ramin Mehrdad🇮🇷 · autor de correspondenciaTehran University of Medical Sciences
- Mohammad Ghasemi🇮🇷Tehran University of Medical Sciences
- Hormoz Hasan-Zadeh🇮🇷Tehran University of Medical Sciences
- Akbar Sotoodeh-Manesh🇮🇷Tehran University of Medical Sciences
- Gholamreza Pouryaghoub🇮🇷Tehran University of Medical Sciences
Resumen
El texto original del estudio, en el idioma en que se publicó.
Question
Is low level laser therapy an effective adjuvant intervention for chronic low back pain?
Design
Randomised trial with concealed allocation, blinded assessors and intention-to-treat analysis.
Participants
Sixty-one patients who had low back pain for at least 12 weeks.
Intervention
One group received laser therapy alone, one received laser therapy and exercise, and the third group received placebo laser therapy and exercise. Laser therapy was performed twice a week for 6 weeks.
Outcome measures
Outcomes were pain severity measured using a 10-cm visual analogue scale, lumbar range of motion measured by the Schober Test and maximum active flexion, extension and lateral flexion, and disability measured with the Oswestry Disability Index on admission to the study, after 6 weeks of intervention, and after another 6 weeks of no intervention.
Results
There was no greater effect of laser therapy compared with exercise for any outcome, at either 6 or 12 weeks. There was also no greater effect of laser therapy plus exercise compared with exercise for any outcome at 6 weeks. However, in the laser therapy plus exercise group pain had reduced by 1.8 cm (95% CI 0.1 to 3.3, p = 0.03), lumbar range of movement increased by 0.9 cm (95% CI 0.2 to 1.8, p < 0.01) on the Schober Test and by 15 deg (95% CI 5 to 25, p < 0.01) of active flexion, and disability reduced by 9.4 points (95% CI 2.7 to 16.0, p = 0.03) more than in the exercise group at 12 weeks.
Conclusion
In chronic low back pain low level laser therapy combined with exercise is more beneficial than exercise alone in the long term.
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