Is low-level laser therapy in relieving neck pain effective? Systematic review and meta-analysis
Kadhim-Saleh A, Maganti H, Ghert M, Singh S, Farrokhyar F
Rheumatology international · 21 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
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2013-04-11 · Rheumatol Int · vol. 33 · número 10 · págs. 2493–2501
- Editorial
- Springer Science+Business Media
- Citado
- 37 citas · más que el 61% de estudios similares · 0.6× el promedio de su campo
- Referencias
- 30 trabajos
- Acceso
- De pago
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Musculoskeletal pain and rehabilitation · Myofascial pain diagnosis and treatment
- Palabras clave
- low-level laser therapy, neck pain, acute neck pain, chronic neck pain, analgesia, visual analogue scale, treatment efficacy
- MeSH
- humans, neck pain, treatment outcome, pain management, low-level light therapy
5 autores
- Amjed Kadhim-Saleh🇨🇦University of Ottawa
- Harinad B. Maganti🇨🇦University of Ottawa
- Michelle A. Ghert🇨🇦McMaster University
- Sheila Kumari Singh🇨🇦McMaster University
- Forough Farrokhyar🇨🇦 · autor de correspondenciaMcMaster University
Resumen
El texto original del estudio, en el idioma en que se publicó.
The aim of this study is to determine the efficacy of low-level laser therapy (LLLT) in reducing acute and chronic neck pain as measured by the visual analog scale (VAS). A systematic search of nine electronic databases was conducted to identify original articles. For study selection, two reviewers independently assessed titles, abstracts, and full text for eligibility. Methodological quality was assessed using the Detsky scale. Data were analyzed using random-effects model in the presence of heterogeneity and fixed-effect model in its absence. Heterogeneity was assessed using Cochran's Q statistic and quantifying I (2). Risk ratios (RR) with 95 % confidence intervals (CI) were reported. Eight randomized controlled trials involving 443 patients met the strict inclusion criteria. Inter-rater reliability for study selection was 92.8 % (95 % CIs 80.9-100 %) and for methodological quality assessment was 83.9 % (95 % CIs 19.4-96.8 %). Five trials included patients with cervical myofascial pain syndrome (CMPS), and three trials included different patient populations. A meta-analysis of five CMPS trials revealed a mean improvement of VAS score of 10.54 with LLLT (95 % CI 0.37-20.71; Heterogeneity I (2 )= 65 %, P = 0.02). This systematic review provides inconclusive evidence because of significant between-study heterogeneity and potential risk of bias. The benefit seen in the use of LLLT, although statistically significant, does not constitute the threshold of minimally important clinical difference.
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