Photobiomodulation using high- or low-level laser irradiations in patients with lumbar disc degenerative changes: disappointing outcomes and remarks
Taradaj J, Rajfur K, Shay B, Rajfur J, Ptaszkowski K, Walewicz K, Dymarek R, Sopel M, Rosińczuk J
Clinical interventions in aging · 21 citas
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 independiente
- Universidad u hospital
- Uniwersytet Medyczny im. Piastów Slaskich we Wroclawiu
Según 1 financiador declarado y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2018-08-01 · Clin Interv Aging · vol. Volume 13 · págs. 1445–1455
- Editorial
- Dove Medical Press
- Citado
- 32 citas · más que el 88% de estudios similares · 2.2× el promedio de su campo
- Referencias
- 32 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY-NC
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Spine and Intervertebral Disc Pathology · Musculoskeletal pain and rehabilitation
- Palabras clave
- low-level laser therapy, high-intensity laser therapy, lumbar disc degeneration, chronic low back pain, placebo effect, treatment efficacy, disability outcome, pain assessment
- MeSH
- lumbar vertebrae, humans, low back pain, pain measurement, treatment outcome, prospective studies, adult, middle aged, female, male, laser therapy, low-level light therapy
9 autores
- Jakub Taradaj🇵🇱🇨🇦Akademii Wychowania Fizycznego im. Jerzego Kukuczki w Katowicach; University of Manitoba
- Katarzyna Joanna Rajfur🇵🇱Public Higher Medical Professional School in Opole
- Barbara L. Shay🇨🇦University of Manitoba
- Joanna Barbara Rajfur🇵🇱Public Higher Medical Professional School in Opole
- Kuba Ptaszkowski🇵🇱Wroclaw Medical University
- Karolina Walewicz🇵🇱Public Higher Medical Professional School in Opole
- Robert Dymarek🇵🇱 · autor de correspondenciaWroclaw Medical University
- Mirosław Sopel🇵🇱Wroclaw Medical University
- Joanna Rosińćzuk🇵🇱Wroclaw Medical University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Laser therapy seems to be a beneficial physical agent for chronic low back pain (LBP), and it is commonly used in the clinical rehabilitation practice. However, there are still no indisputable and clearly defined protocols and practical guidelines, and further, the methodology of the previous reports leaves many unsatisfied and raises some reservations.
Objective
The aim of this study was to evaluate the effectiveness of low-level laser therapy (LLLT) and high-intensity laser therapy (HILT) in patients with lumbar disc degenerative changes based on the analysis of the short- and long-term results and in comparison with the placebo effect.
Design
This study was a prospective and placebo-controlled clinical trial.
Materials and methods
A group of 68 participants were qualified for the therapy and were assigned to four comparative groups in the order they volunteered: HILT of 1,064 nm, 60 J/cm2, 10 minutes (HILT); sham (HILT placebo); LLLT of 785 nm, 8 J/cm2, 8 minutes; and sham (LLLT placebo). The following tests were used to assess the effectiveness of treatment: 1) the visual analogue scale; 2) the Laitinen Questionnaire Indicators of Pain; 3) the Oswestry Disability Index; 4) the Roland-Morris Disability Questionnaire; 5) Lasegue test; and 6) Schober's test. All measurements were carried out before and after irradiations (3 weeks) and in follow-ups (1 and 3 months).
Results
After applying verum or placebo laser irradiation, therapeutic progress was observed in all comparative groups; however, no statistically significant differences were observed among the procedures.
Conclusion
The high- and low-energy laser therapy methods used in the present article are ineffective in relation to patients with lumbar disc degenerative changes in both the short- and long-term perspectives and do not show a significant advantage over the placebo effect.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC).
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