Photobiomodulation with low-level laser therapy for treating Achilles tendinopathy: a systematic review and meta-analysis
Martimbianco ALC, Ferreira RES, Latorraca COC, Bussadori SK, Pacheco RL, Riera R
Clinical rehabilitation · 16 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
- 2020-03-23 · Clin Rehabil · vol. 34 · número 6 · págs. 713–722
- Editorial
- SAGE Publishing
- Citado
- 35 citas · más que el 74% de estudios similares · 1.3× el promedio de su campo
- Referencias
- 27 trabajos
- Acceso
- De pago
- Áreas de investigación
- Tendon Structure and Treatment · Laser Applications in Dentistry and Medicine · Myofascial pain diagnosis and treatment
- Palabras clave
- low-level laser therapy, Achilles tendinopathy, eccentric exercise, pain, functions, adverse events
- MeSH
- achilles tendon, humans, tendinopathy, low-level light therapy
6 autores
- Ana Luiza Cabrera Martimbianco🇧🇷Universidade Metropolitana de Santos; Centro Universitário São Camilo
- Raphael Einsfeld Simões Ferreira🇧🇷Centro Universitário São Camilo
- Carolina de Oliveira Cruz Latorraca🇧🇷Universidade Federal de São Paulo
- Sandra Kalil Bussadori🇧🇷Universidade Nove de Julho
- Rafael Leite Pacheco🇧🇷 · autor de correspondenciaCentro Universitário São Camilo; Universidade Federal de São Paulo
- Rachel Riera🇧🇷Hospital Sírio-Libanês; Universidade Federal de São Paulo
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
The purpose of this study was to determine the benefits and harms of low-level laser therapy for Achilles tendinopathy.
Data sources
Search strategies were conducted (from inception to February 2020) in Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Literatura Latino Americana em Ciências da Saúde e do Caribe (LILACS), Physiotherapy Evidence Database (PEDro), SPORTDiscus, ClinicalTrials.gov, World Health Organization (WHO)-ICTRP and OpenGrey databases, to retrieve all randomized controlled trials that compared laser therapy with inactive/active interventions.
Review methods
This study was reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The risk of bias was assessed using the Cochrane Risk of bias table. Meta-analyses were performed on dependence of homogeneity, otherwise results were reported narratively. The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.
Results
Four trials (119 participants) were analyzed. Laser therapy associated to eccentric exercises when compared to eccentric exercises and sham had very low to low certainty of evidence in pain and function assessment. Despite one trial favored laser therapy at two months (mean difference (MD) -2.55, 95% confidence interval (95% CI) -3.87 to -1.23), the CIs did not include important differences between groups at 3 and 13 months. The function assessment showed an improvement favoring the placebo group at one month (MD 9.19, 95% CI -16.16 to -2.23) and non-significant difference between groups at 3 and 13 months. Adverse events were poorly reported but restricted to minor events related to the exercises.
Conclusion
The certainty of evidence was low to very low, and the results are insufficient to support the routine use laser therapy for Achilles tendinopathy.
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