Photobiomodulation therapy does not decrease pain and disability in people with non-specific low back pain: a systematic review
Tomazoni SS, Almeida MO, Bjordal JM, Stausholm MB, Machado CDSM, Leal-Junior ECP, Costa LOP
Journal of physiotherapy · 16 citas
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Fundação de Amparo à Pesquisa do Estado de São Paulo
- Subvenciones
- Fundação de Amparo à Pesquisa do Estado de São Paulo (2017/18863‐6); Fundação de Amparo à Pesquisa do Estado de São Paulo (2016/10265-0)
Según 1 financiador declarado.
Publicación
- Publicado
- 2020-07-01 · J Physiother · vol. 66 · número 3 · págs. 155–165
- Editorial
- Elsevier BV
- Citado
- 31 citas · más que el 69% de estudios similares · 1.0× el promedio de su campo
- Referencias
- 81 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY-NC-ND
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Musculoskeletal pain and rehabilitation · Pain Management and Treatment
- Palabras clave
- low-level laser therapy, light-emitting diodes, non-specific low back pain, pain intensity, disability, sham treatment, TECAR therapy, exercise therapy, ultrasound therapy, quality of life, absenteeism, adverse effects
- MeSH
- humans, low back pain, pain measurement, disability evaluation, phototherapy, quality of life, randomized controlled trials as topic, pain management
7 autores
- Shaiane Silva Tomazoni🇧🇷🇳🇴 · autor de correspondenciaUniversidade Cidade de São Paulo; University of Bergen
- Matheus Oliveira de Almeida🇧🇷Universidade Cidade de São Paulo
- Jan Magnus Bjordal🇳🇴University of Bergen
- Martin Bjørn Stausholm🇳🇴University of Bergen
- Caroline dos Santos Monteiro Machado🇧🇷Universidade Nove de Julho
- Ernesto César Pinto Leal‐Junior🇧🇷Universidade Nove de Julho
- Leonardo Oliveira Pena Costa🇧🇷Universidade Cidade de São Paulo
Resumen
El texto original del estudio, en el idioma en que se publicó.
Question
In people with non-specific low back pain (LBP), what are the effects of photobiomodulation therapy (PBMT) on pain, disability and other outcomes when compared with no intervention, sham PBMT and other treatments, and when used as an adjunct to other treatments?
Design
Systematic review of randomised trials with meta-analysis.
Participants
People with acute/subacute or chronic non-specific LBP.
Interventions
Any type of PBMT (laser class I, II and III and light-emitting diodes) compared with no treatment, sham PBMT and other types of treatment, or used as an adjunct to another treatment.
Outcome measures
Pain intensity, disability, overall improvement, quality of life, work absence and adverse effects.
Results
Twelve randomised controlled trials were included (pooled n = 1,046). Most trials had low risk of bias. Compared with sham PBMT, the effect of PBMT on pain and disability was clinically unimportant in people with acute/subacute or chronic LBP. In people with chronic LBP, there was no clinically important difference between the effect of PBMT and the effect of exercise on pain or disability. Although benefits were observed on some other outcomes, these estimates were imprecise and/or based on low-quality evidence. PBMT was estimated to reduce pain (MD -11.20, 95% CI -20.92 to -1.48) and disability (MD -11.90, 95% CI -17.37 to -6.43) more than ultrasound, but these confidence intervals showed important uncertainty about whether the differences in effect were worthwhile or trivial. Conversely, PBMT was estimated to reduce pain (MD 19.00, 95% CI 9.49 to 28.51) and disability (MD 17.40, 95% CI 8.60 to 26.20) less than Tecar (Energy Transfer Capacitive and Resistive) therapy, with marginal uncertainty that these differences in effect were worthwhile.
Conclusion
Current evidence does not support the use of PBMT to decrease pain and disability in people with non-specific LBP.
Registration
CRD42018088242.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-ND).
Confianza de la comunidad
Cargando…
¿Cuánto confías en los hallazgos de este estudio?
Comentarios
¿Algo está mal aquí?
Señala este estudio si su información, etiquetas o financiación parecen incorrectas. Un editor revisa cada señalamiento.
Información educativa sobre investigación publicada. No es consejo médico ni una recomendación para empezar o dejar nada.