Efficacy of low-level laser therapy on pain, disability, pressure pain threshold, and range of motion in patients with myofascial neck pain syndrome: a systematic review and meta-analysis of randomized controlled trials
Tehrani MR, Nazary-Moghadam S, Zeinalzadeh A, Moradi A, Mehrad-Majd H, Sahebalam M
Lasers in medical science · 20 citas
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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
- 2022-08-13 · Lasers Med Sci · vol. 37 · número 9 · págs. 3333–3341
- Editorial
- Springer Science+Business Media
- Citado
- 31 citas · más que el 59% de estudios similares · 0.6× el promedio de su campo
- Referencias
- 42 trabajos
- Acceso
- De pago
- Áreas de investigación
- Myofascial pain diagnosis and treatment · Laser Applications in Dentistry and Medicine · Musculoskeletal pain and rehabilitation
- Palabras clave
- low-level laser therapy, neck pain, pain intensity, pressure pain threshold, range of motion, disability, laser treatment efficacy
- MeSH
- humans, fibromyalgia, myofascial pain syndromes, neck pain, range of motion, articular, pain threshold, randomized controlled trials as topic, low-level light therapy
6 autores
- Mohammad Reza Hossein Tehrani🇮🇷Mashhad University of Medical Sciences; Shiraz University of Medical Sciences
- Salman Nazary‐Moghadam🇮🇷 · autor de correspondenciaMashhad University of Medical Sciences
- Afsaneh Zeinalzadeh🇮🇷Mashhad University of Medical Sciences
- Ali Moradi🇮🇷Mashhad University of Medical Sciences; Ghaem Hospital
- Hassan Mehrad‐Majd🇮🇷Mashhad University of Medical Sciences
- Mohamad Sahebalam🇮🇷Iran University of Medical Sciences; Mashhad University of Medical Sciences
Resumen
El texto original del estudio, en el idioma en que se publicó.
Low-level laser therapy (LLLT) is one of recent modalities for treatment of myofascial neck pain (MNP). Several RCTs have been conducted on its effectiveness. The aim of this comprehensive meta-analysis was to evaluate the effectiveness of LLLT on MNP. Electronic databases were searched for identifying eligible studies comparing the effectiveness of LLLT using any wavelength with placebo or active control in myofascial neck pain up to June 2022. Data related to pain intensity, pain pressure threshold (PPT), range of motion (ROM), and disability was analyzed as a pooled estimate of mean difference or standard mean difference (SMD) with 95% confidence intervals (CIs) using random/fixed-effect model. Funnel plot and Egger's linear regression test were also conducted to examine the risk of publication bias. A total of 13 randomized controlled trials were included in this systematic review and meta-analysis. The data assessing laser effectiveness on different outcomes of 556 patients were considered for meta-analysis. Pooled results revealed that LLLT was significantly effective in pain reduction (MD = - 1.29, 95% CI = - 2.36; - 0.23, P < 0.001). Also, secondary outcomes including PPT (SMD of 2.63, 95% CI = 0.96; 4.30, P < 0.01) and right bending ROM (SMD of 3.44, 95% CI = 0.64; 6.24, P < 0.01) were improved, while disability (MD of - 7.83, 95% CI = - 17.1; 0.08, P = 1.34) did not improve significantly after LLLT. Our meta-data revealed that LLLT may reduce myofascial neck pain and its related outcomes. LLLT is suggested to be used by clinicians along with other therapies such as manual and exercise therapy.
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