Systematic Review on the Effectiveness of Photobiomodulation Therapy on Enhancing Musculoskeletal Rehabilitation Outcomes after Total Knee and Hip Arthroplasty
Eladl HM, Alrashedi SN, Allam NM, Elsherbini DMA, El-Sherbiny M, Abdelrahman MMA, Abulfaraj M
Photobiomodulation, photomedicine, and laser surgery · 0 citas
Cómo se estudió
- Diseño
- Revisión sistemática (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Universidad u hospital
- AlMaarefa University
- Subvenciones
- AlMaarefa University (MHIRSP2025019)
Según 1 financiador declarado.
Publicación
- Publicado
- 2026-08-12 · Photobiomodul Photomed Laser Surg · vol. 44 · número 10 · págs. 597–605
- Editorial
- Mary Ann Liebert, Inc.
- Citado
- 0 citas · más que el 53% de estudios similares · 0.0× el promedio de su campo
- Referencias
- 24 trabajos
- Acceso
- De pago
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Total Knee Arthroplasty Outcomes · Biofield Effects and Biophysics
- Palabras clave
- low-level laser therapy, total knee arthroplasty, total hip arthroplasty, postoperative pain, postoperative swelling, range of motion, functional performance, musculoskeletal rehabilitation, adjunctive therapy
- MeSH
- humans, range of motion, articular, treatment outcome, arthroplasty, replacement, hip, arthroplasty, replacement, knee, randomized controlled trials as topic, low-level light therapy, postoperative pain
7 autores
- Hadaya Mosaad Eladl🇸🇦Jouf University
- Saja Nashmi Alrashedi🇸🇦Jouf University
- Nesma Morgan Allam🇸🇦Jouf University
- Dalia Mahmoud Abdelmonem Elsherbini🇸🇦 · autor de correspondenciaJouf University
- Mohamed El-SherbinyAlmaarefa University
- Mohamed Mahmoud Abdelfattah Abdelrahman🇪🇬🇸🇦Mansoura University; King Abdulaziz University; King Abdul Aziz University Hospital
- Moaz W. Abulfaraj🇸🇦King Abdulaziz University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Total knee and hip arthroplasty (TKA/THA) effectively alleviate chronic pain and improve joint function and quality of life. However, postoperative recovery is often hindered by pain, edema, restricted range of motion (ROM), and muscle weakness, necessitating structured physical rehabilitation. Photobiomodulation Therapy (PBMT) has been proposed as an adjunct modality to enhance rehabilitation outcomes. This systematic review evaluates the efficacy of PBMT in reducing postoperative pain and edema as well as improving ROM and functional performance compared with placebo or standard physical therapy in post-arthroplasty patients.
Methods
A systematic search of PubMed, ProQuest, ScienceDirect, and Google Scholar was conducted from inception to May 31, 2025. Only prospective controlled trials assessing PBMT effects on postoperative pain, swelling, ROM, or functional performance following TKA or THA were included. Case reports, uncontrolled studies, and trials focusing on unrelated outcomes were excluded. Article selection involved title, abstract, and full-text screening, with additional studies identified through reference lists. The review is registered in PROSPERO (CRD420251123169).
Results
Four randomized controlled trials (RCTs; n = 133 participants) met the inclusion criteria, three studies focused on TKA, and one study examined THA. PBMT significantly improved postoperative pain and edema reduction in three trials, while two studies demonstrated enhanced ROM and functional outcomes compared with control or placebo interventions. PEDro scores ranged from 8 to 10, indicating moderate-to-high methodological quality.
Conclusions
PBMT shows promising short-term benefits in reducing postoperative pain and swelling and improving functional performance after knee or hip arthroplasty. However, due to heterogeneity in treatment parameters and limited high-quality trials, conclusive evidence remains insufficient. Future large-scale RCTs with standardized PBMT parameters and extended follow-up are warranted to confirm its clinical efficacy.
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