scholarly journals Low-Level Laser Therapy including Laser Acupuncture for Non-Specific Chronic Low Back Pain: Systematic Review and Meta-Analysis

2021 ◽  
Vol 38 (1) ◽  
pp. 8-19
Author(s):  
Hyewon Yeum ◽  
Yejin Hong ◽  
Dongwoo Nam
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Relief ◽  
Meta Analysis ◽  
Low Level Laser Therapy ◽  
Laser Acupuncture ◽  
Low Back ◽  
Significant Positive Effect ◽  
Level Laser ◽  
Positive Effect

Low-level laser therapy including laser acupuncture (LLLT/LA) has been widely used for non-specific chronic low back pain (NCLBP). However, there is no critically appraised evidence of its potential benefits. This study aimed to evaluate the effectiveness of LLLT/LA for NCLBP. There were 12 databases (MEDLINE, CENTRAL, EMBASE, KoreaMed, KMBASE, KISS, NDSL, KISTI, OASIS, CNKI, CiNII, J-stage) searched for randomized controlled trials using LLLT/LA for NCLBP up until June 2019. The primary outcome was pain intensity and functional status/disability due to NCLBP. A random-effects meta-analysis was conducted on 20 studies involving 1,323 participants. LLLT/LA showed a significant positive effect on pain relief scores compared with sham treatments (SMD -0.51, 95% CI: -0.88 to -0.13; χ<sup>2</sup> = 31.12, I<sup>2</sup> = 74%). Alone, the therapy showed a significant positive effect on function/disability scores (30 participants, MD -11.90, 95% CI: -17.37 to -6.43). As an add-on treatment, it showed a significant positive effect on pain relief (80 participants, MD -5.10, 95% CI: -9.31 to -0.88; χ<sup>2</sup> = 28.99, I<sup>2</sup> = 97%) and improved function/disability scores (120 participants, MD 5.44, 95% CI: 2.19 to 8.68; χ<sup>2</sup> = 4.07, I<sup>2</sup> = 75%). Among 20 studies, 9 studies reported no adverse events and 1 study reported mild adverse events. LLLT/LA may be an alternative or add-on treatment for NCLBP.

scholarly journals Effective Low-Level Laser Therapy Including Laser Acupuncture Treatment Conditions for Non-Specific Chronic Low Back Pain: Systematic Review and Meta-Analysis

2021 ◽  
Vol 38 (2) ◽  
pp. 85-95
Author(s):  
Hyewon Yeum ◽  
Yejin Hong ◽  
Dongwoo Nam
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Meta Analysis ◽  
Low Level Laser Therapy ◽  
Laser Acupuncture ◽  
Low Back ◽  
Treatment Conditions ◽  
Level Laser

Low-level laser therapy including laser acupuncture has been widely used for non-specific chronic low back pain in primary Korean medical clinics. However, there is no critically appraised data regarding which treatment conditions are most effective. A systematic review and meta-analysis was conducted to determine effective treatment conditions using 12 databases (PubMed, Ovid, CENTRAL, KoreaMed, KMBASE, KISS, NDSL, KISTI, OASIS, CNKI, CiNII, and J-STAGE). There were 1,019 studies retrieved and 13 studies included in this review. It was determined that when the power output was ≥ 50 mW, the beam size was increased to ≥ 1 cm2, the energy dose was increased to ≥ 4 J per point, the treatment interval was increased to ≥ 3 times a week, and the number of treatment sessions was increased to ≥ 10 treatments, these conditions appeared to increased treatment effectiveness.

scholarly journals A Randomized Comparative Study between High-Intensity and Low-Level Laser Therapy in the Treatment of Chronic Nonspecific Low Back Pain

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Walid Kamal Abdelbasset ◽  
Gopal Nambi ◽  
Saud F. Alsubaie ◽  
Ahmed M. Abodonya ◽  
Ayman K. Saleh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Laser Therapy ◽  
High Intensity ◽  
Low Level Laser Therapy ◽  
Control Group ◽  
Low Back ◽  
Level Laser

Objectives. Chronic nonspecific low back pain (chronic nsLBP) is one of the most common musculoskeletal disorders leading to disabilities and physical inactivity. Laser therapy was used in chronic nsLBP treatment; however, no previous studies have assessed the impacts of high-intensity laser therapy (HILT) versus low-level laser therapy (LLLT) on chronic nsLBP. This study compared the effects of HILT versus LLLT on individuals suffering from chronic nsLBP. Methods. The study was a randomized control trial. Sixty individuals with chronic nsLBP were enrolled in this study between May and November 2019. All participants were clinically diagnosed with chronic nsLBP. They were assigned randomly into three groups, 20 in each group. The first group received a program of LLLT, the second group received a program of HILT, and the third did not receive laser therapy (control group). Pain severity, disability, lumbar mobility, and quality of life were assessed before and after 12-week intervention. Results. Both LLLT and HILT groups showed a significant improvement of the Oswestry Disability Index (ODI), visual analogue scale (VAS), lumbar range of motion (ROM), and European Quality of Life (EuroQol) scores ( p > 0.05 ), while the control group did not show significant changes ( p > 0.05 ). Comparison among the three study groups postintervention showed significant differences in the outcome measures ( p > 0.05 ), while comparison between the LLLT and HILT groups showed nonsignificant differences ( p > 0.05 ). Conclusion. There are no different influences of LLLT versus HILT on chronic nsLBP patients. Both LLLT and HILT reduce pain and disability and improve lumbar mobility and quality of life in chronic nsLBP patients.

scholarly journals Efficacy of Platelet-rich Plasma for Low Back Pain: A Systematic Review and Meta-analysis

2020 ◽  
Vol 81 (06) ◽  
pp. 529-534 ◽  
Author(s):  
Zhaopeng Xuan ◽  
Wenjun Yu ◽  
Yichen Dou ◽  
Tao Wang
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Patient Satisfaction ◽  
Back Pain ◽  
Pain Relief ◽  
Platelet Rich Plasma ◽  
Meta Analysis ◽  
Low Back ◽  
Pain Scores ◽  
Control Intervention

Abstract Background Platelet-rich plasma (PRP) may be beneficial for patients with low back pain. However, the results remain controversial. We conducted a systematic review and meta-analysis to explore the efficacy of PRP for low back pain. Methods PubMed, Embase, Web of Science, EBSCO, and Cochrane Library databases were searched systematically. Randomized controlled trials (RCTs) assessing the effect of PRP on low back pain were included. Two investigators independently searched articles, extracted data, and assessed the quality of included studies. The primary outcome was pain scores within 8 weeks. Meta-analysis was performed using the random-effects model. Results Three RCTs involving 131 patients were included in the meta-analysis. Overall, compared with control intervention for low back pain, PRP injection was found to reduce pain scores significantly (mean difference: − 1.47; 95% confidence interval [CI], − 2.12 to − 0.81; p < 0.0001), improve the number of patients with > 50% pain relief at 3 months (risk ratio [RR]: 4.14; 95% CI, 2.22–7.74; p < 0.00001), and offer relatively good patient satisfaction (RR: 1.91; 95% CI, 1.04–3.53; p = 0.04). No increase in adverse events was reported after PRP injection (RR: 1.92; 95% CI, 0.94-3.91; p = 0.07). Conclusions Compared with control intervention for low back pain, PRP injection was found to improve pain relief and patient satisfaction significantly with no increase in adverse events.

T287 LOW LEVEL LASER THERAPY IN GERIATRIC PATIENTS WITH LOW BACK PAIN

2011 ◽  
Vol 5 (S1) ◽  
pp. 61-61 ◽  
Author(s):  
L. Konstantinovic ◽  
M. Lazovic ◽  
N. Milovanovic ◽  
Z. Kanjuh
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Laser Therapy ◽  
Geriatric Patients ◽  
Low Level Laser Therapy ◽  
Low Back ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser

scholarly journals Effect of Ultrasound Versus Low Level Laser Therapy in Treatment of Postnatal Low Back Pain

2018 ◽  
Vol 86 (12) ◽  
pp. 4125-4135
Author(s):  
MOHAMED A. AWAD, Ph.D.; ASMAA M.A. EL-BANDRAWY, Ph.D. ◽  
ABD EL-HAMID A. ATTA ALLAH, M.D.; MINA N. SOLIMAN, M.Sc.
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Laser Therapy ◽  
Low Level Laser Therapy ◽  
Low Back ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser
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