Systematic review of the literature of low-level laser therapy (LLLT) in the management of neck pain

被引:79
作者
Chow, RT
Barnsley, L
机构
[1] Castle Hill Med Ctr, FRACGP, Castle Hill, NSW 2154, Australia
[2] Univ Sydney, Fac Med, Concord Repatriat Gen Hosp, Concord, NSW 2139, Australia
关键词
830; nm; laser therapy; infrared;
D O I
10.1002/lsm.20193
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background and Objectives: Low-level laser therapy (LLLT) is widely used in the treatment of musculoskeletal pain. However, there is controversy over its true efficacy. We aimed to determine the efficacy of LLLT in the treatment of neck pain through systematically reviewing the literature. Study Design/Materials and Methods: A search of computerized bibliographic databases covering medicine, physiotherapy, allied health, complementary medicine, and biological sciences was undertaken undertaken from date of inception until February 2004 for randomized controlled trials of LLLT for neck pain. A comprehensive list of search terms was applied and explicit inclusion criteria were developed a priori. Twenty studies were identified, five of which met the inclusion criteria. Results: Significant positive effects were reported in four of five trials in which infrared wavelengths (lambda = 780, 810-830, 904, 1,064 nm) were used. Heterogeneity in outcome measures, results reporting, doses, and laser parameters precluded formal meta-analysis. Effect sizes could be calculated for only two of the studies. Conclusions: This review provides limited evidence from one RCT for the use of infrared laser for the treatment of acute neck pain (n = 71) and chronic neck pain from four RCTs (n = 202). Larger studies are required to confirm the positive findings and determine the most effective laser parameters, sites and modes of application.
引用
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页码:46 / 52
页数:7
相关论文
共 47 条
[1]  
Aker PD, 1996, BMJ-BRIT MED J, V313, P1291
[2]  
[Anonymous], 2001, Journal of Laser Therapy
[3]  
[Anonymous], 1989, Clinical laser therapy : low level laser therapy
[4]  
[Anonymous], MINERVA ORTOP TRAUMA
[5]   THE EFFICACY OF LASER THERAPY FOR MUSCULOSKELETAL AND SKIN DISORDERS - A CRITERIA-BASED METAANALYSIS OF RANDOMIZED CLINICAL-TRIALS [J].
BECKERMAN, H ;
DEBIE, RA ;
BOUTER, LM ;
DECUYPER, HJ ;
OOSTENDORP, RAB .
PHYSICAL THERAPY, 1992, 72 (07) :483-491
[6]  
Bjordal J, 2001, PHYS THER REV, V6, P91
[7]   A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders [J].
Bjordal, JM ;
Couppé, C ;
Chow, RT ;
Tunér, J ;
Ljunggren, EA .
AUSTRALIAN JOURNAL OF PHYSIOTHERAPY, 2003, 49 (02) :107-116
[8]  
BJORDAL JM, 1998, PHYS THER REV, V3, P121
[9]  
Borghouts J, 1999, SCAND J PRIM HEALTH, V17, P215
[10]   Cost-of-illness of neck pain in The Netherlands in 1996 [J].
Borghouts, JAJ ;
Koes, BW ;
Vondeling, H ;
Bouter, LM .
PAIN, 1999, 80 (03) :629-636