Effect of low-level laser therapy on pain and disability in patients with plantar fasciitis: A systematic review and meta-analysis.

Autor: Guimarães JS; Programa de Pós-Graduação em Medicina e Saúde - Universidade Federal da Bahia - UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela Salvador, CEP 40.110-100, Salvador, BA, Brazil; Division of Foot and Ankle Surgery of Hospital São Rafael, Av. São Rafael, 2152 - São Marcos, CEP: 41253-190, Salvador, Bahia, Brazil; Division of Foot and Ankle Surgery of Hospital Manoel Victorino - Praça Cons. Almeida Couto, s/n, Largo de Nazaré - CEP: 44.150-050, Salvador, Bahia, Brazil. Electronic address: janicesguimaraes@gmail.com., Arcanjo FL; Programa de Pós-Graduação em Medicina e Saúde - Universidade Federal da Bahia - UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela Salvador, CEP 40.110-100, Salvador, BA, Brazil; Physiotherapy Research Group of Universidade Federal da Bahia - UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela Salvador, BA, CEP 40.110-100, Brazil., Leporace G; Physiotherapy Research Group of Universidade Federal da Bahia - UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela Salvador, BA, CEP 40.110-100, Brazil; IBTS - Instituto Brasil de Tecnologia da Saúde - Rua Visconde de Pirajá, 407 - 905 - Ipanema, CEP:22410-003, Rio de Janeiro, Brazil; Unifesp - Universidade Federal de São Paulo - Rua Sena Madureira, n.° 1.500 - Vila Clementino, CEP: 04021-001, São Paulo - SP, Brazil., Metsavaht LF; IBTS - Instituto Brasil de Tecnologia da Saúde - Rua Visconde de Pirajá, 407 - 905 - Ipanema, CEP:22410-003, Rio de Janeiro, Brazil; Unifesp - Universidade Federal de São Paulo - Rua Sena Madureira, n.° 1.500 - Vila Clementino, CEP: 04021-001, São Paulo - SP, Brazil., Sena C; Programa de Pós-Graduação em Medicina e Saúde - Universidade Federal da Bahia - UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela Salvador, CEP 40.110-100, Salvador, BA, Brazil; Physiotherapy Research Group of Universidade Federal da Bahia - UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela Salvador, BA, CEP 40.110-100, Brazil; Physical Therapy Department of Universidade Federal da Bahia - UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela Salvador, CEP 40.110-100, Salvador, Bahia, Brazil., Moreno MVMG; Division of Foot and Ankle Surgery of Hospital Cardiopulmonar - Av. Garibaldi, 2199, Ondina, CEP: 40.170-130, Salvador, Bahia, Brazil., Marçal Vieira TE; Division of Foot and Ankle Surgery of Hospital Cardiopulmonar - Av. Garibaldi, 2199, Ondina, CEP: 40.170-130, Salvador, Bahia, Brazil., Gomes Neto M; Programa de Pós-Graduação em Medicina e Saúde - Universidade Federal da Bahia - UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela Salvador, CEP 40.110-100, Salvador, BA, Brazil; Physiotherapy Research Group of Universidade Federal da Bahia - UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela Salvador, BA, CEP 40.110-100, Brazil; Physical Therapy Department of Universidade Federal da Bahia - UFBA, Av. Reitor Miguel Calmon s/n - Vale do Canela Salvador, CEP 40.110-100, Salvador, Bahia, Brazil.
Jazyk: angličtina
Zdroj: Musculoskeletal science & practice [Musculoskelet Sci Pract] 2022 Feb; Vol. 57, pp. 102478. Date of Electronic Publication: 2021 Nov 16.
DOI: 10.1016/j.msksp.2021.102478
Abstrakt: Objective: We performed a systematic review to investigate the effects of low-level laser therapy (LLLT) on pain and disability in patients with plantar fasciitis (PF).
Methods: We searched Pubmed, PEDro database, Scielo, and Cochrane Central for randomized controlled trials that evaluated the effects of LLLT for patients with PF. The methodological aspects of the studies included were scored using the PEDro scale. Three comparisons were made: LLLT compared with placebo, LLLT combined with conventional rehabilitation (CR) compared with CR and LLLT compared with extracorporeal shock wave therapy.
Results: Fourteen studies (817 patients) met the study criteria. Compared to the placebo group, LLLT improved pain (MD, -2.3; 95% CI: 2.6 to -2, I 2  = 0%; 4 studies, N = 234: moderate-quality evidence) in the short term (0-6 weeks). No significant difference in short-term disability was found for participants in the LLLT group compared to the placebo group. Compared to the CR group, LLLT combined with CR improved pain (MD, -2.0; 95% CI: 2.9 to -1.1, I 2  = 0%; 2 studies, N = 90: moderate-quality evidence) in the short term (0-6 weeks). Compared to extracorporeal shock wave therapy, LLLT did not significantly reduce pain intensity in the short term (MD, 0.5; 95% CI: 2.0 to 2.9, I 2  = 96%; 4 studies, N = 175: low-quality evidence).
Conclusions: LLLT may improve pain in the short term and can be considered as a component of care of patients with PF. However, this superiority disappeared compared to extracorporeal shock wave therapy.
Level of Evidence: Therapeutic level I.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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