The effectiveness of laser therapy on the management of chronic low back pain
| Autor: | Catherine Carus, Tsz Hin Poon |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Rehabilitation business.industry medicine.medical_treatment MEDLINE Physical Therapy Sports Therapy and Rehabilitation CINAHL Cochrane Library law.invention 030207 dermatology & venereal diseases 03 medical and health sciences Critical appraisal 0302 clinical medicine Physical medicine and rehabilitation Randomized controlled trial law Inclusion and exclusion criteria medicine Physical therapy business 030217 neurology & neurosurgery Low level laser therapy |
| Zdroj: | International Journal of Therapy and Rehabilitation. 23:432-443 |
| ISSN: | 1759-779X 1741-1645 |
| DOI: | 10.12968/ijtr.2016.23.9.432 |
| Popis: | Background/Aims: Chronic low back pain is a global musculoskeletal challenge, resulting in pain and disability on individuals. Laser therapy can be used to treat chronic low back pain. This review evaluates the effectiveness of laser therapy including high level laser therapy (HLLT) and low level laser therapy (LLLT) on chronic low back pain in relation to pain or functional disability. Methods: The authors conducted a systematic review of randomised controlled trials (RCTs) and searched the Cochrane Library, MEDLINE, CINAHL, AMED and PEDro from their start to June 2015. All studies that met predetermined inclusion and exclusion criteria were appraised with The Cochrane Collaboration's tool for assessing risk of bias and Critical Appraisal Skills Programme tools in June 2015. Results: Six RCTs met the inclusion criteria: two RCTs reported significant improvement in pain and functional disability with the use of HLLT but with a small sample size (n=103); one RCT (n=61) reported significant improvement and three RCTs (n=215) reported insignificant improvement in pain and functional disability with the use of LLLT. Conclusions: On the strength of the evidence available, HLLT and LLLT are not currently recommended to be replaced or be offered in addition to conventional treatment. Further rigorous research is required to confirm the potential use of laser therapy on individuals presenting with chronic low back pain. |
| Databáze: | OpenAIRE |
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