ROLE OF PHOTOBIOMODULATION (PBM):
For this type of pain, PBM is a very useful modality because it combines several specific effects:
Immediate pain relief, which is very useful for high-level skiers suffering from muscle and joint pain. It helps reduce muscle spasms and local tissue inflammation. This action improves function because by reducing pain, it makes it easier for skiers to engage in strengthening and mobilisation exercises, which are key to long-term recovery.
The anti-inflammatory effect, which has been demonstrated and reduces dependence on anti- inflammatory drugs (Naterstad et al 2018). 21 The Cochrane Review has also evaluated PBM for the treatment of non-specific low back pain, suggesting an effect on pain (Yousefi-Nooraie et al 2017). 22
Main objective
Phase of Low Back Pain
Recommended Dosage (Indicative)
Frequency/ Duration
Area of Application
Hypoalgesia Anti-inflammatory
Pain limiting exercise
Moderate (4 to 8 J/cm 2 )
3 times/week, just before rehabilitation
Painful area of the spine at the vertebral level
Muscle relaxation
Transition phase between physiotherapy and return to sport
Strong (8 to 15 J/cm 2 )
Depending on physical therapy or sports specific sessions
Paravertebral areas
Muscle preparation
Return to sport
Very strong (20 J/cm 2 )
Before the session
Paravertebral areas and peripheral muscles
22
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