Photobiomodulation Clinical Evidence

De la Barra Ortiz 2024| Neck pain

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de la Barra Ortiz HA, Arias M, Liebano RE. A systematic review and meta-analysis of randomized controlled trials on the effectiveness of high-intensity laser therapy in the management of neck pain. Lasers Med Sci. 2024 May 6;39(1):124.

Systematic review and meta-analysis including 20 RCTs. Results

• A statistically significant difference was found for pain at rest (MD=-14.05 mm) and during movement (MD = -16.4 mm), and this advantage was sustained at the three-month follow-up (MD = -12.17 mm). • A statistical significance in favor of HILT was found for movements of extension, right and left side bending, and right and left rotation, with a pooled effect in terms of MDs of 3.93°, 2.63°, 3.19°, 3.47°, and 2.73° respectively. • A statistically significant difference of -8.3% was found in favor of HILT for disability . • Only the results for pain intensity are in line with the minimal clinically important differences (MCID) reported in the literature. • Subgroup analysis showed that the most favorable results are obtained when HILT is employed to address myofascial pain, cervical radiculopathy and chronic neck pain.

KEY MESSAGE HILT has a positive effect on reducing pain and disability in a variety of neck disorders.

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