Photobiomodulation Clinical Evidence

Abdildin 2023 | Low Back pain

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Abdildin Y, Tapinova K, Jyeniskhan N, Viderman D. High-intensity laser therapy in low back pain management: a systematic review with meta-analysis. Lasers Med Sci. 2023 Jul 26;38(1):166.

Systematic Review and Meta-Analysis including 3 RCTs (200 patients) comparing HILT with sham therapy or LLLT. • Two of the three studies were graded as having a high risk of bias due to their single-blinded nature. • The methodological quality of the studies was graded as acceptable (3 out of 5) on the Oxford quality assessment system (JADAD scale). • Using GRADE approach, the certainty of outcomes Pain intensity and the Roland disability index were assessed as having high certainty, while the Oswestry disability index was evaluated as having moderate certainty. Results The results significantly favor the HILT group over the control group in terms of: • Pain intensity. Certainty of evidence: High. • Oswestry disability. Certainty of evidence: Moderate. • Roland disability index. Certainty of evidence: High. The studies also showed improved flexibility compared to controls at 12 weeks.

KEY MESSAGE High-intensity laser therapy may decrease pain scores and disability in chronic low back pain patients, as well as improve flexibility at 12 weeks after treatment.

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