High-intensity versus low-level laser in musculoskeletal disorders.


Journal

Lasers in medical science
ISSN: 1435-604X
Titre abrégé: Lasers Med Sci
Pays: England
ID NLM: 8611515

Informations de publication

Date de publication:
11 Jul 2024
Historique:
received: 06 03 2024
accepted: 23 06 2024
medline: 11 7 2024
pubmed: 11 7 2024
entrez: 11 7 2024
Statut: epublish

Résumé

To evaluate the current evidence comparing low level to high level laser therapy to reveal any superiorities in the treatment of musculoskeletal disorders. Five databases were searched till September 2022 to obtain relevant RCTs comparing high intensity and low-level laser therapies in the management of musculoskeletal disorders. Two authors assessed the methodological quality of the included studies using the Physiotherapy Evidence Database scale and meta-analysis was conducted for studies that showed homogeneity. Twelve articles were included in this systematic review with a total population of 704 participants across various musculoskeletal pathologies including tennis elbow, carpal tunnel syndrome, chronic non-specific low back pain, knee arthritis, plantar fasciitis, and subacromial impingement. There were no statistical differences between the two interventions in pain, electrophysiological parameters, level of disability, quality of life, postural sway or pressure algometer, however, Low level laser therapy showed superiority in increasing grip strength compared to high intensity laser therapy while results were significant in favour of high intensity laser therapy regarding long head of biceps diameter and cross sectional area, supraspinatus thickness and echogenicity and acromio-humeral distance. The current literature suggests no superiority of both types of laser therapy in musculoskeletal disorders, however, more RCTs with larger sample size are required to reach a definitive conclusion regarding the superiority of either form of laser therapy in musculoskeletal disorders.

Identifiants

pubmed: 38990213
doi: 10.1007/s10103-024-04111-1
pii: 10.1007/s10103-024-04111-1
doi:

Types de publication

Journal Article Systematic Review Meta-Analysis Comparative Study Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

179

Informations de copyright

© 2024. The Author(s).

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Auteurs

Marwa Shafiek Saleh (MS)

Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Department of Physical Therapy, Faculty of Applied Medical Sciences, Al-Zaytoonah University of Jordan, Amman, Jordan.

Mostafa Shahien (M)

Faculty of Physical Therapy, Cairo University, Giza, Egypt.

Hossam Mortada (H)

Biomechanics Unit, Basic Sciences Department, Faculty of Physical Therapy, Galala University, Suez, Egypt.

Abdelrahman Elaraby (A)

Faculty of Physical Therapy, Cairo University, Giza, Egypt.

Yara Samir Hammad (YS)

Faculty of Physical Therapy, Misr University for Science and Technology, Giza, Egypt.

Maged Hamed (M)

Department of Physical Therapy, Sharm El Shiekh International Hospital, South Sinai, Egypt.

Shorouk Elshennawy (S)

Department of Pediatric Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Egypt. shoroukelshennawy@cu.edu.eg.
Department of Pediatric Physical Therapy, Faculty of Physical Therapy, Misr University for Science and Technology, Giza, Egypt. shoroukelshennawy@cu.edu.eg.

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