Effects of high intensity laser therapy on pain and function of patients with chronic back pain
Hyeun-Woo Choi, Jongmin Lee, Sangyong Lee, Jioun Choi, Kwansub Lee, Byung-Kon Kim, Gook-Joo Kim, Hyeun-Woo Choi, Jongmin Lee, Sangyong Lee, Jioun Choi, Kwansub Lee, Byung-Kon Kim, Gook-Joo Kim
Abstract
[Purpose] This study examined the effects of High Intensity Laser Therapy on pain and function of patients with chronic back pain. [Subjects and Methods] This study evenly divided a total of 20 patients with chronic back pain into a conservative physical therapy group that received conservative physical therapy, and a high intensity laser therapy group that received High Intensity Laser Therapy after conservative physical therapy. All patients received the therapy three times a week for four weeks. For the high intensity laser therapy group, treatment was applied to the L1-L5 and S1 regions for 10 minutes by using a high intensity laser device while vertically maintaining the separation distance from handpiece to skin at approximately 1 cm. A visual analog scale was used to measure the pain and Oswestry Disability Index was used for functional evaluation. [Results] In a within-group comparison of the conservative physical therapy and high intensity laser therapy groups, both the visual analog scale and Oswestry Disability Index significantly decreased. In a between-group comparison after treatment, the high intensity laser therapy group showed a significantly lower visual analog scale and Oswestry Disability Index than the conservative physical therapy group. [Conclusion] High Intensity Laser Therapy can be an effective nonsurgical intervention method for reducing pain and helping the performance of daily routines of patients who have chronic back pain.
Keywords: High intensity laser therapy; Low back pain; Oswestry disability index.
Figures
References
- Sims JA, Moorman SJ: The role of the iliolumbar ligament in low back pain. Med Hypotheses, 1996, 46: 511–515.
- Rubin DI: Epidemiology and risk factors for spine pain. Neurol Clin, 2007, 25: 353–371.
- Alayat MS, Atya AM, Ali MM, et al. : Long-term effect of high-intensity laser therapy in the treatment of patients with chronic low back pain: a randomized blinded placebo-controlled trial. Lasers Med Sci, 2014, 29: 1065–1073.
- O’Sullivan P: Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man Ther, 2005, 10: 242–255.
- Kachanathu SJ, Alenazi AM, Seif HE, et al. : Comparison between kinesio taping and a traditional physical therapy program in treatment of nonspecific low back pain. J Phys Ther Sci, 2014, 26: 1185–1188.
- Santamato A, Solfrizzi V, Panza F, et al. : Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of people with subacromial impingement syndrome: a randomized clinical trial. Phys Ther, 2009, 89: 643–652.
- Kheshie AR, Alayat MS, Ali MM: High-intensity versus low-level laser therapy in the treatment of patients with knee osteoarthritis: a randomized controlled trial. Lasers Med Sci, 2014, 29: 1371–1376.
- Pejcic A, Mirkovic D: Anti-inflammatory effect of low level laser treatment on chronic periodontitis. Med Laser Appl, 2011, 26: 27–34.
- Marotti J, Sperandio FF, Fregnani ER, et al. : High-intensity laser and photodynamic therapy as a treatment for recurrent herpes labialis. Photomed Laser Surg, 2010, 28: 439–444.
- Kim GJ, Choi J, Lee S, et al. : The effects of high intensity laser therapy on pain and function in patients with knee osteoarthritis. J Phys Ther Sci, 2016, 28: 3197–3199.
Source: PubMed