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Evaluation of the Effects of Intravenous and Percutaneous Low Level Laser Therapy in the Management of Shoulder Myofascial Pain Syndrome

Sirous Momenzadeh, Vahid Akhyani, Zahra Razaghi, Asghar Ebadifar, Mohammadzaki Abbasi
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Abstract

Introduction: Myofascial pain syndrome (MPS) treatment is challenging with a high recurrence rate and still lacks a clear treatment frame. Therefore research on new, more efficient and long lasting effect treatment modalities is necessary. This study looked at the effects of intravenous laser therapy (IVL) and percutaneous low level laser (PLLL) in the management of shoulder MPS.

Methods: In this randomized controlled trial, 30 patients fulfilling inclusion criteria were randomly equally allocated to 3 groups, control, IVL and PLLL. Control group received 12 sessions of placebo low level laser, IVL group received 12 sessions of IVL therapy, and PLLL group received 12 sessions of PLLL therapy. All patients were trained for better body posture, body mechanics, gentle massage of trigger points, stretching exercises of affected muscle (trapezius), and received 10 mg of oral nortriptyline regimen every night for 3 months. Outcomes included pain severity, functional disability, and quality of life. Patients were assessed using Numeric Rating Scale (NRS), Pain Disability Index (PDI), and Short Form Health Survey (SF-12). Data collected were analyzed using analysis of variance (ANOVA), Mann-Whitney and t tests.

Results: The mean of PDI and maximum pain intensity during day and night significantly reduced in both PLLL and IVL groups compared to control group. Although pain severity and PDI reduction was more pronounced in IVL group compared to PLLL group, the differences were not statistically significant. Also, quality of life statistically significantly improved in both IVL and PLLL groups compared to control group was more, and although higher in IVL group, the difference was not statistically significant when compared to PLLL group. No side effects were observed in the intervention groups.

Conclusion: Intravenous laser and PLLL therapy had a positive effect on pain severity and PDI reduction, and quality of life in this study. Also no adverse event was recorded. Thus, intravenous lasers and PLLL therapy seem to be effective complementary modalities in managing patients with shoulder MPS.


Keywords

Laser therapy; LLLT; IVL; Myofascial pain syndrome.

References

Rickards LD. The effectiveness of non-invasive treatments for active myofascialtrigger point pain: a systematic review of the literature. Int J Osteopath Med. 2006;9(4):120-136. doi:10.1016/j.ijosm.2006.07.007.

Furlan AD, Yazdi F, Tsertsvadze A, et al. A systematic review and meta-analysis of efficacy, cost-effectiveness, and safety of selected complementary and alternative medicine for neck and low-back pain. Evid Based Complement Altern Med. 2012;2012:953139. doi:10.1155/2012/953139.

Çeliker R, Atalay A, Guven Z. Health-related quality of life in patients with myofascial pain syndrome. Curr Pain Headache Rep. 2010;14(5):361-366. doi:10.1007/s11916- 010-0141-7.

Annaswamy TM, De Luigi AJ, O’Neill BJ, Keole N, Berbrayer D. Emerging concepts in the treatment of myofascial pain: a review of medications, modalities, and needle-based interventions. PM R. 2011;3(10):940-961. doi:10.1016/j.pmrj.2011.06.013.

Ilbuldu E, Cakmak A, Disci R, Aydin R. Comparison of laser, dry needling, and placebo laser treatments in myofascial pain syndrome. Photomed Laser Surg. 2004; 22(4):306-311.

Rayegani SM, Bahrami MH, Samadi B, Sedighpour L, Mokhtarirad MR, Eliaspour D. Comparison of the effects of low energy laser and ultrasound in treatment of shoulder myofascial pain syndrome: a randomized single-blinded clinical trial. Eur J Phys Rehabil Med. 2011;47(3):381-389.

Yap EC. Myofascial pain- an overview. Ann Acad Med Singapore. 2007;36:43-8.

Weber MH. The intravenous laser blood irradiation-introduction of a new therapy. Ger J Acupuncture Relat Tech. 2007;50(3):12-23.

Argoff C, Smith H, Evans RW. Myofascial pain syndrome. http://www.medmerits.com/index.php/article/ myofascial_pain_syndrome.

Gur A, Sarac AJ, Cevik R, Altindag O, Sarac S. Efficacy of 904 nm gallium arsenide low level laser therapy in the management of chronic myofascial pain in the neck: a double-blind and randomize-controlled trial. Lasers Surg Med. 2004;35(3):229-235.

Carrasco TG, Guerisoli LD, Guerisoli DM, Mazzetto MO. Evaluation of low intensity laser therapy in myofascial pain syndrome. Cranio. 2009;27(4):243-247.

Gür A, Karakoc M, Nas K, Cevik R, Sarac J, Ataoglu S. Effects of low power laser and low dose amitriptyline therapy on clinical symptoms and quality of life in fibromyalgia: a single-blind, placebo-controlled trial. Rheumatol Int. 2002 Sep;22(5):188-93. Epub 2002 Jul 6.

Bjordal JM, Lopes-Martins R, Johnson MI, Chow R. Inaccuracies in laser therapy meta-analysis for neck pain? J Physiother. 2010; 56(4):282.




DOI: https://doi.org/10.22037/jlms.v7i1.9361