The Effect of Light Therapy on Superficial Radial Nerve Conduction Using a Clustered Array of Infrared Super luminous Diodes and Red Light Emitting Diodes
Journal of Lasers in Medical Sciences,
Vol. 4 No. 1 (2013),
,
Page 17-24
Abstract
INTRODUCTION: Lasers, light emitting diodes (LEDs) and super luminous diodes (SLDs) are widely used to treat selected musculoskeletal, integumentary and neurological conditions. The mechanisms underlying the reported treatment effects of light therapy are unclear and the physiologic effect of light on a variety of tissues, particularly neurological, is mostly unknown. A few researchers have reported on the effects of lasers and to a lesser extent infrared LEDs on nerve conduction in superficial nerves, but there is little evidence of the effects of SLDs and red LEDs on conduction parameters of peripheral nerves. The purpose of this study was to examine the effects of a light therapy generated by cluster probe containing an array of infrared super luminous and red light emitting diodes on superficial radial nerve conduction.
METHODS: This was a single blind, randomized controlled trial conducted in an academic clinical laboratory. Thirty-two healthy participants (mean age = 25 years) were randomized to a treatment group or a placebo group. The treatment group received light irradiation through the application of a cluster probe containing 32 infrared (880nm) SLDs and 4 red (660nm) LEDs for 30 seconds at a dose of 6 J/cm2 to each of the two 5 cm2 segments of skin overlying the superficial radial nerve. The placebo group received identical set-up without the application of light irradiation. Negative peak latency (NPL) and conduction velocity (NCV) for the superficial radial nerve were measured before treatment and for 10-minutes following treatment at 2-minute intervals. Skin temperature was monitored throughout.
RESULTS: No significant differences between groups and over time for NPL, NCV, or temperature difference scores were identified. However, a significant increase in skin temperature was measured over time at each time point compared to baseline
CONCLUSION: Light irradiation using a cluster probe containing infrared super luminous and red light emitting diodes does not impact the neurophysiological properties of the superficial radial nerve.
- phototherapy
- neural conductions
- radial nerve
How to Cite
References
Mester E, Spiry T, Szende B, Tota JG. Effect of laser rays on wound healing. Am. J. Surg 1971;122(4):532–5.
Sommer AP, Pinheiro AL, Mester AR, Franke RP, Whelan HT. Biostimulatory windows in low-intensity laser activation: lasers, scanners, and NASA’s lightemitting diode array system. J Clin Laser Med Surg 2001;19(1):29–33.
Chang W-D, Wu J-H, Yang W-J, Jiang J-A. Therapeutic effects of low-level laser on lateral epicondylitis from differential interventions of Chinese-Western medicine: systematic review. Photomed Laser Surg 2010;28(3):327– 36.
Lam LK, Cheing GL. Effects of 904-nm low-level laser therapy in the management of lateral epicondylitis: a randomized controlled trial. Photomed Laser Surg2007;25(2):65–71.
Lundeberg T, Haker E, Thomas M. Effect of laser versus placebo in tennis elbow. Scand J Rehabil Med 1987;19(3):135–8.
Simunovic Z, Trobonjaca T, Trobonjaca Z. Treatment of medial and lateral epicondylitis--tennis and golfer’s elbow--with low level laser therapy: a multicenter double blind, placebo-controlled clinical study on 324 patients. J Clin Laser Med Surg 1998;16(3):145–51.
Vasseljen O Jr, Høeg N, Kjeldstad B, Johnsson A, Larsen S. Low level laser versus placebo in the treatment of tennis elbow. Scand J Rehabil Med 1992;24(1):37–42.
Caetano KS, Frade MA, Minatel DG, Santana LA, Enwemeka CS. Phototherapy improves healing of chronic venous ulcers. Photomed Laser Surg 2009;27(1):111–8.
Enwemeka CS, Parker JC, Dowdy DS, Harkness EE, Sanford LE, Woodruff LD. The efficacy of low-power lasers in tissue repair and pain control: a meta-analysis study. Photomed Laser Surg 2004;22(4):323–9.
Minatel DG, Frade MA, França SC, Enwemeka CS. Phototherapy promotes healing of chronic diabetic leg ulcers that failed to respond to other therapies. Lasers Surg Med 2009;41(6):433–41.
Minatel DG, Enwemeka CS, França SC, Frade MA. Phototherapy (LEDs 660/890nm) in the treatment of leg ulcers in diabetic patients: case study. An Bras Dermatol 2009;84(3):279–83.
Enwemeka CS. The place of coherence in light induced tissue repair and pain modulation. Photomed Laser Surg 2006;24(4):457.
Enwemeka CS. Intricacies of dose in laser phototherapy for tissue repair and pain relief. Photomed Laser Surg 2009;27(3):387–93.
Konstantinovic LM, Kanjuh ZM, Milovanovic AN, Cutovic MR, Djurovic AG, Savic VG, et al. Acute low back pain with radiculopathy: a double-blind, randomized, placebo-controlled study. Photomed Laser Surg 2010;28(4):553–60.
Konstantinovic LM, Cutovic MR, Milovanovic AN, Jovic SJ, Dragin AS, Letic MDj, et al. Low-level laser therapy for acute neck pain with radiculopathy: a doubleblind placebo-controlled randomized study. Pain Med 2010;11(8):1169–78.
Powell MW, Carnegie DE, Burke TJ. Reversal of diabetic peripheral neuropathy and new wound incidence: the role of MIRE. Adv Skin Wound Care 2004;17(6):295–300.
DeLellis SL, Carnegie DH, Burke TJ. Improved sensitivity in patients with peripheral neuropathy: effects of monochromatic infrared photo energy. J Am Podiatr Med Assoc 2005;95(2):143–7.
Leonard DR, Farooqi MH, Myers S. Restoration of sensation, reduced pain, and improved balance in subjects with diabetic peripheral neuropathy: a doubleblind, randomized, placebo-controlled study with monochromatic near-infrared treatment. Diabetes Care 2004;27(1):168–72.
Vinck E, Cagnie B, Coorevits P, Vanderstraeten G, Cambier D. Pain reduction by infrared light-emitting diode irradiation: a pilot study on experimentally induced delayed-onset muscle soreness in humans. Lasers in Medical Science 2006;21(1):11–8.
Brosseau L, Robinson V, Wells G, Debie R, Gam A, Harman K, et al. Low level laser therapy (Classes I, II and III) for treating rheumatoid arthritis. Cochrane Database Syst Rev 2005;(4):CD002049.
Brosseau L, Welch V, Wells G, Tugwell P, de Bie R, Gam A, et al. Low level laser therapy for osteoarthritis and rheumatoid arthritis: a metaanalysis. J. Rheumatol 2000;27(8):1961–9.
Gur A, Cosut A, Sarac AJ, Cevik R, Nas K, Uyar A. Efficacy of different therapy regimes of low-power laser in painful osteoarthritis of the knee: a doubleblind and randomized-controlled trial. Lasers Surg Med 2003;33(5):330–8.
Hegedus B, Viharos L, Gervain M, Gálfi M. The effect of low-level laser in knee osteoarthritis: a double-blind, randomized, placebo-controlled trial. Photomed Laser Surg 2009;27(4):577–84.
Juhl C. Short term beneficial effects of low level laser therapy for patients with rheumatoid arthritis. Aust J Physiother 2006;52(3):224.
Harkless LB, DeLellis S, Carnegie DH, Burke TJ. Improved foot sensitivity and pain reduction in patients with peripheral neuropathy after treatment with monoch romatic infrared photo energy--MIRE. J. Diabetes Complicat 2006;20(2):81–7.
Chang W-D, Wu J-H, Jiang J-A, Yeh C-Y, Tsai C-T. Carpal tunnel syndrome treated with a diode laser: a controlled treatment of the transverse carpal ligament. Photomed Laser Surg 2008;26(6):551–7.
Shooshtari SMJ, Badiee V, Taghizadeh SH, Nematollahi AH, Amanollahi AH, Grami MT. The effects of low level laser in clinical outcome and neurophysiological results of carpal tunnel syndrome. Electromyogr Clin Neurophysiol 2008;48(5):229–31.
Basford JR, Hallman HO, Matsumoto JY, Moyer SK, Buss JM, Baxter GD. Effects of 830 nm continuous wave laser diode irradiation on median nerve function in normal subjects. Lasers Surg Med 1993;13(6):597–604.
Baxter GD, Walsh DM, Allen JM, Lowe AS, Bell AJ. Effects of low intensity infrared laser irradiation upon conduction in the human median nerve in vivo. Exp. Physiol 1994;79(2):227–34.
Lowe AS, Baxter GD, Walsh DM, Allen JM. Effect of low intensity laser (830 nm) irradiation on skin temperature and antidromic conduction latencies in the human median nerve: relevance of radiant exposure. Lasers Surg Med 1994;14(1):40–6.
Noble JG, Lowe AS, Baxter GD. Monochromatic infrared irradiation (890 nm): effect of a multisource array upon conduction in the human median nerve. J Clin Laser Med Surg 2001;19(6):291–5.
Cambier D, Blom K, Witvrouw E, Ollevier G, De Muynck M, Vanderstraeten G. The Influence of Low Intensity Infrared Laser Irradiation on Conduction Characteristics of Peripheral Nerve: A Randomised, Controlled, Double Blind Study on the Sural Nerve. Lasers in Medical Science 2000;15:195–200.
Vinck E, Coorevits P, Cagnie B, De Muynck M, Vanderstraeten G, Cambier D. Evidence of changes in sural nerve conduction mediated by light emitting diode irradiation. Lasers in Medical Science 2005;20(1):35–40.
Greathouse DG, Currier DP, Gilmore RL. Effects of clinical infrared laser on superficial radial nerve conduction. Phys Ther 1985;65(8):1184–7.
Safavi-Farokhi Z, Bakhtiary AH. The effect of infrared laser on sensory radial nerve electrophysiological parameters. Electromyogr Clin Neurophysiol 2005;45(6):353–6.
Snyder-Mackler L, Bork CE. Effect of helium-neon laser irradiation on peripheral sensory nerve latency. Phys Ther 1988;68(2):223–5.
Walsh DM, Baxter GD, Allen JM. Lack of effect of pulsed low-intensity infrared (820 nm) laser irradiation on nerve conduction in the human superficial radial nerve. Lasers Surg Med 2000;26(5):485–90.
Downie AW, Scott TR. An improved technique for radial nerve conduction studies. J. Neurol. Neurosurg. Psychiatr 1967;30(4):332–6.
Halar EM, DeLisa JA, Soine TL. Nerve conduction studies in upper extremities: skin temperature corrections. Arch Phys Med Rehabil 1983;64(9):412–6.
Lee HJ, DeLisa JA, Bach JR. The effect of temperature on antidromic median sensory conduction. Electromyogr Clin Neurophysiol 1993;33(2):125–8.
- Abstract Viewed: 408 times
- PDF Downloaded: 305 times