Monochromatic Infrared Photo Energy Versus Low Level Laser Therapy in Chronic Low Back Pain
Journal of Lasers in Medical Sciences,
Vol. 6 No. 4 (2015),
2 Aban 2015
,
Page 157-161
Abstract
Introduction: Low back pain (LBP) is the most common musculoskeletal disease. Monochromatic infrared photo energy (MIPE) and low level laser therapy (LLLT) are light modalities used to reduce pain and increase blood flow. The aim of this study was to compare the effects of the MIPE and LLLT in reducing functional disability and pain as well as improving lumbar range of motion (ROM) in patients with chronic LBP.
Methods: Seventy participants with LBP completed the program and were randomly assigned into 2 groups. Group 1 (n = 35) received MIPE and therapeutic exercises. Group 2 (n = 35) received LLLT and therapeutic exercises. Both groups received 2 visits per week for 6 weeks. Outcome measures were functional rating index (FRI), visual analogue scale (VAS) and modified-modified Schober test at baseline and after 6 weeks.
Results: There were statistically significant improvements in functional disability, pain and lumbar ROM (P < .05) in each group. However, no significant differences were recorded between the groups (P > .05).
Conclusion: Therefore, MIPE and LLLT may play a role in treating chronic LBP and there are no differences between the two modalities in improving functional disability, pain and lumbar ROM in patients with chronic LBP.
- Light
- Back pain
- low
- Chronic
- Monochromatic
- Low level laser therapy
- Pain.
How to Cite
References
Cho KH, Beom JW, Lee TS, Lim JH, Lee TH, Yuk JH. Trunk muscles strength as a risk factor for nonspecific low back pain: a pilot study. Ann Rehabil Med. 2014;38(2):234-240. doi:10.5535/arm.2014.38.2.234
Pivec R, Stokes M, Chitnis AS, Paulino CB, Harwin SF, Mont MA. Clinical and economic impact of TENS in patients with chronic low back pain: analysis of a nationwide database. Orthopedics. 2013;36(12):922- 928. doi:10.3928/01477447-20131120-04
Atalay NS, Sahin F, Atalay A, Akkaya N. Comparison of efficacy of neural therapy and physical therapy in chronic low back pain. Afr J Tradit Complement Altern Med. 2013;10(3):431-435. doi:10.4314/ajtcam. v10i3.8
Murtezani A, Hundozi H, Orovcanec N, Sllamniku S, Osmani T. A comparison of high intensity aerobic exercise and passive modalities for the treatment of workers with chronic low back pain: a randomized, controlled trial. Eur J Phys Rehabil Med. 2011; 47(3):359-366.
Thiese MS, Hughes M, Biggs J. Electrical stimulation for chronic non-specific low back pain in a working-age population: a 12-week double blinded randomized controlled trial. BMC Musculoskelet Disord. 2013;14:117. doi:10.1186/1471-2474-14-117
Hill C. Is yoga an effective treatment in the management of patients with chronic low back pain compared with other care modalities - a systematic review? J Complement Integr Med. 2013;10(1):211- 219. doi:10.1515/jcim-2012-0007
Barbosa AC, Martins FL, Barbosa MC, Dos Santos RT. Manipulation and selective exercises decrease pelvic anteversion and low-back pain: a pilot study. J Back Musculoskelet Rehabil. 2013;26(1):33-36.
Ansari NN, Naghdi S, Naseri N, et al. Effect of therapeutic infra-red in patients with non-specific low back pain: a pilot study. J Bodyw Mov Ther. 2014;18(1):75-81. doi:10.1016/j.jbmt.2013.05.014
Bahrami-Taghanaki H, Liu Y, Azizi H, et al. A randomized controlled trial of acupuncture for chronic low back pain. J Altern Complement Med. 2014; 20(5):A40. doi:10.1089/acm.2014.5101.abstract
Burke T. Questions and answers about the MIRE treatment. Adv Skin Wound Care. 2003;12:369-371. doi:10.1097/00129334-200312000-00016
Ammar TA. Monochromatic Infrared Photo Energy in Diabetic Peripheral Neuropathy. ISRN Rehabilitation. 2012;2012: 484307. doi:10.5402/2012/484307
Ammar TA. Monochromatic Infrared Photo Energy versus low level laser therapy in patients with knee osteoarthritis. J lasers Med Sci. 2014;5(4):176-182.
Mitchell U, Myrer JW, Johnson AW, Hilton SC. Restless leg syndrome and near-infrared light: An alternative treatment option. Physiother Theory Pract. 2010;15(3):1-7. doi:10.3109/09593985.2010.511440
Dogan SK, Ay S, Evcik D. The effectiveness of low laser therapy in subacromial impingement syndrome: a randomized placebo controlled double-blind prospective study. Clinics (Sao Paulo). 2010;65(10):1019-1022.
Jang H, Lee H. Meta-analysis of pain relief effects by laser irradiation on joint areas. Photomed Laser Surg. 2012;30(8):405-417. doi:10.1089/pho.2012.3240
Salmos-Brito JA, de Menezes RF, Teixeira CE, et al. Evaluation of low-level laser therapy in patients with acute and chronic temporomandibular disorders. Lasers Med Sci. 2013;28(1):57-64. doi:10.1007/ s10103-012-1065-8
Rayegani S, Bahrami M, Samadi B, Sedighipour L, Mokhtarirad M, Eliaspoor 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.
Alghadir A, Omar MT, Al-Askar AB, Al-Muteri NK. Effect of low-level laser therapy in patients with chronic knee osteoarthritis: a single-blinded randomized clinical study. Lasers Med Sci. 2014;29(2): 749-755. doi:10.1007/s10103-013-1393-3
Ay S, Doğan SK, Evcik D. Is low-level laser therapy effective in acute or chronic low back pain? Clin Rheumatol. 2010;29(8):905-910.
Basford JR, Sheffield CG, Harmsen WS. Laser therapy: a randomized, controlled trial of the effects of low-intensity Nd:YAG laser irradiation on musculoskeletal back pain. Arch Phys Med Rehabil. 1999; 80(6):647- 652. doi:10.1016/s0003-9993(99)90167-3
Belanger AY. Evidence-Based Guide to Therapeutic Physical Agents. Philadelphia, PA: Lippincott Williams & Wilkins; 2002:191-221.
Ceran F, Ozcan A. The relationship of the Functional Rating Index with disability, pain, and quality of life in patients with low back pain. Med Sci Monit. 2006;12(10):CR435-CR439.
Zampelis V, Ornstein E, Franzén H, Atroshi I. A simple visual analog scale for pain is as responsive as the WOMAC, the SF-36, and the EQ-5D in measuring outcomes of revision hip arthroplasty. Acta Orthop. 2014;85(2):128-132. doi:10.3109/17453674.2014.887 951
Williams R, Binkley J, Bloch R, Goldsmith CH, Minuk T. Reliability of the modified-modified Schober and double inclinometer methods for measuring lumbar flexion and extension. Phys Ther. 1993;73(1):33-44.
Hsieh R, Lo MT, Lee W, Liao W. Therapeutic effects of short-term monochromatic infrared energy therapy on patients with knee osteoarthritis: a double-blind, randomized, placebo-controlled study. J Orthop Sports Phys Ther. 2012;42(11):947-956.
Matsunaga, K, Furchgott, RF. Interactions of light and sodium nitrite in producing relaxation of rabbit aorta. J Pharmacol Exp Ther. 1989;248(2):687-695.
Abramson SB. Osteoarthritis and nitric oxide. Osteoarthr Cartil. 2008;16(suppl 2):S15-S20.
Hancock CM, Riegger-Krugh C. Modulation of pain in osteoarthritis: the role of nitric oxide. Clin J Pain. 2008;24(4):353-365. doi:10.3109/17453674.201 4.887951
Hsieh R, Lee WC. Short-term therapeutic effects of 890-nanometer light therapy for chronic low back pain: a double-blind randomized placebo-controlled study. Lasers Med Sci. 2014;29(2):671-679. doi:10.1007/s10103-013-1378-2
Alayat MS, Atya AM, Ali MM, Shosha TM. 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(3):1065-1073. doi:10.1007/s10103- 013-1472-5
Glazov G, Yelland, M, Emery J. Low-dose laser acupuncture for non-specific chronic low back pain: a double-blind randomized controlled trial. Acupunct Med. 2014;32(2):116-123. doi:10.1136/ acupmed-2013-010456
van Middelkoop M, Rubinstein SM, Kuijpers T, et al. A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. Eur Spine J. 2011;20(1):19-39. doi:10.1007/s00586-010-1518-3
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