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Efficacy of multiwave locked system laser on pain and function in patients with chronic neck pain: a randomized placebo-controlled trial |
Alayat MS, Elsoudany AM, Ali ME |
Photomedicine and Laser Surgery 2017 Aug;35(8):450-455 |
clinical trial |
7/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: Yes; Blind therapists: Yes; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
BACKGROUND: Multiwave locked system (MLS) laser therapy utilizes the synchronized emission of an 808 nm continuous laser and a 905 nm pulsed laser. It is postulated that MLS enables greater penetration and therapeutic benefit than single-wavelength low-level laser therapy (LLLT). OBJECTIVE: The aim of this research was to evaluate the efficacies of MLS laser therapy and the 830 nm laser in the treatment of patients with chronic neck pain (CNP). MATERIALS AND METHODS: Seventy-five patients with CNP (mean age 46.28 +/- 5.89, weight 83.78 +/- 5.65 kg, height 1.72 +/- 4.96 m, and duration of illness of 5.98 +/- 1.44 months). They were randomized into three groups. Group I received MLS laser therapy and exercises, group II received LLLT and exercises, and group III received placebo laser therapy plus exercises (PL plus EX). Neck pain levels and neck function were measured using the visual analogue scale (VAS) and neck disability index (NDI), respectively. RESULTS: Both VAS and NDI were significantly reduced post-treatment for all treatment groups. After 6 weeks of treatment, MLS plus exercise showed a significantly greater decrease in pain and disability scores (delta VAS (6.68) and delta NDI (39.84)) compared to both LLLT plus exercise group (delta VAS (5.72) and delta NDI (37.88)) and PL plus EX (delta VAS (4.84) and delta NDI (36.68)). CONCLUSIONS: MLS laser therapy in conjunction with exercises decreased pain and increased functional activity following 6 months of therapy. MLS laser therapy in combination with exercises is a more effective therapy for CNP compared to exercise plus LLLT or exercise alone.
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