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Short-term clinical efficacy of the pulsed Nd:YAG laser therapy on chronic nonspecific low back pain: a randomized controlled study |
Abdelbasset WK, Nambi G, Elsayed SH, Alrawaili SM, Ataalla NN, Abodonya AM, Saleh AK, Moawd SA |
Medicine 2020 Sep 4;99(36):e22098 |
clinical trial |
8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; 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: Chronic non-specific low back pain (LBP) is gradually increasing among populations worldwide and affects their activities. Recently, the Nd:YAG laser has been presented in the rehabilitation field. OBJECTIVES: This study aims to explore the short-term effects of the Nd:YAG laser on chronic non-specific LBP individuals. METHODS: Thirty-five individuals with chronic nonspecific LBP were included in the study from December 2019 to March 2020. Randomly, they were categorized to Nd:YAG group (n = 18) and sham laser as a control (n = 17) thrice weekly for a 6-week intervention. Modified Oswestry Disability Index (MODI), Pain Disability Index (PDI), visual analogue scale (VAS), and lumbar flexion range of motion (ROM) have been assessed pre and post-6 weeks of the intervention. RESULTS: Significant improvements were observed in the Nd:YAG group (MODI p < 0.001; PDI p = 0.007; VAS p < 0.001; lumbar ROM p = 0.002), whereas the sham group showed no significant changes (MODI p = 0.451; PDI p = 0.339; VAS p = 0.107; lumbar ROM p = 0.296) after 6-week intervention. Between-group comparisons showed significant differences in tending toward the Nd:YAG group (MODI p < 0.001; PDI p = 0.046; VAS p < 0.001; lumbar ROM p = 0.003). CONCLUSIONS: Regarding the present study outcomes, short-term pulsed Nd:YAG laser (6 weeks) may reduce functional disabilities and pain intensity, and improve the lumbar flexion ROM in patients with chronic nonspecific LBP. Further well-designed randomized controlled studies with large sample sizes should be conducted regarding laser treatment.
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