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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Photobiomodulation therapy does not decrease pain and disability in people with non-specific low back pain: a

Shaiane Silva Tomazoni1, Matheus Oliveira Almeida2, Jan Magnus Bjordal3

  • 1Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil; Physiotherapy Research Group, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

Journal of Physiotherapy
|July 19, 2020
PubMed
Summary

Photobiomodulation therapy (PBMT) offers no significant benefit for reducing pain or disability in non-specific low back pain. This systematic review found PBMT to be clinically unimportant compared to sham treatments and exercise.

Keywords:
Light emitting diode therapyLow-level laser therapyMusculoskeletal disordersPhototherapyRehabilitation

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Area of Science:

  • Biomedical Engineering
  • Rehabilitation Medicine
  • Pain Management

Background:

  • Non-specific low back pain (LBP) is a prevalent condition causing significant disability.
  • Photobiomodulation therapy (PBMT) utilizes light energy to potentially modulate biological processes.
  • The efficacy of PBMT for LBP remains under investigation.

Purpose of the Study:

  • To evaluate the effects of PBMT on pain and disability in individuals with non-specific LBP.
  • To compare PBMT against sham interventions, no treatment, and other therapies.
  • To assess PBMT as an adjunct therapy for LBP.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials.
  • Included participants with acute/subacute or chronic non-specific LBP.
  • Analyzed various PBMT modalities (lasers, LEDs) compared to control or active treatments.

Main Results:

  • Twelve trials (n=1,046) with low risk of bias were analyzed.
  • PBMT showed clinically unimportant effects on pain and disability versus sham PBMT.
  • No significant difference in pain or disability was found between PBMT and exercise for chronic LBP.

Conclusions:

  • Current evidence does not support the use of PBMT for reducing pain and disability in non-specific LBP.
  • Further high-quality research is needed to clarify potential benefits or lack thereof.
  • PBMT's role in LBP management requires re-evaluation based on existing data.