The effectiveness of high intensity laser therapy in the management of spinal disorders: A systematic review and meta-analysis.

The effectiveness of high intensity laser therapy in the management of spinal disorders: A systematic review and meta-analysis. J Back Musculoskelet Rehabil. 2019 Mar 21;: Authors: Alayat MSM, Alshehri MA, Shousha TM, Abdelgalil AA, Al-Attar WS, Alhasan H, Khayyat OK Abstract BACKGROUND: Spinal disorders are common health problems which include wide categories of diseases that affect the spinal soft tissues, joints and bone. OBJECTIVE: The aim of this systematic review was to evaluate the effectiveness of high intensity laser therapy (HILT) on pain and function in patients with spinal disorders. METHODS: Six databases were searched up to the end of February 2018 including PubMed, MEDLINE, the Cochrane Central Register of Controlled Trials (CENTRAL), Physiotherapy Evidence Database (PEDro), Open Grey and Grey Literature Report. In addition, the reference lists of all included studies were searched for any relevant studies. PEDro scale and GRADE system were performed to assess the quality of the studies. A meta-analysis was conducted to calculate the overall effect size. RESULTS: A total of ten randomised controlled trials (RCTs) met the inclusion criteria, with four studies of the efficacy of HILT on neck pain (NP) and six on low back pain (LBP). According to the PEDro scale assessment, only two studies were rated as high quality, while the remainder were rated as fair or low quality. Forest plots showed that HILT with exercise was significantl...
Source: Journal of Back and Musculoskeletal Rehabilitation - Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research

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ConclusionsThis review indicates that, among blue ‐collar workers, increased sitting at work may protect against NP and LBP, while increased physical activity during work and/or leisure may increase this risk. There was no evidence supporting physical activity as a prognostic factor for LBP. Findings should be interpreted with caution due to the weak associations and few available studies with methodological shortcomings.
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: REVIEW ARTICLE Source Type: research
ConclusionThis is the first ever study reporting the changes in cerebral metabolic activity and multi ‐frame static brain18F FDG PET imaging after L2 DRG stimulation for discogenic low back pain. Predominantly an increased metabolic activity in nociceptive brain matrices are seen with an increased in F18F FDG uptake following L2 DRG stimulation.
Source: Neuromodulation: Technology at the Neural Interface - Category: Biotechnology Authors: Tags: Clinical Research Source Type: research
Conclusions: Paraspinal muscles evaluated with MRI were more significantly associated with the pathology of ASD compared with appendicular skeletal muscle evaluations with dual-energy x-ray absorptiometry. The present study indicates that multifidus and erector muscles significantly influenced the maintenance of the pelvic alignment. Level of Evidence: Level III.
Source: Journal of Spinal Disorders and Techniques - Category: Surgery Tags: Primary Research Source Type: research
Condition:   Low Back Pain (LBP) Intervention:   Device: exercise + photobiomodulation therapy Sponsor:   Federal University of the Valleys of Jequitinhonha and Mucuri Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Back Pain, Low Interventions:   Behavioral: Physiotherapist-led primary care model for back pain;   Behavioral: Usual care Sponsors:   Jordan Miller, PT, PhD;   Canadian Institutes of Health Research (CIHR) Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Low Back Pain (LBP) Intervention:   Device: exercise + photobiomodulation therapy Sponsor:   Federal University of the Valleys of Jequitinhonha and Mucuri Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSION: Subcutaneous administration of collagen is not inferior in terms of effectiveness to periradicular and epidural injections in the treatment of LBP in lumbar spondylosis. PMID: 32100719 [PubMed - in process]
Source: Ortopedia Traumatologia Rehabilitacja - Category: Orthopaedics Tags: Ortop Traumatol Rehabil Source Type: research
CONCLUSION: Clinicians perceived a need to communicate the complexity of non-specific low back pain in order to help patients make sense of their condition, rather than applying alternative labelling. There are multiple barriers to integrating a socially constructed framework that need to be overcome. PMID: 32095836 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - Category: Rehabilitation Tags: J Rehabil Med Source Type: research
Condition:   Low Back Pain Intervention:   Behavioral: 16-week supervised heavy resistance training program with weekly undulating periodization Sponsor:   Norwegian University of Science and Technology Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
This study aimed to investigate the association between 25-hydroxyvitamin D (25(OH)D) level and Low back pain (LBP) among adolescents while adjusting for potential confounders pertinent to this age group including the weight of school bags, body mass index and physical activity. A cross-sectional study was conducted on randomly selected 760 adolescents in middle schools. Data on LBP and the risk factors for LBP were collected from the parents by self-administered questionnaire and from adolescents by face-to-face interview. Blood samples were tested in an accredited laboratory; and 25(OH)D was measured using liquid chromat...
Source: The British Journal of Nutrition - Category: Nutrition Authors: Tags: Br J Nutr Source Type: research
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