COLD LASER THERAPY

Effect of Diode Laser in the Treatment of Patients with Nonspecific Chronic Low Back Pain: A Randomized Controlled Trial

Authors: Francesco Vallone, MD,1 Stefano Benedicenti, DDS,2 Eugenio Sorrenti, DDS,2 Irene Schiavetti, MD,3 and Francesca Angiero, MD, DDS2
Source: Photomedicine and Laser Surgery Volume 32, Number 9, 2014
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Background data:

Low back pain is a common, highly debilitating condition, whose severity is variable. This study evaluated the efficacy of treatment with Ga-Al-As diode laser (980 nm) with a large diameter spot (32 cm2), in association with exercise therapy, in reducing pain.

Objective:

The present study aimed to evaluate the pain reduction efficacy of treatment with the Ga-Al-As diode laser (980 nm) in combination with exercise therapy, in patients with chronic low back pain (CLBP). Methods: This study evaluated 100 patients with CLBP (mean age 60 years) who were randomly assigned to two groups. The laser plus exercises group (Laser + EX: 50 patients) received low-level laser therapy (LLLT) with a diode laser, 980 nm, with a specific handpiece [32 cm2 irradiation spot size, power 20 W in continuous wave (CW), fluence 37.5J/cm2, total energy per point 1200 J] thrice weekly, and followed a daily exercise schedule for 3 weeks (5 days/week). The exercises group (EX: 50 patients) received placebo laser therapy plus daily exercises. The outcome was evaluated on the visual analogue pain scale (VAS), before and after treatment.

Results:

At the end of the 3 week period, the Laser + EX group showed a significantly greater decrease in pain than did the EX group. There was a significant difference between the two groups, with average D VAS scores of 3.96 (Laser + EX group) and 2.23 (EX group). The Student’s t test demonstrated a statistically significant difference between the two groups, at p < 0.001.

Conclusions:

This study demonstrated that the use of diode laser (980 nm) with large diameter spot size, in association with exercise therapy, appears to be effective. Such treatment might be considered a valid therapeutic option within rehabilitation programs for nonspecific CLBP.

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