Effect Of Low Intensity Laser Therapy Research Articles

The Effects of Photobiomodulation Therapy in Cubital Tunnel Syndrome, Clinical Trial.

Aim: We aimed to evaluate the effects of laser therapy together with rest splint and exercise on muscle strength, function, activities of daily living, and pain in individuals suffering from cubital tunnel syndrome (CuTS) by comparing it with placebo treatment. Materials and Methods: This prospective, single-blind, and randomized controlled study was conducted with 64 patients with CuTS in total. They were divided into two groups by randomization: Group 1 (n = 32) was provided with low-energy laser therapy + splint + exercise, and Group 2 (n = 32) was provided with low-energy sham laser therapy + splint + exercise. Patients in both groups received resting splints and nerve release exercises. Pretreatment and posttreatment (3rd week, 3rd month) evaluations were made with the Visual Analog Scale (VAS), the Quick Disability of Arm, Shoulder, and Hand Questionnaire, hand grip strength, fingertip grip strength, the Patient-Rated Ulnar Nerve Evaluation Scale (PRUNES), and Short Form-12. An electrophysiological evaluation was performed at baseline and at the 3rd month. Results: We observed significant improvements in both groups regarding pain, function, muscle strength, health profile, and quality of life in the early posttreatment (3rd week) stage and at the 3rd-month follow-up. When both groups were compared, a significant difference was determined between the VAS-Rest, VAS-Movement, PRUNES-Pain, PRUNES-Function, and PRUNES-Total parameters in the posttreatment (3rd week follow-ups), as well as PRUNES-Pain scores in the post-treatment (3rd month) stage, of the groups in favor of those in Group 1 (p < 0.05). Conclusion: The findings of our study have shown that in the treatment of CuTS, laser treatment is superior to placebo in the short term, but they have equivalent effects in the medium term. Further studies with large patient populations are needed to provide more diverse information about the therapeutic effectiveness of low-intensity laser therapy.

Current Aspects of Medical Rehabilitation of Patients with Cancer Related Lymphedema of Extremities: a Narrative Review

INTRODUCTION. Over the past decades, in developed countries and in the Russian Federation, there has been an increase in the number of patients with secondary lymphedema who have undergone surgical treatment with dissection of regional lymph nodes and radiation therapy for various forms of gynecological cancer in women and prostate cancer in men, as well as breast cancer. AIM. Search and analysis of the results of previously published randomized controlled trials (RCTs) of the effectiveness of various non-drug rehabilitation methods in patients with lymphedema of the extremities who underwent radical treatment for cancer of various locations. MATERIALS AND METHODS. A search was conducted and studied publications in international scientific peer-reviewed publications (PEDro Database) on medical rehabilitation for cancer treatment-related lymphedema (LSPR) for the period from 1996 to December 2023 using the keywords “lymphedema”, “rehabilitation”. 145 RCTs focused on medical rehabilitation and conservative treatment of LSPR. DISCUSSION. Lifestyle correction and psychosocial interventions are recommended to improve the quality of life of patients. Studies have found that early activation, various physical exercises with a slow increase in loads under the supervision of a physical therapist are safe and help increase endurance, strength and range of motion in a limb with lymphatic edema. The clinical effectiveness of therapeutic exercises in the pool has been proven, manifested in the reduction of edema in patients with LSPR. The effectiveness of compression products with Velcro technology as an alternative to rigid low-stretch bandages in patients with LSPR has been confirmed. The anti-edematous and anti-inflammatory effects of low-intensity laser therapy and magnetic therapy in the rehabilitation of patients with LSLR have been proven. Alternating pneumatic compression (APC) is recommended as an adjuvant treatment in addition to comprehensive decongestant therapy. Preference should be given to the use of technologies of advanced hardware lymphatic drainage methods that imitate manual techniques. CONCLUSION. To improve the physical and socio-psychological functioning of patients with LSPR, an integrated approach is required, including lifestyle changes, psychological correction, compression therapy, modern exercise therapy techniques, and safe physiotherapeutic technologies. Conducted scientific research indicates the high effectiveness of the use of manual and hardware lymphatic drainage techniques, while the use of PPC is more economical and accessible, and does not require the involvement of specialists who know the expensive method of manual lymphatic drainage.

Effect of low-intensity laser therapy on levels of biomarkers during orthodontic tooth movement – A systematic review

This systematic review aimed to explore the association between low-intensity laser therapy (LILT) and various biomarkers, elucidating the potential of this therapeutic modality to expedite orthodontic tooth movement (OTM). A systematic literature search was conducted using electronic databases including PubMed, Central of the Cochrane Library, and Google Scholar databases. Randomized controlled trials (RCTs) and non-randomized controlled clinical trials (nRCTs) using LILT as an adjunct to the standard orthodontic procedures in human and animal subjects as participants were included in the study. The quality of the human and animal studies was assessed using the Revised Cochrane risk of bias tool and Systematic Review Centre for Laboratory Animal Experimentation’s (SYRCLE’s) risk of bias tool respectively. Animal studies revealed increased receptor activator of nuclear factor-kappa B (RANK)/RANK ligand (RANKL), matrix metalloproteinase-9 (MMP-9), and collagen type I expression. Human studies showed elevated interleukin-1-beta (IL-1β), interleukin-16 (IL-16) and RANKL levels, suggesting LILT influences biomarkers associated with bone resorption and connective tissue rearrangement. A high risk of bias was observed in all animal studies and 5 out of 6 human studies. The systematic review concluded that LILT emerges as a promising technique for enhancing orthodontic tooth movement, influencing key biomarkers linked to osteoclastic activity and collagen synthesis. However, the high risk of bias in animal and human studies emphasizes the need for further research to validate findings and optimize laser parameters for clinical benefits.

The Effect of Dual Diode Laser: (810,980) nm in Acceleration of Orthodontic Tooth Movement:A Case Report

Patients are very concerned about the lengthy nature of orthodontic treatment. It is necessary to find a non-invasive way to quicken physiologic tooth movement. This study's objective was to assess the effectiveness of low-intensity laser therapy in shortening the time and discomfort of orthodontic treatment. Experimental work: Using a split-mouth study to compare tooth movement with conventional treatment and laser-accelerated orthodontic tooth movement. A patient presenting with a class II division I malocclusion characterized by the misalignment of the upper and lower teeth as classified by Angle’s molar classification system was indicated to undergo fixed orthodontic appliance orthodontic treatment. The treatment plan involved bilateral extraction of the upper first premolar teeth on both sides and distalization of the anterior segment to close the created space. For an experimental investigation, a patient was chosen at random and given right-side radiation using a dual diode laser (810,980 nm wavelength, 100 mW output power). Results: The tooth movement was measured over a period of 15 weeks; the first three orthodontic activations on the study side included scheduled laser treatment (the first month, laser-assisted treatment on days (0,3,7, and 14), the following two months, on days (0 and 14) from the day of orthodontic activation, and another 3 months of follow-up only); it was observed that orthodontic tooth movement was significantly higher in the study side than in the control side, as measured clinically using a digital vernier. We also noticed a considerable decrease in pain levels following a visual analog test. Conclusion: LLLT might clinically considerably speed orthodontic tooth movement and greatly lessen discomfort using the parameter settings employed in this investigation.

Application of Low-Intensity Laser in the Treatment of Skeletal Muscle Injury in Runners.

With the continuous improvement of people's economic level, running, as the most common sports, is not limited by sports venues and sports levels and deeply loved by people. However, during running, soft tissue resonates with the impact force, increasing the load on joints and tendons and potentially leading to sports injuries. The purpose of this article is to study the application of low-intensity laser in the treatment of muscle strain. This article analyzes running, muscle adjustment, and lower limb stiffness. On the basis of theory, 20 healthy male college students were selected as research objects in the experimental part. The subjects were allowed to run at three speeds: slow, medium, and fast. The kinematics, dynamics, and surface EMG signals of the subjects during running were collected to analyze the effect of low-intensity laser therapy on exercise muscle strain. The experimental results showed that a low-intensity laser can effectively alleviate muscle inflammation, reduce the number of cell damage, bring the mean and integral optical density of protein to the normal level significantly, and reduce the strain degree of exercise muscle. In this article, a statistical method was used to obtain the gait cycle time (P & LT; 0.01) and support cycle time (slow P < 0.01).

The use of rehabilitation programs for patients in the early recovery period after total knee arthroplasty

Scientific substantiation of the feasibility of the combined use of low-intensity laser radiation (LILR) and PLFEF in patients after total knee arthroplasty. 90 patients aged from 55 to 80 years after total knee arthroplasty were examined. All patients were randomly assigned to three groups. Patients of the 1st group underwent therapeutic exercises with an instructor and low-intensity laser exposure; in the 2nd group, therapeutic exercises with an instructor, low-intensity laser therapy, and PLFEF were performed without a time interval; patients of the 3rd group received only therapeutic exercises with an instructor. After the course of treatment, a positive dynamics of the state of microcirculation was noted in all patients, which correlated with a significant regression of the pain syndrome and an improvement in the performance of the 10-meter walk test with external support on crutches. However, a more significant decrease in pain intensity after the first procedures and at the end of the course of treatment was found in the group of patients who received complex therapy, which included LILR, PLFEF, and therapeutic exercises. Thus, based on the data of this study, it is possible to recommend the combined use of LILR and PLFEF for the treatment of patients after total knee arthroplasty.

Results of the use of low-intensity laser radiation in the treatment of occupational polyneuropathies of the upper extremities

Introduction. Effective therapy of occupational polyneuropathy of the upper extremities is a difficult task, because the characteristic clinical and neurophysiological manifestations of this disease persist for many years even after the termination of contact with the etiological harmful production factor - physical overload. Taking into account the low efficiency of existing treatment methods, as well as the peculiarities of the effect of low-intensity laser therapy (LILT), the task of developing a technique for using LILT for the treatment of patients with professional polyneuropathy and assessing its effectiveness during follow-up is very urgent. The aim of the study was to evaluate the effectiveness of LILT for the treatment of occupational polyneuropathy of the upper extremities. Materials and methods. The results of treatment of 236 patients with an established diagnosis of occupational polyneuropathy of the upper extremities are presented. All patients received usual drug therapy, the treatment of patients of the main group differed from the comparison group in that they were additionally treated with LILT according to the developed method. Results. The effectiveness of the therapy was assessed by studying the dynamics of pain in the hands using a visual pain rating scale, pulse velocity along the sensory fibers of the median and ulnar nerves. Changes in each of these parameters in subgroups were assessed at different stages of follow-up (before and immediately after treatment, after 3 and after 6 months). The division of patients into subgroups was carried out by determining type of the nerve fibers' damage. Conclusion: The developed method of LILT of professional polyneuropathy is simple and convenient for use in clinical practice: it is applicable both in a hospital and on an outpatient basis. After treatment, in patients from the main group, in contrast to the comparison group, there was a statistically significant increase in the parameters of pulse velocity along the sensory fibers of the median and ulnar nerves with a simultaneous decrease in the severity of pain. The effect of LILT in patients from the main group decreased after 6 months, which allows us to recommend such courses of LILT 2 times a year. LILT has a limited list of contraindications and is generally well tolerated by patients with minimal local side effects.

Comparing the Effect of Low-Intensity Laser Therapy (LILT) In Decrowding Lower Anteriors Using Conventional and Self-Ligating MBT Bracket Systems - An In Vivo Study

Introduction Orthodontic treatment is a type of care which often involves pre-adolescents, adolescents and adult who requires higher compliance due to long treatment duration1. Reduction in active treatment time can result in a reduction in patient discomfort and fatigue and improve patient compl

Effect of Low Intensity Laser Therapy (LILT) on MMP-9 expression in gingival crevicular fluid and rate of orthodontic tooth movement in patients undergoing canine retraction: A randomized controlled trial

Low Intensity Laser Therapy (LILT) has been shown to increase the rate of tooth movement. Since its use in orthodontics as a method of acceleration there has been a variety of views regarding its mode of action. MMP-9 is a known bone resorption factor studied in Bone remodelling. The aim of this study was to know the effect of LILT on rate of tooth movement and expression of MMP-9 in GCF. Ten patients (3 males and 7 females) who required maxillary first premolar extraction for routine orthodontic treatment were recruited. The individual canine retraction was studied, and the side of the experimental canine was randomly selected. The laser regimen was followed on the 1st, 3rd, 5th, 7th, 14th and then 15th days consecutively. GCF was collected at baseline, 14th day, 3 months and at the end of canine retraction on experimental side and MMP-9 was estimated quantitatively using a standard ELISA kit. The average increase in rate of tooth movement on experimental side at 3 months was 44% and MMP-9 concentration was also high. At the end of canine retraction (4.5 months) in the experimental group the average rate increase was 38% with MMP-9 concentrations similar in both the experimental and control group. LILT increases the rate of tooth movement. LILT also has an effect of bio-stimulation as depicted by rise in MMP-9 concentrations in GCF. However, this bio-stimulatory effect is restricted to the initial part of the tooth movement.

Коррекция состояния организма низкоинтенсивным лазерным излучением при моделировании адреналовой токсемии у крыс

Срыв адаптационных возможностей организма может стать патогенетической основой различных заболеваний. Длительный выброс адреналина в кровь вызывает кататоксические эффекты, что делает актуальным поиск эффективных средств и методов коррекции гиперадреналинемии. Цель работы - изучение влияния низкоинтенсивного лазерного излучения (НИЛИ) на электрофоретическую подвижность эритроцитов, процессы липопероксидации и структуру надпочечников при адреналовой токсемии у крыс. Методика. Адреналовую токсемию моделировали внутрибрюшинным введением адреналина-гидрохлорида (0,1 мг/кг). Животным 1-й группы вводили только адреналин, животных 2-й - через 30 мин после введения адреналина облучали НИЛИ, крысы 3-й группы получали только воздействие НИЛИ, контролем служили интактные животные (4-я группа). Воздействие НИЛИ проводилось на затылочную область в течение 10 мин. В качестве источника излучения применяли аппарат лазерный терапевтический «Успех» (ГП «Восход»), основанный на низкоинтенсивном импульсном излучении (длина волны - 0,89±0,05 мкм, частота импульсов 415 Гц, плотность средней мощности излучения - 193 мкВт/см2, площадь облучаемой поверхности 20 см2). Забор крови производили через 1 ч, 24 ч и 1 нед после начала эксперимента. Определяли уровень малонового диальдегида по реакции с тиабарбитуровой кислотой; электрофоретическую подвижность эритроцитов изучали методом микроэлектрофореза. Структуру надпочечников изучали морфологическими методами. Результаты. Показано, что НИЛИ на фоне адреналина (2-я группа) через 1 нед нивелировало снижение электрофоретической подвижности эритроцитов, восстанавливало уровень малонового диальдегида до значений интактной группы. Морфологическая картина надпочечников в этой группе не отличалась от таковой у интактных животных, тогда как при действии адреналина (1-я группа) не происходило восстановления исследуемых показателей до физиологической нормы. Заключение. Полученные в ходе эксперимента данные свидетельствуют о корригирующем действии низкоинтенсивного лазерного излучения при адреналовой токсемии у животных. Механизм действия низкоинтенсивного лазерного излучения, вероятно, носит системный характер и связан с воздействием на стресс-реализующие системы организма. Maladaptation results in the third stage of stress, exhaustion, and, thus, may underlie many diseases. Prolonged release of epinephrine into blood exerts catatoxic effects; therefore, searching for effective methods for correction of hyperadrenalinemia is relevant. Presently, low-intensity laser therapy (LILT) is commonly used in medicine. However, the introduction of LILT to clinical practice is largely empirical. The aim of this study was to analyze the effect of LILT on electrokinetic potential of red blood cells (RBC), lipid peroxidation (LPO), and the morphology of adrenal glands in adrenal toxemia in rats. Methods. Adrenal toxemia was modeled by intraperitoneal administration of epinephrine hydrochloride (0.1 mg/kg) to rats. Animals of group 1 received epinephrine alone; animals of group 2 received LILT 30 min prior to epinephrine administration; rats of group 3 received LILT alone; and intact rats of group 4 were used as control. Blood was withdrawn at one hour, 24 h, and one week of the experiment onset. The RBC zeta potential, which characterizes the morpho-functional state of membranes, was determined by measuring the effect of low-intensity laser therapy on RBC electrophoretic mobility using microelectrophoresis. LPO as an indicator of cell membrane injury was determined by concentration of malonic dialdehyde (MDA). The structure of adrenal glands was studied histologically. Results. LILT combined with epinephrine (group 2) alleviated the decrease in RBC electrophoretic mobility and restored the MDA level to values of the intact group at one week. Morphological structure of adrenal glands in group 2 did not differ from that in control whereas epinephrine (group 1) did not restore the study parameters to physiologically normal values. Conclusion. The study showed that LILT exerted a correcting effect in experimental adrenal toxemia. The mechanism of this effect is likely systemic and related with the effect on stress systems of the body.

Low intensity laser effects on factors of congenital immunity and cytokine balance in secretions of female reproductive system affected with chlamydia infection

Therefore, we defined the objective of our research: to study the factors of uterine cervix tissue im- munity for women with Chlamydia infection and to estimate the effect of low-intensity laser therapy (LILT) on these factors due to a wavelength of 632 nm and a power of 30 mW. Materials and methods. Clinical immunologic studies of cervical secretion were carried out on 184 women of reproductive age 25,9 ± 4,22 in 2016–2018. Chlamydia infection Chlamydia trachomatis was found by the methods of real-time polymerase chain reaction (Rt-PCR) tests. Code by Classifier of the International Standard Classification of Diseases and Related Health Problems 10th Revision is А 56.0, Chlamydial infections of the lower sections of the urogenital tract. Urethra and canalis cervicis uteri scrapings were used as the material for detecting C. trachomatis. All patients with chlamydial infection of the lower part of the urogenital system were divided into two groups: a group of 100 women who were treated by using the local influence of the low-intensity laser of 632 nm as a part of complex treatment, the comparison group (basic treatment) consisted of 84 women who took azithromycin of 1 g once a day for the 1st, 5th, 10th days of treatment. 50 healthy women without any pathology and infections of the genitourinary system made the control group. A system of cytokines was studied by interleukin's level IL-8. IL-1 α, IL-1 β, TNF-α and IFN-γ content in cervical mucus. Results Course. The results of the study showed a high clinical and immunological efficacy of treating chlamydial cervicitis using a low intensity laser with a wavelength of 632 nm. An imbalance of cellular factors of innate immunity revealed before starting a therapy: a decrease in the oxygen-dependent metabolism of neutrophilic granulocytes of the cervical secretion.

Effect of Laser Therapy on the Osseointegration of Immediately Loaded Dental Implants in Patients under Vitamin C, Omega-3 and Calcium Therapy.

BACKGROUND:The use of laser therapy in the biostimulation of bone repair has been growing steadily.AIM:This study aimed to evaluate the radio-densitometric effect of low-intensity laser therapy on the osseointegration of immediately loaded dental implants in patients under vitamin C, omega-3 and calcium therapy.PATIENTS AND METHODS:A single implant was placed in the mandibular first molar region of twenty patients which were equally divided into two groups. In the non-laser group, the healing phase was left to progress spontaneously without any intervention, while in the laser group it was augmented with low-level laser therapy of wavelength 904 nm in contact mode, continuous wave, 20 mW output power and exposure time 30 sec with a dose 4.7 J/cm2. Patients in both groups were given vitamin C, calcium and omega-3 starting one month preoperatively. Postoperative digital panoramas were taken immediately after surgery, 1.5 months and 6 months postoperatively. Changes in bone density along the bone-implant interface at the mesial, distal and apical sides were assessed using the Digora software.RESULTS:Independent student t-test was used to compare means of variables between the laser and the non-laser group while repeated measures ANOVA was used to compare bone densities at different times for the same group. Significant increased differences were observed at the mesial, distal and apical sides surrounding the implants of both groups per time. However, the rate of increase was significantly higher in the laser group. The mean difference at the mesial side after 6 months was 21.99 ± 5.48 in the laser group and 14.21 ± 4.95 in the non-laser group, while it read 21.74 ± 3.56 in the laser group and 10.78 ± 3.90 in non-laser group at the distal side and was 18.90 ± 5.91 in the laser group and 10.39 ± 3.49 in non-laser group at the apical side. Significance was recorded at P = 0.004, P = 0.0001, and 0.001 at the mesial, distal and apical sides respectively.CONCLUSION:The low-intensity laser irradiation significantly promoted bone healing and speeded up the osseointegration process emphasising the laser’s biostimulatory effect.

Effects of low-intensity laser therapy on the stability of orthodontic mini-implants: a randomised controlled clinical trial.

To investigate the effect of low-intensity laser therapy on mini-implant stability using resonance frequency analysis during canine retraction with fixed appliances. A split-mouth randomised clinical trial. Subjects were recruited and treated in the outpatient clinic, Department of Orthodontics, Faculty of Dentistry, Cairo University. Fifteen subjects with mean age 20.9 (±3.4) years who required extraction of maxillary first premolar teeth and mini-implant-supported canine retraction. Thirty orthodontic mini-implants were inserted bilaterally in the maxillary arches of recruited subjects following alignment and levelling. Mini-implants were immediately loaded with a force of 150 g using nickel titanium coil springs with split-mouth randomisation to a low-intensity laser-treated side and control side. The experimental sides were exposed to low-intensity laser therapy from a diode laser with a wavelength of 940 nm at (0, 7, 14, 21 days) after mini-implant placement. Mini-implant stability was measured using resonance frequency analysis at (0, 1, 2, 3, 4, 6, 8, 10 weeks) after implant placement. A total sample of 28 mini-implants were investigated with 14 in each group. Clinically, both mini-implant groups had the same overall success rate of 78.5%. There were no significant differences in resonance frequency scores between low-intensity laser and control sides from baseline to week 2. However, from week 3 to 10, the low-intensity laser sides showed significantly increased mean resonance frequency values compared to control (P > 0.05). Despite evidence of some significant differences in resonance frequency between mini-implants exposed to low-intensity laser light over a 10 weeks period there were no differences in mini-implant stability. Low-intensity laser light cannot be recommended as a clinically useful adjunct to promoting mini-implant stability during canine retraction.

Effectiveness of Low-Intensity Laser Therapy on Tissue Repair Following Saphenectomy in Patients Who Underwent Coronary Artery Bypass Graft: A Randomized, Double-Blind Study.

To verify the effectiveness of low-intensity laser therapy (LLLT) on tissue repair following saphenectomy during postoperative period in patients having undergone coronary artery bypass graft (CABG). A randomized clinical trial, controlled and double-blind study was conducted with 40 volunteers, divided into 2 groups: a placebo group (PG, n = 20) and a laser group (LG, n = 20). The patients in the LG group were irradiated with laser during saphenectomy (InGaAlP, λ 660 nm, energy density 6 J/cm2) daily from the first to the fourth postoperative day. The surgical incision was clinically evaluated and imaged at the beginning and at the end of the treatment. The areas of hematoma and hyperemia were evaluated using the software ImageJ 1.4©, and border closure was evaluated by three researchers, who were blinded concerning the allocation of the participants. The LG group presented a reduction of the areas of hematoma and hyperemia (p = 0.0003) and better border closure (p = 0.009), when compared with the PG group. The proposed LLLT protocol improved the tissue repair following saphenectomy in CABG patients.

Low-intensity laser therapy efficacy evaluation in FVB mice subjected to acute and chronic arthritis.

Rheumatoid arthritis, an autoimmune inflammation, has a high prevalence in the population, and while therapy is available, it required often injection of drugs causing discomfort to patients. This study evaluates the clinical and histological effect of low-intensity laser therapy (LILT) as an alternative treatment, in a murine model of acute and chronic inflammation. FVB mice received either a Zymosan A injection into one knee joint inducing acute inflammation, followed after 15min or 24h by LILT or a collagen bovine type II injection emulsified in "Freund's Complete Adjuvant" to induce chronic arthritis, followed at 4weeks with multiple LILT sessions. LILT mediated by either 660, 808, or 905nm and tissue response was evaluated based on clinical symptoms and histological analysis of inflammatory infiltrate and damage to the articular surfaces. LILT can be effective in elevating clinical symptoms, so Kruskal-Wallis testing indicated no significant differences between knees affected by acute arthritis and treated once with LILT and an injured knee without treatment (p>0.05) for 660 and 808nm with some improvements for the 905-nm LILT. Mice receiving two treatments for acute arthritis showed exacerbation of inflammation and articular resorption following therapy with a 660-nm continuous laser (p<0.05). For chronic inflammation, differences were not noted between LILT treated and untreated injured knee joints (p>0.05). Among the lasers, the 905nm tends to show better results for anti-inflammatory effect in acute arthritis, and the 660nm showed better results in chronic arthritis. In conclusion, LILT wavelength selection depends on the arthritis condition and can demonstrate anti-inflammatory effects for chronic arthritis and reduced resorption area in this murine model.

Pathogenetic effects of low-intensity laser therapy for chronic obstructive pulmonary disease

To study the impact of low-intensity laser therapy (LILT) on typical pathological processes of impairments in platelet aggregation and microcirculation (MC) in patients with chronic obstructive pulmonary disease (COPD). A photo optical aggregatometric method was used to investigate platelet aggregation function in patients with COPD and MC was estimated by laser Doppler flowmetry over time. There were muitidirectional changes in platelet aggregation function with a predominance of hyperaggregation, as well as a significant improvement in aggregation indicators during LILT; the latter was shown to have a correcting impact on MC disorders in patients with COPD in the presence of the spastic and stagnant-stasic types of MC, which were prevalent in the majority of patients. Laser therapy used in the combination treatment of patients with COPD promotes correction of the typical pathological processes.

The effect of low-intensity laser therapy (LILT) on cutaneous wound healing and pain relief in rats.

[Purpose] This study examined the impact of low-intensity laser therapy on wound healing and pain control using a rat cutaneous wound model. [Subjects and Methods] Twenty-four adult male Sprague-Dawley rats (between 220−240 g, 7 weeks) were used in this study. The rats were anesthetized and a circular fragment of skin was removed from the dorsal region of the back by a punch with an 8-mm diameter. The animals were randomly divided into 6 groups, Groups C 1, C 3, and C 5, control groups, received no laser treatment. Groups T 1, T 3, and T 5 received laser treatment for 20 min per day for 1, 3 and 5 days, respectively. Lumbar spine and dorsal skin were extracted and processed using western blot analysis. [Results] Periodical observation showed increases in NGF expression on the skin, and decreases in c-fos expression by the spinal cord in the treatment groups compared to the control group. [Conclusion] The present findings suggest that low-intensity laser therapy could be used as an effective therapy for wound healing and pain relief, and could be further used as a clinical approach for treating cutaneous wounds.

The effects of low-intensity laser therapy on hepatic ischemia-reperfusion injury in a rat model.

Ischemia-reperfusion (I/R) is a major mechanism of liver injury following hepatic surgery or transplantation. Despite numerous reports on the role and relics of low-intensity laser therapy (LILT) in many organs, the potential effects of LILT on hepatic ischemia-reperfusion have not been explored. This study was aimed to investigate the impresses of LILT applied to the skin following hepatic ischemia and reperfusion. Thirty-six healthy male Wistar rats were allocated into three groups of twelve animals each as follows: Sham, Ischemia-reperfusion (IR), and Ischemia-reperfusion with laser treatment (IR+LILT). Hepatic ischemia was induced by clamping the arterial and portal venous for 45 min. A laser diode (400 mW, 804 nm) was applied to the skin surface at the anatomical site of the liver at a dose of 3 J/cm(2), and the duration of irradiation was selected 120 s with 15-min interval after beginning the reperfusion. Animals were maintained under anesthesia and sacrificed 6 h subsequent reperfusion. Hepatic samples were evaluated for histological assessment and biochemistry analysis. Serum aminotransferase levels, tumor necrosis factor-alpha (TNF-α) levels, malondialdehyde (MDA), and glutathione (GSH) levels were significantly lower (P < 0.05) in the irradiated group compared to the I/R group during the 6 h after reperfusion. The number of histopathological changes in the hepatic tissues was significantly lower in the treated group (P < 0.05). These observations suggest that LILT applied in transcutaneous manner effectively improves hepatic injuries after ischemia-reperfusion period in rats.

Role of low-intensity laser therapy on naloxone-precipitated morphine withdrawal signs in mice: is nitric oxide a possible candidate mediator?

In the present study, the potential involvement of nitric oxide (NO) system in attenuating effects of low-intensity laser therapy (LILT) on naloxone-induced morphine withdrawal signs was evaluated. A hundred mice were rendered morphine-dependent using three escalating doses of morphine sulfate during three consecutive days. After the last dose on day 4, animals were given naloxone HCl (2 mg/kg s.c) to induce withdrawal signs. The effects of LILT (12.5 J/cm(2)) and L-NG-nitroarginine methyl ester (L-NAME) (10, 20, 50, and 100 mg/kg) and their coadministration on escape jump count and stool weight as typical withdrawal signs were assessed. LILT and L-NAME (20, 50, and 100 mg/kg) per se significantly decreased escape jump count and stool weight in morphine-dependent naloxone-treated mice (p < 0.01). Coadministration of LILT and L-NAME (20, 50, and 100 mg/kg) also reduced escape jump and stool weight (p < 0.05) but with no synergetic or additive response. Here, LILT at this fluence may show its maximal effects on NO and therefore no noticeable effects appeared during coadministration use. Moreover, LILT and L-NAME follow the same track of changes in escape jump and stool weight. Conceivably, it seems that LILT acts partly via NO system, but the exact path is still obscure and rather intricate. The precise mechanisms need to be clarified.

Effects of low-intensity laser therapy over mini-implants success rate in pigs

The success rate of miniscrews when used as temporary orthodontic anchorage is relatively high, but some factors could affect its clinical success such as inflammation around the miniscrew. Low-intensity laser therapy has been widely used for biostimulation of tissue and wound healing specially for its anti-inflammatory effects. The purpose of this study was to evaluate the effect of low-intensity laser therapy over the miniscrew success rate. Five Landrace's pigs received 50 miniscrews on the buccal side of the mandible and on the palate of the maxilla. All the miniscrews were immediately loaded with 250 gf. The laser group were irradiated with a 780-nm diode laser with 70 mWs for 1 min (dose = 34 J/cm(2)); the contralateral side was used as the control group. The miniscrews were photographed and analyzed clinically every week to determine their stability and presence of local inflammation. After 3 weeks, histological analysis and fluorescent microscopy were performed to compare the laser and the control side. Clinical results showed a success rate of 60% for the control group and 80% for the laser-treated group. The histological analysis and fluorescent microscopy demonstrated that the laser group had less inflammatory cells than the control group and the bone neoformation around the miniscrew was more intense. Low-intensity laser therapy increased the success rate of orthodontic miniscrews, probably due to anti-inflammatory effect and bone stimulation.