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Advances in Rehabilitation
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vol. 36
Original article

Effectiveness of high-intensity laser therapy added to a physical therapy program for the treatment of myofascial pain syndrome - a systematic review and meta-analysis

Hernán Andrés de la Barra Ortiz
Richard Eloin Liebano
Mariana Arias Avila Vera
Jaime Opazo Cancino

Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile
Fed Univ Sao Carlos UFSCar, Dept Phys Therapy, Physiotherapeut Resources Lab, Sao Carlos, SP - Brazil
Advances in Rehabilitation, 2022, 36(3), 35–48
Online publish date: 2022/09/13
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- 2022-03-ar-05.pdf  [2.47 MB]
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1. Hawker GA. The assessment of musculoskeletal pain. Clin Exp Rheumatol. 2017; 35 (Suppl 107): S8-S12.
2. Kinney M, Seider J, Beaty AF, Coughlin K, Dyal M, Clewley D. The impact of therapeutic alliance in physical therapy for chronic musculoskeletal pain: A systematic review of the literature. Physiother Theory Pract. 2020; 36(8): 886-98.
3. Graven-Nielsen T, Arendt-Nielsen L. Assessment of mechanisms in localized and widespread musculoskeletal pain. Nat Rev Rheumatol. 2010; 6(10): 599-606.
4. Briggs AM, Woolf AD, Dreinhöfer K, Homb N, Hoy DG, Kopansky-Giles D, et al. Reducing the global burden of musculoskeletal conditions. Bull World Health Organ. 2018; 96(5): 366-8.
5. Petrucci A, Sgolastra F, Gatto R, Mattei A, Monaco A. Effectiveness of low-level laser therapy in temporomandibular disorders: a systematic review and meta-analysis. J Orofac Pain. 2011; 25(4): 298-307.
6. Király M, Bender T, Hodosi K. Comparative study of shockwave therapy and low-level laser therapy effects in patients with myofascial pain syndrome of the trapezius. Rheumatol Int. 2018; 38(11): 2045-52.
7. Cummings M, Baldry P. Regional myofascial pain: diagnosis and management. Best Pract Res Clin Rheumatol. 2007; 21(2): 367-87.
8. Munguia FM, Jang J, Salem M, Clark GT, Enciso R. Efficacy of low-level laser therapy in the treatment of temporomandibular myofascial pain: A systematic review and meta-analysis. J Oral Facial Pain Headache. 2018; 32(3): 287-97.
9. Fricton J. Myofascial pain: Mechanisms to management. Oral Maxillofac Surg Clin North Am. 2016; 28(3): 289-311.
10. Dima R, Tieppo Francio V, Towery C, Davani S. Review of literature on low-level laser therapy benefits for nonpharmacological pain control in chronic pain and osteoarthritis. Altern Ther Health Med. 2018; 24(5): 8-10.
11. Clijsen R, Brunner A, Barbero M, Clarys P, Taeymans J. Effects of low-level laser therapy on pain in patients with musculoskeletal disorders: a systematic review and meta-analysis. Eur J Phys Rehabil Med. 2017; 53(4): 603-10.
12. Cameron MH. Physical agents in rehabilitation: An evidence-based approach to practice. 6th ed. Philadelphia, PA: Elsevier – Health Sciences Division; 2022.
13. de la Barra Ortiz HA, Acevedo Cangas S, Cumio Herrera A, Oñate García F, Velásquez Velásquez S. Efficacy of class IV laser in the management of musculoskeletal pain: a systematic review. Physiother Q. 2021; 29(2): 1-11.
14. Ezzati K, Laakso E-L, Salari A, Hasannejad A, Fekrazad R, Aris A. The beneficial effects of high-intensity laser therapy and co-interventions on musculoskeletal pain management: A systematic review. J Lasers Med Sci. 2020;11(1): 81-90.
15. ElMeligie MM, Gbreel MI, Yehia RM, Hanafy AF. Clinical efficacy of high-intensity laser therapy (HILT) on lateral epicondylitis patients: A systematic review and meta-analysis [published online ahead of print]. Am J Phys Med Rehabil. 2022.
16. Dalpiaz A, Kuriki HU, Barbosa RAP, Diefenthaeler F, Marcolino AM, Barbosa RI. Dry needling and photo-biomodulation decreases myofascial pain in trapezius of women: Randomized blind clinical trial. J Manipulative Physiol Ther. 2021; 44(1): 61-71.
17. Waseem I, Tanveer F, Fatima A. Conventional physical therapy with low level laser therapy on pain and functional disability in patients of upper trapezius muscle trigger point. Rawal Medical Journal. 2020; 45(4): 854-6.
18. Khalighi HR, Mortazavi H, Mojahedi SM, Azari-Marhabi S, Moradi Abbasabadi F. Low level laser therapy versus pharmacotherapy in improving myofascial pain disorder syndrome. J Lasers Med Sci. 2016; 7(1): 45-50.
19. Song HJ, Seo H-J, Lee Y, Kim SK. Effectiveness of high-intensity laser therapy in the treatment of musculoskeletal disorders: A systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore). 2018; 97(51): e13126.
20. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 6(7): e1000097.
21. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016; 5: 210.
22. Albanese E, Bütikofer L, Armijo-Olivo S, Ha C, Egger M. Construct validity of the Physiotherapy Evidence Database (PEDro) quality scale for randomized trials: Item response theory and factor analyses. Res Synth Methods. 2020; 11(2): 227-236.
23. Eldridge S, Campbell M, Campbell M, Drahota-Towns A, Giraudeau B, Higgins J, et al. Revised Cochrane risk of bias tool for randomized trials (RoB.2): additional considerations for cluster-randomized trials. 2016.
24. Sterne JAC, Savović J, Page MJ, et al. RoB.2: a revised tool for assessing risk of bias in randomised tri-als. BMJ. 2019; 366: l4898.
25. McGuinness LA, Higgins JPT. Risk-of-bias VISualization (robvis): An R package and Shiny web app for visualizing risk-of-bias assessments. Res Synth Methods. 2021; 12(1): 55-61.
26. Guyatt GH, Oxman AD, Schünemann HJ, Tugwell P, Knottnerus A. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. J Clin Epidemiol. 2011; 64(4): 380-2.
27. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 372: n71.
28. Dundar U, Turkmen U, Toktas H, Solak O, Ulasli AM. Effect of high-intensity laser therapy in the management of myofascial pain syndrome of the trapezius: a double-blind, placebo-controlled study. Lasers Med Sci. 2015; 30(1): 325-32.
29. Alayat MS, Battecha KH, ELsodany AM, Ali MI. Pulsed ND:YAG laser combined with progressive pressure release in the treatment of cervical myofascial pain syndrome: a randomized control trial. J Phys Ther Sci. 2020; 32(7): 422-7.
30. Ahmed HM, Abu Taleb E, Ameen FH. High intensity laser therapy on pain in patients with myofascial trigger points. Egyptian Journal of Physical Therapy. 2020; 3(1): 1-8.
31. Fletcher J. What is heterogeneity and is it important? BMJ. 2007; 334(7584): 94-6.
32. van Tulder M, Furlan A, Bombardier C, Bouter L, Editorial Board of the Cochrane Collaboration Back Review Group. Updated method guidelines for systematic reviews in the cochrane collaboration back review group. Spine (Phila Pa 1976). 2003; 28(12): 1290-9.de la Barra Ortiz HA, Arias Avila M, et al. 48
33. . Minerbi A, Vulfsons S. Challenging the Cinderella hypothesis: A new model for the role of the motor unit recruitment pattern in the pathogenesis of myofascial pain syndrome in postural muscles. Rambam Maimonides Med J. 2018; 9(3): e0021.
34. Vázquez-Delgado E, Cascos-Romero J, Gay-Escoda C. Myofascial pain syndrome associated with trigger points: a literature review. (I): Epidemiology, clinical treatment and etiopathogeny. Med Oral Patol Oral Cir Bucal. 2009; 14(10): e494-e498.
35. Borg-Stein J, Iaccarino MA. Myofascial pain syndrome treatments. Phys Med Rehabil Clin N Am. 2014; 25(2): 357-74.
36. Chang WH, Tu LW, Pei YC, Chen CK, Wang SH, Wong AM. Comparison of the effects between lasers applied to myofascial trigger points and to classical acupoints for patients with cervical myofascial pain syndrome. Biomed J. 2021; 44(6): 739-47.
37. Navarro-Santana MJ, Sanchez-Infante J, Fernández-de-Las-Peñas C, Cleland JA, Martín-Casas P, Plaza-Manzano G. Effectiveness of dry needling for myofascial trigger points associated with neck pain symptoms: An updated systematic review and meta-analysis. J Clin Med. 2020; 9(10): 3300.
38. Sumen A, Sarsan A, Alkan H, Yildiz N, Ardic F. Efficacy of low level laser therapy and intramuscular electrical stimulation on myofascial pain syndrome. J Back Musculoskelet Rehabil. 2015; 28(1): 153-8.
39. Venosa M, Romanini E, Padua R, Cerciello S. Comparison of high-intensity laser therapy and combination of ultrasound treatment and transcutaneous nerve stimulation in patients with cervical spondylosis: a randomized controlled trial. Lasers Med Sci. 2019; 34(5): 947-53.
40. Alayat MSM, Atya AM, Ali MME, Shosha TM. Long-term effect of high-intensity laser therapy in the treatment of patients with chronic low back pain: a randomized blinded placebo-controlled trial. Lasers Med Sci. 2014; 29(3): 1065-73.
41. Aceituno-Gómez J, Avendaño-Coy J, Gómez-Soriano J, García-Madero VM, Ávila-Martín G, Serrano-Muñoz D, et al. Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial. Clin Rehabil. 2019; 33(5): 894-903.
42. Naruseviciute D, Kubilius R. The effect of high-intensity versus low-level laser therapy in the management of plantar fasciitis: randomized participant blind controlled trial. Clin Rehabil. 2020; 34(8): 1072-82.
43. Salas Apaza JA, Franco JVA, Meza N, Madrid E, Loézar C, Garegnani L. Minimal clinically important dif-ference: The basics. Diferencia mínima clínicamente importante: conceptos básicos. Medwave. 2021; 21(3): e8149.
44. Sharif B, Tabassum S. Effects of ultrasound and massage in myofascial trigger point of Tensor fascia Latae muscles in lateral knee pain. Pak J Rehabil. 2014; 3(2): 21-5.
45. Xia P, Wang X, Lin Q, Cheng K, Li X. Effectiveness of ultrasound therapy for myofascial pain syndrome: a systematic review and meta-analysis. J Pain Res. 2017; 10: 545-55.
46. Handa H, Deshpande A, Punyani S. Value of transcutaneous electric nerve stimulation in the treatment of myofascial pain dysfunction syndrome. Med j Dr D Patil Univ. 2017; 10(3): 314-8.
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