Efeitos do laser terapêutico de baixa potência (LLLT) e alta potência (HILT) para melhora da dor e da função de pacientes com osteoartrite de joelho
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Feb 13, 2025
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Resumo
Objetivo: Identificar a eficácia do laser de alta potência (HILT) e laser de baixa potência (LLLT) no alívio da dor e na melhora da função de indivíduos com osteoartrite (OA)de joelho a partir dos estudos clínicos mais recentes sobre a temática. Métodos: Trata-se de uma revisão integrativa descritiva com abordagem qualitativa utilizando os bancos de dados do PubMed, SciELO e PEDro. Resultados: As buscas nas bases citadas retornaram um total de 54 artigos; um artigo encontrado se tratava de uma revisão sistemática, e o mesmo foi detalhado a 07 estudos, totalizando 61 estudos. Foi realizada uma exclusão criteriosa, e foram incluídos nesta revisão 10 ensaios clínicos, sendo 6 ensaios sobre LLLT e 4 sobre HILT. Considerações finais: Esta revisão destaca a eficácia do LLLT infravermelho e do HILT no tratamento da osteoartrite de joelho. Ambos os métodos mostram benefícios na dor e função, que são ampliados quando combinados com terapias complementares, como o exercício físico.
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Como Citar
MoreiraS. M. I., & FernandesI. G. (2025). Efeitos do laser terapêutico de baixa potência (LLLT) e alta potência (HILT) para melhora da dor e da função de pacientes com osteoartrite de joelho. Revista Eletrônica Acervo Saúde, 25, e19728. https://doi.org/10.25248/reas.e19728.2025
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Referências
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3. AKALTUN, MS. et al. Efficacy of high intensity laser therapy in knee osteoarthritis: a double-blind controlled randomized study. Clinical rheumatology, 2021; 40(5):1989–1995.
4. ALGELOVA A, ILIEVA EM. Effectiveness of High Intensity Laser Therapy for Reduction of Pain in Knee Osteoarthritis. Pain Research and Management, 2016; 9163618.
5. ALQUALO-COSTA R et al. Low-level laser therapy and interferential current in patients with knee osteoarthritis: a randomized controlled trial protocol. Pain management, 2018; 8(3):157–166.
6. AMMAR TARA. Monochromatic Infrared Photo Energy versus Low Level Laser Therapy in Patients with Knee Osteoarthritis. Lasers Med Sci, 2014; 5(4):176-182.
7. CAMERON MH. Agentes físicos na realibitação: da pesquisa á prática. 3. ed. Rio de Janeiro: Elsevier, 2009. p. 347-371.
8. COIMBRA IB et al. Osteoartrite (Artrose): Tratamento. Rev Bras Reumatol, 2004; 44(6):450-453.
9. CUI A et al. Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine, 2020; 26:29-30.
10. DOORMAAL MCM, et al. A clinical practice guideline for physical therapy in patients with hip or knee osteoarthritis. Musculoskeletal Care, 2020; 18(4):575-595.
11. ELBOIM-GABYZON M, NAHHAS F. Laser therapy versus pulsed electromagnetic feld therapy as treatment modalities for early knee osteoarthritis: a randomized controlled trial. BMC GERIATRICS, 2023; 23:144.
12. HASHMI JT, et al. Role of low-level laser therapy in neurorehabilitation. Physical Medicine and Rehabilitation, 2010; 2(12 Suppl 2): S292-305.
13. HAWKER GA, KING LK. The Burden of Osteoarthritis in Older Adults. Clin Geriatr Med, 2022; 38(2):181-192.
14. HUNTER D, BIERMA-ZEINSTRA S. Osteoarthritis. The Lancet, 2019; 393:1745-1759.
15. JANKAEW A et al. The effects of low-level laser therapy on muscle strength and functional outcomes in individuals with knee osteoarthritis: a double-blinded randomized controlled trial. Scientific reports, 2023; 13(1):165.
16. KIM GOOK-JOO et al. The effects of high intensity laser therapy on pain and function in patients with knee osteoarthritis. The Journal of Physical Therapy Science, 2016; 28(11): 3197-3199.
17. METSAVAHT L et al. What is the best questionnaire for monitoring the physical characteristics of patients with knee osteoarthritis in the Brazilian population? Rev Bras Ortop, 2011;46(3):256-61.
18. NAZARI A et al. Efficacy of high-intensity laser therapy in comparison with conventional physiotherapy and exercise therapy on pain and function of patients with knee osteoarthritis: a randomized controlled trial with 12-week follow up. Lasers in medical Science, 2019; 34(3); 505–516.
19. OARSI. OSTEOARTHRITIS RESEARCH SOCIETY INTERNATIONAL. Guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. 2019. Disponível em: https://www.oarsijournal.com/article/S1063-4584(19)31116-1/fulltext. Acessado em: 03 de janeiro de 2025.
20. PACCA DM et al. Prevalência de dor articular e Osteoartrite na população obesa brasileira. Brazilian Archives of Digestive Surgery, 2018; 31(1): :e1344
21. PATINO CM, FERREIRA JC. Qual a importância do cálculo do tamanho amostral? J Bras Pneumol. 2016; 42(2):162-162
22. PODSIADLO D, RICHARDSON S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 1991; 39(2), 142-148.
23. RACGP. THE ROYAL AUSTRALIAN COLLEGE OF GENERAL PRACTITIONERS. Guideline for the management of knee and hip osteoarthritis. 2 ed. 2018. Disponível em: https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/knee-and-hip-osteoarthritis. Acessado em: 03 de janeiro de 2025.
24. REZENDE MU et al. Conceitos atuais em osteoartrite. Acta ortop bras, 2013; 21(2): 121-122.
25. SENNA ER et al. Prevalence of Rheumatic Diseases in Brazil: A Study Using the COPCORD Approach. The Journal of Rheumatology, 2004; 31:3.
26. STAUSHOLM MB et al. Short- and Long-Term Effectiveness of Low-Level Laser Therapy Combined with Strength Training in Knee Osteoarthritis: A Randomized Sham-Controlled Trial. Journal of Clinical Medicine, 2022; 11(12):3446-3458.
27. VICKERS AJ. The use of percentage change from baseline as an outcome in a controlled trial is statistically inefficient: a simulation study. BMC Medical Research Methodology, 2001; 1(6).
28. WU M, et al. Is high intensity laser therapy more effective than other physical therapy modalities for treating knee osteoarthritis? A systematic review and network meta-analysis. Frontiers in medicine, 2022; 15 (9): 1-21.
29. YOUSSEF EF, et al. Effect of Laser Therapy on Chronic Osteoarthritis of the Knee in Older Subjects. J Lasers Med Sci, 2016; 7(2): 112-119.
2. AAOS. AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS. Clinical practice guideline summary: Management of osteoarthritis oh the knee. 3 ed. 2022. Disponível em: https://journals.lww.com/jaaos/fulltext/2022/05010/aaos_clinical_practice_guideline_summary_.10.aspx.
3. AKALTUN, MS. et al. Efficacy of high intensity laser therapy in knee osteoarthritis: a double-blind controlled randomized study. Clinical rheumatology, 2021; 40(5):1989–1995.
4. ALGELOVA A, ILIEVA EM. Effectiveness of High Intensity Laser Therapy for Reduction of Pain in Knee Osteoarthritis. Pain Research and Management, 2016; 9163618.
5. ALQUALO-COSTA R et al. Low-level laser therapy and interferential current in patients with knee osteoarthritis: a randomized controlled trial protocol. Pain management, 2018; 8(3):157–166.
6. AMMAR TARA. Monochromatic Infrared Photo Energy versus Low Level Laser Therapy in Patients with Knee Osteoarthritis. Lasers Med Sci, 2014; 5(4):176-182.
7. CAMERON MH. Agentes físicos na realibitação: da pesquisa á prática. 3. ed. Rio de Janeiro: Elsevier, 2009. p. 347-371.
8. COIMBRA IB et al. Osteoartrite (Artrose): Tratamento. Rev Bras Reumatol, 2004; 44(6):450-453.
9. CUI A et al. Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine, 2020; 26:29-30.
10. DOORMAAL MCM, et al. A clinical practice guideline for physical therapy in patients with hip or knee osteoarthritis. Musculoskeletal Care, 2020; 18(4):575-595.
11. ELBOIM-GABYZON M, NAHHAS F. Laser therapy versus pulsed electromagnetic feld therapy as treatment modalities for early knee osteoarthritis: a randomized controlled trial. BMC GERIATRICS, 2023; 23:144.
12. HASHMI JT, et al. Role of low-level laser therapy in neurorehabilitation. Physical Medicine and Rehabilitation, 2010; 2(12 Suppl 2): S292-305.
13. HAWKER GA, KING LK. The Burden of Osteoarthritis in Older Adults. Clin Geriatr Med, 2022; 38(2):181-192.
14. HUNTER D, BIERMA-ZEINSTRA S. Osteoarthritis. The Lancet, 2019; 393:1745-1759.
15. JANKAEW A et al. The effects of low-level laser therapy on muscle strength and functional outcomes in individuals with knee osteoarthritis: a double-blinded randomized controlled trial. Scientific reports, 2023; 13(1):165.
16. KIM GOOK-JOO et al. The effects of high intensity laser therapy on pain and function in patients with knee osteoarthritis. The Journal of Physical Therapy Science, 2016; 28(11): 3197-3199.
17. METSAVAHT L et al. What is the best questionnaire for monitoring the physical characteristics of patients with knee osteoarthritis in the Brazilian population? Rev Bras Ortop, 2011;46(3):256-61.
18. NAZARI A et al. Efficacy of high-intensity laser therapy in comparison with conventional physiotherapy and exercise therapy on pain and function of patients with knee osteoarthritis: a randomized controlled trial with 12-week follow up. Lasers in medical Science, 2019; 34(3); 505–516.
19. OARSI. OSTEOARTHRITIS RESEARCH SOCIETY INTERNATIONAL. Guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. 2019. Disponível em: https://www.oarsijournal.com/article/S1063-4584(19)31116-1/fulltext. Acessado em: 03 de janeiro de 2025.
20. PACCA DM et al. Prevalência de dor articular e Osteoartrite na população obesa brasileira. Brazilian Archives of Digestive Surgery, 2018; 31(1): :e1344
21. PATINO CM, FERREIRA JC. Qual a importância do cálculo do tamanho amostral? J Bras Pneumol. 2016; 42(2):162-162
22. PODSIADLO D, RICHARDSON S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 1991; 39(2), 142-148.
23. RACGP. THE ROYAL AUSTRALIAN COLLEGE OF GENERAL PRACTITIONERS. Guideline for the management of knee and hip osteoarthritis. 2 ed. 2018. Disponível em: https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/knee-and-hip-osteoarthritis. Acessado em: 03 de janeiro de 2025.
24. REZENDE MU et al. Conceitos atuais em osteoartrite. Acta ortop bras, 2013; 21(2): 121-122.
25. SENNA ER et al. Prevalence of Rheumatic Diseases in Brazil: A Study Using the COPCORD Approach. The Journal of Rheumatology, 2004; 31:3.
26. STAUSHOLM MB et al. Short- and Long-Term Effectiveness of Low-Level Laser Therapy Combined with Strength Training in Knee Osteoarthritis: A Randomized Sham-Controlled Trial. Journal of Clinical Medicine, 2022; 11(12):3446-3458.
27. VICKERS AJ. The use of percentage change from baseline as an outcome in a controlled trial is statistically inefficient: a simulation study. BMC Medical Research Methodology, 2001; 1(6).
28. WU M, et al. Is high intensity laser therapy more effective than other physical therapy modalities for treating knee osteoarthritis? A systematic review and network meta-analysis. Frontiers in medicine, 2022; 15 (9): 1-21.
29. YOUSSEF EF, et al. Effect of Laser Therapy on Chronic Osteoarthritis of the Knee in Older Subjects. J Lasers Med Sci, 2016; 7(2): 112-119.