Keywords
Osteoarthritis
Knee
Laser therapy
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To identify the effectiveness of High-Intensity Laser Therapy (HILT) and Low-Level Laser Therapy (LLLT) in relieving pain and improving function in individuals with knee osteoarthritis (OA) based on the most recent clinical studies on the topic. Methods: This is a descriptive integrative review with a qualitative approach using the PubMed, SciELO, and PEDro databases. Results: Searches in the aforementioned databases yielded a total of 54 articles. One of the retrieved articles was a systematic review that included seven studies, totaling 61 studies. A rigorous exclusion process was applied, and 10 clinical trials were included in this review: 6 trials focused on LLLT and 4 on HILT. Final considerations: This review highlights the efficacy of infrared LLLT and HILT in the treatment of knee osteoarthritis. Both methods demonstrate benefits in pain relief and functional improvement, which are enhanced when combined with complementary therapies such as physical exercise.
References
AAOS. AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS. Management of Osteoarthritis of the knee: Evidence-Based Clinical Practice Guideline. 5 ed. 2021. Disponível em: https://www.aaos.org/globalassets/quality-and-practice-resources/osteoarthritis-of-the-knee/oak3cpg.pdf. Acessado em: 03 de janeiro de 2025.
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.
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.
ALGELOVA A, ILIEVA EM. Effectiveness of High Intensity Laser Therapy for Reduction of Pain in Knee Osteoarthritis. Pain Research and Management, 2016; 9163618.
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.
AMMAR TARA. Monochromatic Infrared Photo Energy versus Low Level Laser Therapy in Patients with Knee Osteoarthritis. Lasers Med Sci, 2014; 5(4):176-182.
CAMERON MH. Agentes físicos na realibitação: da pesquisa á prática. 3. ed. Rio de Janeiro: Elsevier, 2009. p. 347-371.
COIMBRA IB et al. Osteoartrite (Artrose): Tratamento. Rev Bras Reumatol, 2004; 44(6):450-453.
CUI A et al. Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine, 2020; 26:29-30.
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.
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.
HASHMI JT, et al. Role of low-level laser therapy in neurorehabilitation. Physical Medicine and Rehabilitation, 2010; 2(12 Suppl 2): S292-305.
HAWKER GA, KING LK. The Burden of Osteoarthritis in Older Adults. Clin Geriatr Med, 2022; 38(2):181-192.
HUNTER D, BIERMA-ZEINSTRA S. Osteoarthritis. The Lancet, 2019; 393:1745-1759.
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.
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.
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.
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.
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.
PACCA DM et al. Prevalência de dor articular e Osteoartrite na população obesa brasileira. Brazilian Archives of Digestive Surgery, 2018; 31(1): :e1344
PATINO CM, FERREIRA JC. Qual a importância do cálculo do tamanho amostral? J Bras Pneumol. 2016; 42(2):162-162
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.
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.
REZENDE MU et al. Conceitos atuais em osteoartrite. Acta ortop bras, 2013; 21(2): 121-122.
SENNA ER et al. Prevalence of Rheumatic Diseases in Brazil: A Study Using the COPCORD Approach. The Journal of Rheumatology, 2004; 31:3.
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.
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).
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.
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.