The dose that works: Low level laser treatment of tendinopathy

Steve Tumilty, Joanne Munn, Suzanne McDonough, Deirdre A. Hurley, Jeffrey R. Basford, G. David Baxter

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Background: Low Level Laser Therapy (LLLT) is used in the treatment of tendon injuries. However, the clinical effectiveness of this modality remains controversial with limited agreement on the most efficacious dosage and parameter choices. Purpose: To assess the clinical effectiveness of LLLT in the treatment of tendinopathy and the validity of current dosage recommendations for treatment. Method: Medical databases were searched from inception to 1st August 2008. Controlled clinical trials evaluating LLLT as a primary intervention for any tendinopathy were included in the review. Methodological quality was classified using the PEDro scale. Appropriateness of treatment parameters were assessed using established guidelines. Results: Twenty five trials met the inclusion criteria. There was conflicting findings from multiple trials: 12 showed positive effects and 13 were inconclusive or showed no effect. Dosages used in the 12 positive studies support the existence of an effective dosage window that closely resembled current guidelines. Where pooling of data was possible, LLLT showed a positive effect size; in high quality studies of lateral epicondylitis, participants' grip strength was 9.59Kg higher than the control group; for participants with Achilles tendinopathy, the effect was 13.6mm less pain on a 100mm visual analogue scale. Conclusion: This study found conflicting evidence as to the effectiveness of LLLT in the treatment of tendinopathy. However, an effective dosage window emerged showing benefit in the treatment of tendinopathy. Strong evidence exists from the 12 positive studies that positive outcomes are associated with the use of current dosage recommendations for the treatment of tendinopathy.

Original languageEnglish (US)
Title of host publicationLaser Florence 2009: A Gallery Through the Laser Medicine World - Selected Papers at the International Laser Medicine Congress
Pages170-178
Number of pages9
Volume1226
DOIs
StatePublished - 2010
EventCongress of the International Academy Laser Medicine and Surgery - Firenze, Italy
Duration: Nov 6 2009Nov 7 2009

Other

OtherCongress of the International Academy Laser Medicine and Surgery
CountryItaly
CityFirenze
Period11/6/0911/7/09

Fingerprint

dosage
therapy
lasers
recommendations
tendons
pain
inclusions
analogs

Keywords

  • Dose
  • Low level laser therapy
  • Systematic review
  • Tendinopathy

ASJC Scopus subject areas

  • Physics and Astronomy(all)

Cite this

Tumilty, S., Munn, J., McDonough, S., Hurley, D. A., Basford, J. R., & Baxter, G. D. (2010). The dose that works: Low level laser treatment of tendinopathy. In Laser Florence 2009: A Gallery Through the Laser Medicine World - Selected Papers at the International Laser Medicine Congress (Vol. 1226, pp. 170-178) https://doi.org/10.1063/1.3453777

The dose that works : Low level laser treatment of tendinopathy. / Tumilty, Steve; Munn, Joanne; McDonough, Suzanne; Hurley, Deirdre A.; Basford, Jeffrey R.; Baxter, G. David.

Laser Florence 2009: A Gallery Through the Laser Medicine World - Selected Papers at the International Laser Medicine Congress. Vol. 1226 2010. p. 170-178.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Tumilty, S, Munn, J, McDonough, S, Hurley, DA, Basford, JR & Baxter, GD 2010, The dose that works: Low level laser treatment of tendinopathy. in Laser Florence 2009: A Gallery Through the Laser Medicine World - Selected Papers at the International Laser Medicine Congress. vol. 1226, pp. 170-178, Congress of the International Academy Laser Medicine and Surgery, Firenze, Italy, 11/6/09. https://doi.org/10.1063/1.3453777
Tumilty S, Munn J, McDonough S, Hurley DA, Basford JR, Baxter GD. The dose that works: Low level laser treatment of tendinopathy. In Laser Florence 2009: A Gallery Through the Laser Medicine World - Selected Papers at the International Laser Medicine Congress. Vol. 1226. 2010. p. 170-178 https://doi.org/10.1063/1.3453777
Tumilty, Steve ; Munn, Joanne ; McDonough, Suzanne ; Hurley, Deirdre A. ; Basford, Jeffrey R. ; Baxter, G. David. / The dose that works : Low level laser treatment of tendinopathy. Laser Florence 2009: A Gallery Through the Laser Medicine World - Selected Papers at the International Laser Medicine Congress. Vol. 1226 2010. pp. 170-178
@inproceedings{5755d923fc3d4b5ebb0c761a47c47f1e,
title = "The dose that works: Low level laser treatment of tendinopathy",
abstract = "Background: Low Level Laser Therapy (LLLT) is used in the treatment of tendon injuries. However, the clinical effectiveness of this modality remains controversial with limited agreement on the most efficacious dosage and parameter choices. Purpose: To assess the clinical effectiveness of LLLT in the treatment of tendinopathy and the validity of current dosage recommendations for treatment. Method: Medical databases were searched from inception to 1st August 2008. Controlled clinical trials evaluating LLLT as a primary intervention for any tendinopathy were included in the review. Methodological quality was classified using the PEDro scale. Appropriateness of treatment parameters were assessed using established guidelines. Results: Twenty five trials met the inclusion criteria. There was conflicting findings from multiple trials: 12 showed positive effects and 13 were inconclusive or showed no effect. Dosages used in the 12 positive studies support the existence of an effective dosage window that closely resembled current guidelines. Where pooling of data was possible, LLLT showed a positive effect size; in high quality studies of lateral epicondylitis, participants' grip strength was 9.59Kg higher than the control group; for participants with Achilles tendinopathy, the effect was 13.6mm less pain on a 100mm visual analogue scale. Conclusion: This study found conflicting evidence as to the effectiveness of LLLT in the treatment of tendinopathy. However, an effective dosage window emerged showing benefit in the treatment of tendinopathy. Strong evidence exists from the 12 positive studies that positive outcomes are associated with the use of current dosage recommendations for the treatment of tendinopathy.",
keywords = "Dose, Low level laser therapy, Systematic review, Tendinopathy",
author = "Steve Tumilty and Joanne Munn and Suzanne McDonough and Hurley, {Deirdre A.} and Basford, {Jeffrey R.} and Baxter, {G. David}",
year = "2010",
doi = "10.1063/1.3453777",
language = "English (US)",
isbn = "9780735407701",
volume = "1226",
pages = "170--178",
booktitle = "Laser Florence 2009: A Gallery Through the Laser Medicine World - Selected Papers at the International Laser Medicine Congress",

}

TY - GEN

T1 - The dose that works

T2 - Low level laser treatment of tendinopathy

AU - Tumilty, Steve

AU - Munn, Joanne

AU - McDonough, Suzanne

AU - Hurley, Deirdre A.

AU - Basford, Jeffrey R.

AU - Baxter, G. David

PY - 2010

Y1 - 2010

N2 - Background: Low Level Laser Therapy (LLLT) is used in the treatment of tendon injuries. However, the clinical effectiveness of this modality remains controversial with limited agreement on the most efficacious dosage and parameter choices. Purpose: To assess the clinical effectiveness of LLLT in the treatment of tendinopathy and the validity of current dosage recommendations for treatment. Method: Medical databases were searched from inception to 1st August 2008. Controlled clinical trials evaluating LLLT as a primary intervention for any tendinopathy were included in the review. Methodological quality was classified using the PEDro scale. Appropriateness of treatment parameters were assessed using established guidelines. Results: Twenty five trials met the inclusion criteria. There was conflicting findings from multiple trials: 12 showed positive effects and 13 were inconclusive or showed no effect. Dosages used in the 12 positive studies support the existence of an effective dosage window that closely resembled current guidelines. Where pooling of data was possible, LLLT showed a positive effect size; in high quality studies of lateral epicondylitis, participants' grip strength was 9.59Kg higher than the control group; for participants with Achilles tendinopathy, the effect was 13.6mm less pain on a 100mm visual analogue scale. Conclusion: This study found conflicting evidence as to the effectiveness of LLLT in the treatment of tendinopathy. However, an effective dosage window emerged showing benefit in the treatment of tendinopathy. Strong evidence exists from the 12 positive studies that positive outcomes are associated with the use of current dosage recommendations for the treatment of tendinopathy.

AB - Background: Low Level Laser Therapy (LLLT) is used in the treatment of tendon injuries. However, the clinical effectiveness of this modality remains controversial with limited agreement on the most efficacious dosage and parameter choices. Purpose: To assess the clinical effectiveness of LLLT in the treatment of tendinopathy and the validity of current dosage recommendations for treatment. Method: Medical databases were searched from inception to 1st August 2008. Controlled clinical trials evaluating LLLT as a primary intervention for any tendinopathy were included in the review. Methodological quality was classified using the PEDro scale. Appropriateness of treatment parameters were assessed using established guidelines. Results: Twenty five trials met the inclusion criteria. There was conflicting findings from multiple trials: 12 showed positive effects and 13 were inconclusive or showed no effect. Dosages used in the 12 positive studies support the existence of an effective dosage window that closely resembled current guidelines. Where pooling of data was possible, LLLT showed a positive effect size; in high quality studies of lateral epicondylitis, participants' grip strength was 9.59Kg higher than the control group; for participants with Achilles tendinopathy, the effect was 13.6mm less pain on a 100mm visual analogue scale. Conclusion: This study found conflicting evidence as to the effectiveness of LLLT in the treatment of tendinopathy. However, an effective dosage window emerged showing benefit in the treatment of tendinopathy. Strong evidence exists from the 12 positive studies that positive outcomes are associated with the use of current dosage recommendations for the treatment of tendinopathy.

KW - Dose

KW - Low level laser therapy

KW - Systematic review

KW - Tendinopathy

UR - http://www.scopus.com/inward/record.url?scp=77954599935&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77954599935&partnerID=8YFLogxK

U2 - 10.1063/1.3453777

DO - 10.1063/1.3453777

M3 - Conference contribution

AN - SCOPUS:77954599935

SN - 9780735407701

VL - 1226

SP - 170

EP - 178

BT - Laser Florence 2009: A Gallery Through the Laser Medicine World - Selected Papers at the International Laser Medicine Congress

ER -