Immediate effects of 850 nm Diode Laser on patients with Cervical Myofascial Pain Syndrome: a Randomized-controlled trial

Authors

  • Ahmed Ali Zahreldin Ali Department of Medical Laser Applications, National Institute of Laser Enhanced Sciences, Cairo University- Egypt
  • Mahmoud S ElBasiouny Professor of General and Plastic Surgery, National Institute of Laser Enhanced Sciences, Cairo University- Egypt
  • Mona Ibrahim Morsy Professor of Photobiology, National Institute of Laser Enhanced Sciences, Cairo University- Egypt
  • Hagar S Abouamra Demonstrator of Anatomy, Faculty of Medicine, Cairo University- Egypt
  • Shorouk Elshennawy Professor of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University- Egypt and Professor of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Misr University for Science and Technology- Egypt

DOI:

https://doi.org/10.3329/bjms.v23i2.72142

Keywords:

Myofascial pain syndrome; trigger point, laser therapy; LLLT; conventional therapy; RCT.

Abstract

Objectives  Myofascial pain syndrome (MPS) is one of the most common causes of chronic neck pain. Low level laser therapy (LLLT) is a physical therapy modality that can be used to reduce pain and improve function of patients with MPS. The aim of this study was to assess and evaluate the effects of LLLT added to the conventional physical therapy in comparison with the conventional physical therapy alone on pain intensity, pressure pain threshold (PPT) and cervical range of motion (ROM) in cervical MPS patients.

Methods and Materials  Twenty-four adults diagnosed with cervical MPS according to Travell and Simons’ criteria were randomized into 2 equal groups; Group A: receive LLLT on upper trapezius trigger points with conventional physical therapy, while Group B: receive conventional physical therapy alone. Measured outcomes were pain, PPT and cervical flexion and extension ROM, using Numerical Rating Scale (NRS), Algometer and Goniometer, respectively. Outcomes were measured pre-treatment and immediately post-treatment.

Results and Discussion  A significant improvement in the pain, PPT and cervical flexion and extension were observed in all groups after treatment, compared to the pre-treatment values (P < .05). However, there was no significant difference between the study groups post treatment for all measured outcomes.

Conclusion  Low-level laser therapy is not considered a beneficial extension to the standard conventional therapy on active MPS as it didn’t add to the immediate effect of conventional physical therapy on pain, PPT and ROM in patients with cervical MPS.

Bangladesh Journal of Medical Science Vol. 23 No. 02 April’24 Page : 337-344

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Published

2024-03-27

How to Cite

Zahreldin Ali, A. A., ElBasiouny, M. S., Morsy, M. I., Abouamra, H. S., & Elshennawy, S. (2024). Immediate effects of 850 nm Diode Laser on patients with Cervical Myofascial Pain Syndrome: a Randomized-controlled trial. Bangladesh Journal of Medical Science, 23(2), 337–344. https://doi.org/10.3329/bjms.v23i2.72142

Issue

Vol. 23 No. 2 (2024)

Section

Original Articles

License

Copyright (c) 2024 Ahmed Ali Zahreldin Ali, Mahmoud S ElBasiouny, Mona Ibrahim Morsy, Hagar S Abouamra, Shorouk Elshennawy

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