Effect of Bioptron Light Therapy on post-menopausal low back pain: A randomized controlled study
Resumen
Women's bodies undergo numerous changes throughout the post-menopausal period, many of which result in uncomfortable symptoms, including skeletal problems such as low back pain (LBP). The aim of this study was to evaluate the impact of Bioptron Light Therapy (BLT) on post-menopausal LBP in women. This study employed a pretest-posttest randomized experimental trial design. Forty post-menopausal women with LBP, aged 50 to 60 years, were randomized into two groups (study and control group). The control group (Group A, n=20) received abdominal and back isometric exercises only, whereas the study group (Group B, n=20) received BLT in addition to the same isometric exercises, three sessions per week for six weeks. Pain severity using the Visual Analogue Scale (VAS), Pain Pressure Threshold (PPT) using a pressure algometer, and functional disability using the Modified Oswestry Disability Questionnaire (MODQ) were measured for all patients in both groups before and after the treatment program. The Statistical Package of Social Sciences (SPSS) (version 19) was used for data analysis. Based on the results of our study, PPT significantly increased in both groups after treatment (p = 0.0001), with the study group showing a greater increase than the control group (p = 0.001). Pain intensity decreased significantly in both groups (p = 0.0001), with a statistically significant difference favoring the study group (p = 0.0001). MODQ scores also significantly decreased in both groups (p = 0.0001), again favoring the study group (p = 0.0001). BLT can be included as a valuable, effective, and non-invasive method for decreasing pain and improving function for women with post-menopausal LBP.
Descargas
Citas
Ahn, S., & Song, R. (2009). Bone mineral density and perceived menopausal symptoms: factors influencing low back pain in postmenopausal women. Journal of Advanced Nursing, 65(6), 1228–1236. https://doi.org/10.1111/j.1365-2648.2009.04983.x
Alexander, J. L., Dennerstein, L., Woods, N. F., Halbreich, U., Kotz, K., Richardson, G., Graziottin, A., & Sherman, J. J. (2007). Arthralgias, bodily aches and pains and somatic complaints in midlife women: etiology, pathophysiology and differential diagnosis. Expert Review of Neurotherapeutics, 7(11), 15–26. https://doi.org/10.1586/14737175.7.11s.S15
Colić, M. M., Vidojković, N., Jovanović, M., & Lazović, G. (2012). The use of polarized light in aesthetic surgery. Aesthetic Plastic Surgery, 28(5), 324–327. https://doi.org/10.1007/s00266-004-0014-8
Dimitrios, S., Valentina, N., & Dimitrios, L. (2020). The Effectiveness of Polarized Light in Musculoskeletal, Skin Problems and Burns. American Journal of Biomedical Science & Research, 10(2), 159-167.
Dugan, S. A., Powell, L. H., Kravitz, H. M., Everson Rose, S. A., Karavolos, K., & Luborsky, J. (2006). Musculoskeletal pain and menopausal status. The Clinical Journal of Pain, 22(4), 325–331. https://doi.org/10.1097/01.ajp.0000208249.07949.d5
Gold, E. B., Sternfeld, B., Kelsey, J. L., Brown, C., Mouton, C., Reame, N., Salamone, L., & Stellato, R. (2000). Relation of demographic and lifestyle factors to symptoms in a multi-racial/ethnic population of women 40-55 years of age. American Journal of Epidemiology, 152(5), 463–473. https://doi.org/10.1093/aje/152.5.463
Huisstede, B. M., Hoogvliet, P., Randsdorp, M. S., Glerum, S., van Middelkoop, M., & Koes, B. W. (2010). Carpal tunnel syndrome. Part I: effectiveness of nonsurgical treatments--a systematic review. Archives of Physical Medicine and Rehabilitation, 91(7), 981–1004. https://doi.org/10.1016/j.apmr.2010.03.022
Jovanović-Ignjatić, Z., & Raković, D. (1999). A review of current research in microwave resonance therapy: novel opportunities in medical treatment. Acupuncture & Electro-therapeutics Research, 24(2), 105–125. https://doi.org/10.3727/036012999816356390
Limansky, M., Hode, L., & Tuner, J. (2010). Low-level laser therapy (LLLT) versus light-emitting diode therapy (LEDT): What is the difference? In Laser Florence'99: A Window on the Laser Medicine World. The International Society for Optics and Photonics, 41(5), 90-97.
Medenica, L., & Lens, M. (2003). The use of polarised polychromatic non-coherent light alone as a therapy for venous leg ulceration. Journal of Wound Care, 12(1), 37–40. https://doi.org/10.12968/jowc.2003.12.1.26456
Mihaylova, M., Ruseva, Z., & Filkova, S. (2017). The effect of polarized polychromatic non-coherent light (Bioptron) therapy on patients with lower back pain. Scripta Scientifica Salutis Publicae, 3(1), 23-27.
Monstry, S., Hoeksema, K., Depuydt, G., VanMale, K., Van-Landuyt, K., & Blondeel, P. (2012). The effect of polarized light on wound healing. Europen Journal of Plastic Surgery, 24(8), 377-382.
Nobuta, S., Sato, K., Nakagawa, T., Hatori, M., & Itoi, E. (2008). Effects of wrist splinting for Carpal Tunnel syndrome and motor nerve conduction measurements. Upsala Journal of Medical Sciences, 113(2), 181–192. https://doi.org/10.3109/2000-1967-228
Ozdemir, F. A., Birtane, M. A., & Kokino, S. A. (2011). Wound care and the polarized light therapy. Clinical Rheumatology, 20, 181-184.
Pinheiro, M. B., Ferreira, M. L., Refshauge, K., Colodro-Conde, L., Carrillo, E., Hopper, J. L., Ordonana, J. R & Ferreira, P. H. (2015). Genetics and the environment affect the relationship between depression and low back pain: A co-twin control study of Spanish twins. Pain, 156(3), 496-503.
Shiryan, G. T., Amin, F. S. & Embaby, E. A. (2022). Effectiveness of polarized polychromatic light therapy on myofascial trigger points in chronic non-specific low back pain: a single blinded randomized controlled trial. Bulletin of Faculty of Physical Therapy, 27(33), 1-9. (https://doi.org/10.1186/s43161-022-00085-9
Stasinopoulos D. (2005). The use of polarized polychromatic non-coherent light as therapy for acute tennis elbow/lateral epicondylalgia: a pilot study. Photomedicine and Laser Surgery, 23(1), 66–69. https://doi.org/10.1089/pho.2005.23.66
Stasinopoulos, D., Papadopoulos, C., Lamnisos, D., & Stasinopoulos, I. (2017). The use of Bioptron light (polarized, polychromatic, non-coherent) therapy for the treatment of acute ankle sprains. Disability and Rehabilitation, 39(5), 450–457. https://doi.org/10.3109/09638288.2016.1146357
Wáng, Y. X., Wáng, J. Q., & Káplár, Z. (2016). Increased low back pain prevalence in females than in males after menopause age: evidences based on synthetic literature review. Quantitative Imaging in Medicine and Surgery, 6(2), 199–206. https://doi.org/10.21037/qims.2016.04.06
Young, S., Bolton, P., Dyson, M., Harvey, W., & Diamantopoulos, C. (1989). Macrophage responsiveness to light therapy. Lasers in Surgery and Medicine, 9(5), 497–505. https://doi.org/10.1002/lsm.1900090513
Zhevago, N. A., & Samoilova, K. A. (2006). Pro- and anti-inflammatory cytokine content in human peripheral blood after its transcutaneous (in vivo) and direct (in vitro) irradiation with polychromatic visible and infrared light. Photomedicine and Laser Surgery, 24(2), 129–139. https://doi.org/10.1089/pho.2006.24.129
Las obras que se publican en esta revista están sujetas a los siguientes términos:
1. El Servicio de Publicaciones de la Universidad de Murcia (la editorial) conserva los derechos patrimoniales (copyright) de las obras publicadas, y favorece y permite la reutilización de las mismas bajo la licencia de uso indicada en el punto 2.
© Servicio de Publicaciones, Universidad de Murcia, 2013
2. Las obras se publican en la edición electrónica de la revista bajo una licencia Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España (texto legal). Se pueden copiar, usar, difundir, transmitir y exponer públicamente, siempre que: i) se cite la autoría y la fuente original de su publicación (revista, editorial y URL de la obra); ii) no se usen para fines comerciales; iii) se mencione la existencia y especificaciones de esta licencia de uso.
3. Condiciones de auto-archivo. Se permite y se anima a los autores a difundir electrónicamente las versiones pre-print (versión antes de ser evaluada) y/o post-print (versión evaluada y aceptada para su publicación) de sus obras antes de su publicación, ya que favorece su circulación y difusión más temprana y con ello un posible aumento en su citación y alcance entre la comunidad académica.