Photobiomodulation therapy (PBMT) on acute pain and inflammation in patients who underwent total hip arthroplastya randomized, triple-blind, placebo-controlled clinical trial

Autor(es)

Langella, Luciana Goncalves ^{[1, 2]} ; Casalechi, Heliodora Leao ^[2] ; Tomazoni, Shaiane Silva ^{[3, 4]} ; Johnson, Douglas Scott ^[5] ; Albertini, Regiane ^[6] ; Pallotta, Rodney Capp ^[7] ; Marcos, Rodrigo Labat ^[7] ; Camillo de Carvalho, Paulo de Tarso ^{[1, 7]} ; Pinto Leal-Junior, Ernesto Cesar ^{[1, 2]}

Afiliação do(s) autor(es)

^[1] Univ Nove Julho UNINOVE, Postgrad Program Rehabil Sci, Sao Paulo, SP - Brazil

^[2] Univ Nove Julho UNINOVE, Lab Phototherapy Sports & Exercise, Rua Vergueiro 235, BR-01504001 Sao Paulo, SP - Brazil

^[3] Univ Cidade Sao Paulo, Masters Program Phys Therapy, Sao Paulo, SP - Brazil

^[4] Univ Cidade Sao Paulo, Doctoral Program Phys Therapy, Sao Paulo, SP - Brazil

^[5] Multi Radiance Med, Solon, OH - USA

^[6] Fed Univ Sao Paulo UNIFESP, Sao Jose Dos Campos, SP - Brazil

^[7] Univ Nove Julho UNINOVE, Postgrad Program Biophoton Appl Hlth Sci, Sao Paulo, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: Lasers in Medical Science; v. 33, n. 9, p. 1933-1940, DEC 2018.
• Citações Web of Science: 6

Resumo

When conservative treatments fail, hip osteoarthritis (OA), a chronic degenerative disease characterized by cartilage wear, progressive joint deformity, and loss of function, can result in the need for a total hip arthroplasty (THA). Surgical procedures induced tissue trauma and incite an immune response. Photobiomodulation therapy (PBMt) using low-level laser therapy (LLLT) and/or light-emitting diode therapy (LEDT) has proven effective in tissue repair by modulating the inflammatory process and promoting pain relief. Therefore, the aim of this study was to analyze the immediate effect of PBMt on inflammation and pain of patients undergoing total hip arthroplasty. The study consisted of 18 post-surgical hip arthroplasty patients divided into two groups (n=9 each) placebo and active PBMt who received one of the treatments in a period from 8 to 12h following THA surgery. PBMt (active or placebo) was applied using a device consisting of nine diodes (one super-pulsed laser of 905nm, four infrared LEDs of 875nm, and four red LEDs 640nm, 40.3J per point) applied to 5 points along the incision. Visual analog scale (VAS) and blood samples for analysis of the levels of the cytokines TNF-, IL-6, and IL-8 were recorded before and after PBMt application. The values for the visual analog scale as well as those in the analysis of TNF- and IL-8 serum levels decreased in the active PBMt group compared to placebo-control group (p<0.05). No decrease was observed for IL-6 levels. We conclude that PBMt is effective in decreasing pain intensity and post-surgery inflammation in patients receiving total hip arthroplasty. (AU)

• Processo FAPESP: 10/52404-0 - Laserterapia de baixa potência na fadiga muscular e recuperação muscular pós-exercício: parâmetros ideais de aplicação e efeitos em exercício de longa duração
• Beneficiário: Ernesto Cesar Pinto Leal Junior
• Modalidade de apoio: Auxílio à Pesquisa - Jovens Pesquisadores