Document Detail


Effect of pulsing in low-level light therapy.
MedLine Citation:
PMID:  20662021     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVE: Low level light (or laser) therapy (LLLT) is a rapidly growing modality used in physical therapy, chiropractic, sports medicine and increasingly in mainstream medicine. LLLT is used to increase wound healing and tissue regeneration, to relieve pain and inflammation, to prevent tissue death, to mitigate degeneration in many neurological indications. While some agreement has emerged on the best wavelengths of light and a range of acceptable dosages to be used (irradiance and fluence), there is no agreement on whether continuous wave or pulsed light is best and on what factors govern the pulse parameters to be chosen.
STUDY DESIGN/MATERIALS AND METHODS: The published peer-reviewed literature was reviewed between 1970 and 2010.
RESULTS: The basic molecular and cellular mechanisms of LLLT are discussed. The type of pulsed light sources available and the parameters that govern their pulse structure are outlined. Studies that have compared continuous wave and pulsed light in both animals and patients are reviewed. Frequencies used in other pulsed modalities used in physical therapy and biomedicine are compared to those used in LLLT.
CONCLUSION: There is some evidence that pulsed light does have effects that are different from those of continuous wave light. However further work is needed to define these effects for different disease conditions and pulse structures.
Authors:
Javad T Hashmi; Ying-Ying Huang; Sulbha K Sharma; Divya Balachandran Kurup; Luis De Taboada; James D Carroll; Michael R Hamblin
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Review    
Journal Detail:
Title:  Lasers in surgery and medicine     Volume:  42     ISSN:  1096-9101     ISO Abbreviation:  Lasers Surg Med     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-27     Completed Date:  2010-12-08     Revised Date:  2011-08-03    
Medline Journal Info:
Nlm Unique ID:  8007168     Medline TA:  Lasers Surg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  450-66     Citation Subset:  IM    
Copyright Information:
(c) 2010 Wiley-Liss, Inc.
Affiliation:
Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
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MeSH Terms
Descriptor/Qualifier:
Adenosine Triphosphate / metabolism
Animals
Brain Ischemia / therapy
Cerebral Cortex / metabolism
Humans
Laser Therapy, Low-Level* / methods
Lasers
Nerve Regeneration / radiation effects
Neural Conduction
Pain / therapy
Stroke / therapy
Wound Healing / radiation effects
Grant Support
ID/Acronym/Agency:
R01 AI050875-07/AI/NIAID NIH HHS; R01 AI050875-08/AI/NIAID NIH HHS; R01AI050875/AI/NIAID NIH HHS
Chemical
Reg. No./Substance:
56-65-5/Adenosine Triphosphate
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