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. 2001 Mar;45(1):26–34.

Lasers and their therapeutic application in chiropractic

Don Fitz-Ritson
PMCID: PMC2505005

Abstract

The purpose of this paper is to review some of the applications of laser therapy and its reported effects on tissue healing, pain relief and other effects. Several musculoskeletal and low back pain studies are highlighted to show the efficacy of laser therapy and its' applicability as an adjunct to chiropractic treatment. Information is also presented which highlights the necessary information the clinician should be aware of in order to develop specific protocols for musculoskeletal pathologies. The parameters, which are now available on lasers, include power, frequency, duty cycle and cadence. When these are manipulated, different effects are achieved on tissues, which may enhance chiropractic treatment.

Keywords: laser, tissue healing, ATP, pain modulation, back pain, protocols, parameters, power, frequency, duty cycle, cadence

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abergel R. P., Lyons R. F., Castel J. C., Dwyer R. M., Uitto J. Biostimulation of wound healing by lasers: experimental approaches in animal models and in fibroblast cultures. J Dermatol Surg Oncol. 1987 Feb;13(2):127–133. doi: 10.1111/j.1524-4725.1987.tb00510.x. [DOI] [PubMed] [Google Scholar]
  2. Al-Watban F. A., Zhang X. Y. Comparison of wound healing process using Argon and Krypton lasers. J Clin Laser Med Surg. 1997;15(5):209–215. doi: 10.1089/clm.1997.15.209. [DOI] [PubMed] [Google Scholar]
  3. Allendorf J. D., Bessler M., Huang J., Kayton M. L., Laird D., Nowygrod R., Treat M. R. Helium-neon laser irradiation at fluences of 1, 2, and 4 J/cm2 failed to accelerate wound healing as assessed by both wound contracture rate and tensile strength. Lasers Surg Med. 1997;20(3):340–345. doi: 10.1002/(sici)1096-9101(1997)20:3<340::aid-lsm13>3.0.co;2-h. [DOI] [PubMed] [Google Scholar]
  4. Anders J. J., Borke R. C., Woolery S. K., Van de Merwe W. P. Low power laser irradiation alters the rate of regeneration of the rat facial nerve. Lasers Surg Med. 1993;13(1):72–82. doi: 10.1002/lsm.1900130113. [DOI] [PubMed] [Google Scholar]
  5. Anders J. J., Borke R. C., Woolery S. K., Van de Merwe W. P. Low power laser irradiation alters the rate of regeneration of the rat facial nerve. Lasers Surg Med. 1993;13(1):72–82. doi: 10.1002/lsm.1900130113. [DOI] [PubMed] [Google Scholar]
  6. Barberis G., Gamron S., Acevedo G., Cadile I., Juri H., Campana V., Castel A., Onetti C. M., Palma J. A. In vitro synthesis of prostaglandin E2 by synovial tissue after helium-neon laser radiation in rheumatoid arthritis. J Clin Laser Med Surg. 1996 Aug;14(4):175–177. doi: 10.1089/clm.1996.14.175. [DOI] [PubMed] [Google Scholar]
  7. Basford J. R. Laser therapy: scientific basis and clinical role. Orthopedics. 1993 May;16(5):541–547. doi: 10.3928/0147-7447-19930501-06. [DOI] [PubMed] [Google Scholar]
  8. Basford J. R., Sheffield C. G., Harmsen W. S. Laser therapy: a randomized, controlled trial of the effects of low-intensity Nd:YAG laser irradiation on musculoskeletal back pain. Arch Phys Med Rehabil. 1999 Jun;80(6):647–652. doi: 10.1016/s0003-9993(99)90167-3. [DOI] [PubMed] [Google Scholar]
  9. Beauvoit B., Evans S. M., Jenkins T. W., Miller E. E., Chance B. Correlation between the light scattering and the mitochondrial content of normal tissues and transplantable rodent tumors. Anal Biochem. 1995 Mar 20;226(1):167–174. doi: 10.1006/abio.1995.1205. [DOI] [PubMed] [Google Scholar]
  10. Beckerman H., de Bie R. A., Bouter L. M., De Cuyper H. J., Oostendorp R. A. The efficacy of laser therapy for musculoskeletal and skin disorders: a criteria-based meta-analysis of randomized clinical trials. Phys Ther. 1992 Jul;72(7):483–491. doi: 10.1093/ptj/72.7.483. [DOI] [PubMed] [Google Scholar]
  11. Bisht D., Gupta S. C., Misra V., Mital V. P., Sharma P. Effect of low intensity laser radiation on healing of open skin wounds in rats. Indian J Med Res. 1994 Jul;100:43–46. [PubMed] [Google Scholar]
  12. Braverman B., McCarthy R. J., Ivankovich A. D., Forde D. E., Overfield M., Bapna M. S. Effect of helium-neon and infrared laser irradiation on wound healing in rabbits. Lasers Surg Med. 1989;9(1):50–58. doi: 10.1002/lsm.1900090111. [DOI] [PubMed] [Google Scholar]
  13. Cambier D. C., Vanderstraeten G. G., Mussen M. J., van der Spank J. T. Low-power laser and healing of burns: a preliminary assay. Plast Reconstr Surg. 1996 Mar;97(3):555–559. doi: 10.1097/00006534-199603000-00009. [DOI] [PubMed] [Google Scholar]
  14. Cheng R., McKibbin L., Roy B., Pomeranz B. Electroacupuncture elevates blood cortisol levels in naive horses; sham treatment has no effect. Int J Neurosci. 1980;10(2-3):95–97. doi: 10.3109/00207458009160487. [DOI] [PubMed] [Google Scholar]
  15. England S., Farrell A. J., Coppock J. S., Struthers G., Bacon P. A. Low power laser therapy of shoulder tendonitis. Scand J Rheumatol. 1989;18(6):427–431. doi: 10.3109/03009748909102106. [DOI] [PubMed] [Google Scholar]
  16. Fulga C., Fulga I. G., Predescu M. Clinical study of the effect of laser therapy in rheumatic degenerative diseases. Rom J Intern Med. 1994 Jul-Sep;32(3):227–233. [PubMed] [Google Scholar]
  17. Fulga C., Fulga I. G., Predescu M. Clinical study of the effect of laser therapy in rheumatic degenerative diseases. Rom J Intern Med. 1994 Jul-Sep;32(3):227–233. [PubMed] [Google Scholar]
  18. Ghamsari S. M., Taguchi K., Abe N., Acorda J. A., Yamada H. Histopathological effect of low-level laser therapy on sutured wounds of the teat in dairy cattle. Vet Q. 1996 Mar;18(1):17–21. doi: 10.1080/01652176.1996.9694605. [DOI] [PubMed] [Google Scholar]
  19. Giavelli S., Fava G., Castronuovo G., Spinoglio L., Galanti A. Laserterapia con bassa potenza nelle malattie osteoarticolari nel paziente geriatrico. Radiol Med. 1998 Apr;95(4):303–309. [PubMed] [Google Scholar]
  20. Goldman J. A., Chiapella J., Casey H., Bass N., Graham J., McClatchey W., Dronavalli R. V., Brown R., Bennett W. J., Miller S. B. Laser therapy of rheumatoid arthritis. Lasers Surg Med. 1980;1(1):93–101. doi: 10.1002/lsm.1900010110. [DOI] [PubMed] [Google Scholar]
  21. HAMMEL H. T., HARDY J. D., MURGATROYD D. Spectral transmittance and reflectance of excised human skin. J Appl Physiol. 1956 Sep;9(2):257–264. doi: 10.1152/jappl.1956.9.2.257. [DOI] [PubMed] [Google Scholar]
  22. Hall G., Anneroth G., Schennings T., Zetterqvist L., Rydén H. Effect of low level energy laser irradiation on wound healing. An experimental study in rats. Swed Dent J. 1994;18(1-2):29–34. [PubMed] [Google Scholar]
  23. Honmura A., Yanase M., Obata J., Haruki E. Therapeutic effect of Ga-Al-As diode laser irradiation on experimentally induced inflammation in rats. Lasers Surg Med. 1992;12(4):441–449. doi: 10.1002/lsm.1900120414. [DOI] [PubMed] [Google Scholar]
  24. Hourdakis C. J., Perris A. A Monte Carlo estimation of tissue optical properties for use in laser dosimetry. Phys Med Biol. 1995 Mar;40(3):351–364. doi: 10.1088/0031-9155/40/3/002. [DOI] [PubMed] [Google Scholar]
  25. Karu T. I., Piatibrat L. V., Kalendo G. S., Serebriakov N. G. Izmenenie kolichestva ATF v kletkakh HeLa pod vozdeistviem izlucheniia He-Ne lazera. Biull Eksp Biol Med. 1993 Jun;115(6):617–618. [PubMed] [Google Scholar]
  26. Karu T. I., Pyatibrat L. V., Ryabykh T. P. Nonmonotonic behavior of the dose dependence of the radiation effect on cells in vitro exposed to pulsed laser radiation at lambda = 820 nm. Lasers Surg Med. 1997;21(5):485–492. doi: 10.1002/(sici)1096-9101(1997)21:5<485::aid-lsm11>3.0.co;2-8. [DOI] [PubMed] [Google Scholar]
  27. Konstantinović L., Cernak I., Prokić V. Influence of low level laser irradiation on biochemical processes in brainstem and cortex of intact rabbits. Vojnosanit Pregl. 1997 Nov-Dec;54(6):533–540. [PubMed] [Google Scholar]
  28. Korolev Iu N., Zagorskaia N. Z. Vliianie infrakrasnogo lazernogo izlucheniia razlichnoi chastoty na zazhivlenie kozhnykh ran. Vopr Kurortol Fizioter Lech Fiz Kult. 1996 May-Jun;(3):8–10. [PubMed] [Google Scholar]
  29. Lyons R. F., Abergel R. P., White R. A., Dwyer R. M., Castel J. C., Uitto J. Biostimulation of wound healing in vivo by a helium-neon laser. Ann Plast Surg. 1987 Jan;18(1):47–50. doi: 10.1097/00000637-198701000-00011. [DOI] [PubMed] [Google Scholar]
  30. McKendrick M. W., McGill J. I., Wood M. J. Lack of effect of acyclovir on postherpetic neuralgia. BMJ. 1989 Feb 18;298(6671):431–431. doi: 10.1136/bmj.298.6671.431. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. McKibbin L. S., Downie R. A statistical study on the use of the infrared 904-nm low energy laser on calcaneal spurs. J Clin Laser Med Surg. 1991 Feb;9(1):71–77. doi: 10.1089/clm.1991.9.71. [DOI] [PubMed] [Google Scholar]
  32. Mester E., Mester A. F., Mester A. The biomedical effects of laser application. Lasers Surg Med. 1985;5(1):31–39. doi: 10.1002/lsm.1900050105. [DOI] [PubMed] [Google Scholar]
  33. Neiburger E. J. Accelerated healing of gingival incisions by the helium-neon diode laser: a preliminary study. Gen Dent. 1997 Mar-Apr;45(2):166–170. [PubMed] [Google Scholar]
  34. Reddy G. K., Stehno-Bittel L., Enwemeka C. S. Laser photostimulation of collagen production in healing rabbit Achilles tendons. Lasers Surg Med. 1998;22(5):281–287. doi: 10.1002/(sici)1096-9101(1998)22:5<281::aid-lsm4>3.0.co;2-l. [DOI] [PubMed] [Google Scholar]
  35. Rochkind S., Rousso M., Nissan M., Villarreal M., Barr-Nea L., Rees D. G. Systemic effects of low-power laser irradiation on the peripheral and central nervous system, cutaneous wounds, and burns. Lasers Surg Med. 1989;9(2):174–182. doi: 10.1002/lsm.1900090214. [DOI] [PubMed] [Google Scholar]
  36. Semenov F. V., Lazareva L. A. Primenenie NIAG-lazera dlia lecheniia nezazhivaiushchikh trepanatsionnykh polostei posle saniruiushchikh operatsii na srednem ukhe. Vestn Otorinolaringol. 1996 Mar-Apr;(2):14–17. [PubMed] [Google Scholar]
  37. Skinner S. M., Gage J. P., Wilce P. A., Shaw R. M. A preliminary study of the effects of laser radiation on collagen metabolism in cell culture. Aust Dent J. 1996 Jun;41(3):188–192. doi: 10.1111/j.1834-7819.1996.tb04854.x. [DOI] [PubMed] [Google Scholar]
  38. Tam G. Low power laser therapy and analgesic action. J Clin Laser Med Surg. 1999 Feb;17(1):29–33. doi: 10.1089/clm.1999.17.29. [DOI] [PubMed] [Google Scholar]
  39. Trelles M. A., Mayayo E. Bone fracture consolidates faster with low-power laser. Lasers Surg Med. 1987;7(1):36–45. doi: 10.1002/lsm.1900070107. [DOI] [PubMed] [Google Scholar]
  40. Trelles M. A., Mayayo E. Bone fracture consolidates faster with low-power laser. Lasers Surg Med. 1987;7(1):36–45. doi: 10.1002/lsm.1900070107. [DOI] [PubMed] [Google Scholar]
  41. Webb C., Dyson M., Lewis W. H. Stimulatory effect of 660 nm low level laser energy on hypertrophic scar-derived fibroblasts: possible mechanisms for increase in cell counts. Lasers Surg Med. 1998;22(5):294–301. doi: 10.1002/(sici)1096-9101(1998)22:5<294::aid-lsm6>3.0.co;2-k. [DOI] [PubMed] [Google Scholar]
  42. Yu W., Naim J. O., Lanzafame R. J. Effects of photostimulation on wound healing in diabetic mice. Lasers Surg Med. 1997;20(1):56–63. doi: 10.1002/(sici)1096-9101(1997)20:1<56::aid-lsm9>3.0.co;2-y. [DOI] [PubMed] [Google Scholar]

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