Photobiomodulation therapy combined with static magnetic field is better than placebo in patients with fibromyalgia : a randomized placebo-controlled trial
BACKGROUND: Fibromyalgia is a syndrome characterized by generalized chronic pain and tenderness in specific areas. Photobiomodulation therapy (PBMT) using low-level laser therapy and/or light emitting diode therapy is an electrophysical agent that can be used alone or together with a static magnetic field (PBMT-sMF) to promote analgesia in several health conditions. Little evidence exists regarding the effects of using PBMT and PBMT-sMF in patients with fibromyalgia; this evidence is conflicting.
AIM: We aimed to investigate the effects of using PBMT-sMF versus a placebo on reduction of the degree-of-pain rating, impact of fibromyalgia, pain intensity, and satisfaction with treatment in patients with fibromyalgia.
DESIGN: A prospectively registered, monocentric, randomized placebo-controlled trial, with blinding of patients, therapists, and assessors, was performed.
SETTING: The study was conducted at the Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT) in Brazil, between March and October 2020.
POPULATION: Ninety female patients with fibromyalgia were randomized to undergo either PBMT-sMF (N.=45) or placebo (N.=45) treatment.
METHODS: Patients from both groups received nine treatment sessions, three times a week, for 3 weeks. Clinical outcomes were collected at baseline, the end of treatment, and at the follow-up appointment 4 weeks post-treatment. The primary outcome was the degree-of-pain rating, measured by the reduction of the tender point count.
RESULTS: A decrease in the degree-of-pain rating was observed in patients allocated to the PBMT-sMF group, decreasing the number of tender points when compared to placebo group at the end of treatment (P<0.0001) and at the follow-up assessment (P<0.0001). Patients did not report any adverse events.
CONCLUSIONS: PBMT-sMF is superior to placebo, supporting its use in patients with fibromyalgia.
CLINICAL REHABILITATION IMPACT: PBMT-sMF might be considered an important adjuvant to the treatment regimens of patients with fibromyalgia.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2023 |
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Erschienen: |
2023 |
Enthalten in: |
Zur Gesamtaufnahme - volume:59 |
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Enthalten in: |
European journal of physical and rehabilitation medicine - 59(2023), 6 vom: 17. Dez., Seite 754-762 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Ribeiro, Neide F [VerfasserIn] |
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Anmerkungen: |
Date Completed 15.01.2024 Date Revised 19.01.2024 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.23736/S1973-9087.23.07928-5 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM363398104 |
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520 | |a BACKGROUND: Fibromyalgia is a syndrome characterized by generalized chronic pain and tenderness in specific areas. Photobiomodulation therapy (PBMT) using low-level laser therapy and/or light emitting diode therapy is an electrophysical agent that can be used alone or together with a static magnetic field (PBMT-sMF) to promote analgesia in several health conditions. Little evidence exists regarding the effects of using PBMT and PBMT-sMF in patients with fibromyalgia; this evidence is conflicting | ||
520 | |a AIM: We aimed to investigate the effects of using PBMT-sMF versus a placebo on reduction of the degree-of-pain rating, impact of fibromyalgia, pain intensity, and satisfaction with treatment in patients with fibromyalgia | ||
520 | |a DESIGN: A prospectively registered, monocentric, randomized placebo-controlled trial, with blinding of patients, therapists, and assessors, was performed | ||
520 | |a SETTING: The study was conducted at the Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT) in Brazil, between March and October 2020 | ||
520 | |a POPULATION: Ninety female patients with fibromyalgia were randomized to undergo either PBMT-sMF (N.=45) or placebo (N.=45) treatment | ||
520 | |a METHODS: Patients from both groups received nine treatment sessions, three times a week, for 3 weeks. Clinical outcomes were collected at baseline, the end of treatment, and at the follow-up appointment 4 weeks post-treatment. The primary outcome was the degree-of-pain rating, measured by the reduction of the tender point count | ||
520 | |a RESULTS: A decrease in the degree-of-pain rating was observed in patients allocated to the PBMT-sMF group, decreasing the number of tender points when compared to placebo group at the end of treatment (P<0.0001) and at the follow-up assessment (P<0.0001). Patients did not report any adverse events | ||
520 | |a CONCLUSIONS: PBMT-sMF is superior to placebo, supporting its use in patients with fibromyalgia | ||
520 | |a CLINICAL REHABILITATION IMPACT: PBMT-sMF might be considered an important adjuvant to the treatment regimens of patients with fibromyalgia | ||
650 | 4 | |a Randomized Controlled Trial | |
650 | 4 | |a Journal Article | |
700 | 1 | |a Leal-Junior, Ernesto C P |e verfasserin |4 aut | |
700 | 1 | |a Johnson, Douglas S |e verfasserin |4 aut | |
700 | 1 | |a Demchak, Timothy |e verfasserin |4 aut | |
700 | 1 | |a Machado, Caroline M |e verfasserin |4 aut | |
700 | 1 | |a Dias, Luana B |e verfasserin |4 aut | |
700 | 1 | |a DE Oliveira, Marcelo F |e verfasserin |4 aut | |
700 | 1 | |a Lino, Matheus M |e verfasserin |4 aut | |
700 | 1 | |a Rodrigues, Wesley D |e verfasserin |4 aut | |
700 | 1 | |a Santo, Jonathan |e verfasserin |4 aut | |
700 | 1 | |a DE Barros, Carolina N |e verfasserin |4 aut | |
700 | 1 | |a Casalechi, Heliodora L |e verfasserin |4 aut | |
700 | 1 | |a Tomazoni, Shaiane S |e verfasserin |4 aut | |
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