Pulsed high-intensity laser therapy versus low level laser therapy in the management of primary dysmenorrhea. (2021)

PICO

Patient/Population

Female diagnosed with primary dysmenorrhea, aged between 18–24 years (n=30)

Intervention

  • High-intensity LASER Therapy (HILT)

Comparison

  • Low Level LASER Therapy (LLLT)

Outcomes

  • Pain

Translatability:   (3/3) Easy                                    

Comments:HILT and LLLT are both effective in the treatment of primary dysmenorrhea, while there was no significant difference between the two modalities.”
Limitations:The study was planned to include measurement of prostaglandin before and after the course of treatment for both group but due to certain limitation of the presence of corona virus (COVID-19) we couldn’t perform it.”

Appraisals:

PEDro Scale  -(4/10) Concealed allocation: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No.

Metrics and
Journal Details:
scite_ report – 

 SCOPUS CiteScore View  

BTB

Intervention – 1

  • HILT (Nd:YAG), with pulsed emission (1,064 nm)

Dose

  • The total average energy, 620 J

Periodicity

  • 3 sessions every cycle for 3 consecutive cycles.

Local/Technic:

Initial phase (fast)=100 J, from supine lying position on suprapubic region=300 J, intermediate phase=100 J distributed at 5 points, final phase (slow)=100 J, from prone lying position on lumbosacral region (paraspinal) between L4–S3=320 J, initial phase (100 J): RT side 50 J + LT side 50 J, Intermediate phase (120 J): RT side (60 J) 3 points + LT side (60 J) 3 points, final phase (100 J): RT side 50 J + LT side 50 J.

    Intervention – 2

    • LLLT (GaAs)

    Dose

    • 6 J\cm2, power of 100 mw, area equal to 1 cm2, and a duration of 1:15 min for 15 points

    Periodicity

    • 3 sessions every cycle for 3 consecutive cycles.

    Local/Technic:

    From supine lying position, 5 points on supra-pubic region, and from prone lying position, 10 points over lumbosacral region on L4–S3, 5 points on each side.

    Citation: Thabet, A. A., Ebid, A. A., El-Boshy, M. E., Almuwallad, A. O., Hudaimoor, E. A., Alsaeedi, F. E., Alsubhi, R. H., Almatrook, R. H., Aljifry, R. F., Alotaibi, S. H., Almallawi, S. M., & Abdulmuttalib, W. O. (2021). Pulsed high-intensity laser therapy versus low level laser therapy in the management of primary dysmenorrhea.Journal of physical therapy science,33(9), 695–699. https://doi.org/10.1589/jpts.33.695

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