The Effects of Photobiomodulation on Knee Function, Pain, and Exercise Tolerance in Older Adults: A Meta-analysis of Randomized Controlled Trials.
Arch Phys Med Rehabil
; 105(3): 593-603, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-37419235
ABSTRACT
OBJECTIVE:
To assess whether photobiomodulation therapy (PBMT) enhances the benefits of exercise in older adults. DATA SOURCES PubMed, Scopus, Medline, and Web of Science, dated to February 2023. STUDY SELECTION All included studies were randomized controlled trials of PBMT combined with exercise co-intervention in persons 60 years and older. OUTCOMEMEASURES:
Western Ontario and McMaster University Osteoarthritis Index (WOMAC-total, pain, stiffness and function), perceived pain intensity, timed Up and Go (TUG) Test, 6-min walk test (6MWT), muscle strength, and knee range of motion were included. DATA EXTRACTION Two researchers independently performed data extraction. Article data were extracted in Excel and summarized by a third researcher. DATASYNTHESIS:
The meta-analysis included 14 of the 1864 studies searched in the database. No statistical differences were found between the treatment and control groups in terms of WOMAC-stiffness (mean difference [MD]=-0.31, 95% confidence interval [CI] -0.64 to 0.03), TUG (MD=-0.17, 95% CI -0.71 to 0.38), 6MWT (MD=32.2, 95% CI -44.62 to 109.01), or muscle strength (standardized mean difference=0.24, 95% CI -0.02 to 0.50). However, statistically significant differences were found for WOMAC-total (MD=-6.83, 95% CI -12.3 to -1.37), WOMAC-pain (MD=-2.03, 95% CI -4.06 to -0.01), WOMAC-function (MD=-5.03, 95% CI -9.11 to -0.96), visual analog scale/numeric pain rating scale (MD=-1.24, 95% CI -2.43 to -0.06), and knee range of motion (MD=1.47, 95% CI 0.07 to 2.88).CONCLUSIONS:
In older adults who exercise regularly, PBMT can potentially provide additional pain relief, improve knee joint function, and increase knee joint range of motion.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Métodos Terapêuticos e Terapias MTCI:
Terapias_energeticas
Assunto principal:
Terapia com Luz de Baixa Intensidade
Tipo de estudo:
Clinical_trials
/
Systematic_reviews
Idioma:
En
Revista:
Arch Phys Med Rehabil
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China