Neuroinflammation Laboratory, Nerve Research Foundation, Brain and Mind Research Institute, University of Sydney, Camperdown, NSW, Australia.
J Peripher Nerv Syst. 2011 Jun;16(2):130-5. doi: 10.1111/j.1529-8027.2011.00337.x.
Low-level laser therapy (LLLT) has been shown in clinical trials to relieve chronic pain and the World Health Organization has added LLLT to their guidelines for treatment of chronic neck pain. The mechanisms for the pain-relieving effects of LLLT are however poorly understood. We therefore assessed the effects of laser irradiation (LI) on somatosensory-evoked potentials (SSEPs) and compound muscle action potentials (CMAPs) in a series of experiments using visible (λ = 650 nm) or infrared (λ = 808 nm) LI applied transcutaneously to points on the hind limbs of rats overlying the course of the sciatic nerve. This approximates the clinical application of LLLT. The 650-nm LI decreased SSEP amplitudes and increased latency after 20 min. CMAP proximal amplitudes and hip/ankle (H/A) ratios decreased at 10 and 20 min with increases in proximal latencies approaching significance. The 808-nm LI decreased SSEP amplitudes and increased latencies at 10 and 20 min. CMAP proximal amplitudes and H/A ratios decreased at 10 and 20 min. Latencies were not significantly increased. All LI changes for both wavelengths returned to baseline by 48 h. These results strengthen the hypothesis that a neural mechanism underlies the clinical effectiveness of LLLT for painful conditions.
低水平激光疗法(LLLT)已在临床试验中被证明可缓解慢性疼痛,世界卫生组织已将 LLLT 添加到其治疗慢性颈痛的指南中。然而,LLLT 缓解疼痛的机制仍知之甚少。因此,我们使用可见光(λ=650nm)或近红外光(λ=808nm)经皮照射大鼠后肢覆盖坐骨神经的部位,进行了一系列实验,评估激光照射(LI)对体感诱发电位(SSEP)和复合肌肉动作电位(CMAP)的影响。这近似于 LLLT 的临床应用。20 分钟后,650nm LI 降低了 SSEP 幅度并增加了潜伏期。10 分钟和 20 分钟时,CMAP 近端幅度和髋/踝(H/A)比值降低,近端潜伏期增加接近显著。808nm LI 在 10 分钟和 20 分钟时降低了 SSEP 幅度并增加了潜伏期。CMAP 近端幅度和 H/A 比值在 10 分钟和 20 分钟时降低。潜伏期没有显著增加。两种波长的所有 LI 变化在 48 小时内均恢复到基线。这些结果支持了一个假设,即神经机制是 LLLT 治疗疼痛疾病的临床有效性的基础。