ElMeligie Mohamed Magdy, Gbreel Mohamed Ibrahim, Yehia Radwa Mohamed, Hanafy Abeer Farag
From the Department of Basic Sciences, Faculty of Physical Therapy, Ahram Canadian University, Giza, Egypt (MME); Faculty of Medicine and Surgery, October 6 University, Giza, Egypt (MIG); Faculty of Physical Therapy, Department of Women's Health, October 6 University, Giza, Egypt (RMY); and Faculty of Physical Therapy, Department of Biomechanics, October 6 University, Giza, Egypt (AFH).
Am J Phys Med Rehabil. 2023 Jan 1;102(1):64-70. doi: 10.1097/PHM.0000000000002039. Epub 2022 Apr 29.
Recently, high-intensity laser therapy has been used in the therapeutic protocols for pain management. We aimed to evaluate the clinical efficacy of high-intensity laser therapy versus other different modalities for improving lateral epicondylitis symptoms.
We conducted a systematic review and meta-analysis on prospective randomized controlled trials from PubMed, Embase, Scopus, Web of Science, and Science Direct until June 2021 using relevant key words. We analyzed the data using Review Manager software (RevMan 5.4).
Six randomized controlled trials with 344 patients were included. There is low-quality evidence that high-intensity laser therapy generates a small reduction on pain intensity compared with a control group either during activity (mean difference = -0.98, 95% confidence interval = -1.6 to -0.35, P = 0.002) or during rest (mean difference = -0.98, 95% confidence interval = -1.68 to -0.09, P = 0.03). In addition, there is low-quality evidence that high-intensity laser therapy provides small improvements in quality of life (physical component) compared with control (mean difference = 9.76, 95% confidence interval = 2.69 to 16.83, P < 0.0001).
High-intensity laser therapy is an effective therapeutic modality to reduce pain and improve quality of life (36-item short form health survey physical component) in patients experiencing persistent symptoms of lateral epicondylitis. However, grip strength, hand function, and quality of life (36-item short form health survey) did not show significant differences between high-intensity laser therapy and other therapies.
最近，高强度激光疗法已被用于疼痛管理的治疗方案中。我们旨在评估高强度激光疗法与其他不同方式相比，对改善外侧上髁炎症状的临床疗效。
我们使用相关关键词，对截至2021年6月来自PubMed、Embase、Scopus、Web of Science和Science Direct的前瞻性随机对照试验进行了系统评价和荟萃分析。我们使用Review Manager软件（RevMan 5.4）分析数据。
纳入了6项随机对照试验，共344例患者。低质量证据表明，与对照组相比，高强度激光疗法在活动期间（平均差值=-0.98，95%置信区间=-1.6至-0.35，P=0.002）或休息期间（平均差值=-0.98，95%置信区间=-1.68至-0.09，P=0.03）能使疼痛强度略有降低。此外，低质量证据表明，与对照组相比，高强度激光疗法在生活质量（身体成分）方面有小幅改善（平均差值=9.76，95%置信区间=2.69至16.83，P<0.0001）。
高强度激光疗法是一种有效的治疗方式，可减轻患有持续性外侧上髁炎症状患者的疼痛并改善生活质量（36项简短健康调查问卷身体成分）。然而，高强度激光疗法与其他疗法在握力、手部功能和生活质量（36项简短健康调查问卷）方面未显示出显著差异。
