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光生物调节联合治疗作为神经系统疾病的新视角:全面的系统综述。

Photobiomodulation combination therapy as a new insight in neurological disorders: a comprehensive systematic review.

机构信息

Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, 5166614756, Iran.

Research Center for Evidence-Based Medicine, Iranian EBM Centre: A Joanna Briggs Institute (JBI) Center of Excellence, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

BMC Neurol. 2024 Mar 19;24(1):101. doi: 10.1186/s12883-024-03593-4.

Abstract

Preclinical and clinical studies have indicated that combining photobiomodulation (PBM) therapy with other therapeutic approaches may influence the treatment process in a variety of disorders. The purpose of this systematic review was to determine whether PBM-combined therapy provides additional benefits over monotherapies in neurologic and neuropsychiatric disorders. In addition, the review describes the most commonly used methods and PBM parameters in these conjunctional approaches.To accomplish this, a systematic search was conducted in Google Scholar, PubMed, and Scopus databases through January 2024. 95 potentially eligible articles on PBM-combined treatment strategies for neurological and neuropsychological disorders were identified, including 29 preclinical studies and 66 clinical trials.According to the findings, seven major categories of studies were identified based on disease type: neuropsychiatric diseases, neurodegenerative diseases, ischemia, nerve injury, pain, paresis, and neuropathy. These studies looked at the effects of laser therapy in combination with other therapies like pharmacotherapies, physical therapies, exercises, stem cells, and experimental materials on neurological disorders in both animal models and humans. The findings suggested that most combination therapies could produce synergistic effects, leading to better outcomes for treating neurologic and psychiatric disorders and relieving symptoms.These findings indicate that the combination of PBM may be a useful adjunct to conventional and experimental treatments for a variety of neurological and psychological disorders.

摘要

临床前和临床研究表明,将光生物调节(PBM)疗法与其他治疗方法结合使用可能会影响多种疾病的治疗过程。本系统评价的目的是确定 PBM 联合治疗是否比单一疗法在神经和神经精神疾病中提供额外的益处。此外,该综述还描述了这些联合方法中最常用的方法和 PBM 参数。

为了实现这一目标,通过 Google Scholar、PubMed 和 Scopus 数据库进行了系统搜索,检索时间截至 2024 年 1 月。共确定了 95 篇关于神经和神经心理疾病的 PBM 联合治疗策略的潜在合格文章,包括 29 篇临床前研究和 66 项临床试验。

根据研究结果,基于疾病类型确定了七大类研究:神经精神疾病、神经退行性疾病、缺血、神经损伤、疼痛、瘫痪和神经病。这些研究观察了激光疗法与其他疗法(如药物治疗、物理治疗、运动、干细胞和实验材料)联合应用于动物模型和人类的神经疾病的效果。研究结果表明,大多数联合疗法可以产生协同作用,从而改善治疗神经和精神疾病以及缓解症状的效果。

这些发现表明,PBM 的联合应用可能是治疗各种神经和心理疾病的常规和实验治疗的有用辅助手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1b/10949673/1af3cf3a2678/12883_2024_3593_Fig1_HTML.jpg

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