Jiménez Amalio, Carrick Frederick R, Hoffman Norman, Jemni Monèm
The Carrick Institute, Cape Canaveral, FL 32920, USA.
Centre for Mental Health Research in Association with the University of Cambridge, Cambridge CB2 1TN, UK.
Brain Sci. 2024 Nov 25;14(12):1179. doi: 10.3390/brainsci14121179.
Spastic cerebral palsy (SCP) is a condition characterized by muscle stiffness and involuntary movements, which greatly affect movement abilities and overall well-being. Low-level laser therapy (LLLT) has emerged as a treatment option for managing spasticity, though the current evidence varies.
This systematic review seeks to assess the efficacy of LLLT on spasticity in children with cerebral palsy. We hope it will pinpoint areas where more research is needed and suggest directions for future studies.
A search of the literature was performed across databases, such as PubMed, Google Scholar, Scopus, and Elicit. The search utilized keywords and the Medical Subject Headings (MeSH) terms. Only studies conducted in English that focused on children with cerebral palsy (CP) and explored the effects of LLLT on spasticity were considered. The quality of the selected studies was evaluated using assessment tools.
The search identified 534 references, out of which eight studies met the screening criteria for inclusion. All cited papers indicated reductions in spasticity with further mention of reduced pain and greater muscle strength by some authors.
This review indicates that LLLT shows promise in decreasing spasticity in children with cerebral palsy. Nevertheless, a lack of treatment parameters, heterogeneity in research methods, and a lack of objective outcome measures weaken the results. This review underscores the importance of standardized procedures and carefully planned randomized controlled trials to establish conclusive findings on the effectiveness of LLLT in this population.
痉挛型脑瘫(SCP)是一种以肌肉僵硬和不自主运动为特征的疾病,这会极大地影响运动能力和整体健康状况。低强度激光疗法(LLLT)已成为治疗痉挛的一种选择,不过目前的证据并不一致。
本系统评价旨在评估低强度激光疗法对脑瘫患儿痉挛的疗效。我们希望它能找出需要更多研究的领域,并为未来的研究指明方向。
在多个数据库中进行文献检索,如PubMed、谷歌学术、Scopus和Elicit。检索使用了关键词和医学主题词(MeSH)。仅纳入以英文发表的、关注脑瘫(CP)患儿且探讨低强度激光疗法对痉挛影响的研究。使用评估工具对所选研究的质量进行评估。
检索共识别出534篇参考文献,其中八项研究符合纳入筛选标准。所有引用的论文均表明痉挛有所减轻,一些作者还进一步提到疼痛减轻和肌肉力量增强。
本评价表明,低强度激光疗法在降低脑瘫患儿痉挛方面显示出前景。然而,缺乏治疗参数、研究方法的异质性以及缺乏客观的结局指标削弱了研究结果。本评价强调了标准化程序和精心设计的随机对照试验对于确定低强度激光疗法对该人群有效性的确切结论的重要性。