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Laser acupuncture for treating musculoskeletal pain: a systematic review with meta-analysis.

Journal of acupuncture and meridian studies
February 1, 2015
Dina Law et al. (5 authors)
Journal ArticleMeta-AnalysisReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effects of laser acupuncture on pain and functional outcomes in musculoskeletal disorders and update existing evidence with recent RCT data.

Results Summary

Two-thirds of the included RCTs reported positive effects, with moderate-quality evidence supporting laser acupuncture's effectiveness for musculoskeletal pain, particularly at long-term follow-up. Negative or inconclusive studies often lacked methodological quality or adequate dosage reporting.

Population

Patients with musculoskeletal disorders.

Effective Dosage

Not specified (but studies reporting positive effects commonly used appropriate treatment dosages).

Duration

Long-term follow-up showed more consistent positive effects than immediate post-treatment.

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
laser acupuncture
decrease
pain and functional outcomes
patients with musculoskeletal disorders
-
reported positive effects
#1
laser acupuncture
decrease
pain and functional outcomes
all diagnostic subgroups
-
positive effects were more consistently seen
#2
laser acupuncture
decrease
musculoskeletal pain
-
-
positive effects are seen
#3
laser acupuncture
decrease
pain and functional outcomes
-
-
positive effects are seen only at long-term follow-up and not immediately after the cessation of treatment
#4
Abstract

Laser acupuncture has been studied extensively over several decades to establish evidence-based clinical practice. This systematic review aims to evaluate the effects of laser acupuncture on pain and functional outcomes when it is used to treat musculoskeletal disorders and to update existing evidence with data from recent randomized controlled trials (RCTs). A computer-based literature search of the databases MEDLINE, AMED, EMBASE, CINAHL, SPORTSDiscus, Cochrane Library, PubMed, Current Contents Connect, Web of Science, and SCOPUS was used to identify RCTs comparing between laser acupuncture and control interventions. A meta-analysis was performed by calculating the standardized mean differences and 95% confidence intervals, to evaluate the effect of laser acupuncture on pain and functional outcomes. Included studies were assessed in terms of their methodological quality and appropriateness of laser parameters. Forty-nine RCTs met the inclusion criteria. Two-thirds (31/49) of these studies reported positive effects, were of high methodological quality, and reported the dosage adequately. Negative or inconclusive studies commonly failed to demonstrate these features. For all diagnostic subgroups, positive effects for both pain and functional outcomes were more consistently seen at long-term follow-up rather than immediately after treatment. Moderate-quality evidence supports the effectiveness of laser acupuncture in managing musculoskeletal pain when applied in an appropriate treatment dosage; however, the positive effects are seen only at long-term follow-up and not immediately after the cessation of treatment.

Medical Subject Headings (MeSH)
Acupuncture PointsAcupuncture TherapyHumansLow-Level Light TherapyMusculoskeletal PainRandomized Controlled Trials as Topic
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations51
Citations/Year5.1
Relative Citation Ratio3.24
NIH Percentile86.5%
Research Impact Scores
APT Score0.75
Weight Score1.93
Normalized Score0.67
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