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Effect of photobiomodulation on neuropathic pain of diabetic origin: a narrative review of the literature

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Abstract

To update the literature on the effectiveness of photobiomodulation (PBM) therapy in relieving pain in patients with diabetic peripheral neuropathy (DPN) compared to the effects of post-intervention, control/placebo groups, and other therapies. Search on the following databases: PORTAL PERIODICOS CAPES, PUBMED, GOOGLE ACADEMIC/SCHOLAR, SCOPUS, SCIELO, CENTRAL, and MEDLINE. Manual search: 1) manually capture the references of relevant articles originally selected to be included in the eligible studies. Two independent researchers performed the screening and selection of studies, methods assessment, and data extraction with unblinded authors and impressions. Subsequently, the full text of the originally selected studies was screened. The screening form registered the criteria for excluding literature from the full-text screening. The screening resulted in a total of 1692 citations. Out of these, 1402 citations were examined for titles and abstracts, followed by the removal of duplicated studies; therefore, 68 articles remained for full-text evaluation. 54 articles were excluded after full-text screening. Fourteen articles met the selection criteria, hence being selected and included in this narrative review. PBM showed to be a promising modality in relieving painful symptoms in DPN, especially when implemented in combination with other therapies, by improving the quality of life of diabetic patients.

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References

  1. Anju M, Ummer VS, Maiya AG, Hande M, VS B (2020) Effect of photobiomodulation on serum neuron specific enolase (NSE) among patients with diabetic peripheral neuropathy - A pilot study. Diabetes Metab Syndr 14(5):1061–1063. https://doi.org/10.1016/j.dsx.2020.06.065

    Article  Google Scholar 

  2. International Diabetes Federation (2021) IDF Diabetes Atlas, 10ª ed. Bruxelas, Bélgica: Federação Internacional de Diabetes

  3. Boulton AJ, Vinik AI, Arezzo JC, Bril V, Feldman EL, Freeman R, Malik RA, Maser RE, Sosenko JM, Ziegler D (2005) American Diabetes Association. Diabetic neuropathies: a statement by the American Diabetes Association. Diabetes Care 28(4):956–62. https://doi.org/10.2337/diacare.28.4.956

    Article  PubMed  Google Scholar 

  4. Anju M, Chacko L, Chettupalli Y, Maiya AG, Velladath SU (2019) Effect of Low Level Laser Therapy on serum vitamin D and magnesium levels in patients with diabetic peripheral neuropathy - A pilot study. Diabetes Metab Syndr 13(2):1087–1091. https://doi.org/10.1016/j.dsx.2019.01.022

    Article  CAS  PubMed  Google Scholar 

  5. Yamany AA, Sayed HM (2012) Effect of low level laser therapy on neurovascular function of diabetic peripheral neuropathy. J Adv Res 3(1):2012

    Article  Google Scholar 

  6. Chatterjee P, Srivastava AK, Kumar DA, Chakrawarty A, Khan MA, Ambashtha AK, Kumar V, De Taboada L, Dey AB (2019) Effect of deep tissue laser therapy treatment on peripheral neuropathic pain in older adults with type 2 diabetes: a pilot randomized clinical trial. BMC Geriatr 19(1):218. https://doi.org/10.1186/s12877-019-1237-5

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Khamseh ME, Kazemikho N, Aghili R, Forough B, Lajevardi M, Hashem Dabaghian F, Goushegir A, Malek M (2011) Diabetic distal symmetric polyneuropathy: effect of low-intensity laser therapy. Lasers Med Sci 26(6):831–835. https://doi.org/10.1007/s10103-011-0977-z

    Article  PubMed  Google Scholar 

  8. World Health Organization (2016) Global Report on Diabetes. https://www.who.int/publications/i/item/9789241565257. Accessed Dec 2022

  9. Battecha KH, Atya AM (2011) Low Intensity Laser Therapy (LILT) versus transcutaneous electrical nerve stimulation on microcirculation in diabetic neuropathy. The 8th International Conference on Laser Applications - ICLA 2011. AIP Conf Proc 1380(1):18–23. https://doi.org/10.1063/1.3631804

    Article  Google Scholar 

  10. Cg SK, Maiya AG, Hande HM, Vidyasagar S, Rao K, Rajagopal KV (2015) Efficacy of low level laser therapy on painful diabetic peripheral neuropathy. Laser Ther 24(3):195–200. https://doi.org/10.5978/islsm.15-OR-12

    Article  PubMed  PubMed Central  Google Scholar 

  11. Mohamed RA, Abdallah GA, Abdeen H, Nassif AA (2017) Influence of low level laser therapy versus pulsed electromagnetic field on diabetic peripheral neuropathy. Phys Ther Rehabil 4(1):1. https://doi.org/10.7243/2055-2386-4-17

    Article  Google Scholar 

  12. Yousief EM, El-Khashab SO, El Gendy MH, Mohamed RA, Mohamed EAEKE (2020) Effect of monochromatic infrared energy light versus laser therapy in diabetic peripheral neuropathy. Med J Cairo Univ 88(2):521–528

    Google Scholar 

  13. Bashiri H (2013) Evaluation of low level laser therapy in reducing diabetic polyneuropathy related pain and sensorimotor disorders. Acta Med Iran 51(8):543–547

    PubMed  Google Scholar 

  14. Shanb AA, Youssef EF, Al Baker WI, Al-Khamis FA, Hassan A, Jatoi NA (2020) The efficacy of adding electromagnetic therapy or laser therapy to medications in patients with diabetic peripheral neuropathy. J Lasers Med Sci 11(1):20–28. https://doi.org/10.15171/jlms.2020.05

    Article  PubMed  PubMed Central  Google Scholar 

  15. Atiaa AG, Al-Balah OF, Mostafa KAH, Abas DN, El-Wahab HA (2021) Effect of low level laser therapy on nerve conduction velocity in diabetic neuropathic patients: a randomized controlled trial. Annals of R.S.C.B. 25(3):355–362 (ISSN:1583-6258)

    Google Scholar 

  16. Leal MVS, Lima MO, Costa DR, Nicolau RA, Ribeiro LAP, Costa DR, Carvallho TMT, Silva KNG, Pessoa DR, Arisawa EALS (2022) Evaluation of the effects of photobiomodulation (808 nm) on pain and quality of life of diabetic neuropathy patients. Res Soc Dev, [S. l.] 11(2):e2621122552. https://doi.org/10.33448/rsd-v11i2.25552

    Article  Google Scholar 

  17. Ebadi SA, Tabeie F, Tavakoli S, Khalili S (2023) Effects of photobiomodulation with two wavelengths of 630 and 810 nm on diabetic neuropathy. J Lasers Med Sci 25(14):e22. https://doi.org/10.34172/jlms.2023.22

    Article  Google Scholar 

  18. Dompe C, Moncrieff L, Matys J, Grzech-Leśniak K, Kocherova I, Bryja A, Bruska M, Dominiak M, Mozdziak P et al (2020) Photobiomodulation-underlying mechanism and clinical applications. J Clin Med 9(6):1724. https://doi.org/10.3390/jcm9061724

    Article  PubMed  PubMed Central  Google Scholar 

  19. Shamir MH, Rochkind S, Sandbank J, Alon M (2001) Double-blind randomized study evaluating regeneration of the rat transected sciatic nerve after suturing and postoperative low-power laser treatment. J Reconstr Microsurg. 17(2):133–7. https://doi.org/10.1055/s-2001-12702. (discussion 138)

    Article  CAS  PubMed  Google Scholar 

  20. Arany PR, Nayak RS, Hallikerimath S, Limaye AM, Kale AD, Kondaiah P (2007) Activation of latent TGF-beta1 by low-power laser in vitro correlates with increased TGF-beta1 levels in laser-enhanced oral wound healing. Wound Repair Regen 15(6):866–874. https://doi.org/10.1111/j.1524-475X.2007.00306.x

    Article  PubMed  Google Scholar 

  21. Cheng K, Martin LF, Slepian MJ, Patwardhan AM, Ibrahim MM (2021) Mechanisms and pathways of pain photobiomodulation: a narrative review. J Pain 22(7):763–777. https://doi.org/10.1016/j.jpain.2021.02.005

    Article  PubMed  PubMed Central  Google Scholar 

  22. da Silva MM, Albertini R, de Tarso Camillo de Carvalho P, Leal-Junior EC, Bussadori SK, Vieira SS et al (2018) Randomized, blinded, controlled trial on effectiveness of photobiomodulation therapy and exercise training in the fibromyalgia treatment. Lasers Med Sci 33:343–51

    Article  PubMed  Google Scholar 

  23. Herpich CM, Leal-Junior EC, Gomes CA, Gloria IP, Amaral AP, Amaral MF et al (2018) Immediate and short-term effects of phototherapy on pain, muscle activity, and joint mobility in women with temporomandibuar disorder: a randomized, double-blind, placebo-controlled, clinical trial. Disabil Rehabil 40:2318–2324

    Article  PubMed  Google Scholar 

  24. Ferrara-Jr JI, de Souza ET, Franciosi AC, Toniolo EF, Dale CS (2019) Photobiomodulation-induced analgesia in experimental temporomandibular disorder involves central inhibition of fractalkine. Lasers Med Sci 34(9):1841–1847. https://doi.org/10.1007/s10103-019-02785-6

    Article  PubMed  Google Scholar 

  25. de Oliveira VT, Ferrara-Jr JI, Matielo HA, da Silva AA, Britto LR, Aranha ACC, Dale CS (2021) Involvement of substance P, osteopontin and satellite glial cells on photobiomodulation-induced antinociceptive effect in an experimental model of dentin hypersensitivity. Lasers Med Sci 36(6):1297–1305. https://doi.org/10.1007/s10103-021-03246-9

    Article  PubMed  Google Scholar 

  26. da Silva Oliveira VR, Cury DP, Yamashita LB, Esteca MV, Watanabe IS, Bergmann YF, Toniolo EF, Dale CS (2018) Photobiomodulation induces antinociception, recovers structural aspects and regulates mitochondrial homeostasis in peripheral nerve of diabetic mice. J Biophotonics 11(9):e201800110. https://doi.org/10.1002/jbio.201800110

    Article  CAS  PubMed  Google Scholar 

  27. Holanda VM, Chavantes MC, Wu X, Anders JJ (2017) The mechanistic basis for photobiomodulation therapy of neuropathic pain by near infrared laser light. Lasers Surg Med 49:516–524

    PubMed  Google Scholar 

  28. de Sousa MVP, Kawakubo M, Ferraresi C, Kaippert B, Yoshimura EM, Hamblin MR (2018) Pain management using photobiomodulation: Mechanisms, location, and repeatability quantified by pain threshold and neural biomarkers in mice. J Biophotonics 11:e201700370

    Article  Google Scholar 

  29. Choi JE (2021) Proposed Mechanisms of photobiomodulation (PBM) mediated via the stimulation of mitochondrial activity in peripheral nerve injuries. Med Lasers 10(4):195–200

    Article  Google Scholar 

  30. de Oliveira MF, Johnson DS, Demchak T, Tomazoni SS, Leal-Junior EC (2022) Low-intensity LASER and LED (photobiomodulation therapy) for pain control of the most common musculoskeletal conditions. Eur J Phys Rehabil Med 58(2):282–289. https://doi.org/10.23736/S1973-9087.21.07236-1

    Article  PubMed  Google Scholar 

  31. Campana V, Moya M, Gavotto A, Juri H, Palma JA (1998) Effects of diclofenac sodium and He: Ne laser irradiation on plasmatic fibrinogen levels in inflammatory processes. J Clin Laser Med Surg 16(6):317–320. https://doi.org/10.1089/clm.1998.16.317

    Article  CAS  PubMed  Google Scholar 

  32. Albrektsson T, Hansson HA (1986) An ultrastructural characterization of the interface between bone and sputtered titanium or stainless-steel surfaces. Biomaterials 7(3):201–205. https://doi.org/10.1016/0142-9612(86)90103-1

    Article  CAS  PubMed  Google Scholar 

  33. Robijns J, Nair RG, Lodewijckx J, Arany P, Barasch A, Bjordal JM, Bossi P, Chilles A, Corby PM, Epstein JB, Elad S, Fekrazad R, Fregnani ER, Genot MT, Ibarra AMC, Hamblin MR, Heiskanen V, Hu K, Klastersky J, Lalla R, Latifian S, Maiya A, Mebis J, Migliorati CA, Milstein DMJ, Murphy B, Raber-Durlacher JE, Roseboom HJ, Sonis S, Treister N, Zadik Y, Bensadoun RJ (2022) Photobiomodulation therapy in management of cancer therapy-induced side effects: WALT position paper 2022. Front Oncol 12:927685. https://doi.org/10.3389/fonc.2022.927685

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Vincent AM, Callaghan BC, Smith AL et al (2011) Diabetic neuropathy: Cellular mechanisms as therapeutic targets. Nat Rev Neurol 7(10):573–583

  35. Gore M, Brandenburg NA, Hoffman DL, Tai KS, Stacey B (2006) Burden of illness in painful diabetic peripheral neuropathy: the patients’ perspectives. J Pain 7(12):892–900. https://doi.org/10.1016/j.jpain.2006.04.013

    Article  PubMed  Google Scholar 

  36. Spallone V, Bellavere F, Scionti L, Maule S, Quadri R, Bax G, Melga P, Viviani GL, Esposito K, Morganti R, Cortelli P (2011) Diabetic Neuropathy Study Group of the Italian Society of Diabetology. Recommendations for the use of cardiovascular tests in diagnosing diabetic autonomic neuropathy. Nutr Metab Cardiovasc Dis 21(1):69–78. https://doi.org/10.1016/j.numecd.2010.07.005

    Article  CAS  PubMed  Google Scholar 

  37. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372:n71. https://doi.org/10.1136/bmj.n71

    Article  PubMed  PubMed Central  Google Scholar 

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Funding

VRSO (2018/18483–1) and CSD (2018/14560–1) were supported by the Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP).

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APS and VRSO performed the screening and selection of studies, both independently extracting usable information. APS and VRSO produced tables and graphs. APS, VRSO and CSD prepared this manuscript. All authors reviewed and approved the final version of the article.

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Correspondence to Camila Squarzoni Dale.

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da Silva, A.P., da Silva Oliveira, V.R. & Dale, C.S. Effect of photobiomodulation on neuropathic pain of diabetic origin: a narrative review of the literature. Lasers Med Sci 38, 244 (2023). https://doi.org/10.1007/s10103-023-03905-z

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