Abstract
Osteoarthritis is a degenerative joint disease that commonly affects weight-bearing joints, being the knee the most affected one. Treatment options include invasive therapies and non-pharmacological therapies (pain education, exercise programs, electrotherapy, acupuncture and ozone therapy). Another form of treatment that has been increasingly studied and used in patients with knee osteoarthrosis is photobiomodulation therapy, which despite its conflicting results has been considered effective in reducing the inflammatory process when used alone or associated with exercise programs or acupuncture. When associated with acupuncture, laser has proven to be effective despite few high-quality randomized controlled studies on the subject. Recently, patients have been seeking less and less invasive and natural treatments, making more and more professionals train, practice and research the effects of treatments such as acupuncture and laserpuncture. Objectives: To conduct a literature review on photobiomodulation for the treatment of KOA, focusing on the use of low-level laser therapy associated with acupuncture points. Methodology: An integrative literature review was carried out between March and May 2020 on PubMed and the Physiotherapy Evidence Database (PEDro). The selection criteria used were English language and articles published in the last 10 years that included the keywords: “knee”, “osteoarthritis”, “photobiomodulation”, “laserpuncture” and “acupuncture”. Results: Out of the 50 articles found, 30 were selected for presenting methodology or applications of replicable techniques. Conclusion: After this review, we could note that there is still a very small number of controlled and randomized articles with relevant data on the effects of photo-biomodulation in acupuncture points for the treatment of KOA. Additionally, we could observe that the surveyed articles differ in their forms of tabulation and data analysis, making it difficult to compare them. We suggest that further studies be performed on the subject to produce more relevant data and make the use of these therapies a consensus.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Heidari B (2011) Knee osteoarthrosis prevalence, risk factors, pathogenesis and features: Part I. Caspian J Intern Med 2(2):205–212
Mahir L, Belhaj K, Zahi S et al (2016) Impact of knee osteoarthrosis on the quality of life. Ann Phys Rehabil Med. 59(Supplem): e155–e159
Laires PA, Canhão H, Rodrigues AM et al (2018) The impact of osteoarthrosis on early exit from work: results from a population-based study. BMC Public Health 18(1):472
Neogi T (2013) The epidemiology and impact of pain in osteoarthrosis. Osteoarthr Cartil 21(9):1145–1153
Rezende UM, de Campos GC, Pailo AF (2013) Current concepts in osteoarthrosis. Acta Ortop Bras 21(2):120–122
Arthur K, do Nascimento LC, Figueiredo DAS et al (2012) Efeitos da geoterapia e fitoterapia associados à cinesioterapia na osteoartrite de joelho—estudo randomizado duplo cego. Acta Fisiatr 19(1): 11–15
Maly MR, Robbins SM (2014) Osteoarthrosis year in review 2014—rehabilitation and outcomes. Osteoarthr Cartilage 22(12):1958–1988
Alfredo PP, Bjordal JM, Junior Lopes-Martins RAB et al (2017) Long-term results of a randomized, controlled, double- blind study of low-level laser therapy before exercises in knee osteoarthrosis: laser and exercises in knee osteoarthrosis. Clin Rehabil 32(2):173–178
Quintana JM, Arostegui I, Escobar A et al (2008) Prevalence of knee and hip osteoarthrosis and the appropriateness of joint replacement in an older population. Arch Intern Med 168:1576–1584
Oliveira NC, Vatri S, Alfieri FM (2016) Comparação dos efeitos de exercícios resistidos versus cinesioterapia na osteoartrite de joelho. Acta Fisiatr 23(1):7–11
Cotler HB, Chow RT, Hamblin MR et al (2015) The use of low level laser therapy (LLLT) for musculoskeletal pain. MOJ Orthop Rheumatol 2(5):00068
Alfredo PP, Bjordal JM, Dreyer SH et al (2012) Efficacy of low level laser therapy associated with exercises in knee osteoarthrosis: a randomized double-blind study. Clin Rehabil 26(6):523–553
US Burden of Disease Collaborators (2013) The state of US health, 1990–2010: burden of diseases, injuries and risk factors. JAMA 310(6):591–608
Miranda VS, de Carvalho VBF, Machado LAC et al (2012) Prevalence of chronic musculoskeletal disorders in elderly Brazilians: a systematic review of the literature. BMC Musculoskelet Disord 13:82
Wallace IJ, Worthington S, Felson DT et al (2017) Knee oeteoarthritis has doubled in prevalence since de mid-20th century. PNAS 114(35):9332–9336
Rezende MU, Campos GC, Pailo AF (2013) Conceitos atuais em osteoartrite. Acta Ortop Bras 21(2):120–122
MIchael JW, Schluter-Brust KU, Eysel P (2010) The epidemiology, etiology, diagnosis, and treatment of osteoarthrosis of the knee. Dtsch Arztebl Int 107(9): 152–162
Shanks S, Leisman G (2018) Perspective on Broad-acting clinical physiological effects of photobiomodulation. Adv Exp Med Biol 1096:1–12
Hamblin MR (2017) Mechanisms and applications of the anti-inflammatory effects of photobiomodulation. AIMS Biophys 4(3):337–361
Medina-Porquere SI, Cantero-Tellez R (2018) Class IV laser therapy for trapeziometacarpal joint osteoarthrosis: Study protocol for a randomized placebo-controlled trial. Physiother Res Int 23(2): e1706
World Association of Laser Therapy (WALT) (2006) Consensus agreement on the desegn and conduct of clinical studies with low-level laser therapy anda light therapy for musculoskeletal pain and disorders. Photomed Laser Surg 24(6):761–762
Miller LE (2019) Towards reaching consensus on hyaluronic acid efficacy in knee osteoarthrosis. Clin Rheumatol 38:2881–2883
Richards MM, Maxwell JS, Weng L et al (2016) Intra-articular treatment of knee osteoarthrosis: from anti-inflammatories to products of regenerative medicine. Phys Sports Med 44(2):101–108
Wang AT, Feng Y, Jia HH et al (2019) Application of mesenchymal stem cell therapy for the treatment of osteoarthrosis of the knee: a concise review. World J Stem Cells 11(4):212–235
Dima R, Tieppo Francio V, Towery C et al (2017) Review of literature on low-level laser therapy benefits for nonpharmacological pain control in chronic pain and osteoarthrosis. Altern Ther Health Med 24(5): 8–10
Tomazoni SS, Costa LDCM, Guimarães LS et al (2017) Effects of photobiomodulation therapy in patients with chronic non-specific low back pain: protocol for a randomised placebo-controlled trial. BMJ Open 7(10):e017202
de Andrade ALM, Bossini PS, do Canto et al (2017) Effect of photobiomodulation therapy (808 nm) in the control of neuropathic pain in mice. Lasers Med Sci 32(4): 865–872
Carlson VR, Ong AC, Orozco FR et al (2018) Compliance with the AAOS guidelines for treatment of osteoarthritis of the knee: a survey of the American association of Hip and knee surgeons. J Am Acad Orthopaedic Surg 26(3):103–107
Zhang W, Moskowitz RW, Nuki G et al (2008) Recomendações da OARSI para o tratamento da osteoartrite do quadril e joelho, Parte II: Diretrizes de consenso especializadas baseadas em evidências do OARSI. Osteoartrite E Cartilagem 16(2):137–162
Ariani A, Manara M, Fioravanti A et al (2019) As diretrizes da prática clínica da Sociedade Italiana de Reumatologia para o diagnóstico e tratamento da osteoartrite do joelho, quadril e mão. Reumatismo 71(S1):5–21
Acknowledgements
The author would like to thank the research team form Bioengineering program at Universidade Brasil for all the support in the development of my master’s degree and for development of this review.
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethical Requirements
As this work is a literature review, the approval of the Ethics Committee was not required.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this paper
Cite this paper
Corrêa, L.G.C., Magalhães, D.S.F., Baptista, A., Frade-Barros, A.F. (2022). Photobiomodulation and Laserpuncture Evaluation for Knee Osteoarthritis Treatment: A Literature Review. In: Bastos-Filho, T.F., de Oliveira Caldeira, E.M., Frizera-Neto, A. (eds) XXVII Brazilian Congress on Biomedical Engineering. CBEB 2020. IFMBE Proceedings, vol 83. Springer, Cham. https://doi.org/10.1007/978-3-030-70601-2_181
Download citation
DOI: https://doi.org/10.1007/978-3-030-70601-2_181
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-70600-5
Online ISBN: 978-3-030-70601-2
eBook Packages: EngineeringEngineering (R0)