Treatment of postherpetic neuralgia with low-level laser irradiation: literature review

Detalhes bibliográficos
Autor(a) principal: Silva Gomes, Raimundo Nonato
Data de Publicação: 2016
Outros Autores: Silva Gomes, Vânia Thaís, Nicolau, Renata Amadei
Tipo de documento: Artigo
Idioma: por
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/23046
Resumo: Aims: To perform a literature review on the treatment of postherpetic neuralgia with low-intensity laser irradiation.Methods: The review was conducted in November and December 2015 by searching the terms "herpes zoster", "neuralgia",  "low-level laser therapy", and "low-intensity laser therapy" in the LILACS, SciELO, and Medline databases. Full articles published in Portuguese, English, German, or Spanish between 2008 and 2015 were included. Incomplete articles, those that did not directly address the topic of interest, and those appearing in the same or in different databases were excluded. In the latter case, only one article was included.Results: Thirty-two studies were selected using the search terms. After the application of the eligibility criteria, 15 studies were read; two of them were excluded for being available in more than one database and one was eliminated for not adding relevant information. Therefore, 11 studies were included in the review: five of them conducted in the United States, two in Brazil, two in Germany, and two in Italy. There were four clinical trials, two systematic reviews and five case reports. The 11 studies found positive results after laser application, especially reduction of pain, with only one article mentioning little reduction of neuralgia. In the three studies that reported the irradiation parameters, these have not been uniform, with a medium wavelength of 740.6 nm, a medium power of 28 mW and a medium time of irradiation per point of 53.4 seconds. There was great variation in the number of sessions, with an average of about 12 sessions on alternate days.Conclusions: The low-intensity laser therapy provided positive results to patients with postherpetic neuralgia, however there is no consensus about the parameters to be used. In view of the different protocols, it is important to perform new studies in order to standardize the low-intensity laser therapy parameters applied to postherpetic neuralgia.
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spelling Treatment of postherpetic neuralgia with low-level laser irradiation: literature reviewTratamento da neuralgia pós-herpética com irradiações a laser de baixa intensidade: revisão da literaturaherpes zosterneuralgiaterapia a laser de baixa intensidade.Aims: To perform a literature review on the treatment of postherpetic neuralgia with low-intensity laser irradiation.Methods: The review was conducted in November and December 2015 by searching the terms "herpes zoster", "neuralgia",  "low-level laser therapy", and "low-intensity laser therapy" in the LILACS, SciELO, and Medline databases. Full articles published in Portuguese, English, German, or Spanish between 2008 and 2015 were included. Incomplete articles, those that did not directly address the topic of interest, and those appearing in the same or in different databases were excluded. In the latter case, only one article was included.Results: Thirty-two studies were selected using the search terms. After the application of the eligibility criteria, 15 studies were read; two of them were excluded for being available in more than one database and one was eliminated for not adding relevant information. Therefore, 11 studies were included in the review: five of them conducted in the United States, two in Brazil, two in Germany, and two in Italy. There were four clinical trials, two systematic reviews and five case reports. The 11 studies found positive results after laser application, especially reduction of pain, with only one article mentioning little reduction of neuralgia. In the three studies that reported the irradiation parameters, these have not been uniform, with a medium wavelength of 740.6 nm, a medium power of 28 mW and a medium time of irradiation per point of 53.4 seconds. There was great variation in the number of sessions, with an average of about 12 sessions on alternate days.Conclusions: The low-intensity laser therapy provided positive results to patients with postherpetic neuralgia, however there is no consensus about the parameters to be used. In view of the different protocols, it is important to perform new studies in order to standardize the low-intensity laser therapy parameters applied to postherpetic neuralgia.Objetivos: Realizar uma revisão da literatura sobre o tratamento da neuralgia pós-herpética com irradiações a laser de baixa intensidade.Métodos: A revisão foi realizada nos meses de novembro a dezembro de 2015 nas bases de dados LILACS, SciELO e Medline, utilizando-se os descritores "herpes zoster", "neuralgia" e "terapia a laser de baixa intensidade" e seus correspondentes termos em inglês. Os critérios de inclusão foram artigos disponíveis na íntegra, publicados em português, inglês, alemão ou espanhol, no período compreendido entre 2008 a 2015. Os critérios de exclusão foram textos incompletos, artigos que não abordaram diretamente a temática do estudo e repetição de um mesmo artigo na mesma ou em diferentes bases de dados, nesse caso sendo considerado apenas um deles.Resultados: A partir dos descritores utilizados foram encontrados 32 estudos. Após aplicação dos critérios de elegibilidade foram selecionados 15 artigos para leitura, dos quais foram excluídos dois por repetição e um por não apresentar resultados relevantes a esta pesquisa. Dessa forma, 11 estudos foram incluídos na revisão, dos quais cinco foram realizados nos Estados Unidos, dois no Brasil, dois na Alemanha e dois na Itália, sendo quatro ensaios clínicos, duas revisões sistemáticas e cinco relatos de casos. Os 11 estudos encontraram resultados positivos após aplicação do laser, principalmente diminuição da dor, e apenas um artigo mencionou pouca redução da neuralgia. Nos três estudos que informaram os parâmetros de irradiação estes não foram uniformes, sendo a média do comprimento de onda 740,6 nm, a média da potência 28 mW e a média do tempo de irradiação por ponto 53,4 segundos. Quanto ao número de sessões, houve grande variação, com uma média de aproximadamente 12 sessões em dia alternados.Conclusões: A terapia com laser de baixa intensidade ofereceu resultados positivos aos pacientes com neuralgia pós-herpética, entretanto não há um consenso quanto aos parâmetros a serem utilizados. Em razão dos diferentes protocolos descritos, é importante realizar mais estudos que auxiliem a padronizar os parâmetros dessa terapia aplicados à neuralgia pós-herpética.Editora da PUCRS - ediPUCRS2016-05-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/2304610.15448/1980-6108.2016.2.23046Scientia Medica; Vol. 26 No. 2 (2016); ID23046Scientia Medica; v. 26 n. 2 (2016); ID230461980-61081806-556210.15448/1980-6108.2016.2reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/23046/14396Copyright (c) 2016 Scientia Medicainfo:eu-repo/semantics/openAccessSilva Gomes, Raimundo NonatoSilva Gomes, Vânia ThaísNicolau, Renata Amadei2016-07-27T00:43:15Zoai:ojs.revistaseletronicas.pucrs.br:article/23046Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2016-07-27T00:43:15Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Treatment of postherpetic neuralgia with low-level laser irradiation: literature review
Tratamento da neuralgia pós-herpética com irradiações a laser de baixa intensidade: revisão da literatura
title Treatment of postherpetic neuralgia with low-level laser irradiation: literature review
spellingShingle Treatment of postherpetic neuralgia with low-level laser irradiation: literature review
Silva Gomes, Raimundo Nonato
herpes zoster
neuralgia
terapia a laser de baixa intensidade.
title_short Treatment of postherpetic neuralgia with low-level laser irradiation: literature review
title_full Treatment of postherpetic neuralgia with low-level laser irradiation: literature review
title_fullStr Treatment of postherpetic neuralgia with low-level laser irradiation: literature review
title_full_unstemmed Treatment of postherpetic neuralgia with low-level laser irradiation: literature review
title_sort Treatment of postherpetic neuralgia with low-level laser irradiation: literature review
author Silva Gomes, Raimundo Nonato
author_facet Silva Gomes, Raimundo Nonato
Silva Gomes, Vânia Thaís
Nicolau, Renata Amadei
author_role author
author2 Silva Gomes, Vânia Thaís
Nicolau, Renata Amadei
author2_role author
author
dc.contributor.author.fl_str_mv Silva Gomes, Raimundo Nonato
Silva Gomes, Vânia Thaís
Nicolau, Renata Amadei
dc.subject.por.fl_str_mv herpes zoster
neuralgia
terapia a laser de baixa intensidade.
topic herpes zoster
neuralgia
terapia a laser de baixa intensidade.
description Aims: To perform a literature review on the treatment of postherpetic neuralgia with low-intensity laser irradiation.Methods: The review was conducted in November and December 2015 by searching the terms "herpes zoster", "neuralgia",  "low-level laser therapy", and "low-intensity laser therapy" in the LILACS, SciELO, and Medline databases. Full articles published in Portuguese, English, German, or Spanish between 2008 and 2015 were included. Incomplete articles, those that did not directly address the topic of interest, and those appearing in the same or in different databases were excluded. In the latter case, only one article was included.Results: Thirty-two studies were selected using the search terms. After the application of the eligibility criteria, 15 studies were read; two of them were excluded for being available in more than one database and one was eliminated for not adding relevant information. Therefore, 11 studies were included in the review: five of them conducted in the United States, two in Brazil, two in Germany, and two in Italy. There were four clinical trials, two systematic reviews and five case reports. The 11 studies found positive results after laser application, especially reduction of pain, with only one article mentioning little reduction of neuralgia. In the three studies that reported the irradiation parameters, these have not been uniform, with a medium wavelength of 740.6 nm, a medium power of 28 mW and a medium time of irradiation per point of 53.4 seconds. There was great variation in the number of sessions, with an average of about 12 sessions on alternate days.Conclusions: The low-intensity laser therapy provided positive results to patients with postherpetic neuralgia, however there is no consensus about the parameters to be used. In view of the different protocols, it is important to perform new studies in order to standardize the low-intensity laser therapy parameters applied to postherpetic neuralgia.
publishDate 2016
dc.date.none.fl_str_mv 2016-05-13
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dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/23046
10.15448/1980-6108.2016.2.23046
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/23046
identifier_str_mv 10.15448/1980-6108.2016.2.23046
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/23046/14396
dc.rights.driver.fl_str_mv Copyright (c) 2016 Scientia Medica
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2016 Scientia Medica
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 26 No. 2 (2016); ID23046
Scientia Medica; v. 26 n. 2 (2016); ID23046
1980-6108
1806-5562
10.15448/1980-6108.2016.2
reponame:Scientia Medica (Porto Alegre. Online)
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instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
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reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
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