4.6 Review

Effects of photobiomodulation in experimental spinal cord injury models: A systematic review

Journal

JOURNAL OF BIOPHOTONICS
Volume 15, Issue 8, Pages -

Publisher

WILEY-V C H VERLAG GMBH
DOI: 10.1002/jbio.202200059

Keywords

inflammation; low level laser therapy; photobiomodulation; spinal cord injury

Funding

  1. Conselho Nacional de Desenvolvimento Cientifico e Tecnol~ogico [310491/2021-5]
  2. Coordenac~ao de Aperfeicoamento de Pessoal de Nivel Superior [88887.481244/2020-00]
  3. Fundac~ao de Amparo a Pesquisa do Estado de S~ao Paulo [2020/13976-0]

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This systematic review investigated the effects of photobiomodulation using low-level laser therapy (LLLT) for the treatment of spinal cord injury (SCI) in experimental models. The review found that LLLT can serve as an adjunct therapy for SCI, providing neuroprotection, promoting functional recovery, and reducing pro-inflammatory cytokines. However, standardization of dosimetric parameters is needed.
This systematic review investigated the repercussions of photobiomodulation using low-level laser therapy (LLLT) for the treatment of spinal cord injury (SCI) in experimental models. Studies were identified from relevant databases published between January 2009 and December 2021. Nineteen original articles were selected and 68.4% used light at an infrared wavelength. There was a considerable variation of the power used (from 25 to 200 mW), total application time (8-3000 s) and total energy (0.3-450 J). In 79% of the studies, irradiation was initiated immediately after or within 2 h of the SCI, and treatment time ranged continuously from 5 to 21 days. In conclusion, LLLT can be an auxiliary therapy in the treatment of SCI, playing a neuroprotective role, enabling functional recovery, increasing the concentration of nerve connections around the injury site and reducing pro-inflammatory cytokines. However, there is a need for standardization in the dosimetric parameters.

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