The effect of low-level laser on postoperative pain after tibial fracture
surgery: a double-blind controlled randomized clinical trial.
Author(s): Nesioonpour S(1), Mokmeli S(2), Vojdani S(1), Mohtadi A(1), Akhondzadeh R(1),
Behaeen K(1), Moosavi S(3), Hojjati S(4).
Affiliation(s): Author information:
(1)Department of Anesthesiology, Pain Research Center, Ahvaz Jundishapur University
of Medical Sciences, Ahvaz, Iran.
(2)Canadian Optic and Laser Center, COL Center, Victoria, Canada.
(3)Department of Orthopedic, Ahvaz Jundishapur University of Medical Sciences,
Ahvaz, Iran.
(4)Department of Physical Education and Sport Science, Bu-Ali Sina University,
Hamedan, Iran.
Publication date & source: 2014, Anesth Pain Med. , 4(3):e17350
BACKGROUND: Postoperative pain is a common complication that can lead to serious
morbidities and delayed recovery.
OBJECTIVES: The aim of this study was to investigate the effect of low-level
laser therapy on acute pain after tibial fracture surgery.
PATIENTS AND METHODS: In this randomized clinical trial, 54 patients who were
candidate for tibial fracture surgery were allocated randomly to two groups,
namely, control and laser therapy. Both groups had the same type of surgery and
technique of spinal anesthesia. Patients in laser group were treated with the
combination of two lasers (GaALAs, 808 nm; and GaALInP, 650 nm) at the end of the
surgery while control group received laser in turn-off mode with the same
duration as laser group. Patients were evaluated for pain intensity according to
the visual analogue scale (VAS) and the amount of analgesic use during 24 hours
after surgery.
RESULTS: Laser group experienced less pain intensity in comparison with control
group at second, fourth, eighth, 12(th), and 24(th) hours after surgery (P Value
< 0.05). In addition, the amount of consumed opioid in laser group was
significantly less than the control group (51.62 ± 29.52 and 89.28 ± 35.54 mg,
respectively; P Value, 0.008).
CONCLUSIONS: Low Level Laser Therapy is a proper method to reduce postoperative
pain because it is painless, safe, and noninvasive and is easily accepted by
patients.
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