Lage rugpijn (LRP) is een van de meest voorkomende vormen van invaliditeit die individuen in westerse landen treft. Lage rugpijn treft ongeveer 80% van de mensen op een bepaald moment in hun leven, en als het chronisch wordt, leidt dit vaak tot loonverlies en extra medische kosten en kan het risico op andere medische aandoeningen toenemen (Chou et al., 2016). Chronische lage rugpijn kost naar schatting 2% van het bruto binnenlands product in ontwikkelde landen (Sit et al., 2015).

Elk van de spinale structuren, inclusief tussenwervelschijven, facetgewrichten, wervellichamen, ligamenten of spieren, kan een oorzaak zijn van rugpijn, die helaas moeilijk te bepalen is. In die gevallen waarin de oorsprong van rugpijn niet kan worden vastgesteld, wordt niet-specifieke lage rugpijn als diagnose gesteld (Aoki et al., 2012).

Laser photobiomodulation is more effective than ultrasound therapy in patients with chronic nonspecific low back pain: a comparative study.

Tantawy, Abdelbasset, Kamel, Alrawaili, Alsubaie

The purpose of this study was to compare the effects of laser photobiomodulation therapy (lPBMt) and ultrasound therapy (UST) in patients with chronic non-specific low back pain (CNLBP). Forty-five patients with CNLBP aged 30-40 years were divided randomly into three groups of 15 subjects each. The lPBMt group received 8 weeks of lPBMt with an exercise program, while the UST group received 8 weeks of UST with the same exercise program; the control group received only the exercise program for 8 weeks.

Pain, disability, functional performance, and lumbar range of motion were assessed at the beginning of the study and after 8 weeks. There were no significant differences in demographic and clinical characteristics among the three groups at baseline (p > 0.05).

At the end of the study, there were significant improvements in pain, disability, and functional performance in the two experimental groups (p < 0.05), but changes in the control group were non-significant.

However, lumbar range of motion was significantly improved only in the lPBMt group (p < 0.05). When the three groups were compared in terms of a change in clinical variables, there was a significant difference among the three groups in all measures in favor of lPBMt group. Based on our results, both lPBMt or UST combined with an 8-week exercise program seemed to be effective methods for decreasing pain, reducing disability, and increasing functional performance in patients with CNLBP, although lPBMt is more effective than UST.

Therapeutic Laser for the Treatment of Chronic Low Back Pain

William J. Kneebone

Therapeutic lasers and other phototherapy devices have been shown to be safe, effective, easily used primary or adjunctive therapy that is relatively cost-effective to both the clinician and patient.

The multiple biochemical and physiologic effects of laser irradiation, including the anti-inflammatory effects, pain modulation, accelerated tissue healing, and immune and neurological modulation mentioned in this article, are cause for contemplation and further investigation, especially as they relate to the possible causal and developmental factors of brain atrophy in chronic pain patients.

There are 2 types of responses that have been observed in laser-related research regarding chronic pain that are especially interesting: effective pain modulation and alterations in brain function, such as increased cerebral blood flow and blood flow velocity. If chronic pain indeed causes brain atrophy, we owe it to our pain patients to explore every possible clinical modality and procedure that may prove to be an asset in preventing or controlling this condition.

A Randomized Comparative Study between High-Intensity and Low-Level Laser Therapy in the Treatment of Chronic Nonspecific Low Back Pain

Walid Kamal Abdelbasset, Gopal Nambi, Saud F. Alsubaie, Ahmed M. Abodonya, Ayman K. Saleh, Nahla N. Ataalla, Ahmed A. Ibrahim, Sayed A. Tantawy, Dalia M. Kamel, Anju Verma, and Samah A. Moawd

Chronic nonspecific low back pain (chronic nsLBP) is one of the most common musculoskeletal disorders leading to disabilities and physical inactivity. Laser therapy was used in chronic nsLBP treatment; however, no previous studies have assessed the impacts of high-intensity laser therapy (HILT) versus low-level laser therapy (LLLT) on chronic nsLBP.

This study compared the effects of HILT versus LLLT on individuals suffering from chronic nsLBP. Methods. The study was a randomized control trial. Sixty individuals with chronic nsLBP were enrolled in this study between May and November 2019. All participants were clinically diagnosed with chronic nsLBP. They were assigned randomly into three groups, 20 in each group.

The first group received a program of LLLT, the second group received a program of HILT, and the third did not receive laser therapy (control group). Pain severity, disability, lumbar mobility, and quality of life were assessed before and after 12-week intervention.

Results. Both LLLT and HILT groups showed a significant improvement of the Oswestry Disability Index (ODI), visual analogue scale (VAS), lumbar range of motion (ROM), and European Quality of Life (EuroQol) scores, while the control group did not show significant changes.

Comparison among the three study groups postintervention showed significant differences in the outcome measures, while comparison between the LLLT and HILT groups showed nonsignificant differences. Conclusion. There are no different influences of LLLT versus HILT on chronic nsLBP patients. Both LLLT and HILT reduce pain and disability and improve lumbar mobility and quality of life in chronic nsLBP patients.

Behandeling bij Light Care

Een behandelsessie duurt 45 a 60 minuten en bestaat uit:

  • Transcraniële fotobiomodulatie met onze Brain Care-helm. Dit apparaat heeft een golflengte van 810 nm.
  • Transdermale fotobiomodulatie van de lendenwervels en het heiligbeen bij 850 nm.
  • Transdermale fotobiomodulatie van de onderrug bij 630 nm en 850 nm.


  • 3x per week gedurende 2 weken.
  • 2x per week gedurende 4 weken.
  • Daarna 1 x per week indien nodig

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