Low level laser therapy for treating myofascial pain syndromes of vertebral genesis
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Low-level laser therapy for treating myofascial pain syndromes of vertebral genesis. mechanisms of therapeutic effects of low-level laser irradiation types of low-level laser therapy low-level laser dosing and its methodology.

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Low-level laser therapy for treating myofascial pain syndromes of vertebral genesis

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Low level laser therapy for treating myofascial pain syndromes of vertebral genesis

Low-level laser therapy for treating myofascial pain syndromes of vertebral genesis

  • mechanisms of therapeutic effects of low-level laser

  • irradiation

  • types of low-level laser therapy

  • low-level laser dosing and its methodology


Mechanisms of laser interaction with biotissues are usually studied in two directions

Mechanisms of laser interaction with biotissues are usually studied in two directions:

  • Evaluation of physiological reactions to laser light

  • Search for the primary acceptor with

  • which light photon interacts


Low level laser therapy for treating myofascial pain syndromes of vertebral genesis

  • 1. Biological effects caused by laser irradiation

  • are seen in all spectrum ranges

  • Biological effects caused by laser irradiation

    • are dose-dependent


Dependence of biological reactions on the dosage of low level laser irradiation

Dependence of biological reactions on the dosage of low-level laser irradiation


The sun spectrum outside the atmosphere a and at the earth surface b

The sun spectrum outside the atmosphere (a) and at the Earth surface (b)


Low level laser therapy for treating myofascial pain syndromes of vertebral genesis

Asimov M.M., Asimov R.M., Rubinov A.N., Mamilov S.A., Plaksiy Ytt.S.

Stimulation of aerobic cell metabolism by low energy laser irradiation.

Journal “Lazernaja medicina”,vol 11, No 2, 1977


Types of low level laser therapy

Types of low-level laser therapy

  • By the location:

  • 1) external

    • contact

    • distant

  • 2) internal

    • intracavital

    • intravascular

  • 3) combined

  • Tactical aims of laser light impacts

  • Irradiation of myofascial painful zones

  • Irradiation of reflexive zones and acupuncture points.

  • Irradiation of the projection of inner organs

  • Irradiation of the projection of vascular and nervous bundles

  • Others (stimulation of the proliferative neuron activity,

  • local control of oxyhemoglobindissociation)


Depth of penetration of various spectral wavelengths into the skin

Depth of penetration of various spectral wavelengthsinto the skin


Low level laser therapy for treating myofascial pain syndromes of vertebral genesis

  • Irradiation power

  • Energetic characteristics of the electromagnetic irradiation

  • (Unit of measurement in SI – Wt)

  • Energy (dose)

  • Power of electromagnetic wave generated in one time unit

  • (Unit of measurement in SI - J or Wt.sec.)

  • Energy density (dose density)

  • Basic unit for measuring laser impact.

  • (Unit of measurement in SI - J/m2 . In practice we use J/cm2 )

    • Dose density is calculated by the equation:

D= P·T/S[Wt·sec/ cm2]

Where:

D - dose density

Power – average irradiation power

T - exposure time

S- irradiation area


Equation for calculating the dose of laser impact

Paverage  T

D =

Ppuls  T  τ0.5

D =

S

S

P  T (1 – p(λ))  τ0.5

D =

S

P  T (1 – p(λ))  τ0.5

D =

S  H

Equation for calculating the dose of laser impact

D= P·T/S [Wt·sec/ cm2]

D –Energy of the absorbed dose, J/cm2

P – Power of the pulse irradiation, Wt

T –Exposure time, sec

p() –Skin reflection coefficient= 0,38

 - Pulse frequency, Hz

 - Laser pulse duration, sec

S- Irradiation area, cm2

D –Absorbed energy dose J/cm2

P –Pulse power at the given depth, Wt

T –Exposure time, sec

p() –Skin reflection coefficient = 0.38

-Pulse frequency, Hz

 - Laser pulse duration, sec

S –Target area, cm2

H- Target depth


Laser light power 0 89 m depending of the depth of penetration into soft tissues 1 84

H cm

0,00

0,50

1,00

1,50

2,00

2,50

3,00

5 Wt

5,00

1,95

0,79

0,30

0,13

0,05

0,02

10 Wt

10,00

3,91

1,58

0,60

0,25

0,10

0,04

60 Wt

60,00

23,44

9,48

3,60

1,50

0,60

0,24

100 Wt

100,0

39,1

5,8

6,0

2,5

1,0

0,4

Laser light power (0.89µm) dependingof the depth of penetration into soft tissues (µ=1.84)


Examples of calculations

P  T (1 – p(λ))  τ0.5

D =

S

Examples of calculations

Pulsed power – 5 WtPulse frequency – 3000 HzPulse duration – 0.0000001 secIrradiation area – 1 cm2Exposure – 60 secReflection coefficient – 0.37

• Superficial dosing depending of the absorbed dosage is:5x60x(1-0,38)x3000x0.0000001=0.056 J/cm2• Pulsed power at 3-cm depth - 0.02 WtDosing at this depth depending of the absorbed dosage is about: 0,02x60x3000x0,0000001 = 0,0004 Дж/см2. • To get dosage 0.056 J/cm2 at 3-cm depth and on 1cm2

area the exposure time must be 140 minutes (!).• At pulsed power 60Wt a tissue layer located at 3-cm depth gets 0.24 Wt

and the necessary exposure time is 0.56/0.24x3000x0.0000001=777sec (14 min)• Dosage on the skin under such conditions will be 60x777x0.68x3000x0.0000001=8.7 J/cm2


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