Single article

DOI: 10.47026/2413-4864-2021-2-50-63

Belova A.N., Bavrina A.P., Litvinova N.Yu., Bespalova A. V., Israelyan Yu.A., Sushin V.O., Rezenova A.M., Shabanova M.A.

Photobiomodulation Method in the Treatment of Myofascial Pain Syndrome: Narrative Overview

Keywords: myofascial pain, myofascial pain syndrome, trigger point, photobiomodulation, low-intensity laser therapy

Myofascial pain is one of the most common variants of chronic musculoskeletal pain, which significantly reduces the patients' life quality, prevents active kinesitherapy and is difficult to treat. A promising method of therapy for myofascial pain syndrome (MFBS) is the photobiomodulation method (FBM), which uses non-ionizing light sources (lasers, LEDs) and radiation in the visible, infrared and near-infrared spectral ranges for therapeutic purposes. The review briefly discusses the general understanding of FBM and the results of studies on the effectiveness of FBM in MFBS, it discusses possible mechanisms of the therapeutic effect of low-intensity optical radiation and the need to choose the optimal exposure parameters. Efficacy, non-invasiveness and safety enable to use FBM in elderly patients.

References

  1. Vladimirov Yu.A. Tri gipotezy o mekhanizme deistviya krasnogo (lazernogo) sveta [Three hypotheses about the mechanism of action of red (laser) light]. Efferentnaya meditsina, 1994, no. 19, pp. 23–35.
  2. Vladimirov Yu.A., Osipov A.N., Klebanov G.I. Fotobiologicheskie printsipy primeneniya lazernogo izlucheniya [Photobiological principles of laser radiation use]. Biokhimiya, 2004, vol. 69(1), pp. 103–113.
  3. Gerasimenko M.Yu., Geinits A.V. Lazernaya terapiya v lechebno-reabilitatsionnykh i profilakticheskikh programmakh: klinicheskie rekomendatsii [Laser therapy in treatment and rehabilitation and preventive programs: clinical recommendations]. Moscow, Triada Publ., 2015, 80 p.
  4. Koroleva S.V., L’vov S.E. Rol’ miofastsial’nogo sindroma v destabilizatsii kolennogo sustava pri osteoartroze [The role of myofascial syndrome in the destabilization of the knee joint in osteoarthritis]. Sovremennye problemy nauki i obrazovaniya, 2007, no. 1, pp. 89–93.
  5. Kukushkin M.L., Khitrov N.K. Obshchaya patologiya boli [General pain pathology]. Moscow, Meditsina Publ., 2004, 144 p.
  6. Machneva T.V., Bulgakova N.N., Vladimirov Yu.A., Osipov A.N. Rol’ endogennykh porfirinov v lazernoi terapii eksperimental’nykh kozhnykh ran [The role of endogenous porphyrins in laser therapy of experimental skin wounds]. Biofizika, 2010, vol. 55(3), p. 532.
  7. Poddubnaya O.A. Nizkointensivnaya lazeroterapiya v klinicheskoi praktike (Chast’ 1) [Low-intensity laser therapy in clinical practice (Part 1)]. Vestnik vosstanovitel’noi meditsiny, 2020, vol. 6(100), pp. 92–99.
  8. Ferguson L.W., Gerwin R. Clinical mastery in the treatment of myofascial pain. Philadelphia, Lippincott Williams & Wilkins, 2005, 428 p. (Russ. ed.: Lechenie miofastsial’noi boli. Klinicheskoe rukovodstvo. Moscow, MEDpress-inform Publ., 2019, 544 p.).
  9. Hoppenfeld J.D. Fundamentals of pain medicine. Philadelphia, Wolters Kluwer, 2014, 288 p. (Russ. ed.: Diagnostika i lechenie boli. Moscow, MEDpress-inform Publ., 2019, 320 p.). Antonialli F., De Marchi T., Tomazoni S. et al. Phototherapy in skeletal muscle performance and recovery after exercise: effect of combination of super-pulsed laser and light-emitting diodes. Lasers Med Sci., 2014, vol. 29(6), pp. 1967–1976. DOI: https:// doi.org/1007/s10103-014-1611-7.
  10. Antonialli F., De Marchi T., Tomazoni S. et al. Phototherapy in skeletal muscle performance and recovery after exercise: effect of combination of super-pulsed laser and light-emitting diodes. Lasers Med Sci., 2014, vol. 29(6), pp. 1967–1976. DOI: https:// doi.org/1007/s10103-014-1611-7.
  11. Cotler B.H. et al. The Use of Low Level Laser Therapy (LLLT) For Musculoskeletal Pain. MOJ Orthop Rheumatol., 2015, vol. 2(5). DOI: https:// doi.org/15406/mojor.2015.02.00068.
  12. Bavrina A., Monich V., Malinovskaya S. Modification in oxidative processes in muscle tissues exposed to laser- and light-emitting diode radiation. Lasers Med Sci., 2017, vol. 33(1), pp. 159–164. DOI: https:// doi.org/1007/s10103-017-2370-z.
  13. Bonakdar R.Integrative Medicine. 4th Elsevier, 2021, pp. 651–662.
  14. Bordoni B, Varacallo M. Myofascial Pain. StatPearls Publ., 2018.
  15. Da Cunha R., Pinfildi C., de Castro Pochini A., Cohen M. Photobiomodulation therapy and NMES improve muscle strength and jumping performance in young volleyball athletes: a randomized controlled trial study in Brazil. Lasers Med Sci., 2019, vol. 35(3), pp. 621–631. DOI: https:// doi.org/1007/s10103-019-02858-6.
  16. Dalpiaz A., Kuriki H., Barbosa R., Diefenthaeler F., Marcolino A., Barbosa R. Dry Needling and Photobiomodulation Decreases Myofascial Pain in Trapezius of Women: Randomized Blind Clinical Trial. J Manipulative Physiol Ther. 2020. https://doi.org/1016/j.jmpt.2020.07.002.
  17. De Oliveira A., Vanin A., De Marchi T. et al. What is the ideal dose and power output of low-level laser therapy (810 nm) on muscle performance and post-exercise recovery? Study protocol for a double-blind, randomized, placebo-controlled trial. Trials, 2014, vol. 15(1), p. 69. DOI: https://doi.org/ 1186/1745-6215-15-69.
  18. Dommerholt J, Chou L, Hooks T, Thorp J. Myofascial pain and treatment: Editorial a critical overview of the current myofascial pain literature. J Bodyw Mov Ther., 2019, vol. 23(4), pp. 773–784. DOI: https:// doi.org/1016/j.jbmt.2019.10.001.
  19. Dor A., Kalichman L. A myofascial component of pain in knee osteoarthritis. J Bodyw Mov Ther., 2017, vol. 21(3), pp. 642–647. DOI: https:// doi.org/1016/j.jbmt.2017.03.025.
  20. Dos Reis F., da Silva B., Laraia E. et al. Effects of Pre- or Post-Exercise Low-Level Laser Therapy (830 nm) on Skeletal Muscle Fatigue and Biochemical Markers of Recovery in Humans: Double-Blind Placebo-Controlled Trial. Photomed Laser Surg., 2014, vol. 32(2), pp. 106–112. DOI: https:// doi.org/1089/pho.2013.3617.
  21. Dos Santos S., Serra A., Stancker T. et al. Effects of Photobiomodulation Therapy on Oxidative Stress in Muscle Injury Animal Models: A Systematic Review. Oxid Med Cell Longev, 2017, vol. 2017, pp. 1–8. DOI: https://doi.org/1155/2017/5273403.
  22. Eloqayli H. Subcutaneous accessory pain system (SAPS): A novel pain pathway for myofascial trigger points. Med Hypotheses., 2018, vol. 111, pp. 55–57. DOI: https://doi.org/1016/ j.mehy.2017.12.026.
  23. Erthal V., da Silva M., Cidral-Filho F., Santos A., Nohama P. ST36 laser acupuncture reduces pain-related behavior in rats: involvement of the opioidergic and serotonergic systems. Lasers Med Sci., 2013, vol. 28(5), pp. 1345–1351. DOI: https://doi.org/1007/s10103-012-1260-7.
  24. Foo A., Soong T., Yeo T., Lim K. Mitochondrial Dysfunction and Parkinson’s Disease-Near-Infrared Photobiomodulation as a Potential Therapeutic Strategy. Front Aging Neurosci., 2020, vol. 12. DOI: https:// doi.org/3389/fnagi.2020.00089.
  25. Gupta A, Hamblin M. History And Fundamentals Of Low-Level Laser (Light) Therapy. Handbook of Photomedicine, London, New York, CRC Press, 2016, pp. 43–52.
  26. Hamblin M. Can osteoarthritis be treated with light? Arthritis Res Ther., 2013, vol. 15(5), p. 120. DOI: https://doi.org/1186/ar4354.
  27. Hamblin M. Photobiomodulation or low-level laser therapy. J Biophotonics., 2016, vol. 9(11-12), pp. 1122–1124. DOI: https:// doi.org/1002/jbio.201670113.
  28. Heiskanen V., Hamblin M. Photobiomodulation: lasersvs.light emitting diodes? Photochemical & Photobiological Sciences, 2018, vol. 17(8), pp. 1003–1017. DOI: https:// doi.org/1039/c8pp00176f.
  29. Herpich C., Leal-Junior E., Politti F. et al. Intraoral photobiomodulation diminishes pain and improves functioning in women with temporomandibular disorder: a randomized, sham-controlled, double-blind clinical trial. Lasers Med Sci., 2019, vol. 35(2), pp. 439–445. DOI: https://doi.org/1007/ s10103-019-02841-1.
  30. Holanda V., Chavantes M., Wu X., Anders J. The mechanistic basis for photobiomodulation therapy of neuropathic pain by near infrared laser light. Lasers Surg Med., 2017, vol. 49(5), pp. 516–524. DOI: https:// doi.org/1002/lsm.22628.
  31. Király M., Bender T., Hodosi K. Comparative study of shockwave therapy and low-level laser therapy effects in patients with myofascial pain syndrome of the trapezius. Rheumatol Int., 2018, vol. 38(11), pp. 2045–2052. DOI: https:// doi.org/1007/s00296-018-4134-x.
  32. Li L., Stoop R., Clijsen R. et al. Criteria Used for the Diagnosis of Myofascial Trigger Points in Clinical Trials on Physical Therapy. The Clinical Journal of Pain, 2020, vol. 36, iss. 12, pp. 955–967 DOI: 10.1097/AJP.0000000000000875.
  33. Lubkowska A., Radecka A., Bryczkowska I., Rotter I., Laszczyńska M., Karakiewicz B. Changes in the bioelectric activity of the trapezius muscle following the thermal effect of red light and infrared radiation. J Back Musculoskelet Rehabil., 2018, vol. 31(4), pp. 645–656. DOI: https://doi.org/ 3233/ bmr-169745.
  34. Mansourian A., Pourshahidi S., Sadrzadeh-Afshar M., Ebrahimi H. A Comparative Study of Low-Level Laser Therapy and Transcutaneous Electrical Nerve Stimulation as an Adjunct to Pharmaceutical Therapy for Myofascial Pain Dysfunction Syndrome: A Randomized Clinical Trial. Front Dent., 2019, vol. (16), iss. (4). DOI: https://doi.org/18502/fid.v16i4.2084.
  35. Munguia F., Jang J., Salem M., Clark G., Enciso R. Efficacy of Low-Level Laser Therapy in the Treatment of Temporomandibular Myofascial Pain. A Systematic Review and Meta-Analysis. J Oral Facial Pain Headache, 2018, vol. 32(3), pp. 287–297. DOI: https://doi.org/11607/ofph.2032.
  36. Nadershah M., Abdel-Alim H., Bayoumi A., Jan A., Elatrouni A., Jadu F. Photobiomodulation Therapy for Myofascial Pain in Temporomandibular Joint Dysfunction: A Double-Blinded Randomized Clinical Trial. J Maxillofac Oral Surg., 2019, vol. 19(1), pp. 93–97. DOI: https:// doi.org/1007/s12663-019-01222-z.
  37. Niraj G. Pathophysiology and Management of Abdominal Myofascial Pain Syndrome (AMPS): A Three-Year Prospective Audit of a Management Pathway in 120 Patients. Pain Medicine, 2018, vol. 19(11), pp. 2256–2266. DOI: https:// doi.org/1093/pm/pnx343.
  38. North American Association for Photobiomodulation Therapy: site. Available at: https:// www.naalt.org/about.
  39. Olavi A., Pekka R., Kolari P., Pöntinen P. Effects of the infrared laser therapy at treated and non-treated trigger points. Acupunct Electrother Res., 1989, vol. 14(1), pp. 9–14. DOI: https://doi.org/ 3727/036012989816358560.
  40. Orssatto L., Detanico D., Kons R., Sakugawa R., Silva J., Diefenthaeler F. Photobiomodulation Therapy Does Not Attenuate Fatigue and Muscle Damage in Judo Athletes: A Randomized, Triple-Blind, Placebo-Controlled Trial. Front Physiol., 2019, vol. 10. DOI: https://doi.org/3389/fphys. 2019.00811.
  41. Passarella S, Karu T. Absorption of monochromatic and narrow band radiation in the visible and near IR by both mitochondrial and non-mitochondrial photoacceptors results in photobiomodulation. Journal of Photochemistry and Photobiology B: Biology, 2014, vol. 140, pp. 344–358. DOI: https:// doi.org/1016/j.jphotobiol.2014.07.021.
  42. Paus R. Exploring the “brain-skin connection”: Leads and lessons from the hair follicle. Curr Res Transl Med., 2016, vol. 64(4), pp. 207–214. DOI: https://doi.org/1016/j.retram.2016.10.003.
  43. Petersen T., Laslett M., Juhl C. Clinical classification in low back pain: best-evidence diagnostic rules based on systematic reviews. BMC Musculoskelet Disord., 2017, vol. 18(1). DOI: https:// doi.org/1186/s12891-017-1549-6.
  44. Quintner J., Bove G., Cohen M. A critical evaluation of the trigger point phenomenon. Rheumatology, 2014, vol. 54(3), pp. 392–399. DOI: https:// doi.org/1093/rheumatology/keu471.
  45. Rachin A. Miofascial pain syndrome in clinician practice. Russian Medical Journal, 2015, vol. 28(23), pp. 1665–1668.
  46. Rossato M., Dellagrana R., Lanferdini F. et al. Effect of pre-exercise phototherapy applied with different cluster probe sizes on elbow flexor muscle fatigue. Lasers Med Sci., 2016, vol. 31(6), pp. 1237–1244. DOI: https:// doi.org/1007/s10103-016-1973-0.
  47. Russek L. Physical Rehabilitation. 7th Philadelphia, F.A.Davis Company, 2021, pp. 1081–1133.
  48. Saxena A., Chansoria M., Tomar G., Kumar A. Myofascial Pain Syndrome: An Overview. J Pain Palliat Care Pharmacother, 2015, vol. 29(1), pp. 16–21. DOI: https://doi.org/3109/15360288. 2014.997853.
  49. Shahimoridi D., Shafiei S., Yousefian B. The Effectiveness of the Polarized Low-Level Laser in the Treatment of Patients With Myofascial Trigger Points in the Trapezius Muscles. J Lasers Med Sci., 2020, vol. 11(1), pp. 14–19. DOI: https:// doi.org/15171/jlms.2020.04.
  50. Sharan D. Myofascial pain syndrome: Diagnosis and management. Indian J Rheumatol., 2014, vol. 9, pp. S22–S25. DOI: https://doi.org/1016/j.injr.2014.09.013.
  51. Simons D., Travell J., Simons L. Myofascial Pain And Dysfunction. The Trigger Point Manual 2nd Lippincott, Williams & Wilkins, 1999, pp. 53–56.
  52. Sousa D., Gonçalves M., Politti F. et al. Photobiomodulation with simultaneous use of red and infrared light emitting diodes in the treatment of temporomandibular disorder. Medicine (Baltimore), 2019, vol. 98(6), e14391. DOI: https:// doi.org/1097/md.0000000000014391.
  53. Vanin A., Verhagen E., Barboza S., Costa L., Leal-Junior E. Photobiomodulation therapy for the improvement of muscular performance and reduction of muscular fatigue associated with exercise in healthy people: a systematic review and meta-analysis. Lasers Med Sci., 2017, vol. 33(1), pp. 181–214. DOI: https:// doi.org/1007/s10103-017-2368-6.
  54. Vazquez-Delgado E., Cascos-Romero J., Gay-Escoda C. Myofascial pain syndrome associated with trigger points: A literature review. (I): Epidemiology, clinical treatment and etiopathogeny. Medicina Oral Patología Oral y Cirugia Bucal, 2009, e494-e498. DOI: https://doi.org/4317/medoral.14.e494.
  55. Recommended Treatment Doses For Low Level Laser Therapy 780-860 Nm // Wavelength: World Association For Laser Therapy, 2010 Available at: https://waltza.co.za/wp-content/uploads/2012/08/Dose_table_780-860nm_for_Low_Level_Laser_Therapy_WALT-2010.pdf.

About authors

Belova Anna N.
Doctor of Medical Sciences, Professor, Head of Departments of Medical Rehabilitation, Privolzhsky Research Medical University (PIMU), Russia, Nizhny Novgorod (anbelova@mail.ru; ORCID: https://orcid.org/0000-0001-9719-6772)
Bavrina Anna P.
Candidate of Medical Sciences, Associate Professor, Department of Medical Physics and Informatics, Privolzhsky Research Medical University (PIMU), Russia, Nizhny Novgorod (annabavr@rambler.ru; ORCID: https://orcid.org/0000-0002-8775-7297)
Litvinova Natalia Yu.
Candidate of Medical Sciences, Associate Professor, Department of Medical Rehabilitation, Privolzhsky Research Medical University (PIMU), Russia, Nizhny Novgorod (ny7171@mail.ru; ORCID: https://orcid.org/0000-0002-6978-139X)
Bespalova Anna V.
Candidate of Medical Sciences, Associate Professor, Department of Medical Rehabilitation, Privolzhsky Research Medical University (PIMU), Russia, Nizhny Novgorod (annettsyg@rambler.ru; ORCID: https://orcid.org/0000-0003-1599-6771)
Israelyan Yuliya A.
Candidat of Medical Sciences, Associate Professor, Department of Medical Rehabilitation, Privolzhsky Research Medical University (PIMU), Russia, Nizhny Novgorod (ija07@yandex.ru; ORCID: https://orcid.org/0000-0002-4480-1884)
Sushin Viliyam O.
Assistant Lecturer, Departments of Medical Rehabilitation, Privolzhsky Research Medical University (PIMU), Russia, Nizhny Novgorod (sushin.nn@mail.ru; ORCID: https://orcid.org/0000-0003-2346-7810)
Rezenova Anastasiya V.
Assistant Lecturer, Department of Medical Rehabilitation, Privolzhsky Research Medical University (PIMU), Russia, Nizhny Novgorod (seule1993@gmail.com; ORCID: https://orcid.org/0000-0001-6478-8077)
Shabanova Maria A.
Assistant Lecturer, Departments of Medical Rehabilitation, Privolzhsky Research Medical University (PIMU), Russia, Nizhny Novgorod (bilberry47@mail.ru; ORCID: https://orcid.org/0000-0002-8160-1208)

Article link

Belova A.N., Bavrina A.P., Litvinova N.Yu., Bespalova A. V., Israelyan Yu.A., Sushin V.O., Rezenova A.M., Shabanova M.A. Photobiomodulation Method in the Treatment of Myofascial Pain Syndrome: Narrative Overview [Electronic resource] // Acta medica Eurasica. – 2021. – №2. P. 50-63. – URL: http://acta-medica-eurasica.ru/en/single/2021/2/7/. DOI: 10.47026/2413-4864-2021-2-50-63.