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Effects of photobiomodulation on different application points and different phases of complex regional pain syndrome type I in the experimental model

  • Canever, Jaquelini Betta (Laboratory of Assesment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Ararangua, Federal University of Santa Catarina) ;
  • Barbosa, Rafael Inacio (Laboratory of Assesment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Ararangua, Federal University of Santa Catarina) ;
  • Hendler, Ketlyn Germann (Laboratory of Assesment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Ararangua, Federal University of Santa Catarina) ;
  • Neves, Lais Mara Siqueira das (Laboratory of Assesment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Ararangua, Federal University of Santa Catarina) ;
  • Kuriki, Heloyse Uliam (Laboratory of Assesment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Ararangua, Federal University of Santa Catarina) ;
  • Aguiar, Aderbal Silva Junior (Postgraduate Program in Rehabilitation Sciences, Federal University of Santa Catarina) ;
  • Fonseca, Marisa de Cassia Registro (Postgraduate Program in Rehabilitation and Functional Performance of the Departament of Health Sciences, Ribeirao Preto School of Medicine, University of Sao Paulo) ;
  • Marcolino, Alexandre Marcio (Laboratory of Assesment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Ararangua, Federal University of Santa Catarina)
  • Received : 2021.01.19
  • Accepted : 2021.04.17
  • Published : 2021.07.01

Abstract

Background: Complex regional pain syndrome type I (CRPS-I) consists of disorders caused by spontaneous pain or induced by some stimulus. The objective was to verify the effects of photobiomodulation (PBM) using 830 nm wavelength light at the affected paw and involved spinal cord segments during the warm or acute phase. Methods: Fifty-six mice were randomized into seven groups. Group (G) 1 was the placebo group; G2 and G3 were treated with PBM on the paw in the warm and acute phase, respectively; G4 and G5 treated with PBM on involved spinal cord segments in the warm and acute phase, respectively; G6 and G7 treated with PBM on paw and involved spinal cord segments in the warm and acute phase, respectively. Edema degree, thermal and mechanical hyperalgesia, skin temperature, and functional quality of gait (Sciatic Static Index [SSI] and Sciatic Functional Index [SFI]) were evaluated. Results: Edema was lower in G3 and G7, and these were the only groups to return to baseline values at the end of treatment. For thermal hyperalgesia only G3 and G5 returned to baseline values. Regarding mechanical hyperalgesia, the groups did not show significant differences. Thermography showed increased temperature in all groups on the seventh day. In SSI and SFI assessment, G3 and G7 showed lower values when compared to G1, respectively. Conclusions: PBM irradiation in the acute phase and in the affected paw showed better results in reducing edema, thermal and mechanical hyperalgesia, and in improving gait quality, demonstrating efficacy in treatment of CRPS-I symptoms.

Keywords

Acknowledgement

We are grateful to the Federal University of Santa Catarina for making the site available for this research.

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