Journal of Biomedical Engineering Research (대한의용생체공학회:의공학회지)

The Korean Society of Medical and Biological Engineering (대한의용생체공학회)
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Evaluation of the Clinical Effectiveness of Laser Acupuncture for Disease Specific : Systematic Reviews and Meta-analyses

질환별 레이저 침의 임상적 효과 평가 : 체계적 문헌고찰 및 메타분석

  • DaeJin Kim (Department of Korea Medicine policy, Korea Institute of Oriental Medicine) ;
  • Byunghee Choi (Department of Korea Medicine policy, Korea Institute of Oriental Medicine) ;
  • Taeyeung Kim (Bio & Medical Device Audit Center, Medical Health Division, Korea Testing Laboratory) ;
  • Sukang Park (Korea Testing Certification Institute) ;
  • Jinyoug Kwak (Korea Testing Certification Institute)
  • 김대진 (한국한의학연구원 한의정책팀) ;
  • 최병희 (한국한의학연구원 한의정책팀) ;
  • 김태영 (한국산업기술시험원 바이오의료심사센터) ;
  • 박수강 (한국기계전기전자시험연구원) ;
  • 곽진영 (한국기계전기전자시험연구원)
  • Received : 2024.01.22
  • Accepted : 2024.04.09
  • Published : 2024.04.30
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Abstract

Purpose : This study conducted a systematic review and meta-analysis to evaluate the clinical effectiveness of laser acupuncture for each condition using information from laser acupuncture trials registered on clinicaltrials.gov from January 2013 to June 2023. Methods : We quantitatively and qualitatively analysed the results of 16 clinical trials of laser acupuncture whose research results were confirmed. A risk of bias assessment was also carried out to assess the quality of each clinical trial. Results : A meta-analysis including three clinical trials was conducted to evaluate the comparative effectiveness of laser acupuncture and sham laser acupuncture in reducing pain and found that the laser acupuncture group had a statistically significant reduction in pain compared with the sham laser acupuncture group. In addition, 11 of the 13 trials not included in the meta-analysis showed a positive effect of laser acupuncture. Conclusion : Although laser acupuncture has a long history of clinical use and a lot of research, there is still some scepticism due to the lack of a clear mechanism of action and inconsistent reports of clinical effectiveness. In addition, there is a significant lack of systematic reviews of clinical evidence for major disease specific, and ongoing research is needed to establish an objective evidence base for the clinical effectiveness of laser acupuncture.

Keywords

Acknowledgement

이 논문은 저자가 주 저자로 참여하였던 「레이저 침 임상시험 동향 분석(한국한의학연구원, 2023.7.)」 한의정책이슈리포트를 토대로 재구성한 결과이며, 한국한의학연구원 「한의정책기반연구사업(KSN2023422)」의 연구비 지원을 받아 수행된 결과로 이에 감사드립니다.

References

  1. Hung YC, Hung IL, Hu WL, Tseng YJ, Kuo CE, Liao YN, Wu BY, Tsai CC, Tsai PY, Chen HP, Huang MH, Su FY. Reduction in postpartum weight with laser acupuncture: a randomized control trial. Medicine, 2016;95(34):e4716. 
  2. Baxter D. Laser acupuncture analgesia: an overview. Acupuncture in Medicine. 1989;6(2):57-60. 
  3. Whittaker P. Laser acupuncture: past, present, and future. Lasers in medical science. 2004;19:69-80. 
  4. Jang I, Sun S, Jeong M. Early history of laser acupuncture: who used it first?. Integrative Medicine Research, 2019;8(2):129. 
  5. Litscher G. History of laser acupuncture: A narrative review of scientific literature. Medical Acupuncture. 2020;32(4):201-208. 
  6. Zhou YC. An advanced clinical trial with laser acupuncture anesthesia for minor operations in the oro-maxillofacial region. Lasers in surgery and medicine. 1984;4(3):297-303. 
  7. Bahr F, Litscher G. Laser acupuncture and innovative laser medicine. Stulz-Druck & Medien GmbH: Publisher; 2018. pp. 13-15. 
  8. https://clinicaltrials.gov/study/NCT02522403. Accessed on 12 June 2023. Acupuncture in Distal Radius Fracture Patients. Identifier NCT02522403. 
  9. Pereira RDDM, Alvim NAT, Pereira CD, Gomes Junior SCDS. Laser acupuncture protocol for essential systemic arterial hypertension: randomized clinical trial. Revista Latino-Americana de Enfermagem. 2018;26:e2936. 
  10. Hu WL, Yu HJ, Pan LY, Wu PC, Pan CC, Kuo CE, Tseng YJ, Hung YC. Laser acupuncture improves tear film stability in patients with dry eye disease: a two-center randomized-controlled trial. The Journal of Alternative and Complementary Medicine. 2021;27(7):579-587. 
  11. Nagy EN, Ali AY, Behiry ME, Naguib MM, Elsayed MM. Impact of combined photo-biomodulation and aerobic exercise on cognitive function and quality-of-life in elderly Alzheimer patients with anemia: A randomized clinical trial. International Journal of General Medicine. 2021;14:141-152. 
  12. Adly AS, Adly AS, Adly MS. Effects of laser acupuncture tele-therapy for rheumatoid arthritis elderly patients. Lasers in Medical Science, 2022;37(1):499-504. 
  13. Elsayed MM, Abdallah GA, Hassan SS, Nagy EN. Effect of exercise training with laser phototherapy on homeostasis balance resistant to hypercoagulability in seniors with obesity: a randomized trial. Scientific Reports. 2023;13(1):3592. 
  14. Ahi ED, Sirzai H. Comparison of the effectiveness of dry needling and high-intensity laser therapy in the treatment of myofascial pain syndrome: a randomized single-blind controlled study. Lasers in Medical Science, 2022;38(1):3. 
  15. Yang HH, Chung YC, Szeto PP, Yeh ML, Lin JG. Laser acupuncture combined with auricular acupressure improves lowback pain and quality of life in nurses: A randomized controlled trial. Journal of Integrative Medicine. 2023;21(1):26-33. 
  16. Hassan ES, Maged AM, Kotb A, Fouad M, El-Nassery N, Kamal WM. Effect of laser acupuncture on pain and density of bone in osteoporotic postmenopausal women: a randomized controlled trial. Menopause. 2023;30(5):545-550. 
  17. Maged AM, Hassanin ME, Kamal WM, Abbassy AH, Alalfy M, Askalani AN, El-Lithy A, Nabil M, Farouk D, Hussein EA, Hammad B. Effect of low-level laser therapy versus electroacupuncture on postnatal scanty milk secretion: a randomized controlled trial. American journal of perinatology. 2019;37(12):1243-1249. 
  18. https://clinicaltrials.gov/study/NCT01773291. Accessed on 7 June 2023. 
  19. Sampaio-Filho H, Bussadori SK, Goncalves MLL, Silva DDFTD, Borsatto MC, Tortamano IP, Longo PL, Pavani C, Fernandes KPS, Mesquita-Ferrari RA, Horliana ACRT. Low-level laser treatment applied at auriculotherapy points to reduce postoperative pain in third molar surgery: A randomized, controlled, single-blinded study. PLoS One. 2018;13(6):e0197989. 
  20. Oates A, Benedict KA, Sun K, Brakeman PR, Lim J, Kim C. Laser acupuncture reduces pain in pediatric kidney biopsies: a randomized controlled trial. Pain. 2017;158(1):103. 
  21. Huang CH, Yeh ML, Chen FP, Wu D. Low-level laser acupuncture reduces postoperative pain and morphine consumption in older patients with total knee arthroplasty: A randomized placebo-controlled trial. Journal of integrative medicine. 2022;20(4):321-328. 
  22. Liu CT, Hsieh TM, Wu BY, Huang YC, Shih CH, Hu WL, Tsai MY, Chen YH. Acupuncture Analgesia in Patients With Traumatic Rib Fractures: A Randomized-Controlled Trial. Frontiers in Medicine. 2022;9:896692. 
  23. Baldry PE. Acupuncture, trigger points and musculoskeletal pain. Churchill Livingstone: Publisher; 1989. pp. 273-286 
  24. Yeo C, Son T, Park J, Lee YH, Kwon K, Nelson JS, Jung B. Development of compression-controlled low-level laser probe system: towards clinical application. Lasers in medical science. 2010;25:699-704. 
  25. Kwon KW, Son TY, Yeo CM, BJ Jung. Numerical modeling of compression-controlled low-level laser probe for increasing photon density in soft tissue. Journal of the Optical Society of Korea. 2011;15(4):321-328. 
  26. Yeo C, Kang H, Bae Y, Park J, Nelson JS, Lee KJ, Jung B. Development of an Optical Tissue Clearing Laser Probe System. Journal of the Optical Society of Korea. 2013;17(4):289-295. 
  27. Kim HH, Nam DW, Lee SH. Fundamentals and Research Trend of Laser Acupuncture. Journal of Acupuncture Research. 2009;26(6):21-30.