LASER THERAPY

Improvement in Patients with Chronic Whiplash Associated Disorder

"Our earliest research revealed and later clinical studies confirmed that high immediate and short-term pain reliefs are extremely important for good outcome of the entire course of treatment. "
Dr. Norman Salansky, PhD
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Photonic and Laser Therapy LEP2000 Is Effective for Pain Relief and Disability Improvement in Patients with Chronic Whiplash Associated Disorder: Placebo Controlled Randomized Clinical Trial

While many individuals recover from MVA injury with conventional therapies including active exercise program, others develop chronic pain related to whiplash associated disorder (chronic WAD, >3 months). Recent Cochrane Database review did not reveal any effective therapies or treatment guidelines available for chronic WAD . Active exercise program does not appear to work for the individuals with chronic whiplash. Persistent pain appears to be a stumbling block for their recovery, and, in some cases, their pain is getting worse after exercises.

The main goal of this pilot clinical trial was to evaluate the efficacy of Low Energy Photonic and Laser Therapy (LEPT), Doctors Salansky Protocol, for chronic whiplash associated disorder grade II injuries (WAD II) with complaint of back symptoms using LEP2000 Photonic and Laser Therapy System. 16 patients, 8 males, 8 females (mean age 47.8 years, range 19-66)), suffering from chronic pain related to whiplash associated disorder grade II (mean duration of symptoms 4.6 months, range 3.1-7.5) entered the study. Patients were randomized to two treatment groups:
Group 1 received real LEPT, Doctors Salansky protocol and conventional therapy;
Group 2 received placebo LEPT and conventional therapy.

Conventional therapy included exercise program. Treatments were administered twice a week for 6 weeks, 12 treatments total. LEPT, Doctors Salansky Protocol, was administered using LEP2000 Photonic and Laser Therapy System with LED Module (wavelengths 880nm), and Laser Module LD100 (wavelength 806nm). Placebo LEPT treatments did not differ from the real LEPT, with the exception, that there was no optical emission from the placebo device. Treatments were administered 2 times per week for 6 weeks, 12 treatments total. The following outcome measures were taken prior to the study and after the course of 12 treatments: neck and back pain by 10 cm pain VAS (0-10), Low Back Pain Questionnaire (Revised Oswestry) , and Neck Disability Index.

Laser Therapy and Chronic Whiplash Associated Disorder

Laser Therapy and Chronic Whiplash Associated Disorder

Statistical analysis revealed that there were no baseline statistically significant differences between groups for the variables: age, gender, or pain duration.
  • After the course of LEPT treatments, substantial statistically and clinically significant improvements in neck pain (p<0.001) by VAS 2.9 (60.4%) and back pain (p<0.001) by VAS 2.85 (42.5%) were observed (see Fig. 1, 3) in real LEPT group.
  • There were also observed statistically and clinically significant improvements in the Neck Disability Index (p<0.001) by 28.4% and Back Disability Index (p<0.001) by 18.5% (see Fig. 2, 4) in real LEPT group.
  • There were no improvements in pain or disability indexes in placebo group.
  • In conclusion, LEPT LEP2000, Doctors Salansky Protocol, was effective for the treatment of neck and back pain and disability in patients with chronic WAD II.

Manuscript in preparation for publication.

Verhagen AP, Scholten-Peeters GG, de Bie RA, Bierma-Zeinstra SM. Conservative treatments for whiplash. : Cochrane Database Syst Rev. 2004;(1):CD003338.

Fairbank, Physiotherapy 1981; 66(8): 271-3, Hudson-Cook. In Roland, Jenner (eds.), Back Pain New Approaches To Rehabilitation & Education. Manchester Univ Press, Manchester 1989: 187-204

Vernon, Mior. JMPT 1991; 14(7): 409-15

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