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Les mécanismes du laser doux – syndrome du tunnel carpien

Healed by the Light
08/04/2018
COLD LASERS IN PAIN MANAGEMENT
08/04/2018

Les mécanismes du laser doux – syndrome du tunnel carpien

Les résultats de ces changements biochimiques et cellulaires des animaux et des patients incluent des avantages tels que la guérison accrue dans les blessures chroniques, les améliorations dans des dommages de sports et le syndrome de tunnel de carpal, la réduction de douleur de l’arthrite et des neuropathies, et l’amélioration des dommages après les crises cardiaques, la course, les dommages de nerf et la toxicité rétinienne.


Mechanisms of Low Level Light Therapy


HAMBLIN Michael R., Massachusetts General Hospital and Harvard Medical School and Harvard-MIT

DEMIDOVA Tatiana N., Massachusetts General Hospital and Tufts Univ. School of Medicine


Progress in biomedical optics and imaging,  2006, vol. 7, no26, [Note(s): 614001.1-614001.12]  

 

The use of low levels of visible or near infrared light for reducing pain, inflammation and edema, promoting healing of wounds, deeper tissues and nerves, and preventing tissue damage has been known for almost forty years since the invention of lasers. Originally thought to be a peculiar property of laser light (soft or cold lasers), the subject has now broadened to include photobiomodulation and photobiostimulation using non-coherent light. Despite many reports of positive findings from experiments conducted in vitro, in animal models and in randomized controlled clinical trials, LLLT remains controversial. This likely is due to two main reasons; firstly the biochemical mechanisms underlying the positive effects are incompletely understood, and secondly the complexity of rationally choosing amongst a large number of illumination parameters such as wavelength, fluence, power density, pulse structure and treatment timing has led to the publication of a number of negative studies as well as many positive ones. In particular a biphasic dose response has been frequently observed where low levels of light have a much better effect than higher levels. This introductory review will cover some of the proposed cellular chromophores responsible for the effect of visible light on mammalian cells, including cytochrome c oxidase (with absorption peaks in the near infrared) and photoactive porphyrins. Mitochondria are thought to be a likely site for the initial effects of light, leading to increased ATP production, modulation of reactive oxygen species and induction of transcription factors. These effects in turn lead to increased cell proliferation and migration (particularly by fibroblasts), modulation in levels of cytokines, growth factors and inflammatory mediators, and increased tissue oxygenation. The results of these biochemical and cellular changes in animals and patients include such benefits as increased healing in chronic wounds, improvements in sports injuries and carpal tunnel syndrome, pain reduction in arthritis and neuropathies, and amelioration of damage after heart attacks, stroke, nerve injury and retinal toxicity.

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