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Efficacy of Laser Acupuncture on Neurophysiological Parameters of Median Nerve and Hand Function in Postpartum Women: A Randomized Controlled Clinical Trial. 激光针灸对产后妇女正中神经的神经电生理参数和手部功能的疗效:随机对照临床试验》。
IF 1.8 Q2 SURGERY Pub Date : 2024-10-24 DOI: 10.1089/photob.2024.0106
Afaf M Botla, Yasser R Lasheen, Shereen S Mohamed, Reem M Alwhaibi, Hoda M Zakaria, Walaa M Ragab, Manal A El-Shafei

Objective: This study was conducted to ascertain the efficacy of photo acupuncture (PA) on the neurophysiological parameters of the median nerve and hand function in postnatal women. Background: Carpal tunnel syndrome (CTS) has been documented in up to 62% of pregnant females. PA, a noninvasive treatment that utilizes photo therapy on acupoints, could aid in the management of CTS. Material and Methods: Thirty-six postpartum women diagnosed with CTS depending on their medical history, physical examination, and electrodiagnostic study were distributed into two equal-sized groups at random. The PA group (n = 18) received PA for 12 min on the following acupuncture points: PC4, PC6, PC7, PC8, HT2, HT3, HT7, LI10, LI11, LI4, LU9, and LU10. The treatment was given 3 times weekly for four weeks; in addition, night splints were worn. Women in the control group (n = 18) just wore night splints. Before and after the 12-session treatment, each woman was assessed using an electrodiagnostic test to measure the motor distal latency (MDL), sensory distal latency (SDL), motor conduction velocity (MCV), sensory conduction velocity (SCV), pinch dynamometer for assessing pinch strength, and the Brief Michigan Hand Questionnaire (BMHQ) for assessing hand function. Results: A statistically significant improvement was observed in both groups after therapy regarding SDL, SCV, MDL, MCV, pinch strength, and BMHQ (p < 0.05) in favor of the PA group. Conclusion: Adding PA to a night splint should be suggested as an effective conservative therapy for CTS in postpartum women.

研究目的本研究旨在确定光针灸(PA)对产后妇女正中神经的神经生理参数和手部功能的疗效。研究背景据记录,高达 62% 的孕妇患有腕管综合征 (CTS)。PA是一种利用光疗法对穴位进行治疗的非侵入性疗法,可帮助治疗腕管综合征。材料与方法:将根据病史、体格检查和电诊断研究确诊为 CTS 的 36 名产后妇女随机分为两组,每组人数相等。PA 组(n = 18)在以下穴位上接受 12 分钟的 PA 治疗:PC4、PC6、PC7、PC8、HT2、HT3、HT7、LI10、LI11、LI4、LU9 和 LU10。治疗每周 3 次,持续 4 周;此外,还佩戴了夜间夹板。对照组(18 人)的妇女只佩戴夜间夹板。在接受 12 个疗程的治疗前后,每位妇女都接受了电诊断测试,以测量运动远端潜伏期 (MDL)、感觉远端潜伏期 (SDL)、运动传导速度 (MCV)、感觉传导速度 (SCV)、评估捏力的捏力计以及评估手部功能的密歇根手部简明问卷 (BMHQ)。结果显示治疗后,两组患者在SDL、SCV、MDL、MCV、捏力和BMHQ方面均有明显改善(P < 0.05),PA组更明显。结论建议在夜间夹板中加入 PA,作为治疗产后女性 CTS 的有效保守疗法。
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引用次数: 0
The Biofilm Removal and Bactericidal Effect of an 810-nm High-Power Laser on an Orthodontic Bracket Surface: An In Vitro Study. 810 纳米高功率激光对正畸托槽表面生物膜的去除和杀菌作用:体外研究
IF 1.8 Q2 SURGERY Pub Date : 2024-10-23 DOI: 10.1089/photob.2024.0088
Huan Yang, Kai Yang
<p><p><b><i>Objective:</i></b> The present study aimed to analyze the biofilm removal and bactericidal effect of laser treatment alone and laser combined with ultrasonic scaling on orthodontic brackets. It also assessed whether the use of a laser can improve the efficiency of biofilm removal and bactericidal effect compared with traditional ultrasonic instrumentation. <b><i>Background Data:</i></b> <i>Streptococcus mutans</i> (<i>S. mutans</i>) can lead to white spots and dental caries. Orthodontic brackets make teeth cleaning more difficult, and biofilms or bacteria on the surface of brackets worsen the oral environment, which may cause some oral diseases. Laser can be used for biofilm removal and killing bacteria on the surface of an object through thermal, photochemical, and pressure effects, which is widely used in the treatment of oral diseases. <b><i>Methods:</i></b> A total of 600 mandibular incisor brackets were collected for this study. Among these, 320 unused brackets were used for the <i>S. mutans</i> crystal violet assay (<i>n</i> = 160) and for <i>S. mutans</i> live/dead bacterial staining (<i>n</i> = 160). Another 280 brackets, obtained from patients who had undergone therapy for over two years, were used for the mature multispecies biofilms removal assay (<i>n</i> = 120) and multispecies bacterial live/dead bacterial staining (<i>n</i> = 160). Ultrasonic scaling, laser, and laser combined with ultrasonic scaling were applied to the labial surface of brackets covered by <i>S. mutans</i> biofilm or mature multispecies biofilms. Specifically, we used the following three methods: ultrasonic scaling for 10 sec without laser; 810-nm laser (Doctor Smile, Italy, LA5D0 001.1) with 0.3-mm spot size at total 21.2 kJ/cm<sup>2</sup> for 10 sec; and 810-nm laser at total 10.6 kJ/cm<sup>2</sup> for 5 sec, followed by ultrasonic scaling for 5 sec. The 810-nm diode laser removed biofilms with a power of 1.5 W and a power density of 2.12 kW/cm<sup>2</sup>. The <i>S. mutans</i> biofilm was examined using crystal violet assay, and scanning electron microscopy (SEM) was used for mature multispecies biofilms to evaluate the effect of the three methods on biofilm removal. Live/dead bacterial staining was used to examine the bactericidal effect on remaining biofilms by confocal laser scanning microscopy (CLSM). <b><i>Results:</i></b> For <i>S. mutans</i> biofilm, the optical density (OD) value and live/dead bacterial ratio in the laser and the laser combined with ultrasonic scaling groups were significantly lower than those in the ultrasonic scaling group (<i>p</i> < 0.05); moreover, the OD value and the live/dead bacterial ratio in laser treatment combined with ultrasonic scaling and laser treatment alone showed no significant difference (<i>p</i> > 0.05). For mature multispecies biofilms, the percentage of biofilm coverage after treatment was higher in the laser group than in the ultrasonic scaling group (<i>p</i> < 0.05) and lower in the laser combined
研究目的本研究旨在分析单独使用激光治疗和激光与超声波洗牙相结合对正畸托槽的生物膜去除和杀菌效果。与传统的超声波器械相比,本研究还评估了使用激光是否能提高生物膜去除效率和杀菌效果。背景数据:变异链球菌(S. mutans)可导致白斑和龋齿。正畸托槽会增加牙齿清洁的难度,托槽表面的生物膜或细菌会使口腔环境恶化,从而引发一些口腔疾病。激光可用于清除生物膜,通过热效应、光化学效应和压力效应杀死物体表面的细菌,在口腔疾病治疗中得到广泛应用。方法:本研究共收集了 600 个下颌门牙托槽。其中,320 个未使用的托槽被用于变异杆菌水晶紫检测(160 个)和变异杆菌活/死细菌染色(160 个)。另外 280 个托架来自接受过两年以上治疗的患者,用于成熟多菌种生物膜去除试验(n = 120)和多菌种细菌活/死细菌染色(n = 160)。超声波洗牙、激光洗牙以及激光与超声波洗牙相结合的方法被应用于被变异棒状杆菌生物膜或成熟的多菌种生物膜覆盖的托槽唇面。具体来说,我们使用了以下三种方法:超声波洗牙 10 秒,不使用激光;810 纳米激光(意大利 Doctor Smile 公司,LA5D0 001.1),光斑大小为 0.3 毫米,总能量为 21.2 千焦/平方厘米,持续 10 秒;810 纳米激光,总能量为 10.6 千焦/平方厘米,持续 5 秒,然后超声波洗牙 5 秒。810 纳米二极管激光去除生物膜的功率为 1.5 W,功率密度为 2.12 kW/cm2。使用结晶紫检测法检查变异单胞菌生物膜,并使用扫描电子显微镜(SEM)观察成熟的多菌种生物膜,以评估三种方法对生物膜去除的影响。利用共焦激光扫描显微镜(CLSM)对活/死细菌染色,检查对残留生物膜的杀菌效果。结果对于变异单胞菌生物膜,激光组和激光联合超声波洗牙组的光密度(OD)值和活/死菌比均显著低于超声波洗牙组(P < 0.05);此外,激光治疗联合超声波洗牙组和单独激光治疗组的光密度(OD)值和活/死菌比无显著差异(P > 0.05)。对于成熟的多菌种生物膜,激光组治疗后生物膜覆盖率高于超声波洁治组(P < 0.05),激光联合超声波洁治组低于超声波洁治组(P < 0.05),活/死细菌染色显示,单独激光治疗杀死的细菌最多,其次是激光治疗联合超声波洁治,而单独超声波洁治很少杀死细菌。结论是单独使用激光治疗比单独使用超声波洁牙有更好的杀菌效果,也能去除更多的变异牙齿螺杆菌生物膜,但无法去除更成熟的多菌种生物膜。激光治疗结合超声波洁牙比单独使用超声波洁牙能去除更多的变异杆菌生物膜和成熟的多菌种生物膜,而且比单独使用超声波洁牙对托槽表面的杀菌效果更好。
{"title":"The Biofilm Removal and Bactericidal Effect of an 810-nm High-Power Laser on an Orthodontic Bracket Surface: An In Vitro Study.","authors":"Huan Yang, Kai Yang","doi":"10.1089/photob.2024.0088","DOIUrl":"https://doi.org/10.1089/photob.2024.0088","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;&lt;i&gt;Objective:&lt;/i&gt;&lt;/b&gt; The present study aimed to analyze the biofilm removal and bactericidal effect of laser treatment alone and laser combined with ultrasonic scaling on orthodontic brackets. It also assessed whether the use of a laser can improve the efficiency of biofilm removal and bactericidal effect compared with traditional ultrasonic instrumentation. &lt;b&gt;&lt;i&gt;Background Data:&lt;/i&gt;&lt;/b&gt; &lt;i&gt;Streptococcus mutans&lt;/i&gt; (&lt;i&gt;S. mutans&lt;/i&gt;) can lead to white spots and dental caries. Orthodontic brackets make teeth cleaning more difficult, and biofilms or bacteria on the surface of brackets worsen the oral environment, which may cause some oral diseases. Laser can be used for biofilm removal and killing bacteria on the surface of an object through thermal, photochemical, and pressure effects, which is widely used in the treatment of oral diseases. &lt;b&gt;&lt;i&gt;Methods:&lt;/i&gt;&lt;/b&gt; A total of 600 mandibular incisor brackets were collected for this study. Among these, 320 unused brackets were used for the &lt;i&gt;S. mutans&lt;/i&gt; crystal violet assay (&lt;i&gt;n&lt;/i&gt; = 160) and for &lt;i&gt;S. mutans&lt;/i&gt; live/dead bacterial staining (&lt;i&gt;n&lt;/i&gt; = 160). Another 280 brackets, obtained from patients who had undergone therapy for over two years, were used for the mature multispecies biofilms removal assay (&lt;i&gt;n&lt;/i&gt; = 120) and multispecies bacterial live/dead bacterial staining (&lt;i&gt;n&lt;/i&gt; = 160). Ultrasonic scaling, laser, and laser combined with ultrasonic scaling were applied to the labial surface of brackets covered by &lt;i&gt;S. mutans&lt;/i&gt; biofilm or mature multispecies biofilms. Specifically, we used the following three methods: ultrasonic scaling for 10 sec without laser; 810-nm laser (Doctor Smile, Italy, LA5D0 001.1) with 0.3-mm spot size at total 21.2 kJ/cm&lt;sup&gt;2&lt;/sup&gt; for 10 sec; and 810-nm laser at total 10.6 kJ/cm&lt;sup&gt;2&lt;/sup&gt; for 5 sec, followed by ultrasonic scaling for 5 sec. The 810-nm diode laser removed biofilms with a power of 1.5 W and a power density of 2.12 kW/cm&lt;sup&gt;2&lt;/sup&gt;. The &lt;i&gt;S. mutans&lt;/i&gt; biofilm was examined using crystal violet assay, and scanning electron microscopy (SEM) was used for mature multispecies biofilms to evaluate the effect of the three methods on biofilm removal. Live/dead bacterial staining was used to examine the bactericidal effect on remaining biofilms by confocal laser scanning microscopy (CLSM). &lt;b&gt;&lt;i&gt;Results:&lt;/i&gt;&lt;/b&gt; For &lt;i&gt;S. mutans&lt;/i&gt; biofilm, the optical density (OD) value and live/dead bacterial ratio in the laser and the laser combined with ultrasonic scaling groups were significantly lower than those in the ultrasonic scaling group (&lt;i&gt;p&lt;/i&gt; &lt; 0.05); moreover, the OD value and the live/dead bacterial ratio in laser treatment combined with ultrasonic scaling and laser treatment alone showed no significant difference (&lt;i&gt;p&lt;/i&gt; &gt; 0.05). For mature multispecies biofilms, the percentage of biofilm coverage after treatment was higher in the laser group than in the ultrasonic scaling group (&lt;i&gt;p&lt;/i&gt; &lt; 0.05) and lower in the laser combined","PeriodicalId":94169,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Photobiomodulation and Physical Exercise Modulate of Cell Survival Proteins in the Skeletal Muscle of Rats with Heart Failure and Diabetes Mellitus. 光生物调节和体育锻炼可调节心力衰竭和糖尿病大鼠骨骼肌中的细胞存活蛋白
IF 1.8 Q2 SURGERY Pub Date : 2024-10-23 DOI: 10.1089/photob.2024.0073
Alan Christhian Bahr, Naira Bohrer Scherer, Elizama de Gregório, Lucas Kieling, Alexandre Luz de Castro, Alex Sander da Rosa Araujo, Patrick Türck, Pedro Dal Lago

Introduction: Heart failure (HF) and type 2 diabetes mellitus (DM2) are global health problems that often lead to muscle atrophy. These conditions are associated with increased autophagy and apoptosis in the muscle cells, resulting in decreased muscle mass. Physical exercise associated with photobiomodulation (PBM) seems promising to attenuate the skeletal muscle changes caused by HF and DM2, due to its direct effects on mitochondria, which may result in an increase in antioxidant capacity. Objective: To verify the influence of physical exercise and the association with PBM on autophagy, apoptosis, and cell survival signaling pathways in myocytes from rats with HF and DM2. Materials and Methods: Male rats were assigned to one of four groups: control (CT), HF+DM (disease model), exercise+HF+DM (EX+HF+DM), and EX+HF+DM+PBM (EX+HF+DM+PBM). To induce DM2, we administered streptozotocin (STZ) (0.25 mL/kg, intraperitoneally). HF was induced by coronary ligation. One week post-induction, an 8-week aerobic exercise and PBM protocol was initiated. Western blot analysis was used to measure the expression of apoptosis-related proteins and autophagy. Results: The EX+HF+DM+PBM group showed a substantial increase in Nrf2, p-AKT, and LC3-I levels compared to the HF+DM group. Conclusions: These findings suggest that physical exercise combined with PBM can upregulate proteins that promote myocyte survival in rats with HF and DM2.

简介心力衰竭(HF)和 2 型糖尿病(DM2)是经常导致肌肉萎缩的全球性健康问题。这些疾病与肌肉细胞自噬和凋亡增加有关,导致肌肉质量下降。与光生物调节(PBM)相关的体育锻炼似乎有望减轻高血脂和糖尿病引起的骨骼肌变化,这是因为光生物调节对线粒体有直接影响,可提高抗氧化能力。研究目的验证体育锻炼和 PBM 对高血脂和 DM2 大鼠肌细胞自噬、细胞凋亡和细胞存活信号通路的影响。材料和方法:雄性大鼠分为四组:对照组(CT)、HF+DM 组(疾病模型)、运动+HF+DM 组(EX+HF+DM)和 EX+HF+DM+PBM 组(EX+HF+DM+PBM)。为了诱导DM2,我们注射了链脲佐菌素(STZ)(0.25 mL/kg,腹腔注射)。通过冠状动脉结扎诱导高血压。诱导一周后,开始为期8周的有氧运动和PBM方案。采用 Western 印迹分析法检测细胞凋亡相关蛋白和自噬的表达。结果显示EX+HF+DM+PBM组与HF+DM组相比,Nrf2、p-AKT和LC3-I水平显著增加。结论这些研究结果表明,体育锻炼结合 PBM 可上调促进 HF 和 DM2 大鼠肌细胞存活的蛋白质。
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引用次数: 0
Comparative Study of Photobiomodulation Effects on Alveolar Socket Hard Tissue Healing in Rats: Application of 980 nm Versus 810 nm Lasers. 光生物调节对大鼠牙槽窝硬组织愈合影响的比较研究:980 纳米与 810 纳米激光的应用。
IF 1.8 Q2 SURGERY Pub Date : 2024-10-18 DOI: 10.1089/photob.2024.0058
Boxi Fan, Bo Shao, Shouyin Lv, Xu Liu, Jiang Sui, Congjia Bai, Wenlong Zhang, Shengzhao Xiao, Xiao-Hui Jiao

Background: This study aimed to explore the differential effects of photobiomodulation (PBM) via 980 nm and 810 nm lasers on the hard tissue healing of rat alveolar sockets, with a focus on a comparative analysis of hard tissue regeneration and osteogenic gene expression. Objective: This study aimed to explore the effects of PBM using 980 nm and 810 nm lasers on hard tissue healing of rat alveolar sockets, focusing on hard tissue regeneration and osteogenic gene expression. Materials and Methods: Thirty-six male Wistar rats (5 weeks old) had both right and left maxillary first molars extracted. Post extraction, the right alveolar sockets received PBM treatment with either 980 nm (0.3 W, 18 J/cm2) or 810 nm (0.1 W, 6 J/cm2) lasers for seven days, whereas the left sockets served as controls. Rats were euthanized on days 3, 7, 14, and 28 for histopathological, immunohistochemical, micro computed tomography (micro-CT), and quantitative polymerase chain reactionanalyses. Results: On day 3, early granulation tissue, neovascularization, and inflammatory cell aggregates were observed in all groups. By day 7, active osteoclasts and osteoblasts were noted, with a significant increase in CD31-positive cells in the 980 nm group (p < 0.05). Day 14 showed new bone formation, and by day 28, increased cancellous bone and collagen content were present in all groups, with no significant differences between them (p > 0.05). Gene expression analysis revealed higher BMP-2 and Runx-2 levels in laser-treated groups on day 14 (p < 0.05), with the 980 nm group having higher BMP-2 levels than the 810 nm group (p < 0.05). Bone sialoprotein expression was higher in laser-treated groups on days 14 and 28 (p < 0.05), and osteocalcin expression was highest in the 980 nm group on both days (p < 0.05). Micro-CT analysis showed no significant differences among groups in bone mineral density, bone surface (BS)/bone volume (BV), or bone volume (BV)/TV (total volume) indices. Conclusion: PBM with 980 nm and 810 nm lasers promotes early-stage hard tissue healing in extraction sockets, with the 980 nm laser more effectively enhancing osteogenic gene expression, suggesting its potential as an adjunctive therapy in dental and oral surgery.

背景:本研究旨在探讨通过 980 纳米和 810 纳米激光进行光生物调节(PBM)对大鼠牙槽窝硬组织愈合的不同影响,重点是对硬组织再生和成骨基因表达进行比较分析。研究目的本研究旨在探讨使用 980 纳米和 810 纳米激光进行 PBM 对大鼠牙槽窝硬组织愈合的影响,重点关注硬组织再生和成骨基因表达。材料与方法:36 只雄性 Wistar 大鼠(5 周大)拔除了左右上颌第一磨牙。拔牙后,右侧牙槽窝接受 980 nm(0.3 W,18 J/cm2)或 810 nm(0.1 W,6 J/cm2)激光的 PBM 治疗,为期七天,而左侧牙槽窝作为对照。大鼠在第 3、7、14 和 28 天安乐死,进行组织病理学、免疫组织化学、微型计算机断层扫描 (micro-CT) 和定量聚合酶链反应分析。结果显示第 3 天,各组均观察到早期肉芽组织、新生血管和炎性细胞聚集。第 7 天,发现破骨细胞和成骨细胞活跃,980 纳米组 CD31 阳性细胞显著增加(p < 0.05)。第 14 天显示有新骨形成,到第 28 天,所有组的松质骨和胶原蛋白含量都有所增加,组间差异不显著(p > 0.05)。基因表达分析显示,第 14 天,激光治疗组的 BMP-2 和 Runx-2 水平更高(p < 0.05),其中 980 纳米组的 BMP-2 水平高于 810 纳米组(p < 0.05)。激光治疗组在第 14 天和第 28 天的骨硅蛋白表达量较高(p < 0.05),980 纳米组在这两天的骨钙素表达量最高(p < 0.05)。显微 CT 分析表明,各组在骨矿物质密度、骨表面 (BS)/ 骨体积 (BV) 或骨体积 (BV)/TV (总体积)指数方面无明显差异。结论使用 980 nm 和 810 nm 激光进行 PBM 可促进拔牙窝早期硬组织愈合,其中 980 nm 激光能更有效地增强成骨基因的表达,这表明它有可能成为牙科和口腔外科的一种辅助疗法。
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引用次数: 0
The Effects of Photobiomodulation Therapy in Cubital Tunnel Syndrome, Clinical Trial. 光生物调制疗法对拇指管综合征的影响,临床试验。
IF 1.8 Q2 SURGERY Pub Date : 2024-10-14 DOI: 10.1089/photob.2024.0089
Gurbet Yağcı, Meliha Kasapoğlu Aksoy, İlknur Aykurt Karlıbel, Meral Seferoğlu

Aim: We aimed to evaluate the effects of laser therapy together with rest splint and exercise on muscle strength, function, activities of daily living, and pain in individuals suffering from cubital tunnel syndrome (CuTS) by comparing it with placebo treatment. Materials and Methods: This prospective, single-blind, and randomized controlled study was conducted with 64 patients with CuTS in total. They were divided into two groups by randomization: Group 1 (n = 32) was provided with low-energy laser therapy + splint + exercise, and Group 2 (n = 32) was provided with low-energy sham laser therapy + splint + exercise. Patients in both groups received resting splints and nerve release exercises. Pretreatment and posttreatment (3rd week, 3rd month) evaluations were made with the Visual Analog Scale (VAS), the Quick Disability of Arm, Shoulder, and Hand Questionnaire, hand grip strength, fingertip grip strength, the Patient-Rated Ulnar Nerve Evaluation Scale (PRUNES), and Short Form-12. An electrophysiological evaluation was performed at baseline and at the 3rd month. Results: We observed significant improvements in both groups regarding pain, function, muscle strength, health profile, and quality of life in the early posttreatment (3rd week) stage and at the 3rd-month follow-up. When both groups were compared, a significant difference was determined between the VAS-Rest, VAS-Movement, PRUNES-Pain, PRUNES-Function, and PRUNES-Total parameters in the posttreatment (3rd week follow-ups), as well as PRUNES-Pain scores in the post-treatment (3rd month) stage, of the groups in favor of those in Group 1 (p < 0.05). Conclusion: The findings of our study have shown that in the treatment of CuTS, laser treatment is superior to placebo in the short term, but they have equivalent effects in the medium term. Further studies with large patient populations are needed to provide more diverse information about the therapeutic effectiveness of low-intensity laser therapy.

目的:通过与安慰剂治疗进行比较,我们旨在评估激光疗法与休息夹板和运动对肘管综合征(CuTS)患者的肌力、功能、日常生活活动和疼痛的影响。材料与方法:这项前瞻性、单盲、随机对照研究共纳入了 64 名 CuTS 患者。他们被随机分为两组:第一组(32 人)接受低能量激光治疗+夹板+运动,第二组(32 人)接受低能量假激光治疗+夹板+运动。两组患者均接受休息夹板和神经松解运动。治疗前和治疗后(第3周、第3个月)的评估包括视觉模拟量表(VAS)、手臂、肩部和手部快速残疾问卷、手部握力、指尖握力、患者评定的尺神经评估量表(PRUNES)和简表-12。在基线和第 3 个月时进行了电生理评估。结果:在治疗后早期(第 3 周)和第 3 个月的随访中,我们观察到两组患者在疼痛、功能、肌力、健康状况和生活质量方面均有明显改善。两组患者在治疗后(第 3 周随访)的 VAS-休息、VAS-运动、PRUNES-疼痛、PRUNES-功能和 PRUNES-总分参数以及治疗后(第 3 个月)的 PRUNES-疼痛评分之间存在显著差异,第一组患者更优(P < 0.05)。结论我们的研究结果表明,在治疗 CuTS 时,激光治疗的短期疗效优于安慰剂,但两者的中期疗效相当。需要对大量患者进行进一步研究,以提供有关低强度激光疗法疗效的更多信息。
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引用次数: 0
The Effect of Photobiomodulation on Bone Mineral Density, Serum Vitamin D, and Bone Formation Markers in Individuals with Complete Spinal Cord Injuries with Osteoporosis. 光生物调节对完全性脊髓损伤伴骨质疏松症患者的骨矿物质密度、血清维生素 D 和骨形成标志物的影响。
IF 1.8 Q2 SURGERY Pub Date : 2024-10-02 DOI: 10.1089/photob.2023.0195
Esmaeil Mohammadzadeh, Aref Hosseinian Amiri, Reza Fekrazad, Rainer A Leitgeb, Winfried Mayr, Kamran Ezzati

Study design: A quasi-experimental study utilized a matched-pair design, administering photobiomodulation at four-sites on one side of the body and assigning control to the other side at corresponding sites. Objectives: This study aimed to assess photobiomodulation treatment effects on bone mineral density (BMD) measurement using dual-energy X-ray-absorptiometry in individuals with complete spinal cord injury (C.SCI) and osteoporosis. Methods: Eight patients received treatment at four-sites: forearm-mid-distal (MID), proximal-femur, distal-femur, and proximal-tibia, totaling 32 sites. Using an 830 nm gallium-aluminum-arsenide semiconductor laser irradiation was administered three times weekly for 8 weeks. Different doses (energy density) were determined depending on bone depth from skin surface, as assessed by sonography and adjusted through irradiation time to be 8, 10, and 12 J/cm2 for depths <1 cm, between 1 and 1.5 cm, and >1.5 cm, respectively, using 200 mW power to deliver the optimal isodose of laser at each depth of bone within each therapeutic site. BMD was measured at baseline, week 8 of treatment, and week 15 of follow-up. Serum 25-(OH)-vitamin D and bone formation markers including osteocalcin and bone-alkaline-phosphatase (B-ALP) were also assessed at baseline and week 8 of treatment. Results: Significant increases in BMD were noted in proximal-femur and forearm-MID at both week 8 and week 15. Serum 25-(OH)-vitamin D levels significantly increased after treatment. However, no notable changes were observed in distal-femur and proximal-tibia BMD or in osteocalcin and B-ALP levels. Conclusions: Photobiomodulation (830 nm) laser demonstrated efficacy in improving BMD at proximal-femur and forearm-MID in individuals with C.SCI. Moreover, the observed positive influence on vitamin D levels suggests a potential photobiomodulation role, warranting further investigation.

研究设计:准实验研究采用配对设计,在身体一侧的四个部位进行光生物调节,并在另一侧的相应部位进行对照。研究目的本研究旨在评估光生物调节治疗对完全性脊髓损伤(C.SCI)和骨质疏松症患者使用双能 X 射线吸收测量法测量骨矿密度(BMD)的影响。治疗方法八名患者接受了四个部位的治疗:前臂-中远端(MID)、近端-股骨、远端-股骨和近端-胫骨,共 32 个部位。使用 830 纳米镓铝砷化半导体激光器进行照射,每周三次,持续 8 周。根据超声波检查评估的距皮肤表面的骨深度确定不同的剂量(能量密度),并通过照射时间将深度为 1.5 厘米的骨深度分别调整为 8、10 和 12 J/cm2,使用 200 mW 功率在每个治疗部位的每个骨深度提供最佳等剂量激光。在基线、治疗第 8 周和随访第 15 周时测量 BMD。血清 25-(OH)-vitamin D 和骨形成标志物(包括骨钙素和骨碱性磷酸酶 (B-ALP))也在基线和治疗第 8 周时进行了评估。结果显示在治疗第 8 周和第 15 周时,近端-女性和前臂-MID 的 BMD 均有显著增加。治疗后,血清 25-(OH)-vitamin D 水平显著增加。但是,远端-股骨和近端-胫骨的 BMD 以及骨钙素和 B-ALP 水平均未出现明显变化。结论光生物调节(830 nm)激光在改善 C.SCI 患者的近端-股骨和前臂-MID 的 BMD 方面具有疗效。此外,观察到的对维生素 D 水平的积极影响表明,光生物调节具有潜在的作用,值得进一步研究。
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引用次数: 0
Green Synthesis of Au-Doped Tin Oxide Nanoparticles Using Teucrium Polium Extract with Potential Applications in Photodynamic Therapy. 利用柚木提取物绿色合成掺金氧化锡纳米粒子,在光动力疗法中的潜在应用
IF 1.8 Q2 SURGERY Pub Date : 2024-10-01 Epub Date: 2024-09-24 DOI: 10.1089/photob.2024.0052
Merat Karimi, Ehsan Sadeghi, Mostafa Zahedifar, Hamed Mirzaei, Majid Nejati, Michael R Hamblin

Objective: The green synthesis of Tin(IV) oxide (SnO2): Gold (Au) nanoparticles (NPs) using Teucrium polium medicinal plant extract was investigated, and the NPs were characterized and tested as photosensitizers to produce reactive oxygen species (ROS). Methods: The cytotoxic effect on C26 cells was investigated using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) technique. The results showed their toxicity in a dose-dependent manner. The green synthesis of SnO2:Au NPs was achieved for the first time using an extract of T. polium medicinal plant as a reducing and stabilizing agent. The produced NPs were examined for their application in photodynamic therapy (PDT) for cancer. Results: Methylene blue and anthracene were used to confirm that the photosensitizer could produce ROS when excited with UVA radiation. The anticancer activity of SnO2:Au was investigated in vitro using the C26 cell line and an MTT assay, showing that PDT with SnO2:Au NPs could inhibit cancer cell proliferation. Conclusions: The significant afterglow of the SnO2:Au NPs could cause the generation of ROS to continue several minutes after switching off the light source.

目的:研究了利用柚子药用植物提取物绿色合成氧化锡(IV)(SnO2)、金(Au)纳米粒子(NPs)的方法:金(Au)纳米粒子(NPs)的绿色合成进行了研究,并对其作为光敏剂产生活性氧(ROS)进行了表征和测试。研究方法采用 3-(4,5-二甲基噻唑-2-基)-2,5-二苯基溴化四唑(MTT)技术研究了 NPs 对 C26 细胞的细胞毒性作用。结果表明,它们的毒性呈剂量依赖性。利用枸杞药用植物的提取物作为还原剂和稳定剂,首次实现了 SnO2:Au NPs 的绿色合成。研究了所制备的 NPs 在癌症光动力疗法(PDT)中的应用。结果显示用亚甲蓝和蒽证实了光敏剂在 UVA 辐射激发下能产生 ROS。使用 C26 细胞系和 MTT 试验对 SnO2:Au 的抗癌活性进行了体外研究,结果表明,使用 SnO2:Au NPs 进行光动力疗法可抑制癌细胞增殖。结论SnO2:Au NPs 的明显余辉可导致 ROS 的产生在光源关闭后持续数分钟。
{"title":"Green Synthesis of Au-Doped Tin Oxide Nanoparticles Using <i>Teucrium Polium</i> Extract with Potential Applications in Photodynamic Therapy.","authors":"Merat Karimi, Ehsan Sadeghi, Mostafa Zahedifar, Hamed Mirzaei, Majid Nejati, Michael R Hamblin","doi":"10.1089/photob.2024.0052","DOIUrl":"10.1089/photob.2024.0052","url":null,"abstract":"<p><p><b><i>Objective:</i></b> The green synthesis of Tin(IV) oxide (SnO<sub>2</sub>): Gold (Au) nanoparticles (NPs) using <i>Teucrium polium</i> medicinal plant extract was investigated, and the NPs were characterized and tested as photosensitizers to produce reactive oxygen species (ROS). <b><i>Methods:</i></b> The cytotoxic effect on C26 cells was investigated using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) technique. The results showed their toxicity in a dose-dependent manner. The green synthesis of SnO<sub>2</sub>:Au NPs was achieved for the first time using an extract of <i>T. polium</i> medicinal plant as a reducing and stabilizing agent. The produced NPs were examined for their application in photodynamic therapy (PDT) for cancer. <b><i>Results:</i></b> Methylene blue and anthracene were used to confirm that the photosensitizer could produce ROS when excited with UVA radiation. The anticancer activity of SnO<sub>2</sub>:Au was investigated in vitro using the C26 cell line and an MTT assay, showing that PDT with SnO<sub>2</sub>:Au NPs could inhibit cancer cell proliferation. <b><i>Conclusions:</i></b> The significant afterglow of the SnO<sub>2</sub>:Au NPs could cause the generation of ROS to continue several minutes after switching off the light source.</p>","PeriodicalId":94169,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Underexplored Areas of Photobiomodulation in Oral Oncology: An Expert Analysis. 口腔肿瘤学中尚未充分开发的光生物调节领域:专家分析。
IF 1.8 Q2 SURGERY Pub Date : 2024-10-01 DOI: 10.1089/photob.2023.0155
Luiz Alcino Gueiros, Margherita Gobbo, Alan Roger Santos-Silva, Elisabetta Merigo, Wanessa Miranda-Silva, Eduardo Rodrigues Fregnani, Giulia Ottaviani, Elisa Kauark-Fontes, Rene-Jean Bensadoun, Praveen Arany

Objective: This study aimed to review the current body of literature on underexplored areas of photobiomodulation (PBM) for preventing and/or treating oral adverse events. Background: Recent studies suggest that PBM may offer potential benefits in managing cancer-related toxicities other than oral mucositis. Nevertheless, further research to establish conclusive evidence is still missing. Methods: A panel of specialists conducted a narrative review to evaluate the evidence on PBM therapy for oral mucositis, xerostomia, dysgeusia, dysphagia, and trismus/fibrosis. Each topic was reviewed by two specialists who discussed treatment rationale, summarized current evidence, evaluated risk/benefit ratio, and identified future research directions. Results: The current evidence suggests promising outcomes in nonroutine uses of PBM for xerostomia, dysgeusia, odynophagia, oral mucositis (extraoral PBM and the pediatric population), and trismus/fibrosis. However, the primary studies are often small and may have biases that require further evaluation, particularly regarding treatment safety. Conclusion: Despite the overall positive impression of PBM therapy for oral adverse events of cancer treatment, robust evidence from large multicentered studies is necessary to support its widespread clinical use.

研究目的本研究旨在回顾目前有关光生物调控 (PBM) 用于预防和/或治疗口腔不良事件的未充分探索领域的文献。背景:最近的研究表明,光生物调节疗法在控制癌症相关毒性反应(口腔粘膜炎除外)方面具有潜在的益处。然而,目前仍缺乏进一步的研究来确立确凿的证据。研究方法一个专家小组进行了叙述性综述,以评估 PBM 治疗口腔黏膜炎、口腔异物感、吞咽困难和咀嚼障碍/纤维化的证据。每个主题都由两名专家进行评审,他们讨论了治疗原理、总结了当前证据、评估了风险/效益比,并确定了未来的研究方向。结果:目前的证据表明,非日常使用 PBM 治疗口腔异物感、吞咽困难、吞咽困难、口腔粘膜炎(口外 PBM 和儿童人群)以及咀嚼肌痉挛/纤维化的效果很好。不过,主要研究的规模通常较小,可能存在偏差,需要进一步评估,尤其是在治疗安全性方面。结论:尽管PBM疗法在治疗癌症口腔不良反应方面给人的总体印象是积极的,但仍需要大型多中心研究的有力证据来支持其在临床上的广泛应用。
{"title":"Underexplored Areas of Photobiomodulation in Oral Oncology: An Expert Analysis.","authors":"Luiz Alcino Gueiros, Margherita Gobbo, Alan Roger Santos-Silva, Elisabetta Merigo, Wanessa Miranda-Silva, Eduardo Rodrigues Fregnani, Giulia Ottaviani, Elisa Kauark-Fontes, Rene-Jean Bensadoun, Praveen Arany","doi":"10.1089/photob.2023.0155","DOIUrl":"https://doi.org/10.1089/photob.2023.0155","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This study aimed to review the current body of literature on underexplored areas of photobiomodulation (PBM) for preventing and/or treating oral adverse events. <b><i>Background:</i></b> Recent studies suggest that PBM may offer potential benefits in managing cancer-related toxicities other than oral mucositis. Nevertheless, further research to establish conclusive evidence is still missing. <b><i>Methods:</i></b> A panel of specialists conducted a narrative review to evaluate the evidence on PBM therapy for oral mucositis, xerostomia, dysgeusia, dysphagia, and trismus/fibrosis. Each topic was reviewed by two specialists who discussed treatment rationale, summarized current evidence, evaluated risk/benefit ratio, and identified future research directions. <b><i>Results:</i></b> The current evidence suggests promising outcomes in nonroutine uses of PBM for xerostomia, dysgeusia, odynophagia, oral mucositis (extraoral PBM and the pediatric population), and trismus/fibrosis. However, the primary studies are often small and may have biases that require further evaluation, particularly regarding treatment safety. <b><i>Conclusion:</i></b> Despite the overall positive impression of PBM therapy for oral adverse events of cancer treatment, robust evidence from large multicentered studies is necessary to support its widespread clinical use.</p>","PeriodicalId":94169,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experimental and Chitosan-Infused Adhesive with Dentin Pretreated with Femtosecond Laser, Methylene Blue-Activated Low-Level Laser, and Phosphoric Acid. 用飞秒激光、亚甲基蓝激活低强度激光和磷酸预处理牙本质的实验粘合剂和注入壳聚糖的粘合剂。
IF 1.8 Q2 SURGERY Pub Date : 2024-10-01 Epub Date: 2024-07-29 DOI: 10.1089/pho.2024.0077
Fahad Alkhudhairy

Aim: To prepare experimental adhesive (EA) with 1% and without chitosan nanoparticles on dentin conditioned with a conventional technique phosphoric acid (PA) compared with two different contemporary techniques: photodynamic therapy (PDT) and femtosecond laser (FSL). Method: The methodology consisted of synthesis of EA and 1% chitosan-modified adhesive (CMA). Scanning electron microscopy, dentin adhesive interface assessment, energy-dispersive spectroscopy, shear bond strength (SBS), degree of conversion (DC), and bond failure were assessed. Teeth were selected, disinfected, and mounted in acrylic up to the cementoenamel junction. Occlusal enamel was removed and teeth were randomly allocated into groups and conditioned. These included Group 1: samples treated with PA; Group 2: specimens conditioned with methylene blue photosensitizer (MBP) activated by PDT; and Group 3: samples conditioned with FSL. Following different conditioning regimes, specimens were bonded using 1% CMA and EA. The composite buildup was followed by SBS testing and a bond failure assessment. DC was assessed for both EA and CMA. Analysis of variance and Tukey's post hoc test were used to compare the mean and standard deviation of SBS and DC in different experimental groups, with a significance level of p < 0.05. Results: Dentin pretreated with etch and rinse demonstrated the highest bond strength with 1% CMA. Dentin conditioned with MBP activated by PDT and bonded to EA showed the lowest bond scores. Overall SBS values of 1% CMA were better than EA irrespective of the conditioning regime of dentin. The DC was higher in EA adhesive. This was followed by DC in 1% CMA. DC in EA was found to be comparable with 1% CMA. Conclusions: PA remains the gold standard for dentin conditioning. The incorporation of 1% chitosan in adhesive improves SBS and results in no change in DC. The use of FSL in dentin conditioning can be used as an alternative approach as it results in SBS within acceptable limits. The study was approved by the ethical board of King Saud University.

目的:制备含 1%和不含壳聚糖纳米颗粒的牙本质实验粘合剂(EA),并将其与两种不同的现代技术:光动力疗法(PDT)和飞秒激光(FSL)进行比较。方法:方法包括合成 EA 和 1%壳聚糖改性粘合剂(CMA)。对扫描电子显微镜、牙本质粘接界面评估、能量色散光谱、剪切粘接强度(SBS)、转换度(DC)和粘接失败进行评估。选取牙齿,进行消毒,并将其安装在丙烯酸树脂中,直至牙本质釉质交界处。去除咬合面珐琅质,将牙齿随机分配到不同的组别并进行调节。其中包括:第 1 组:用 PA 处理的样本;第 2 组:用亚甲基蓝光敏剂 (MBP) 激活 PDT 调理的样本;第 3 组:用 FSL 调理的样本。在采用不同的调节机制后,使用 1% CMA 和 EA 对试样进行粘合。复合材料堆积后进行 SBS 测试和粘接失效评估。对 EA 和 CMA 都进行了 DC 评估。采用方差分析和 Tukey 后验法比较不同实验组中 SBS 和 DC 的平均值和标准偏差,显著性水平为 p <0.05。结果经蚀刻和冲洗预处理的牙本质与 1% CMA 的粘接强度最高。用 PDT 激活的 MBP 调理牙本质并与 EA 粘接后,粘接得分最低。无论牙本质的调节机制如何,1% CMA 的总体 SBS 值都优于 EA。EA 粘合剂的 DC 值较高。其次是 1%CMA。发现 EA 中的 DC 与 1%CMA相当。结论:PA 仍是牙本质调节的黄金标准。在粘合剂中加入 1%的壳聚糖可提高 SBS,但不会改变 DC。在牙本质调节中使用 FSL 可作为一种替代方法,因为它能使 SBS 在可接受的范围内。该研究已获得沙特国王大学伦理委员会的批准。
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引用次数: 0
Analysis of the Ultrasensitive C-Reactive Protein and Homocysteine Biomarkers after Photobiomodulation Therapy in Hormone Blocker-Treated Mastectomized Women: A Randomized, Blind, and Controlled Clinical Study. 激素阻断剂治疗的乳房切除妇女接受光生物调节疗法后的超敏 C 反应蛋白和同型半胱氨酸生物标志物分析:一项随机、盲法对照临床研究。
IF 1.8 Q2 SURGERY Pub Date : 2024-10-01 DOI: 10.1089/photob.2024.0071
Juliano Abreu Pacheco, Kelly Fernanda Molena, Eugenia Velludo Veiga

Main: The pharmacological treatment of cancer can lead to undesirable hemodynamic adverse effects. Laser therapy may promote hemodynamic balance in these patients. This study aimed to analyze the values of the biomarkers ultrasensitive C-reactive protein (PCR_us) and Homocysteine (HCy) after the use of intravascular laser irradiation of blood (ILIB) in mastectomized patients using hormonal blockers Tamoxifen and Aromatase Inhibitors. Methods: This was an experimental, placebo-controlled, randomized clinical trial with experimental (G1) and control (G2) groups. In G1, patients were irradiated with ILIB using a red laser at 660 nm on the carotid artery, while G2 received a placebo treatment. Blood collection for HCy and us-CRP biomarker evaluation was conducted monthly for 4 months. Statistical analysis was performed using R Studio 4.4.2 and JAMOVI, with a significance level of 5%. Results: A total of 21 patients participated in the study, with 12 in G1 and 9 in G2. There were no differences in age, systolic, diastolic blood pressure, and heart rate between the groups. The initial and final mean PCR_us levels for G1 were 6.8 and 3.8 mg/dL, and for HCy were 14.2 and 12.1 µmol/L, respectively. While for G2 initial and final mean PCR_us levels were 9.40 and 7.60 mg/dL, and for HCy were 14.33 and 16.69 µmol/L. There was no statistical difference for PCR_us. However, a significant difference between the groups (p < 0.05) for HCy in the 3rd and 4th months. Conclusion: During ILIB Therapy, there was a reduction in HCy, which may favor the improvement of cardiovascular function in these patients undergoing anticancer therapies.

主要内容:癌症的药物治疗可能会对血液动力学产生不良影响。激光疗法可促进这些患者的血液动力学平衡。本研究旨在分析使用激素阻断剂他莫昔芬和芳香化酶抑制剂的乳腺切除术患者使用血管内激光照射血液(ILIB)后的生物标志物超敏 C 反应蛋白(PCR_us)和同型半胱氨酸(HCy)的值。研究方法这是一项实验、安慰剂对照、随机临床试验,分为实验组(G1)和对照组(G2)。在 G1 组中,使用波长为 660 纳米的红色激光对患者的颈动脉进行 ILIB 照射,而 G2 组则接受安慰剂治疗。在为期 4 个月的时间里,每月采集血液进行 HCy 和 us-CRP 生物标志物评估。统计分析使用 R Studio 4.4.2 和 JAMOVI 进行,显著性水平为 5%。结果共有 21 名患者参与了研究,其中 G1 组 12 人,G2 组 9 人。两组患者的年龄、收缩压、舒张压和心率均无差异。G1 组的 PCR_us 初始和最终平均水平分别为 6.8 和 3.8 mg/dL,HCy 初始和最终平均水平分别为 14.2 和 12.1 µmol/L。而 G2 的 PCR_us 初始和最终平均水平分别为 9.40 和 7.60 mg/dL,HCy 为 14.33 和 16.69 µmol/L。PCR_us 没有统计学差异。但在第 3 个月和第 4 个月,各组间的 HCy 存在明显差异(p < 0.05)。结论在 ILIB 治疗期间,HCy 有所下降,这可能有利于正在接受抗癌治疗的患者改善心血管功能。
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引用次数: 0
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Photobiomodulation, photomedicine, and laser surgery
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