Table 6.39Symptoms

Pain outcomeReferenceInterventionAssessment timeOutcome/effect size
Knee
Pain intensity at rest(VAS); pain intensity on activation (VAS); WOMAC pain1 RCT (Tascioglu et al. 2004) (N=60)Laser vs placebo laser3 weeks and 6 months follow-upNS
Pain (VAS); medical tenderness scoreRCT (Yurtkuran et al. 2007) (N=55)Laser acupuncture + exercise vs placebo laser acupuncture + exercise2 Weeks (end of treatment) and 12 weeks (10 weeks post-treatmentNS
Mixed (Knee or hand or thumb or unspecified sites)
Number of patients with no pain relief1 MA (Brosseau et al. 2006)1 RCT, N=8Laser vs placebo laserNot mentionedPeto OR 0.06,% CI 0.00 to 0.88, p=0.04
Favours laser
Patient pain – different scales1 MA (Brosseau et al. 2006)3 RCTs, N=145Laser vs placebo laserNot mentionedSignificant hetero geneity

From: 6, Non-pharmacological management of osteoarthritis

Cover of Osteoarthritis
Osteoarthritis: National Clinical Guideline for Care and Management in Adults.
NICE Clinical Guidelines, No. 59.
National Collaborating Centre for Chronic Conditions (UK).
Copyright © 2008, Royal College of Physicians of London.

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