Evidence map›Paper›PMID 34391447›Full record

ArticleBMC sports science, medicine & rehabilitation2021

The effect of low-level red and near-infrared photobiomodulation on pain and function in tendinopathy: a systematic review and meta-analysis of randomized control trials.

Nicholas Tripodi, Jack Feehan, Maja Husaric, Fotios Sidiroglou, Vasso Apostolopoulos

Open access · goldAbstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Light therapy in medicine: where do we stand?Annals of translational medicine · 2026
    Review
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  13. Review
  14. Effectiveness of Photobiomodulation and Exercise-Based Rehabilitation on Pain and Functional Recovery in Patients With Rotator Cuff Pathology.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Nicholas TripodiInstitute for Health and Sport, Victoria University, Room 1.16, 301 Flinders Lane, Melbourne, VIC, 3000, Australia. nicholas.Tripodi@vu.edu.au.ORCID https://orcid.org/0000-0001-5062-0409
Jack FeehanInstitute for Health and Sport, Victoria University, Room 1.16, 301 Flinders Lane, Melbourne, VIC, 3000, Australia.ORCID https://orcid.org/0000-0002-9627-1299
Maja HusaricInstitute for Health and Sport, Victoria University, Room 1.16, 301 Flinders Lane, Melbourne, VIC, 3000, Australia.ORCID https://orcid.org/0000-0001-5627-7541
Fotios SidiroglouFirst Year College, Victoria University, Melbourne, Australia.ORCID https://orcid.org/0000-0002-9399-8484
Vasso ApostolopoulosInstitute for Health and Sport, Victoria University, Room 1.16, 301 Flinders Lane, Melbourne, VIC, 3000, Australia.ORCID https://orcid.org/0000-0001-6788-2771
Victoria University · AUAustralian Institute for Musculoskeletal Science · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTendinopathy is a common clinical condition that can significantly affect a person's physical function and quality of life. Despite exercise therapy being the mainstay of tendinopathy management, there are many potential adjunct therapies that remain under investigated, one of which is photobiomodulation (PBM). PBM uses varied wavelengths of light to create a biological effect. While PBM is used frequently in the management of tendinopathy, high quality evidence supporting its utility is lacking.

methodsA systematic search of the Pubmed, CINAHL, SCOPUS, Cochrane Database, Web of Science and SPORTSDICUS databases was performed for eligible articles in August 2020. Randomized Control Trials that used red or near-infrared PBM to treat tendinopathy disorders that made comparisons with a sham or 'other' intervention were included. Pain and function data were extracted from the included studies. The data were synthesized using a random effects model. The meta-analysis was performed using the mean difference (MD) and standardized mean difference (SMD) statistics.

resultsA total of 17 trials were included (n = 835). When compared solely to other interventions PBM resulted in similar decreases in pain (MD -0.09; 95% CI - 0.79 to 0.61) and a smaller improvement in function (SMD -0.52; 95% CI - 0.81 to - 0.23). When PBM plus exercise was compared to sham treatment plus exercise, PBM demonstrated greater decreases in pain (MD 1.06; 95% CI 0.57 to 1.55) and improved function (MD 5.65; 95% CI 0.25 to 11.04). When PBM plus exercise was compared to other interventions plus exercise, no differences were noted in pain levels (MD 0.31; 95% CI - 0.07 to 0.70). Most studies were judged as low-risk of bias. The outcome measures were classified as very low to moderate evidence quality according to the Grading of Recommendation, Development and Evaluation tool.

conclusionThere is very-low-to-moderate quality evidence demonstrating that PBM has utility as a standalone and/or adjunctive therapy for tendinopathy disorders.

trial registrationPROPERO registration number: CRD42020202508 .

Indexed as

Low-level laser therapyMeta-analysisPainPhotobiomodulationSystematic reviewTendinopathy

Identifiers

PMID34391447
PMCPMC8364035
OpenAlexW3195429976

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.