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22.03.2019 | Original Article

Changes in local skin temperature after the application of a pulsed Nd:YAG laser to healthy subjects: a prospective crossover controlled trial

verfasst von: Mohamed Salaheldien Alayat, Ahmed Mohamed Elsodany, Abdulrahman Fuad Miyajan, Abdulrhman Ali Alzhrani, Hussam Mohammed Saeed Alzhrani, Abdulrahman Mohammad Maqliyah

Erschienen in: Lasers in Medical Science | Ausgabe 8/2019

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Abstract

Pulsed Nd:YAG laser (1064 nm) is a recent modality that is used for the rehabilitation of musculoskeletal disorders, but there is no evidence about its thermal effects. The aim of the study was to investigate the changes in local skin temperature (LST) after the application of a pulsed Nd:YAG laser to healthy subjects. The study participants were 30 male subjects with an average age of 21.96 (± 0.92) years. A rectangular area (15 × 10 cm²) was marked at the front of the dominant thigh and scanned with a laser beam at 3000 J with 20 J/cm² for 15 min. The other thigh was considered as a control side. The minimum, average, and maximum LSTs were measured using a thermographic camera. The measurements were performed before laser application, immediately after, and then every minute until the LST returned to the pre-treatment value. An independent t test and repeated measures ANOVA were used to analyze the changes in LST. The level of significance was set at p < 0.05. The pulsed Nd:YAG laser significantly increased the minimum, average, and maximum LSTs in comparison with the control. The increase was significant for up to 5 min after the application, and it took 10 min to reach the baseline values. The level of increase was 1.23–4.03 °C, and the average increase was 2.6 °C. The pulsed Nd:YAG laser significantly increased the minimum, average, and maximum LSTs of the thigh area in normal subjects, and the thermal effect lasted for 5 min after application.

Bellew J, Michlovitz S, Nolan T (2016) Michlovitz’s modalities for therapeutic intervention, 6th edn, p 178

Knappe V, Frank F, Rohde E (2004) Principles of lasers and biophotonic effects. Photomed Laser Surg 22(5):411–417. https://doi.org/10.1089/pho.2004.22.411 CrossRefPubMed

Mester E, Mester AF, Mester A (1985) The biomedical effects of laser application. Lasers Surg Med 5(1):31–39CrossRefPubMed

Rockwell RJ, Goldman L (1971) Lasers in medicine. New York

Cameron MH (2013) Physical agents in rehabilitation : from research to practice. Elsevier/Saunders, St. Louis

Saccomandi P, Schena E, Giurazza F, Del Vescovo R, Caponero MA, Mortato L, Panzera F, Cazzato RL, Grasso FR, Di Matteo FM, Silvestri S, Zobel BB (2014) Temperature monitoring and lesion volume estimation during double-applicator laser-induced thermotherapy in ex vivo swine pancreas: a preliminary study. Lasers Med Sci 29(2):607–614. https://doi.org/10.1007/s10103-013-1360-z CrossRefPubMed

Alayat MSM, Abdel-Kafy EM, Thabet AAM, Abdel-Malek AS, Ali TH, Header EA (2018) Long-term effect of pulsed Nd-YAG laser combined with exercise on bone mineral density in men with osteopenia or osteoporosis: 1 year of follow-up. Photomed Laser Surg 36(2):105–111. https://doi.org/10.1089/pho.2017.4328 CrossRefPubMed

Alayat MS, Aly TH, Elsayed AE, Fadil AS (2017) Efficacy of pulsed Nd:YAG laser in the treatment of patients with knee osteoarthritis: a randomized controlled trial. Lasers Med Sci 32(3):503–511. https://doi.org/10.1007/s10103-017-2141-x CrossRefPubMed

Alayat MS, Mohamed AA, Helal OF, Khaled OA (2016) Efficacy of high-intensity laser therapy in the treatment of chronic neck pain: a randomized double-blind placebo-control trial. Lasers Med Sci 31(4):687–694. https://doi.org/10.1007/s10103-016-1910-2 CrossRefPubMed

10.

Alayat MS, Atya AM, Ali MM, Shosha TM (2014) Long-term effect of high-intensity laser therapy in the treatment of patients with chronic low back pain: a randomized blinded placebo-controlled trial. Lasers Med Sci 29(3):1065–1073. https://doi.org/10.1007/s10103-013-1472-5 CrossRefPubMed

11.

Kheshie AR, Alayat MS, Ali MM (2014) High-intensity versus low-level laser therapy in the treatment of patients with knee osteoarthritis: a randomized controlled trial. Lasers Med Sci 29(4):1371–1376. https://doi.org/10.1007/s10103-014-1529-0 CrossRefPubMed

12.

Ebid AA, El-Kafy EM, Alayat MS (2013) Effect of pulsed Nd:YAG laser in the treatment of neuropathic foot ulcers in children with spina bifida: a randomized controlled study. Photomed Laser Surg 31(12):565–570. https://doi.org/10.1089/pho.2013.3533 CrossRefPubMed

13.

Alayat MS, Elsodany AM, El Fiky AA (2014) Efficacy of high and low level laser therapy in the treatment of Bell’s palsy: a randomized double blind placebo-controlled trial. Lasers Med Sci 29(1):335–342. https://doi.org/10.1007/s10103-013-1352-z CrossRefPubMed

14.

Cammarata F, Wautelet M (1999) Medical lasers and laser-tissue interactions. Phys Educ 34(3):156CrossRef

15.

Karu T (1999) Primary and secondary mechanisms of action of visible to near-IR radiation on cells. J Photochem Photobiol B 49(1):1–17. https://doi.org/10.1016/s1011-1344(98)00219-x CrossRefPubMed

16.

Jawad Mohammed M, Abdul Qader Sarah T, Zaidan AA, Zaidan BB, Naji AW, Abdul Qader Ibraheem T (2011) An overview of laser principle, laser-tissue interaction mechanisms and laser safety precautions for medical laser users. Int J Pharmacol 7:149–160CrossRef

17.

Ansari MA, Erfanzadeh M, Mohajerani E (2013) Mechanisms of laser-tissue interaction: II. Tissue thermal properties. J Lasers Med Sci 4(3):99–106PubMedPubMedCentral

18.

Jiang LJ, Ng EY, Yeo AC, Wu S, Pan F, Yau WY, Chen JH, Yang Y (2005) A perspective on medical infrared imaging. J Med Eng Technol 29(6):257–267. https://doi.org/10.1080/03091900512331333158 CrossRefPubMed

19.

Fernandes Ade A, Amorim PR, Brito CJ, de Moura AG, Moreira DG, Costa CM, Sillero-Quintana M, Marins JC (2014) Measuring skin temperature before, during and after exercise: a comparison of thermocouples and infrared thermography. Physiol Meas 35(2):189–203. https://doi.org/10.1088/0967-3334/35/2/189 CrossRefPubMed

20.

Boerner E, Bauer J, Kuczkowska M, Podbielska H, Ratajczak B (2015) Comparison of the skin surface temperature on the front of thigh after application of combined red-IR radiation and diadynamic currents executed in a different sequence. J Therm Anal Calorim 120(1):921–928. https://doi.org/10.1007/s10973-015-4545-9 CrossRef

21.

James CA, Richardson AJ, Watt PW, Maxwell NS (2014) Reliability and validity of skin temperature measurement by telemetry thermistors and a thermal camera during exercise in the heat. J Therm Biol 45:141–149. https://doi.org/10.1016/j.jtherbio.2014.08.010 CrossRefPubMed

22.

Formenti D, Ludwig N, Gargano M, Gondola M, Dellerma N, Caumo A, Alberti G (2013) Thermal imaging of exercise-associated skin temperature changes in trained and untrained female subjects. Ann Biomed Eng 41(4):863–871. https://doi.org/10.1007/s10439-012-0718-x CrossRefPubMed

23.

Ring EFJ, Ammer K, Wiecek B, Plassmann P, Jones C, Jung A, Murawski P (2007) Quality assurance for thermal imaging systems in medicine, vol 17

24.

Hadis MA, Zainal SA, Holder MJ, Carroll JD, Cooper PR, Milward MR, Palin WM (2016) The dark art of light measurement: accurate radiometry for low-level light therapy. Lasers Med Sci 31(4):789–809. https://doi.org/10.1007/s10103-016-1914-y CrossRefPubMedPubMedCentral

25.

Welch AJ, Torres JH, Cheong W-F (1989) Laser physics and laser-tissue interaction. Tex Heart Inst J 16(3):141–149PubMedPubMedCentral

26.

Ackermann G, Hartmann M, Scherer K, Lang EW, Hohenleutner U, Landthaler M, Baumler W (2002) Correlations between light penetration into skin and the therapeutic outcome following laser therapy of port-wine stains. Lasers Med Sci 17(2):70–78. https://doi.org/10.1007/s101030200013 CrossRefPubMed

27.

Crockford GW, Hellon RF, Parkhouse J (1962) Thermal vasomotor responses in human skin mediated by local mechanisms. J Physiol 161(1):10–20CrossRefPubMedPubMedCentral

28.

Kellogg DL Jr, Liu Y, Kosiba IF, O'Donnell D (1999) Role of nitric oxide in the vascular effects of local warming of the skin in humans. J Appl Physiol 86(4):1185–1190. https://doi.org/10.1152/jappl.1999.86.4.1185 CrossRefPubMed

29.

Rutkowski R, Straburzynska-Lupa A, Korman P, Romanowski W, Gizinska M (2011) Thermal effectiveness of different IR radiators employed in rheumatoid hand therapy as assessed by thermovisual examination. Photochem Photobiol 87(6):1442–1446. https://doi.org/10.1111/j.1751-1097.2011.00975.x CrossRefPubMed

30.

Kellogg DL, Zhao JL, Wu Y (2008) Neuronal nitric oxide synthase control mechanisms in the cutaneous vasculature of humans in vivo. J Physiol 586 (Pt 3:847–857. https://doi.org/10.1113/jphysiol.2007.144642 CrossRefPubMed

31.

Kramer JF (1984) Ultrasound: evaluation of its mechanical and thermal effects. Arch Phys Med Rehabil 65(5):223–227PubMed

32.

Watson T (2008) Electrotherapy: evidence-based practice. Churchill Livingstone, Edinburgh; New York

33.

Joensen J, Demmink JH, Johnson MI, Iversen VV, Lopes-Martins RA, Bjordal JM (2011) The thermal effects of therapeutic lasers with 810 and 904 nm wavelengths on human skin. Photomed Laser Surg 29(3):145–153. https://doi.org/10.1089/pho.2010.2793 CrossRefPubMed

34.

Grandinetti Vdos S, Miranda EF, Johnson DS, de Paiva PR, Tomazoni SS, Vanin AA, Albuquerque-Pontes GM, Frigo L, Marcos RL, de Carvalho Pde T, Leal-Junior EC (2015) The thermal impact of phototherapy with concurrent super-pulsed lasers and red and infrared LEDs on human skin. Lasers Med Sci 30(5):1575–1581. https://doi.org/10.1007/s10103-015-1755-0 CrossRefPubMed

35.

Souza-Barros L, Dhaidan G, Maunula M, Solomon V, Gabison S, Lilge L, Nussbaum EL (2018) Skin color and tissue thickness effects on transmittance, reflectance, and skin temperature when using 635 and 808 nm lasers in low intensity therapeutics. Lasers Surg Med 50(4):291–301. https://doi.org/10.1002/lsm.22760 CrossRefPubMed

36.

Berliner MN, Maurer AI (2004) Effect of different methods of thermotherapy on skin microcirculation. Am J Phys Med Rehabil 83(4):292–297CrossRefPubMed

37.

Ratajczak B, Boerner E, Demidaś A, Tomczyk K, Dębiec-Bąk A, Hawrylak A (2012) Comparison of skin surface temperatures after ultrasounds with use of paraffin oil and ultrasounds with use of gel. J Therm Anal Calorim 109(1):387–393. https://doi.org/10.1007/s10973-011-1716-1 CrossRef

38.

Bickford RH, Duff RS (1953) Influence of ultrasonic irradiation on temperature and blood flow in human skeletal muscle. Circ Res 1(6):534–538CrossRefPubMed

39.

Draper DO, Castel JC, Castel D (1995) Rate of temperature increase in human muscle during 1 MHz and 3 MHz continuous ultrasound. J Orthop Sports Phys Ther 22(4):142–150. https://doi.org/10.2519/jospt.1995.22.4.142 CrossRefPubMed

40.

Kumaran B, Watson T (2015) Thermal build-up, decay and retention responses to local therapeutic application of 448 kHz capacitive resistive monopolar radiofrequency: a prospective randomised crossover study in healthy adults. Int J Hyperth 31(8):883–895. https://doi.org/10.3109/02656736.2015.1092172 CrossRef

41.

Hudlicka O, Brown MD (2009) Adaptation of skeletal muscle microvasculature to increased or decreased blood flow: role of shear stress, nitric oxide and vascular endothelial growth factor. J Vasc Res 46(5):504–512. https://doi.org/10.1159/000226127 CrossRefPubMed

Titel: Changes in local skin temperature after the application of a pulsed Nd:YAG laser to healthy subjects: a prospective crossover controlled trial
verfasst von: Mohamed Salaheldien Alayat
Ahmed Mohamed Elsodany
Abdulrahman Fuad Miyajan
Abdulrhman Ali Alzhrani
Hussam Mohammed Saeed Alzhrani
Abdulrahman Mohammad Maqliyah
Publikationsdatum: 22.03.2019
Verlag: Springer London
Erschienen in: Lasers in Medical Science / Ausgabe 8/2019
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-019-02769-6

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Changes in local skin temperature after the application of a pulsed Nd:YAG laser to healthy subjects: a prospective crossover controlled trial

Abstract

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

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