Efficacy of low-level laser therapy on scar tissue

Abstract

Background: Physiotherapy has a very important role in the maintenance of the integumentary system integrity. There is very few evidence in humans. Nevertheless, there are some studies about tissue regeneration using low-level laser therapy (LLLT). Aim: To analyze the effectiveness of LLLT on scar tissue. Methods: Seventeen volunteers were stratified by age of their scars, and then randomly assigned to an experimental group (EG) — n = 9 – and a placebo group (PG) – n = 8. Fifteen sessions were conducted to both the groups thrice a week. However, in the PG, the laser device was switched off. Scars’ thickness, length, width, macroscopic aspect, pain threshold, pain perception, and itching were measured. Results: After 5 weeks, there were no statistically significant differences in any variable between both the groups. However, analyzing independently each group, EG showed a significant improvement in macroscopic aspect (p = 0.003) using LLLT. Taking into account the scars’ age, LLLT showed a tendency to decrease older scars’ thickness in EG. Conclusion: The intervention with LLLT appears to have a positive effect on the macroscopic scars’ appearance, and on old scars’ thickness, in the studied sample. However, it cannot be said for sure that LLLT has influence on scar tissue.

Key Words::

• low-level laser therapy
• skin scars
• physiotherapy
• wound healing

Acknowledgments

The authors thank Nuno Adubeiro (radiology expert), Alexandre Lopes, Cristina Rua and Moreno (physiotherapists), external participants for scars’ thickness assessment and VSS Portuguese adaptation and validity, respectively, and the volunteers participated in this study.

Declaration of interest: The authors report no declarations of interest. The authors alone are responsible for the content and writing of the paper.