D Hawkins

L Brosseau

L Lamot

M Harjacek

T Kelava

English

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Pediatric Rheumatology
Open AccessPoster presentation
The therapeutic value of low-energy laser (LLLT) for enthesitis in 
children with juvenile spondyloarthropathies
M Harjacek*, T Kelava and L Lamot
Address: Children's Hospital Zagreb, Zagreb, Croatia
* Corresponding author    
Background
Children with juvenile spondyloarthropathy (jSpA), clas-
sified as enthesitis-related arthritis (ErA), under the ILAR
classification, usually experience both arthritis and
enthesitis. Therapeutic value of low-energy lasers (LLLT)
for enthesitis has not been systematically studied in chil-
dren with JIA.
Patients and methods
In this pilot study we report 20 children with jSpA, diag-
nosed based on both ESSG and ILAR criteria, which we
treated, in addition to standard NSAID therapy, with
LLLT. We used gallium-aluminium-arsenide (Ga-Al-As)
continued laser (Iskra Medical, Slovenia). The usual loca-
tion of treatment was AC joints, infrapatelar and/or Achil-
les' tendon insertions. The effects of therapy were
determined using the 100 mm VAS scale for pain reported
by patient, before, and 1 month after the therapy. Usual
therapy consisted of 10-minute sessions on 10 consecu-
tive days.
Results
There were 12 girls and 8 boys, medium age 11.4 yrs.
(range 7–17). The mean VAS before the therapy was 6.1
(range 4–8) and one month after the therapy was 1.3
(range 0–4). The usual dose used was between 2.5–3 J/m3
based on localization of enthesitis.
Conclusion
The biostimulating effect of LLLT is in its anti-inflamma-
tory, analgesic and anti-edematous effect on tissues. It
seems that Ga-Al-As laser therapy is a valuable addition to
the standard treatment modalities currently used for pain
and inflammation treatment of enthesitis in children with
jSpA. New patient enrolment and the correlation with six
core outcome variables is underway.
References
1. Brosseau L, Robinson V, Wells G, Debie R, Gam A, Harman K, Morin
M, Shea B, Tugwell P: Low level laser therapy (Classes I, II and
III) for treating rheumatoid arthritis.  Cochrane Database Syst Rev
2005, 4:CD002049. DOI: 10.1002/14651858.CD002049.pub2.
2. Hawkins D, Houreld N, Abrahamse H: Low level laser therapy
(LLLT) as an effective therapeutic modality for delayed
wound healing.  Ann N Y Acad Sci 2005, 1056:486-93 [http://
www.walt.nu/dose/index.html].
from 15th Paediatric Rheumatology European Society (PreS) Congress
London, UK. 14–17 September 2008
Published: 15 September 2008
Pediatric Rheumatology 2008, 6(Suppl 1):P64 doi:10.1186/1546-0096-6-S1-P64
<supplement> <title> <p>15<sup>th </sup>Paediatric Rheumatology European Society (PreS) Congress</p> </title> <editor>Wietse Kuis, Patricia Woo, Angelo Ravelli, Hermann Girschick, Michaël Hofer, Johannes Roth, Rotraud K Saurenmann, Alberto Martini, Pavla Dolezova, Janjaap van der Net, Pierre Quartier, Lucy Wedderburn and Jan Scott</editor> <note>Meeting abstracts – A single PDF containing all abstracts in this Supplement is available <a href="http://www.biomedcentral.com/content/files/PDF/1546-0096-6-S1-full.pdf">here</a>.</note> </supplement>
This abstract is available from: http://www.ped-rheum.com/content/6/S1/P64
© 2008 Harjacek et al; licensee BioMed Central Ltd. 


The therapeutic value of low-energy laser (LLLT) for enthesitis in children with juvenile spondyloarthropathies

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Pediatric Rheumatology

Harjacek M

Kelava T

Lamot L

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Abrahamse H: Low level laser therapy (LLLT) as an effective therapeutic modality for delayed wound healing.

from 15th Paediatric Rheumatology European Society (PreS) Congress London,

Low level laser therapy (Classes I, II and III) for treating rheumatoid arthritis. Cochrane Database Syst Rev

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3334126

The therapeutic value of low-energy laser (LLLT) for enthesitis in children with juvenile spondyloarthropathies

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