Laser
therapy
For sale outside
of the United States only!
Mary Dyson PhD, FCSP
Emeritus Reader in the Biology of Tissue Repair, Kings College London,
UK; Former Professor, Department of Physical Therapy & Rehabilitation
Sciences, University of Kansas Medical Center, Kansas City, USA.
INTRODUCTION
Red light delivered by low intensity lasers, has been used to stimulate
tissue repair for over 30 years. Its uses now include the alleviation
of a range of skin conditions including
Acne (Hirsch and Shalita, 2003)
Scarring (Patel and Clement 2002)
Skin deterioration due to aging and sun damage (Alam & Dover,
2003)
All these conditions involve tissue injury, sometimes acquired over
many years. Their improvement is achieved by tissue repair, which
can be initiated and stimulated by exposure to low intensities of
red light and to some other forms of electromagnetic radiation such
as infrared (IR) radiation. Exposure to red light increases blood
flow to the skin thus improving its metabolism, and stimulates the
manufacture of collagen, the protein that gives strength to the skin
(Bjerring et al 2002). Other uses of red light include accelerating
the resolution of inflammation (Dyson 2004) and the reduction of pain
(Moore et al 1988).
The laser
technique used to deliver this light is usually termed low level laser
therapy (LLLT), also referred to as low intensity laser therapy (LILT),
low energy photon therapy (LEPT) and phototherapy. Unlike the high
intensity medical lasers used to cut and coagulate tissues, LLLT involves
the use of medical lasers such as the Beurer SoftLaserTM that operate
at intensities too low to damage living tissues. Unlike most LLLT
devices that are relatively large and designed for clinical use, the
Beurer SoftLaserTM is a small, hand held, device designed for home
use.
LIGHT
Light consists of those wavelengths of the electromagnetic spectrum
that are visible to the human eye. This part of the spectrum extends
from violet (the shortest visible wavelength) to red (the longest
visible wavelength). Infrared (IR) is just beyond the visible range.
The perceived colour depends on the wavelength. White light is a mixture
of all the visible wavelengths. For photons to reach the skin, all
that is required is that it be either exposed to air or, if injured,
to be covered by a transparent dressing. Exposure to red light and/or
infrared radiation can stimulate the healing of both chronic injuries
of the skin (Mester et al 1985) and acute injuries (Dyson & Young
1986).
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