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2020 Therapy Services Low-Level Laser and High-Power Laser Therapy American specialty health
There are numerous randomized trials on various applications of LLLT and some show positive results. The difficulty in interpreting these results is that they represent a wide range of conditions, methods of application, and characteristics of the laser instruments themselves. As such, it is difficult to come to any general conclusions regarding the effectiveness of LLLT. In 2006, the World Association of Laser Therapy (WALT) established effective parameters and methods of application as a guideline for investigators to follow. These guidelines state that power densities below 100 mW/cm2 should be used for superficial tendons with an energy dose range of 1-8 Joules. For deeper tendons of the rotator cuff, power densities can go as high as 600 mW/cm2, with an energy dose of 3-9 Joules. Wavelengths should be in the range of 780-904 nm. These guidelines allow researchers to selectively analyze studies that fall into these parameters to evaluate effectiveness (WALT, 2006).