Evaluation of vascular photobiomodulation for orofacial pain and tension type headache following COVID 19 in a pragmatic randomized clinical trial.

Publication date: Dec 28, 2024

This pragmatic double-blind randomized clinical trial aims to assess the impact of vascular photobiomodulation on post-COVID-19 patients experiencing tension-type headache, orofacial pain, or both persisting for more than 3 months. Participants were divided into two groups: vascular photobiomodulation (VPBM) and simulated VPBM. Their conditions were evaluated using the Brief Pain Inventory (BPI), Visual Analogue Scale, and Headache Impact Test (HIT-6). Data analysis included both inter and intragroup assessments, employing per-protocol and intention-to-treat analyses. Significant differences were observed in pain levels pre- and post-treatment and between the two groups. These differences were evident in the average pain experienced in the previous week (p = 0. 010) and various dimensions of the BPI questionnaire, such as the degree of pain interference with walking (p = 0. 011), work (p = 0. 009), sleep (p = 0. 012), and enjoyment of life (p = 0. 016). However, there was no statistically significant difference in headache impact on activities of daily living as measured by the HIT. Vascular photobiomodulation shows promise in reducing pain and enhancing the ability to engage in daily activities among post-COVID-19 patients experiencing persistent headaches and orofacial pain.

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Concepts Keywords
3months Adult
Daily COVID-19
Headache Covid-19
Photobiomodulation Double-Blind Method
Vascular Facial Pain
Facial pain
Female
Humans
Low-Level Light Therapy
Male
Middle Aged
Pain Measurement
Photobiomodulation
Quality of life
SARS-CoV-2
Tension-Type Headache
Tension-type headache
Treatment Outcome

Semantics

Type Source Name
disease MESH tension type headache
disease MESH COVID 19
drug DRUGBANK ATP
disease IDO blood
disease MESH headache disorders
drug DRUGBANK Ribostamycin
drug DRUGBANK Coenzyme M
disease MESH acute respiratory distress syndrome
disease MESH complications
disease IDO process
disease MESH viral infection
disease MESH dyspnea
disease MESH cognitive disorders
disease MESH depression
disease MESH arthralgia
disease MESH infection
disease MESH long COVID
disease IDO history
disease IDO symptom
disease MESH drug interactions
disease MESH edema
disease MESH inflammation
disease IDO production
drug DRUGBANK Nitric Oxide
disease MESH oxidative stress
disease MESH muscular fatigue
disease MESH hypoxia
disease IDO intervention
disease MESH emotional stress
drug DRUGBANK Phenylpropanolamine
disease MESH psychiatric disorders
disease MESH hypercapnia
pathway REACTOME Immune System
drug DRUGBANK Oxygen
drug DRUGBANK Dextrose unspecified form
disease MESH anxiety
disease MESH sleep quality
disease MESH general health
drug DRUGBANK Flunarizine
pathway REACTOME Metabolism
drug DRUGBANK Serotonin
disease MESH knee osteoarthritis
disease MESH syndrome
disease MESH relapsing remitting multiple sclerosis
disease MESH lung diseases
disease MESH neurological manifestations
pathway REACTOME Reproduction
disease IDO quality

Original Article

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