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Questions and Answers
What wavelength is commonly used in Low-Level Laser Therapy (LLLT) for treating Alzheimer's disease?
What wavelength is commonly used in Low-Level Laser Therapy (LLLT) for treating Alzheimer's disease?
630 nm
What is the suggested range of energy density, in J/cm², for cellular efficacy in LLLT?
What is the suggested range of energy density, in J/cm², for cellular efficacy in LLLT?
3 to 10 J/cm²
According to the Bunsen Roscoe Reciprocity Law, what factors can determine the photochemical effect in LLLT?
According to the Bunsen Roscoe Reciprocity Law, what factors can determine the photochemical effect in LLLT?
The product of irradiance and time of exposure.
How does the treatment duration change with varying power densities while maintaining the same energy output in LLLT?
How does the treatment duration change with varying power densities while maintaining the same energy output in LLLT?
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What is the significance of choosing between pulsed or continuous power in LLLT?
What is the significance of choosing between pulsed or continuous power in LLLT?
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What role do mitochondria play in cellular function concerning oxidative stress?
What role do mitochondria play in cellular function concerning oxidative stress?
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Identify the primary photo-acceptor in mammalian cells and its significance in LLLT.
Identify the primary photo-acceptor in mammalian cells and its significance in LLLT.
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How does calcium metabolism in mitochondria influence apoptosis?
How does calcium metabolism in mitochondria influence apoptosis?
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Explain the interaction between light photons and mitochondria in PBM.
Explain the interaction between light photons and mitochondria in PBM.
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Discuss the importance of cytochrome c oxidase in relation to red-NIR wavelengths.
Discuss the importance of cytochrome c oxidase in relation to red-NIR wavelengths.
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What is the range of treatment times for low-level laser therapy per point?
What is the range of treatment times for low-level laser therapy per point?
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In complex cases like cervical or lumbar radiculopathy, how many points may be treated?
In complex cases like cervical or lumbar radiculopathy, how many points may be treated?
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What anesthetic agents were used for the immobilization of animals in the radiation-induced OM study?
What anesthetic agents were used for the immobilization of animals in the radiation-induced OM study?
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What radiation dose was delivered to induce severe oral mucositis in the experimental animals?
What radiation dose was delivered to induce severe oral mucositis in the experimental animals?
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What type of linear accelerator was used for the irradiation in the protocol?
What type of linear accelerator was used for the irradiation in the protocol?
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What effect does low-level laser therapy have on tissue?
What effect does low-level laser therapy have on tissue?
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What is the purpose of immobilization in the radiation-induced OM protocol?
What is the purpose of immobilization in the radiation-induced OM protocol?
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How does the treatment approach vary between simple cases and complex dysfunctions in low-level laser therapy?
How does the treatment approach vary between simple cases and complex dysfunctions in low-level laser therapy?
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What is the primary mechanism through which LLLT exerts its physiologic effects?
What is the primary mechanism through which LLLT exerts its physiologic effects?
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What two possible physiological outcomes can result from the application of LLLT?
What two possible physiological outcomes can result from the application of LLLT?
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How does the dosage of LLLT affect its biological effects?
How does the dosage of LLLT affect its biological effects?
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In the context of LLLT, describe the difference between photobiostimulation and photobioinhibition.
In the context of LLLT, describe the difference between photobiostimulation and photobioinhibition.
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What role does the photochemical reaction play in low-level laser therapy (LLLT)?
What role does the photochemical reaction play in low-level laser therapy (LLLT)?
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Why is it important to consider the dosage when utilizing LLLT in treatment?
Why is it important to consider the dosage when utilizing LLLT in treatment?
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Can you explain how varying the dosage of LLLT could influence treatment results?
Can you explain how varying the dosage of LLLT could influence treatment results?
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Flashcards
Mitochondria function
Mitochondria function
Mitochondria are cellular power plants that play a key role in regulating oxidative stress, calcium metabolism, and apoptosis.
Photo-acceptor for red-NIR light
Photo-acceptor for red-NIR light
Cytochrome c oxidase (COX) absorbs red and near-infrared light.
PBM in mitochondria
PBM in mitochondria
In photobiomodulation (PBM), light photons are absorbed by chromophores within the mitochondria.
Cytochrome c oxidase (COX) role
Cytochrome c oxidase (COX) role
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Oxidative stress regulation
Oxidative stress regulation
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Light Wavelength in LLLT
Light Wavelength in LLLT
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Energy Density in LLLT
Energy Density in LLLT
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Power Density in LLLT
Power Density in LLLT
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Bunsen Roscoe Reciprocity Law
Bunsen Roscoe Reciprocity Law
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Treatment Duration (LLLT)
Treatment Duration (LLLT)
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Low Level Laser Therapy (LLLT) treatment time
Low Level Laser Therapy (LLLT) treatment time
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LLLT treatment points
LLLT treatment points
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Radiation-induced OM protocol immobilization
Radiation-induced OM protocol immobilization
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Radiation dose for OM induction
Radiation dose for OM induction
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Photobiomodulation effect of LLLT
Photobiomodulation effect of LLLT
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Radiation source (OM protocol)
Radiation source (OM protocol)
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Ketamine and Xylazine dose
Ketamine and Xylazine dose
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Single-dose Irradiation
Single-dose Irradiation
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What is LLLT?
What is LLLT?
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How does LLLT work?
How does LLLT work?
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Photochemical reaction in LLLT
Photochemical reaction in LLLT
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What is photobiostimulation?
What is photobiostimulation?
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What is photobioinhibition?
What is photobioinhibition?
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What determines photobiostimulation or photobioinhibition?
What determines photobiostimulation or photobioinhibition?
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LLLT dosage
LLLT dosage
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Study Notes
Low Level Laser Therapy (LLLT)
- LLLT, also known as low level light therapy or photobiomodulation (PBM), is a low-intensity light therapy.
- The effect is photochemical, not thermal.
- Light triggers biochemical changes in cells, comparable to photosynthesis in plants.
- Photons are absorbed by cellular photoreceptors, triggering chemical changes.
- Mitochondria are cellular power plants.
History of LLLT
- In 1903, Dr. Nils Finsen was awarded a Nobel Prize for using concentrated light radiation to treat diseases, especially lupus vulgaris.
- In 1967, Mester et al. demonstrated "laser bio stimulation."
- In 1999, Whelan et al. researched the medical applications of LEDs for use on the NASA space station.
- Over 400 Phase III randomized, double-blind, placebo-controlled trials, along with over 4000 laboratory studies, have examined LLLT.
Mechanisms of LLLT
- Mitochondria play an important role in regulating oxidative stress, calcium metabolism, and apoptosis.
- In photobiomodulation (PBM), chromophores in mitochondria absorb light photons.
- Cytochrome c oxidase (COX) is the primary photo-acceptor for the red-NIR wavelength range in mammalian cells.
- Cellular signaling, nitric oxide (NO) dissociation, and increased ATP are also involved.
- NO produced in mitochondria can inhibit respiration by binding to COX.
- Other signaling molecules involved include ATP (adenosine triphosphate), ROS, and Ca.
Instrumentation
- LLLT devices use lasers or LEDs.
- Light sources vary in power (10mW-500mW).
- Wavelengths range from 660nm to 905nm.
- LEDs and SLDs are often used for superficial tissues like wounds.
- Lasers are typically more effective for deep tissue treatment.
Treatment Parameters in LLLT
- Wavelength (nm): 630nm is a common wavelength.
- Power density (W/cm²): Various power densities are used, including 100mW/cm², 1W/cm², & 6W/cm².
- Energy density (J/cm²): Studies show fluences ranging from 3 to 10 J/cm² are effective at a cellular level.
- Optical properties of the tissue: Tissue properties influence light absorption and penetration.
- Continuous or pulsed: Intensity can be continuous or pulsed, where energy delivered is periodically interrupted.
- Treatment duration (sec or min): Treatment times per point typically range from 30 seconds to 1 minute, potentially up to 10-15 points for complex issues.
Radiation-Induced OM Protocol
- Protocol: Animals are immobilized, given specific anesthetic doses, before irradiation using a linear accelerator.
- Important fact: A dose of 20 Gy of radiation is used to induce severe oral mucositis in animals.
Summary
- LLLT has a photobiomodulation (PBM) effect, a photochemical reaction in tissue.
- The response (biostimulation or inhibition) can change based on the dose.
- Cells with more mitochondria respond better to PBM.
- In vivo studies may be ineffective due to under-dosing.
- Irradiance and time of exposure are important considerations. Fluence, in J/cm², is more significant to the outcome than irradiance, mW/cm².
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Description
Explore the fundamentals of Low Level Laser Therapy (LLLT), also known as photobiomodulation. This quiz covers its history, mechanisms, and effects on cellular functions. Understand the role of light in biochemical processes and the significance of mitochondrial activity in therapy.