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Research

What the research shows, and where it stops

Photobiomodulation has been studied for several decades and there is a considerable body of published work behind it. The quality of that work varies a great deal, however, and the studies most often cited in equine marketing are not always the ones that tested equipment resembling ours.

Set out below are the studies we work from, including one that found no effect. Each entry states whether the study used a laser or LEDs, because the two deliver light in different ways and at different powers, and a laser study can be relevant to LED treatment without being a study of it.

None of this is a claim about our own systems. It is the background against which we designed them, and it is the material we would want to read ourselves before spending money on equipment of this kind.

How to read this

Three things worth knowing first

Most equine research used lasers rather than LEDs. Both deliver red and infrared light and both are understood to act through the same mechanism, but laser light is coherent and concentrated where LED light is not, and the doses differ substantially. A laser study tells you something useful about the underlying biology without telling you what a particular LED system will do.

Treatment parameters vary enormously between studies. Wavelength, dose, output, session length and frequency differ from one paper to the next, sometimes by an order of magnitude. This is the main reason results conflict, and it is why a study showing a clear effect and a study showing none can both be sound work.

The equine evidence base is thinner than the human one. Most of what is understood about red and infrared light comes from human and laboratory research, and applying it to horses is reasonable and is what the field does, but it remains an extrapolation.

Selected studies

The research, with the light source of each stated

A systematic review of the field

A Systematic Literature Review of Complementary and Alternative Veterinary Medicine: Laser Therapy. Millis and Bergh. Animals, 2023, 13(4):667.

Light source · Laser and LED

A review of light treatment in horses, dogs and cats covering literature published between 1980 and 2020, carried out at the University of Tennessee and the Swedish University of Agricultural Sciences. Forty-five articles met the inclusion criteria, twenty-four of them concerning dogs, one concerning cats and the remainder horses. The review found conflicting results and no consensus on treatment protocols, attributing much of that to the wide variation in wavelength, dose, frequency and duration between studies, and it judged the scientific quality of the papers limited, with a high or moderate risk of bias throughout.

This is the most useful single source on this page for anyone wanting to assess the field rather than a product.

Read the source →

Back pain in horses

Effects of Low-Level Laser Therapy and Chiropractic Care on Back Pain in Quarter Horses. Haussler, Manchon, Donnell and Frisbie. Journal of Equine Veterinary Science, 2020, volume 86, article 102891.

Light source · Laser

A randomised clinical trial in 61 competing Quarter Horses assessed as having back pain. Low-level laser therapy produced significant reductions in back pain, epaxial muscle hypertonicity and trunk stiffness, while chiropractic care alone did not produce significant changes in those measures, and the combination appeared to add something neither achieved on its own.

The probe used four 810 nm laser diodes with a total optical output of 3 W, which is well above what any LED system delivers. We cite this as the strongest equine trial of light treatment for back pain that we know of, rather than as evidence about our own systems.

Read the source →

Wound healing in horses

Effect of infrared and red monochromatic light on equine wound healing. Michanek and colleagues. Equine Veterinary Journal, 2021.

Light source · LED

A randomised, blinded, controlled study in eight healthy horses, with a wound created on each side of the neck, one treated and one left as an untreated control. The study found no clinically relevant effect on wound healing compared with no treatment.

It used pulsed light at approximately 637 and 956 nm, which differs from the continuous 660/670, 730, 810 and 850 nm in our systems, and experimental wounds on healthy skin are a narrow test. Neither observation cancels the result, and it appears here because leaving it out would misrepresent the state of the evidence.

Read the source →

Muscle soreness after exercise

Effects of 830 nm Light-Emitting Diode Therapy on Delayed-Onset Muscle Soreness. Chang and colleagues. Evidence-Based Complementary and Alternative Medicine, 2021.

Light source · LED

A randomised, placebo-controlled study in humans. Compared with placebo, the LED group showed improved pressure pain threshold for muscle tenderness between 48 and 96 hours after exercise, together with better recovery of joint range of motion.

At 830 nm this sits close to the 810 and 850 nm in our infrared straps, which makes it one of the more directly relevant studies here, although it was carried out in people rather than horses.

Read the source →

Musculoskeletal pain and the optical window

The Use of Low Level Laser Therapy (LLLT) For Musculoskeletal Pain.

Light source · Laser and LED

A review covering mechanism and clinical application, including the concept of the optical window, roughly 650 to 950 nm, the range of wavelengths that travel usefully into tissue rather than being absorbed at the surface. That reasoning is the basis for our choice of 660/670, 730, 810 and 850 nm.

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Two red wavelengths compared

Anti-inflammatory effects of low-level laser therapy (LLLT) with two different red wavelengths (660 nm and 684 nm) in carrageenan-induced rat paw edema.

Light source · Laser

A laboratory study in rats reporting reduced oedema formation and reduced migration of inflammatory cells at both wavelengths. This is animal laboratory work rather than clinical equine work, and it is included for the wavelength comparison rather than as evidence of a clinical effect.

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Why we leave blue light out

Evidence of resistance development by Staphylococcus aureus to an in vitro, multiple stage application of 405 nm light from a supraluminous diode array.

Light source · Blue light, 405 nm

Laboratory work on bacterial resistance following repeated exposure at 405 nm. Alongside the fact that blue light is absorbed almost entirely at the surface, this formed part of our reasoning for leaving it out of our systems.

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What we measured

The figures for our own systems

We publish output for our own systems rather than leaving the research to imply it. Measured with a TES 1333 solar power meter at a distance of 1 cm, the infrared straps deliver approximately 19.8 mW/cm² and the red straps approximately 10.4 mW/cm², giving a combined figure of roughly 30.2 mW/cm² when both run together. Over five minutes that is approximately 9 J/cm², and over ten minutes approximately 18 J/cm². These are our own measurements, taken under the conditions stated, and they are not independently certified.

Lamp count, diode count, total output and treatment area are published for every system on its product page. Where a figure is not published it is because we have not measured it, and we would rather leave a gap than estimate.

How LED treatment works →

The limits

What we do not say

We do not describe LED treatment as proven, because the systematic review above is a fair summary of where the field stands and it does not support that word. Nor do we quote a study count, since the number of papers published says nothing about their quality or their relevance to any particular device, and we are careful not to present research carried out on one device as though it were research on ours.

For the same reason we publish no timelines for how quickly a change might be noticed. Horses and conditions vary too much for any figure we offered to amount to more than marketing.

A handler leading a horse across a stable yard

Where to start

Try it on your own horse

Renting lets you try a system for as long as you need before deciding, with up to three months of rent credited towards the purchase price if you go on to buy.