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Tytuł pozycji:

Photobiomodulation therapy (PBMT) and/or cryotherapy in skeletal muscle restitution, what is better? A randomized, double-blinded, placebo-controlled clinical trial.

Tytuł:
Photobiomodulation therapy (PBMT) and/or cryotherapy in skeletal muscle restitution, what is better? A randomized, double-blinded, placebo-controlled clinical trial.
Autorzy:
de Paiva PR; Laboratory of Phototherapy in Sports and Exercise, Universidade Nove de Julho (UNINOVE), Rua Vergueiro 235, 01504-001, São Paulo, SP, Brazil.; Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.
Tomazoni SS; Department of Pharmacology, University of São Paulo, São Paulo, SP, Brazil.
Johnson DS; Multi Radiance Medical, Solon, OH, USA.
Vanin AA; Laboratory of Phototherapy in Sports and Exercise, Universidade Nove de Julho (UNINOVE), Rua Vergueiro 235, 01504-001, São Paulo, SP, Brazil.; Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.
Albuquerque-Pontes GM; Laboratory of Phototherapy in Sports and Exercise, Universidade Nove de Julho (UNINOVE), Rua Vergueiro 235, 01504-001, São Paulo, SP, Brazil.; Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.
Machado CD; Laboratory of Phototherapy in Sports and Exercise, Universidade Nove de Julho (UNINOVE), Rua Vergueiro 235, 01504-001, São Paulo, SP, Brazil.
Casalechi HL; Laboratory of Phototherapy in Sports and Exercise, Universidade Nove de Julho (UNINOVE), Rua Vergueiro 235, 01504-001, São Paulo, SP, Brazil.
de Carvalho PT; Laboratory of Phototherapy in Sports and Exercise, Universidade Nove de Julho (UNINOVE), Rua Vergueiro 235, 01504-001, São Paulo, SP, Brazil.; Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.; Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.
Leal-Junior EC; Laboratory of Phototherapy in Sports and Exercise, Universidade Nove de Julho (UNINOVE), Rua Vergueiro 235, 01504-001, São Paulo, SP, Brazil. .; Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil. .; Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil. .
Źródło:
Lasers in medical science [Lasers Med Sci] 2016 Dec; Vol. 31 (9), pp. 1925-1933. Date of Electronic Publication: 2016 Sep 13.
Typ publikacji:
Journal Article; Randomized Controlled Trial
Język:
English
Imprint Name(s):
Publication: London : Springer
Original Publication: London : Baillière Tindall, c1986-
MeSH Terms:
Cryotherapy/*methods
Low-Level Light Therapy/*methods
Muscle, Skeletal/*physiology
Adolescent ; Adult ; Creatine Kinase ; Double-Blind Method ; Exercise/physiology ; Humans ; Knee Joint ; Lasers ; Male ; Young Adult
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Contributed Indexing:
Keywords: Exercise recovery; Light-emitting diodes; Low-level laser therapy; Performance; Phototherapy
Substance Nomenclature:
EC 2.7.3.2 (Creatine Kinase)
Entry Date(s):
Date Created: 20160915 Date Completed: 20161213 Latest Revision: 20181202
Update Code:
20240104
DOI:
10.1007/s10103-016-2071-z
PMID:
27624781
Czasopismo naukowe
Cryotherapy for post-exercise recovery remains widely used despite the lack of quality evidence. Photobiomodulation therapy (PBMT) studies (with both low-level laser therapy and light-emitting diode therapy) have demonstrated positive scientific evidence to suggest its use. The study aims to evaluate PBMT and cryotherapy as a single or combined treatment on skeletal muscle recovery after eccentric contractions of knee extensors. Fifty healthy male volunteers were recruited and randomized into five groups (PBMT, cryotherapy, cryotherapy + PBMT, PMBT + cryotherapy, or placebo) for a randomized, double-blinded, placebo-controlled trial that evaluated exercise performance (maximum voluntary contraction (MVC)), delayed onset muscle soreness (DOMS), and muscle damage (creatine kinase (CK)). Assessments were performed at baseline; immediately after; and at 1, 24, 48, 72, and 96 h. Comparator treatments was performed 3 min after exercise and repeated at 24, 48, and 72 h. PBMT was applied employing a cordless, portable GameDay device (combination of 905 nm super-pulsed laser and 875- and 640-nm light-emitting diodes (LEDs); manufactured by Multi Radiance Medical , Solon - OH, USA), and cryotherapy by flexible rubber ice packs. PBMT alone was optimal for post-exercise recovery with improved MVC, decreased DOMS, and CK activity (p < 0.05) from 24 to 96 h compared to placebo, cryotherapy, and cryotherapy + PBMT. In the PBMT + cryotherapy group, the effect of PBMT was decreased (p > 0.05) but demonstrated significant improvement in MVC, decreased DOMS, and CK activity (p < 0.05). Cryotherapy as single treatment and cryotherapy + PBMT were similar to placebo (p > 0.05). We conclude that PBMT used as single treatment is the best modality for enhancement of post-exercise restitution, leading to complete recovery to baseline levels from 24 h after high-intensity eccentric contractions.

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