DOES PHOTOBIOMODULATION IMPROVE MUSCLE PERFORMANCE AND RECOVERY? A SYSTEMATIC REVIEW

Oliveira, Ana Flávia Spadaccini Silva de; Silva, Jéssica Lúcio da; Camillo, Carlos Augusto Marcal; Andraus, Rodrigo Antonio Carvalho; Maia, Luciana Prado

doi:10.1590/1517-8692202329012021_0412

home Sumário navigate_before Anterior Atual Seguinte navigate_next

home Sumário

Systematic Review, Basic Science • Rev Bras Med Esporte 29 • 2023 • https://doi.org/10.1590/1517-8692202329012021_0412 linkcopy

DOES PHOTOBIOMODULATION IMPROVE MUSCLE PERFORMANCE AND RECOVERY? A SYSTEMATIC REVIEW

¿LA FOTOBIOMODULACIÓN MEJORA EL DESEMPEÑO Y LA RECUPERACIÓN MUSCULAR? UNA REVISIÓN SISTEMÁTICA

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Photobiomodulation (PBM) appears to limit exercise-induced muscle damage, improve biochemical and functional recovery, and reduce inflammation and oxidative stress. This systematic review aimed to evaluate the effectiveness of photobiomodulation (PBM) in skeletal muscle recovery after exercise, addressing the different types of lasers and parameters used. Randomized clinical trials (RCTs) comparing the effects of PBM were included. The primary outcome evaluated was performance, and the secondary was inflammatory marker expression. The searches were conducted in March 2021. Fifteen RCTs that met the inclusion criteria were included. There was significant variability regarding the doses and wavelengths used, as well as in the types of lasers. However, in most studies, PBM promoted improvement of maximum voluntary contraction, better oxygen consumption, increased time to achieve exhaustion and fatigue, and decreased creatine kinase (CK), oxidative stress, and fatigue markers, mainly when used before exercise. Photobiomodulation applied before exercise, regardless of variations in doses and wavelengths, improves muscle performance and decreases levels of inflammation and fatigue markers. Evidence level II; Systematic review of level II studies.

Keywords:
Low-level laser therapy; Laser therapy; muscle function

	1	2	3	4	5	6	7	8	9	10	11	Score
Antonialli et al.⁹	S	S	S	S	S	S	S	S	S	S	S	10/10
Almeida et al.¹⁵	S	S	S	S	S	S	S	S	S	N	N	8/10
Dellagrana et al.⁷	S	S	S	S	S	S	S	S	S	S	S	10/10
De Marchi et al.¹⁰	S	S	S	S	S	S	S	S	S	S	S	10/10
De Marchi et al.¹	S	S	S	S	S	S	S	S	S	S	S	10/10
De Marchi et al.¹¹	S	S	S	S	S	S	S	S	S	S	S	10/10
De Godoy et al.²	S	S	S	S	S	N	N	S	S	N	S	7/10
Larkin-Kaiser et al.¹⁴	S	S	S	S	S	N	N	S	S	N	S	7/10
Larkin-Kaiser et al.⁵	S	S	S	S	S	S	N	S	S	N	S	8/10
Miranda et al.¹³	S	N	N	S	S	S	N	S	S	N	N	5/10
Oliveira et al.³	S	S	S	S	S	S	S	N	N	S	S	8/10
Pinto et al.⁴	S	S	S	S	S	S	S	S	S	N	S	9/10
Vanin et al.⁶	S	S	S	S	S	S	S	S	S	S	S	10/10
Zagatto et al.¹²	S	S	S	S	S	S	S	S	S	S	S	10/10
	S	S	S	S	S	S	S	S	S	S	S	10/10

	N	Gender	Trained/Untrained	Characteristics of the sample
Antonialli et al.⁹	40	Male	Untrained	24.10 ± 1.52 years, 171,44 ± 6,22 cm, 67,05 ± 5,38 kg
Almeida et al.¹⁵	10	Male	Untrained	19 to 27 yeas
Dellagrana et al.⁷	18	Male	Runners	20,7 ± 4,7 years, 178,8 ± 5,5 cm, 76,2 ± 7,2 kg
De Marchi et al.¹⁰	22	Male	Untrained	20 to 25 years.
De Marchi et al.¹	40	Male	Active	19 to 29 years.
De Marchi et al.¹¹	6	Male	Football players	18 a 35 years.
De Godoy et al.²	52	Male and Female	-	18 to 23 years.
Larkin-Kaiser et al.¹⁴	39	Male and Female	Active	20,0 ± 0,2 years, 169 ± 2,0 cm, 68,4 ± 1,8 kg
Larkin-Kaiser et al.⁵	9	Male and Female	-	24,3 ± 4,97 years, 171 ± 7,78 cm, 71,2 ± 11,6 kg
Miranda et al.¹³	96	Male and Female	Untrained	18 to 35 years
Oliveira et al.³	28	Male	Football players	18 to 35 years
Pinto et al.⁴	20	Male	Rugby players	23,50 ± 2,32 years, 178 ± 4,79 cm, 86,00 ± 7,63 kg
Vanin et al.⁶	28	Male	Football players	18,81 ± 0,80 years, 172,94 ± 4,78 cm, 63,58 ± 4,46 kg
Zagatto et al.¹²	20	Male	Water Polo players	15,4 ± 1,2 years, 173,9 ± 5,9 cm, 68,3 ± 10,5 kg

	Kind of the laser	Wavelength (nm)	Energy density (J)	Time of application (s)	Power density (w)	Application Protocol	Application Site	Results
Antonialli et al .⁹	MR4 LaserShower 50 4D emitter (Multi Radiance Medical): Cluster de 12 diodos	640, 875, 905	10, 30, 50	76, 228, 381	0,07, 16,66, 19,44	One application 3 minutes before exercise protocol.	6 sites of quadriceps.	↑ Maximum voluntary contraction with 10 and 30 J. ↓ CK activity except for only the 50J dose in 96 hours.
Almeida et al .¹⁵	Thera Lase (DMC)	660, 830	5	100	17,85	Tree applications with seven days between them, 3 minutes before fatigue exercise.	4 sites of biceps brachii.	↑ Average peak strength after red (12.14%) and infrared (14.49%).
Dellagrana et al. ⁷	Chatanooga Intelect Mobile Laser 2779 system	670, 850, 880, 950	15, 30, 60	64		Four applications, being one placebo, with 7 days between them, before strength and run tests.	14 sites of lower limbs (8 quadriceps, 4 hamstrings, 2 gastrocnemius)	↔ Peak torque during maximum voluntary isometric contraction. The 15 J dose showed beneficial effects on the neuromuscular economy during the 8km and 9km run. The doses 30 and 60 J showed benefits only in the 9 km h run.
De Marchi et al .¹⁰	Multi-Diodo Cluster 5 diodos	810	30	30	5,495	One application, 5 minutes before the run test.	12 sites of lower limbs (6 quadriceps, 4 hamstrings, 2 gastrocnemius)	↑ total time to reach exhaustion and ↑ oxygen consumption by pre-exercise irradiation. ↓ Lipid (TBARS), SOD and CK activity.
De Marchi et al. ¹	Cluster (34 LED vermelho e 35 LED infravermelho)	660, 850	41,7	30	0,05 and 0,15	One application 2 minutes after maximum voluntary contraction.	Muscular womb of biceps brachii.	↑ isometric capacity ↓ oxidative stress (TBARS and PC) and CK
De Marchi et al .¹¹	Cluster (4 super-pulsed infrared)	905	30	228	19,44	One application 40 minutes before exercise.	9 different knee extensor and hip flexor muscle locations, 6 knee flexor muscles and hip extensor muscle locations, and 2 plantar flexor muscles.	↑ time on the pitch ↔ distance covered by the athlete on the pitch ↓ of CK 18,41% in 48 h
De Godoy et al .²	Twin Flex Evolution (MM Optics)	780	25	20	1,25		3 sites of masseter and anterior temporal.	↔
Larkin-Kaiser et al .¹⁴	K-Laser (near-infrared laser)	800, 970	360	240	3	One application, before resistance protocol.	15 sites of biceps brachii.	↔
Larkin-Kaiser et al .⁵	Lite Cure (near-infrared laser)	810, 980	240, 480	120	1,16, 2,33	One application of each dose with 48 hours between them, before fatigue protocol.	-	↑ the time to achieve fatigue
Miranda et al .¹³	MR4 Laser Therapy Sistens Cluster 12 diodes	640, 875, 905	30	228	0,71	One application 5 to 10 minutes before and after aerobic test.	9 sites of quadriceps, 6 sites of hamstring and 2 of the gastrocnemius.	↑ percentage of oxygen consumption and time to exhaustion
Oliveira et al .³	Cluster 5 diodes	810	10	100, 50, 25 e 60	100, 200, 400 e 0	The application was 2 minutes before exercise and 3 minutes after exercise.	6 sites of quadriceps of non-dominant lower limb.	↓ LDH and CK at 24, 48.72 and 96 hours after the protocol. ↓ LDG and CK at 200mW and 400mW. ↔ inflammatory markers and oxidative stress.
Pinto et al .⁴	MR4 Laser Therapy Systems - Cluster com 12 diodes (Multi raiance Medical)	905, 875 e 640	30	228	0,3125, 15 e 17,5	One application before exercise protocol.	9 sites of quadriceps, 6 sites of hamstrings and 2 sites of the gastrocnemius.	↑ Average sprint time and fatigue index. ↓ Blood lactate levels and fatigue markers.
Vanin et al. ⁶	Thor Photomedicine - Cluster 5 diodes	810	10, 30, 50	60, 180, 300	5,495	Two minutes before maximum voluntary contraction test.	6 sites of quadriceps.	↑ Maximum voluntary contraction after exercise for up to 24 hours with 50J dose and after 24 to 96 hours with 10J dose. ↓ CK and IL6 at 10J and 50J ↔ J 30J.
Zagatto et al .¹²	Laser infravermelho (DMC)	810	48	30	3,57	Six applications, 5 to 40 minutes after each training session.	8 sites of adductor longus.	↔ 200-meter shot ↑ 30-second performance after 48 hours. ↓ CK

vertical_align_top show_chart

more_horiz close
- image
- translate
- link
- article
- vertical_align_top
- file_download
- show_chart
- image
- translate
- link
- article

location_on

Sociedade Brasileira de Medicina do Exercício e do Esporte Av. Brigadeiro Luís Antônio, 278, 6º and., 01318-901 São Paulo SP, Tel.: +55 11 3106-7544, Fax: +55 11 3106-8611 - São Paulo - SP - Brazil
E-mail: atharbme@uol.com.br

rss_feed Acompanhe os números deste periódico no seu leitor de RSS

[TFN1] ↑ increase; ↓ decrease; ↔ no difference.