dos Santos Maciel Thiago, Muñoz Ingrid Solange Sepúlveda, Nicolau Renata Amadei, Nogueira Daniel Vilela, Hauck Leonardo Alvim, Osório Rodrigo Alexis Lazo, de Paula Júnior Alderico Rodrigues
Phototherapy and Photobiology Center and Biologic Signal Processing Laboratory, UNIVAP, São José dos Campos, São Paulo, Brazil,
Lasers Med Sci. 2014 May;29(3):1145-52. doi: 10.1007/s10103-013-1481-4. Epub 2013 Nov 28.
Clinical investigations have demonstrated the effectiveness of phototherapy on the muscle activity. The aim of this study was to investigate the effect of low-level laser therapy (LLLT) on the tibialis anterior muscle of regular physical activity practitioners by electromyographic, biomechanical, and biochemical (lactate) analysis. Double-blind controlled clinical trials were conducted with 12 healthy females, regular physical activity practitioners, between 18 and 30 years. The LLLT application (780 nm, 30 mW, 0.81 J/point, beam area of 0.2 cm(2), 27 s, ≈ 29 points) in the tibialis anterior muscle occurred after the delimitation of the points on every 4 cm(2) was held. It was observed that (a) a significant torque increase (p < 0.05) post-LLLT compared to the values after placebo therapy at the beginning of resistance exercise, (b) both muscle torque (isokinetic) and median frequency (EMG) showed a faster decay of the signals collected after placebo and laser treatment when compared to control values, (c) no significant change in torque in the strength test of five repetitions, (d) a significant muscle activity decrease (p < 0.05) after laser therapy compared to control values, and (e) an increase in lactate levels post-LLLT (p < 0.05) after 30 min of exercise. It is concluded that the LLLT increased the muscle torque at the beginning of the exercise and maintained the levels of lactate after resistance exercise. Therefore, the LLLT with the parameters used in this study can be utilized in rehabilitation to improve muscle performance in elite athletes.
临床研究已证明光疗对肌肉活动的有效性。本研究的目的是通过肌电图、生物力学和生化(乳酸)分析,研究低强度激光疗法(LLLT)对经常进行体育锻炼者胫骨前肌的影响。对12名年龄在18至30岁之间、经常进行体育锻炼的健康女性进行了双盲对照临床试验。在每4平方厘米划定好点之后,对胫骨前肌进行LLLT照射(780纳米,30毫瓦,每点0.81焦耳,光束面积0.2平方厘米,27秒,约29个点)。观察到:(a)与安慰剂治疗后在抗阻运动开始时的值相比,LLLT后扭矩显著增加(p<0.05);(b)与对照值相比,安慰剂和激光治疗后采集的肌肉扭矩(等速)和中位频率(肌电图)信号衰减更快;(c)在五次重复的力量测试中扭矩无显著变化;(d)与对照值相比,激光治疗后肌肉活动显著降低(p<0.05);(e)运动30分钟后LLLT后乳酸水平升高(p<0.05)。得出的结论是,LLLT在运动开始时增加了肌肉扭矩,并在抗阻运动后维持了乳酸水平。因此,本研究中使用的参数的LLLT可用于康复治疗,以提高精英运动员的肌肉性能。