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光生物调节疗法联合抗阻训练对老年男性的影响:一项随机双盲安慰剂对照试验。

Effects of photobiomodulation therapy associated with resistance training in elderly men: a randomized double-blinded placebo-controlled trial.

机构信息

Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.

Exercise Research Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

出版信息

Eur J Appl Physiol. 2019 Jan;119(1):279-289. doi: 10.1007/s00421-018-4023-8. Epub 2018 Oct 26.

Abstract

PURPOSE

The purpose of this study was to investigate the effects of photobiomodulation therapy (PBMT) combined with resistance training on knee extensors muscle mass, strength and functional capacity in elderly men.

METHODS

In this randomized double-blinded placebo-controlled trial, healthy elderly men (age 60-80 years) completed 12 weeks of resistance training (2×/week) with application of placebo (n = 13) or active PBMT (n = 11) on quadriceps muscles (850 nm, 240 J per limb) before each training session. Leg press and knee extension one-repetition maximum (1RM) tests, isometric and concentric peak torques, rectus femoris (RF) and vastus lateralis (VL) muscle thickness, timed up-and-go (TUG) and chair rise-to-standing (CRS) tests were performed before and after the intervention period.

RESULTS

There were significant improvements in all outcomes for both groups (p < 0.05), except for RF muscle thickness for the placebo group (p = 0.09). Large effect sizes (ES > 0.8) were observed for leg press and leg extension 1RM and CRS tests for both groups, as well as for TUG test for PBMT group. Isokinetic peak torque for both groups and TUG for placebo group had moderate increases (ES > 0.5). Muscle thicknesses and isometric peak torque had small increases (ES > 0.2) in both groups. Both null hypothesis analysis and magnitude-based inference support similar effects of PBMT and placebo treatments.

CONCLUSION

Different than previously evidenced in young subjects, PBMT with the parameters used in this study did not provide any additional benefits in comparison to placebo application on muscle mass, strength and functional capacity of healthy elderly men engaged in a resistance training program.

摘要

目的

本研究旨在探讨光生物调节疗法(PBMT)联合抗阻训练对老年男性膝关节伸肌肌肉质量、力量和功能能力的影响。

方法

在这项随机双盲安慰剂对照试验中,健康的老年男性(60-80 岁)在进行抗阻训练(每周 2 次)的同时,分别接受安慰剂(n=13)或活性 PBMT(n=11)治疗,治疗部位为股四头肌(850nm,每侧肢体 240J),每次训练前进行治疗。在干预前后,分别进行腿举和膝关节伸展 1 次最大重复次数(1RM)测试、等长和向心峰值扭矩、股直肌(RF)和股外侧肌(VL)厚度、计时起立-行走(TUG)和坐起-站立(CRS)测试。

结果

两组的所有结果均有显著改善(p<0.05),但安慰剂组的 RF 肌肉厚度除外(p=0.09)。两组的腿举和腿伸展 1RM 和 CRS 测试以及 PBMT 组的 TUG 测试均有较大的效果量(ES>0.8),两组的等速峰值扭矩和 TUG 测试的效果量为中度(ES>0.5),肌肉厚度和等长峰值扭矩的效果量为小(ES>0.2)。零假设分析和基于幅度的推断均支持 PBMT 和安慰剂治疗的效果相似。

结论

与之前在年轻受试者中观察到的结果不同,与安慰剂应用相比,本研究中使用的参数的 PBMT 并未为参与抗阻训练计划的健康老年男性提供肌肉质量、力量和功能能力方面的额外益处。

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