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What is the optimal time-response window for the use of photobiomodulation therapy combined with static magnetic field (PBMT-sMF) for the improvement of exercise performance and recovery, and for how long the effects last? A randomized, triple-blinded, placebo-controlled trial.

作者信息

Leal-Junior Ernesto Cesar Pinto, de Oliveira Marcelo Ferreira Duarte, Joensen Jon, Stausholm Martin Bjørn, Bjordal Jan Magnus, Tomazoni Shaiane Silva

机构信息

Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT), Post-graduate Program in Rehabilitation Sciences, Nove de Julho University, Rua Vergueiro, 235/249, São Paulo, SP 01504-001 Brazil.

Physiotherapy Research Group, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

出版信息

BMC Sports Sci Med Rehabil. 2020 Oct 19;12:64. doi: 10.1186/s13102-020-00214-8. eCollection 2020.


DOI:10.1186/s13102-020-00214-8
PMID:33088573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7574416/
Abstract

BACKGROUND: The optimal time-response window for photobiomodulation therapy (PBMT) using low-level laser therapy (LLLT) and/or light emitting diodes therapy (LEDT) combined with static magnetic fields (sMF) before physical activity still was not fully investigated. The aim of the present study was to investigate the better of four time-response windows for PBMT combined with sMF (PBMT-sMF) use before exercise in humans. METHODS: A prospectively registered, randomized, triple-blinded (volunteers, therapists and assessors) placebo-controlled trial was carried out. Sixty healthy untrained male subjects were randomly allocated to six experimental groups ( = 10 per group): PBMT-sMF 5 mins, PBMT-sMF 3 h, PBMT-sMF 6 h, PBMT-sMF 1-day, placebo, and control. The control group performed all procedures, however did not receive any kind of intervention. PBMT-sMF active or PBMT-sMF placebo was applied precisely in different time points after baseline MVC test to ensure that both MVC tests and eccentric exercise protocol would occur at the same hour of the day in all groups. Then, after five minutes, 3 h, 6 h or 1-day (24 h) of PBMT-sMF treatment (active or placebo) the eccentric exercise protocol was performed. The primary outcome was peak torque obtained from maximum voluntary contraction (MVC). The secondary outcomes were creatine kinase (CK), and delayed onset muscle soreness (DOMS). The primary and secondary outcomes were measured at baseline, immediately after, 1 h, 24 h and 48 h after the eccentric exercise protocol. RESULTS: Sixty patients were randomized and analyzed to each sequence. The outcomes in absolute values show that all active PBMT-sMF groups increased ( < 0.05) MVC from immediately after to 1 h after eccentric exercise, and decreased (p < 0.05) CK activity at all time points. However, PBMT-sMF 5 mins, 3 h and 6 h groups showed better results in MVC and CK analysis from 24 h to 48 h, and also to DOMS ( < 0.05) at all time points. Participants did not report any adverse events. CONCLUSIONS: PBMT-sMF can be used from 5 min to 6 h before exercise, and the effects can last up to 54 h after treatment. However, the effects start to decrease when a 1-day (24 h) time-response window is used. TRIAL REGISTRATION: NCT03420391. Registered 05 February 2018.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e546/7574416/97139f4ad879/13102_2020_214_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e546/7574416/bbb1969ca284/13102_2020_214_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e546/7574416/a7c2299c2e3e/13102_2020_214_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e546/7574416/0a6564c457fd/13102_2020_214_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e546/7574416/97139f4ad879/13102_2020_214_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e546/7574416/bbb1969ca284/13102_2020_214_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e546/7574416/a7c2299c2e3e/13102_2020_214_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e546/7574416/0a6564c457fd/13102_2020_214_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e546/7574416/97139f4ad879/13102_2020_214_Fig4_HTML.jpg

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本文引用的文献

[1]
Wavelength- and irradiance-dependent changes in intracellular nitric oxide level.

J Biomed Opt. 2020-8

[2]
Does the combination of photobiomodulation therapy (PBMT) and static magnetic fields (sMF) potentiate the effects of aerobic endurance training and decrease the loss of performance during detraining? A randomised, triple-blinded, placebo-controlled trial.

BMC Sports Sci Med Rehabil. 2020-4-10

[3]
Infrared Low-Level Laser Therapy (Photobiomodulation Therapy) before Intense Progressive Running Test of High-Level Soccer Players: Effects on Functional, Muscle Damage, Inflammatory, and Oxidative Stress Markers-A Randomized Controlled Trial.

Oxid Med Cell Longev. 2019-11-16

[4]
Clinical and scientific recommendations for the use of photobiomodulation therapy in exercise performance enhancement and post-exercise recovery: current evidence and future directions.

Braz J Phys Ther. 2018-12-23

[5]
Photobiomodulation therapy before futsal matches improves the staying time of athletes in the court and accelerates post-exercise recovery.

Lasers Med Sci. 2019-2

[6]
Acute effects of photobiomodulation therapy (PBMT) combining laser diodes, light-emitting diodes, and magnetic field in exercise capacity assessed by 6MST in patients with COPD: a crossover, randomized, and triple-blinded clinical trial.

Lasers Med Sci. 2019-6

[7]
Wavelength-dependence of vasodilation and NO release from S-nitrosothiols and dinitrosyl iron complexes by far red/near infrared light.

Arch Biochem Biophys. 2018-5-9

[8]
Photobiomodulation Therapy on Physiological and Performance Parameters During Running Tests: Dose-Response Effects.

J Strength Cond Res. 2018-10

[9]
Time Response of Photobiomodulation Therapy on Muscular Fatigue in Humans.

J Strength Cond Res. 2018-11

[10]
When is the best moment to apply photobiomodulation therapy (PBMT) when associated to a treadmill endurance-training program? A randomized, triple-blinded, placebo-controlled clinical trial.

Lasers Med Sci. 2018-5

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