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Fitzmaurice BC, Heneghan NR, Rayen ATA, Grenfell RL, Soundy AA. Whole-Body Photobiomodulation Therapy for Fibromyalgia: A Feasibility Trial. Behav Sci (Basel) 2023; 13:717. [PMID: 37753995 PMCID: PMC10525895 DOI: 10.3390/bs13090717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 07/28/2023] [Accepted: 08/18/2023] [Indexed: 09/28/2023] Open
Abstract
Effective treatment for fibromyalgia (FM) is lacking and further treatment options are needed. Photobiomodulation therapy (PBMT) represents one potential treatment option. Whilst favourable findings have been reported using localised PBMT, no investigations have established the value of whole-body PBMT for the complete set of symptom domains in FM. A single-arm feasibility study was conducted in accordance with CONSORT (Consolidated Standards of Reporting Trials) guidelines. A non-probability sampling method was used to access individuals with FM. The primary outcome measure was identified as the Revised Fibromyalgia Impact Questionnaire (FIQR). Forty-nine participants were screened and twenty-one trial participants entered the trial. Nineteen participants completed the intervention (18 whole-body PBMT sessions over approximately six weeks). Descriptive statistics and qualitative analysis was undertaken to represent feasibility outcomes. Acceptability of the trial device and processes were established. Outcome measures towards efficacy data were guided by core and peripheral OMERACT (outcomes measures in rheumatological clinical trials) domains, utilising a combination of participant-reported and performance-based outcome measures. Data for the embedded qualitative component of the trial were captured by participant-reported experience measures and audio-recorded semi-structured interviews. Positive changes were observed for FM-specific quality of life, pain, tenderness, stiffness, fatigue, sleep disturbance, anxiety, depression and cognitive impairment. Patient global assessment revealed improvements at 6 weeks, with continued effect at 24 weeks. FM-specific quality of life at 24 weeks remained improved compared with baseline scores. The findings provided evidence to support a full-scale trial and showed promise regarding potential efficacy of this novel non-invasive treatment in an FM population.
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Affiliation(s)
- Bethany C. Fitzmaurice
- Department of Pain Management, Sandwell and West Birmingham NHS Trust, Birmingham B71 4HJ, UK;
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2TT, UK; (N.R.H.); (A.A.S.)
| | - Nicola R. Heneghan
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2TT, UK; (N.R.H.); (A.A.S.)
| | - Asius T. A. Rayen
- Department of Pain Management, Sandwell and West Birmingham NHS Trust, Birmingham B71 4HJ, UK;
| | - Rebecca L. Grenfell
- Clinical Research Facility, Sandwell and West Birmingham NHS Trust, Birmingham B71 4HJ, UK;
| | - Andrew A. Soundy
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2TT, UK; (N.R.H.); (A.A.S.)
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Silva M, Gáspari A, Barbieri J, Caruso D, Nogueira J, Andrade A, Moraes A. A pilot study on the effects of far-infrared-emitting fabric on neuromuscular performance of knee extensor and male fertility. Lasers Med Sci 2022; 37:3713-3722. [PMID: 36274079 PMCID: PMC9589584 DOI: 10.1007/s10103-022-03657-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 10/04/2022] [Indexed: 11/28/2022]
Abstract
The aim of this study was to evaluate the time course of the effects of far-infrared emitting fabric (FIR) on neuromuscular performance of knee extensor over 120 h and to investigate whether the use of FIR affects semen. This is a crossover, randomized, double-blind, and placebo-controlled trial split into neuromuscular and fertility assessments. Four (28.8 ± 4.7 years old) and six (29 ± 3.9 years old) healthy, resistance-trained males completed all neuromuscular and fertility assessments, respectively. In neuromuscular assessments, for five consecutive days, the participants underwent neuromuscular tests in an isokinetic dynamometer (maximal isometric voluntary contraction (MVC) and fatigue test) every 24 h in both conditions (FIR and Placebo). In fertility assessments, participants performed three semen collections: Baseline, FIR, and Placebo. FIR and Placebo collections were performed after five consecutive days of use of the pants. Conventional parameters and sperm DNA fragmentation were evaluated. In the FIR condition, the participants showed significant differences in total work at 96 h (p < 0.001; Cohen’s d = 3.73), 120 h (p = 0.01; Cohen’s d = 2.65), and pre-MVC at 120 h (p = 0.02; Cohen’s d = 2.15) when compared to Placebo. FIR did not significantly (p > 0.05) affect the conventional semen parameters or sperm DNA fragmentation compared to Baseline or Placebo. FIR improved the knee extensor neuromuscular performance of healthy resistance-trained individuals, with 112.4 ± 7.8 h accumulated, and did not affect their seminal parameters (conventional or sperm DNA fragmentation), with 113.1 ± 10.2 h accumulated.
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Affiliation(s)
- Manoel Silva
- Laboratory of Electromyography Studies, Department of Sport Science, School of Physical Education, University of Campinas, Campinas, São Paulo, Brazil, Av. Érico Veríssimo, 701, CEP 13083-851, Campinas, Brazil.
| | - Arthur Gáspari
- Laboratory of Electromyography Studies, Department of Sport Science, School of Physical Education, University of Campinas, Campinas, São Paulo, Brazil, Av. Érico Veríssimo, 701, CEP 13083-851, Campinas, Brazil
| | - João Barbieri
- Laboratory of Electromyography Studies, Department of Sport Science, School of Physical Education, University of Campinas, Campinas, São Paulo, Brazil, Av. Érico Veríssimo, 701, CEP 13083-851, Campinas, Brazil
| | - Danilo Caruso
- Laboratory of Electromyography Studies, Department of Sport Science, School of Physical Education, University of Campinas, Campinas, São Paulo, Brazil, Av. Érico Veríssimo, 701, CEP 13083-851, Campinas, Brazil
| | | | | | - Antônio Moraes
- Laboratory of Electromyography Studies, Department of Sport Science, School of Physical Education, University of Campinas, Campinas, São Paulo, Brazil, Av. Érico Veríssimo, 701, CEP 13083-851, Campinas, Brazil
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Magalhães FDC, Ferraresi C. Photobiomodulation Therapy on the Treatment of Insulin Resistance: A Narrative Review. Photobiomodul Photomed Laser Surg 2022; 40:597-603. [DOI: 10.1089/photob.2022.0031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Flávio de Castro Magalhães
- Department of Physical Education, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | - Cleber Ferraresi
- Departament of Physical Therapy, Universidade Federal de São Carlos, São Carlos, Brazil
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Barrenetxea-Garcia J, Murua-Ruiz A, Mielgo-Ayuso J, Nuell S, Calleja-González J, de Villarreal ES. Recovery in water polo: how much do we have to know? A systematic review. J Exerc Rehabil 2022; 18:225-234. [PMID: 36110255 PMCID: PMC9449089 DOI: 10.12965/jer.2244306.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 07/20/2022] [Indexed: 11/28/2022] Open
Abstract
Water polo (WP) is a high-intensity intermittent aquatic sport, with a predominance of swimming skills and nonswimming activities and incomplete recovery periods. Consequently, recovery after exercise is a fundamental part of sports performance. The main purpose of this systematic review was to evaluate the effects of different recovery strategies in WP performance. The studies were found by searching in the databases of PubMed, Web of Science, and Scopus. Methodological quality and risk of bias were assessed in accordance with the Cochrane Collaboration Guidelines samples. A summary of results including five studies was followed. The results show that supplementation with cherry juice before training does not imply improvements in recovery; the full-body photobiomodulation therapy reduces muscle damage; reducing training load during the season increased the natural logarithm of the root mean square of successive differences and perceived state of recovery, and the heart rate variability stabilizes and could progressively increase at the end of a tournament; and when an increase in internal training load is less than 60%–70% autonomic cardiac disturbances during preseason training do not occur. Recovery in WP is a very limited field of study that needs future research in active recovery, hydrotherapy, massage, rest and sleep to help coaches formulate recommendations.
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Affiliation(s)
| | - Antxon Murua-Ruiz
- Department of Physical Education and Sport, Faculty of Education and Sport, University of the Basque Country (UPV/EHU), Vitoria,
Spain
| | - Juan Mielgo-Ayuso
- Department of Health Sciences, Faculty of Health Sciences, University of Burgos, Burgos,
Spain
| | - Sergi Nuell
- Tecnocampus, Escola Superior de Ciències de la Salut, Universitat Pompeu Fabra, Mataró,
Spain
| | - Julio Calleja-González
- Department of Physical Education and Sport, Faculty of Education and Sport, University of the Basque Country (UPV/EHU), Vitoria,
Spain
- Corresponding author: Julio Calleja-Gonzalez, Department of Physical Education and Sport, Faculty of Education and Sport, University of the Basque Country (UPV/EHU), Portal de Lasarte, 71, 01007 Vitoria, Spain,
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Rentz LE, Bryner RW, Ramadan J, Rezai A, Galster SM. Full-Body Photobiomodulation Therapy Is Associated with Reduced Sleep Durations and Augmented Cardiorespiratory Indicators of Recovery. Sports (Basel) 2022; 10:sports10080119. [PMID: 36006085 PMCID: PMC9414854 DOI: 10.3390/sports10080119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 07/27/2022] [Accepted: 07/29/2022] [Indexed: 11/29/2022] Open
Abstract
Research is emerging on the use of Photobiomodulation therapy (PBMT) and its potential for augmenting human performance, however, relatively little research exists utilizing full-body administration methods. As such, further research supporting the efficacy of whole-body applications of PBMT for behavioral and physiological modifications in applicable, real-world settings are warranted. The purpose of this analysis was to observe cardiorespiratory and sleep patterns surrounding the use of full-body PBMT in an elite cohort of female soccer players. Members of a women’s soccer team in a “Power 5 conference” of the National Collegiate Athletic Association (NCAA) were observed across one competitive season while wearing an OURA Ring nightly and a global positioning system (GPS) sensor during training. Within-subject comparisons of cardiorespiratory physiology, sleep duration, and sleep composition were evaluated the night before and after PBMT sessions completed as a standard of care for team recovery. Compared to pre-intervention, mean heart rate (HR) was significantly lower the night after a PBMT session (p = 0.0055). Sleep durations were also reduced following PBMT, with total sleep time (TST) averaging 40 min less the night after a session (p = 0.0006), as well as significant reductions in light sleep (p = 0.0307) and rapid eye movement (REM) sleep durations (p = 0.0019). Sleep durations were still lower following PBMT, even when controlling for daily and accumulated training loads. Enhanced cardiorespiratory indicators of recovery following PBMT, despite significant reductions in sleep duration, suggest that it may be an effective modality for maintaining adequate recovery from the high stress loads experienced by elite athletes.
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Affiliation(s)
- Lauren E. Rentz
- Division of Exercise Physiology, West Virginia University School of Medicine, Morgantown, WV 26506, USA;
- Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV 26506, USA; (J.R.); (A.R.); (S.M.G.)
- Correspondence:
| | - Randy W. Bryner
- Division of Exercise Physiology, West Virginia University School of Medicine, Morgantown, WV 26506, USA;
| | - Jad Ramadan
- Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV 26506, USA; (J.R.); (A.R.); (S.M.G.)
| | - Ali Rezai
- Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV 26506, USA; (J.R.); (A.R.); (S.M.G.)
| | - Scott M. Galster
- Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV 26506, USA; (J.R.); (A.R.); (S.M.G.)
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Nardin DMK, Stocco MR, Aguiar AF, Machado FA, de Oliveira RG, Andraus RAC. Effects of photobiomodulation and deep water running in patients with chronic non-specific low back pain: a randomized controlled trial. Lasers Med Sci 2022; 37:2135-2144. [PMID: 35246766 DOI: 10.1007/s10103-021-03443-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 10/13/2021] [Indexed: 12/01/2022]
Abstract
Photobiomodulation therapy (PBM) is often used to treat musculoskeletal disorders such as chronic non-specific low back pain (NSCLBP) as it can have positive effects on biomarkers-creatine kinase (CK) and serum cortisol levels-related to stress caused by physical exercise, such as deep water running (DWR) or by pain. The aim of this study was to evaluate the effects of the combination of PBM and aquatic exercise (DWR) on the intensity of pain, disability, 6-min walk test adapted (6WTA), and on cortisol and creatine kinase (CK) levels in a population with NSCLBP. The participants were allocated into three groups: TGPBM (Photobiomodulation and Training Group), TGPLA (Placebo Photobiomodulation and Training Group), and the GPBM (Photobiomodulation Group). Information regarding anthropometric data, blood pressure, and heart rate were collected, and the questionnaires were applied: IPAQ-Short Form, Oswestry Disability Index, and the Visual Analog Scale for Pain. The submaximal exercise test (6WTA) was performed. Blood was collected for analysis of cortisol and CK levels. The training sessions were performed twice a week, for 4 weeks. In the intragroup comparisons, there were statistically significant changes in the TGPBM and GPBM groups in the outcomes pain intensity, disability (reductions in both groups), and in cortisol (increased in the TGPBM and reduced in the GPBM); in the TGPLA group, there was a statistically significant reduction only in the outcome of pain intensity. In the intergroup comparison, in the comparison between TGPBM and TGPLA, there was a statistically significant difference in the level of cortisol, as well as in the comparison between TGPBM and GPBM, in which there was a statistically significant difference for this same outcome (cortisol) and for the 6WTA outcome. The effects of the combination of PBM and aquatic exercise have positive effects on reducing pain intensity, disability, and cortisol levels, but its effects on other variables (6WTA and CK) are too small to be considered significant. Trial registration number: NCT03465228-April 3, 2019; retrospectively registered (ClinicalTrials.gov).
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Affiliation(s)
- Daniele Mayumi Kurata Nardin
- Program Stricto Sensu in Rehabilitation Sciences, Research and Postgraduate Center, UNOPAR/UEL, Londrina, Brazil
| | - Marieli Ramos Stocco
- Program Stricto Sensu in Rehabilitation Sciences, Research and Postgraduate Center, UNOPAR/UEL, Londrina, Brazil.
| | - Andreo Fernando Aguiar
- Program Stricto Sensu in Rehabilitation Sciences, Research and Postgraduate Center, UNOPAR/UEL, Londrina, Brazil
| | - Fabiana Andrade Machado
- Program Stricto Sensu in Physical Education, Research and Postgraduate Center, UEM/UEL, Maringá, Brazil
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Photobiomodulation and Sports: Results of a Narrative Review. Life (Basel) 2021; 11:life11121339. [PMID: 34947870 PMCID: PMC8706093 DOI: 10.3390/life11121339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2021] [Revised: 11/24/2021] [Accepted: 11/30/2021] [Indexed: 11/17/2022] Open
Abstract
Benefits of photobiomodulation (PBM) have been known for several decades. More recently, PBM applied in sports offers a special chance to support the modeling of the performance and recovery. Increasingly complex physical activities and fierce competition in the world of sports generate a state of psycho-emotional and physical stress that can induce chronic fatigue syndrome, failure in physical training, predisposition to muscle damage, physical and emotional exhaustion etc., for which PBM could be an excellent solution. To evaluate and identify all risk factors and the influence of PBM on health and performance in sport and for a better understanding of its effects, we did a search for "Photobiomodulation and Sports" on PubMed, to update the PBM science applied in sports, and we retained for analysis the articles published from 2014 to date. The term "PBM" is recent, and we did not include previous studies with "low level laser therapy" or "LLLT" before 2014. In the present research, PBM has been shown to have valuable protective and ergogenic effects in 25 human studies, being the key to success for high performance and recovery, facts supported also by 22 animal studies. PBM applied creatively and targeted depending on sport and size of the level of physical effort could perfectly modulate the mitochondrial activity and thus lead to remarkable improvements in performance. PBM with no conclusive results or without effects from this review (14 studies from a total of 39 on humans) was analyzed and we found the motivations of the authors from the perspective of multiple causes related to technological limitations, participants, the protocols for physical activity, the devices, techniques and PBM parameters. In the near future, dose-response experiments on physical activity should be designed and correlated with PBM dose-response studies, so that quantification of PBM parameters to allow the energy, metabolic, immune, and neuro-endocrine modulation, perfectly coupled with the level of training. There is an urgent need to continuously improve PBM devices, delivery methods, and protocols in new ingenious future sports trials. Latest innovations and nanotechnologies applied to perform intracellular signaling analysis, while examining extracellular targets, coupled with 3D and 4D sports motion analysis and other high-tech devices, can be a challenge to learn how to maximize PBM efficiency while achieving unprecedented sports performance and thus fulfilling the dream of millions of elite athletes.
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Azuma RHE, Merlo JK, Jacinto JL, Borim JM, da Silva RA, Pacagnelli FL, Nunes JP, Ribeiro AS, Aguiar AF. Photobiomodulation Therapy at 808 nm Does Not Improve Biceps Brachii Performance to Exhaustion and Delayed-Onset Muscle Soreness in Young Adult Women: A Randomized, Controlled, Crossover Trial. Front Physiol 2021; 12:664582. [PMID: 34177615 PMCID: PMC8222918 DOI: 10.3389/fphys.2021.664582] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Accepted: 05/07/2021] [Indexed: 01/16/2023] Open
Abstract
Objective This study aims to investigate the effects of laser photobiomodulation (PBM) at 808 nm on biceps brachii performance to exhaustion, rating of perceived exertion (RPE), and delayed onset muscle soreness (DOMS) in untrained young women. Methods Thirteen young women (20.1 ± 2.9 years) participated in a crossover study in which they received, in a counterbalanced manner, active and placebo laser PBM on two occasions (T1 and T2), separated by a 7-day washout period. During T1 and T2, participants received active (100 mW output power, irradiance of 35.7 W cm–2, and total energy of 28 J/arm) or placebo laser irradiation on the biceps brachii muscle at 20 min before the repetitions-to-failure test [six sets at 60% of one-repetition maximum (1RM) until failure] for elbow flexion exercise. The number of repetitions performed and RPE over the six sets, as well as DOMS from basal up to 72 h after the repetitions-to-failure test, were recorded. Results There was a significant (time, p < 0.05) reduction in the number of repetitions performed and an increase in RPE over six sets, with no statistical differences between placebo and active laser conditions (treatment × time, p > 0.05). DOMS increased at 24 h postexercise and progressively returned to baseline after 72 h in both conditions (time, p < 0.05; treatment × time, p > 0.05). Conclusion Our results indicate that acute laser PBM at 808 nm does not improve biceps brachii performance to exhaustion, RPE, and DOMS in untrained women.
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Affiliation(s)
| | - Jeanne Karlette Merlo
- Center for Research in Health Sciences, University of Northern Paraná, Londrina, Brazil
| | | | - Jayne Maria Borim
- Center for Research in Health Sciences, University of Northern Paraná, Londrina, Brazil
| | - Rubens Alexandre da Silva
- Département des Sciences de la Santé, Programme de Physiothérapie de L'université McGill Offert em Extension à L'Université du Québec à Chicoutimi, Saguenay, QC, Canada
| | | | - Joao Pedro Nunes
- Metabolism, Nutrition, and Exercise Laboratory, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
| | - Alex Silva Ribeiro
- Center for Research in Health Sciences, University of Northern Paraná, Londrina, Brazil
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Ferraresi C. Use of Photobiomodulation Therapy in Exercise Performance Enhancement and Postexercise Recovery: True or Myth? Photobiomodul Photomed Laser Surg 2020; 38:705-707. [DOI: 10.1089/photob.2020.4948] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Affiliation(s)
- Cleber Ferraresi
- Laboratory of Biophotonics and Exercise Performance, Post-graduation program in Biomedical Engineering, Universidade Brasil, Sao Paulo, Brazil
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