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Dutra YM, Malta ES, Elias AS, Broatch JR, Zagatto AM. Deconstructing the Ergogenic Effects of Photobiomodulation: A Systematic Review and Meta-analysis of its Efficacy in Improving Mode-Specific Exercise Performance in Humans. Sports Med 2022; 52:2733-2757. [PMID: 35802348 DOI: 10.1007/s40279-022-01714-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/30/2022] [Indexed: 02/01/2023]
Abstract
BACKGROUND Photobiomodulation therapy (PBMT) is defined as non-thermal electromagnetic irradiation through laser or light-emitting diode sources. In recent decades, PBMT has attracted attention as a potential preconditioning method. The current meta-analysis was conducted to assess the effectiveness of PBMT in improving mode-specific exercise performance in healthy young adults. METHODS A computerized literature search was conducted, ending on 15 May 2022. The databases searched were PubMed, Cochrane Central Register of Controlled Trials, Embase, SPORTDiscus, and the Physiotherapy Evidence Database. Inclusion/exclusion criteria limited articles to crossover, double-blind, placebo-controlled studies investigating the PBMT effects as a preconditioning method. The included trials were synthesized according to exercise mode (single-joint, cycling, running, and swimming). All results were combined using the standardized mean differences (SMDs) method and the 95% confidence intervals (CIs) were described. RESULTS A total of 37 individual studies, employing 78 exercise performance measurements in 586 participants, were included in the analyses. In single-joint exercises, PBMT improved muscle endurance performance (SMD 0.27, 95% CI 0.12-0.41; p < 0.01) but not muscle strength performance (p = 0.92). In cycling, PBMT improved time to exhaustion performance (SMD 0.35, 95% CI 0.10-0.59; p < 0.01) but had no effect on all-out sprint performance (p = 0.96). Similarly, PBMT had no effect on time to exhaustion (p = 0.10), time-trial (p = 0.61), or repeated-sprint (p = 0.37) performance in running and no effect on time-trial performance in swimming (p = 0.81). CONCLUSION PBMT improves muscle endurance performance in single-joint exercises and time to exhaustion performance in cycling but is not effective for muscle strength performance in single-joint exercises, running, or swimming performance metrics.
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Affiliation(s)
- Yago M Dutra
- Department of Physical Education, Laboratory of Physiology and Sport Performance (LAFIDE), School of Sciences, Sao Paulo State University (UNESP), Av. Eng. Luiz Edmundo Carrijo Coube, 14-01, Vargem Limpa, Bauru, SP, 17033-360, Brazil
| | - Elvis S Malta
- Department of Physical Education, Laboratory of Physiology and Sport Performance (LAFIDE), School of Sciences, Sao Paulo State University (UNESP), Av. Eng. Luiz Edmundo Carrijo Coube, 14-01, Vargem Limpa, Bauru, SP, 17033-360, Brazil
| | - Amanda S Elias
- Department of Physical Education, Laboratory of Physiology and Sport Performance (LAFIDE), School of Sciences, Sao Paulo State University (UNESP), Av. Eng. Luiz Edmundo Carrijo Coube, 14-01, Vargem Limpa, Bauru, SP, 17033-360, Brazil
| | - James R Broatch
- Institute for Health and Sport (iHeS), Victoria University, Footscray, VIC, Australia.,Australia Institute of Sport, Bruce, ACT, Australia
| | - Alessandro M Zagatto
- Department of Physical Education, Laboratory of Physiology and Sport Performance (LAFIDE), School of Sciences, Sao Paulo State University (UNESP), Av. Eng. Luiz Edmundo Carrijo Coube, 14-01, Vargem Limpa, Bauru, SP, 17033-360, Brazil.
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Dutra YM, Claus GM, Malta EDES, Brisola GMP, Esco MR, Ferraresi C, Zagatto AM. Acute Photobiomodulation by LED Does Not Alter Muscle Fatigue and Cycling Performance. Med Sci Sports Exerc 2021; 52:2448-2458. [PMID: 32366796 DOI: 10.1249/mss.0000000000002394] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
PURPOSE The purpose of the present study was to investigate the ergogenic effects of two doses of photobiomodulation therapy (PBMT) in comparison to placebo on markers of respiratory and muscle activity, blood acid-base, ion and lactate concentrations, indicators of muscle fatigue (global, central, and peripheral), and time to exhaustion in severe-intensity cycling. METHODS Two separate studies were performed, both in a pseudorandomized and balanced, crossover design. In study 1, 14 male recreational cyclists completed three constant-load, severe-intensity cycling bouts that were duration matched. The PBMT (18 × 38 cm array with 200 diodes) treatments occurred before bouts at 260, 130, or 0 J (placebo) doses. EMG activity of selected lower limb musculature was assessed during each bout. Maximal voluntary contractions of knee extension with peripheral nerve stimulations and EMG activity evaluation of vastus lateralis was also performed before and after cycling. In study 2, 13 recreational cyclists performed three bouts of constant-load, severe-intensity cycling until exhaustion, preceded by PBMT as detailed previously. Blood lactate concentrations, respiratory responses, EMG activity, and capillary gasometry aspects were monitored. RESULTS In both studies, there were no interactions effects (time-condition) on the EMG activity, which was displayed as root mean square (P ≥ 0.168) and median frequency (P ≥ 0.055) during cycling. In study 1, there were no interaction effects on the indicators of muscle fatigue after exercise (P ≥ 0.130). In study 2, there were no differences on time to exhaustion (P = 0.353) and no interaction effects among the physiological responses monitored (P ≥ 0.082). CONCLUSIONS Based on our findings, the PBMT at 260- and 130-J doses does not have a beneficial effect on muscle fatigue, cycling performance, metabolic parameters, and muscle activity in male recreational cyclists.
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Affiliation(s)
- Yago Medeiros Dutra
- Laboratory of Physiology and Sport Performance (LAFIDE), São Paulo State University (UNESP), Bauru, SP, BRAZIL
| | - Gabriel Machado Claus
- Laboratory of Physiology and Sport Performance (LAFIDE), São Paulo State University (UNESP), Bauru, SP, BRAZIL
| | - Elvis DE Souza Malta
- Laboratory of Physiology and Sport Performance (LAFIDE), São Paulo State University (UNESP), Bauru, SP, BRAZIL
| | | | - Michael R Esco
- Exercise Physiology Laboratory, Department of Kinesiology, University of Alabama, Tuscaloosa, AL
| | - Cleber Ferraresi
- Biomedical Engineering Postgraduate Program, Universidade Brasil, São Paulo, SP, BRAZIL
| | - Alessandro Moura Zagatto
- Laboratory of Physiology and Sport Performance (LAFIDE), São Paulo State University (UNESP), Bauru, SP, BRAZIL
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Dutra YM, Claus GM, Malta EDS, Seda DMDF, Zago AS, Campos EZ, Ferraresi C, Zagatto AM. Photobiomodulation 30 min or 6 h Prior to Cycling Does Not Alter Resting Blood Flow Velocity, Exercise-Induced Physiological Responses or Time to Exhaustion in Healthy Men. Front Physiol 2021; 11:607302. [PMID: 33519511 PMCID: PMC7844325 DOI: 10.3389/fphys.2020.607302] [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: 09/16/2020] [Accepted: 12/02/2020] [Indexed: 11/13/2022] Open
Abstract
Purpose The aim of the current study was to investigate the effects of photobiomodulation therapy (PBMT) applied 30 min or 6 h prior to cycling on blood flow velocity and plasma nitrite concentrations at rest, time to exhaustion, cardiorespiratory responses, blood acid-base balance, and K+ and lactate concentrations during exercise. Methods In a randomized, crossover design, 13 healthy untrained men randomly completed four cycling bouts until exhaustion at the severe-intensity domain (i.e., above respiratory compensation point). Thirty minutes or 6 h prior to the cycling trials, participants were treated with PBMT on the quadriceps, hamstrings, and gastrocnemius muscles of both limbs using a multi-diode array (11 cm × 30 cm with 264 diodes) at doses of 152 J or a sham irradiation (with device turned off, placebo). Blood samples were collected before and 30 min or 6 h after treatments to measure plasmatic nitrite concentrations. Doppler ultrasound exams of the femoral artery were also performed at the same time points. Cardiorespiratory responses, blood acid-base balance, and K+ and lactate concentrations were monitored during exercise sessions. Results PBMT did not improve the time to exhaustion (p = 0.30). At rest, no differences were found in the peak systolic velocity (p = 0.97) or pulsatility index (p = 0.83) in the femoral artery, and in plasma nitrite concentrations (p = 0.47). During exercise, there were no differences for any cardiorespiratory response monitored (heart rate, p = 0.15; oxygen uptake, p = 0.15; pulmonary ventilation, p = 0.67; carbon dioxide output, p = 0.93; and respiratory exchange ratio, p = 0.32), any blood acid-base balance indicator (pH, p = 0.74; base excess, p = 0.33; bicarbonate concentration, p = 0.54), or K+ (p = 0.22) and lactate (p = 0.55) concentrations. Conclusions PBMT at 152 J applied 30 min or 6 h before cycling at severe-intensity did not alter resting plasma nitrite and blood flow velocity in the femoral artery, exercise-induced physiological responses, or time to exhaustion in healthy untrained men.
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Affiliation(s)
- Yago Medeiros Dutra
- Post-Graduate Program in Movement Sciences, Laboratory of Physiology and Sport Performance (LAFIDE), Department of Physical Education, School of Sciences, São Paulo State University - UNESP, Bauru, Brazil
| | - Gabriel Machado Claus
- Post-Graduate Program in Movement Sciences, Laboratory of Physiology and Sport Performance (LAFIDE), Department of Physical Education, School of Sciences, São Paulo State University - UNESP, Bauru, Brazil
| | - Elvis de Souza Malta
- Post-Graduate Program in Movement Sciences, Laboratory of Physiology and Sport Performance (LAFIDE), Department of Physical Education, School of Sciences, São Paulo State University - UNESP, Bauru, Brazil
| | - Daniela Moraes de Franco Seda
- Post-Graduate Program in Movement Sciences, Laboratory of Physiology and Sport Performance (LAFIDE), Department of Physical Education, School of Sciences, São Paulo State University - UNESP, Bauru, Brazil
| | - Anderson Saranz Zago
- Post-Graduate Program in Movement Sciences, Department of Physical Education, School of Sciences, São Paulo State University - UNESP, Bauru, Brazil
| | | | - Cleber Ferraresi
- Physical Therapy Department, Federal University of Sao Carlos (UFSCar), São Paulo, Brazil
| | - Alessandro Moura Zagatto
- Post-Graduate Program in Movement Sciences, Laboratory of Physiology and Sport Performance (LAFIDE), Department of Physical Education, School of Sciences, São Paulo State University - UNESP, Bauru, Brazil.,Department of Physical Education, Federal University of Pernambuco, Recife, Brazil
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[Formula: see text] kinetics and energy contribution in simulated maximal performance during short and middle distance-trials in swimming. Eur J Appl Physiol 2020; 120:1097-1109. [PMID: 32212025 DOI: 10.1007/s00421-020-04348-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Accepted: 03/11/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE This study aims to analyze swimmers' oxygen uptake kinetics ([Formula: see text]K) and bioenergetic profiles in 50, 100, and 200 m simulated swimming events and determine which physiological variables relate with performance. METHODS Twenty-eight well-trained swimmers completed an incremental test for maximal oxygen uptake (Peak-[Formula: see text]) and maximal aerobic velocity (MAV) assessment. Maximal trials (MT) of 50, 100, and 200-m in front crawl swimming were performed for [Formula: see text]K and bioenergetic profile. [Formula: see text]K parameters were calculated through monoexponential modeling and by a new growth rate method. The recovery phase was used along with the blood lactate concentration for bioenergetics profiling. RESULTS Peak-[Formula: see text] (57.47 ± 5.7 ml kg-1 min-1 for male and 53.53 ± 4.21 ml kg-1 min-1 for female) did not differ from [Formula: see text]peak attained at the 200-MT for female and at the 100 and 200-MT for male. From the 50-MT to 100-MT and to the 200-MT the [Formula: see text]K presented slower time constants (8.6 ± 2.3 s, 11.5 ± 2.4 s and 16.7 ± 5.5 s, respectively), the aerobic contribution increased (~ 34%, 54% and 71%, respectively) and the anaerobic decreased (~ 66%, 46% and 29%, respectively), presenting a cross-over in the 100-MT. Both energy systems, MAV, Peak-[Formula: see text], and [Formula: see text] peak of the MT's were correlated with swimming performance. DISCUSSION The aerobic energy contribution is an important factor for performance in 50, 100, and 200-m, regardless of the time taken to adjust the absolute oxidative response, when considering the effect on a mixed-group regarding sex. [Formula: see text]K speeding could be explained by a faster initial pacing strategy used in the shorter distances, that contributed for a more rapid increase of the oxidative contribution to the energy turnover.
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Olstad BH, Bjørlykke V, Olstad DS. Maximal Heart Rate for Swimmers. Sports (Basel) 2019; 7:sports7110235. [PMID: 31726693 PMCID: PMC6915385 DOI: 10.3390/sports7110235] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2019] [Revised: 11/07/2019] [Accepted: 11/10/2019] [Indexed: 12/01/2022] Open
Abstract
The main purpose of this study was to identify whether a different protocol to achieve maximal heart rate should be used in sprinters when compared to middle-distance swimmers. As incorporating running training into swim training is gaining increased popularity, a secondary aim was to determine the difference in maximal heart rate between front crawl swimming and running among elite swimmers. Twelve elite swimmers (4 female and 8 male, 7 sprinters and 5 middle-distance, age 18.8 years and body mass index 22.9 kg/m2) swam three different maximal heart rate protocols using a 50 m, 100 m and 200 m step-test protocol followed by a maximal heart rate test in running. There were no differences in maximal heart rate between sprinters and middle-distance swimmers in each of the swimming protocols or between land and water (all p ≥ 0.05). There were no significant differences in maximal heart rate beats-per-minute (bpm) between the 200 m (mean ± SD; 192.0 ± 6.9 bpm), 100 m (190.8 ± 8.3 bpm) or 50 m protocol (191.9 ± 8.4 bpm). Maximal heart rate was 6.7 ± 5.3 bpm lower for swimming compared to running (199.9 ± 8.9 bpm for running; p = 0.015). We conclude that all reported step-test protocols were suitable for achieving maximal heart rate during front crawl swimming and suggest that no separate protocol is needed for swimmers specialized on sprint or middle-distance. Further, we suggest conducting sport-specific maximal heart rate tests for different sports that are targeted to improve the aerobic capacity among the elite swimmers of today.
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Affiliation(s)
- Bjørn Harald Olstad
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo 0863, Norway
- Correspondence: ; Tel.: +47-9306-1946
| | - Veronica Bjørlykke
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo 0863, Norway
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