Abstract
Promising effects of phototherapy on markers of exercise-induced muscle damage has been already demonstrated in constant load or isokinetic protocols. However, its effects on more functional situations, such as plyometric exercises, and when is the best moment to apply this treatment (pre- or post-exercise) remain unclear. Therefore, the purpose of this study was to investigate the effect of low-level laser therapy (LLLT) before or after plyometric exercise on quadriceps muscle damage markers. A randomized, double-blinded, placebo-controlled trial was conducted with 24 healthy men, 12 at pre-exercise treatment group and 12 at post-exercise treatment group. Placebo and LLLT (810 nm, 200 mW per diode, 6 J per diode, 240 J per leg) were randomly applied on right/left knee extensor muscles of each volunteer before/after a plyometric exercise protocol. Muscular echo intensity (ultrasonography images), soreness (visual analogue scale - VAS), and strength impairment (maximal voluntary contraction - MVC) were assessed at baseline, 24, 48, and 72 h post-exercise. Legs treated with LLLT before or after exercise presented significantly smaller increments of echo intensity (values up to 1 %) compared to placebo treatments (increased up to ∼7 %). No significant treatment effect was found for VAS and MVC, although a trend toward better results on LLLT legs have been found for VAS (mean values up to 30 % lesser than placebo leg). In conclusion, LLLT applied before or after plyometric exercise reduces the muscle echo intensity response and possibly attenuates the muscle soreness. However, these positive results were not observed on strength impairment.
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References
Howatson G, van Someren KA (2008) The prevention and treatment of exercise-induced muscle damage. Sports Med 38(6):483–503
Cheung K, Hume P, Maxwell L (2003) Delayed onset muscle soreness: treatment strategies and performance factors. Sports Med 33(2):145–164
Fredsted A, Gissel H, Madsen K, Clausen T (2007) Causes of excitation-induced muscle cell damage in isometric contractions: mechanical stress or calcium overload? Am J Physiol Regul Integr Comp Physiol 292(6):R2249–R2258. doi:10.1152/ajpregu.00415.2006
Warren GL, Lowe DA, Armstrong RB (1999) Measurement tools used in the study of eccentric contraction-induced injury. Sports Med 27(1):43–59
Chen TC, Lin KY, Chen HL, Lin MJ, Nosaka K (2011) Comparison in eccentric exercise-induced muscle damage among four limb muscles. Eur J Appl Physiol 111(2):211–223. doi:10.1007/s00421-010-1648-7
Chen TC, Tseng WC, Huang GL, Chen HL, Tseng KW, Nosaka K (2013) Low-intensity eccentric contractions attenuate muscle damage induced by subsequent maximal eccentric exercise of the knee extensors in the elderly. Eur J Appl Physiol 113(4):1005–1015. doi:10.1007/s00421-012-2517-3
Radaelli R, Bottaro M, Wilhelm EN, Wagner DR, Pinto RS (2012) Time course of strength and echo intensity recovery after resistance exercise in women. J Strength Cond Res 26(9):2577–2584. doi:10.1519/JSC.0b013e31823dae96
Tumilty S, Munn J, McDonough S, Hurley DA, Basford JR, Baxter GD (2010) Low level laser treatment of tendinopathy: a systematic review with meta-analysis. Photomed Laser Surg 28(1):3–16. doi:10.1089/pho.2008.2470
Jang H, Lee H (2012) Meta-analysis of pain relief effects by laser irradiation on joint areas. Photomed Laser Surg 30(8):405–417. doi:10.1089/pho.2012.3240
Karu TI (2010) Multiple roles of cytochrome c oxidase in mammalian cells under action of red and IR-A radiation. IUBMB Life 62(8):607–610. doi:10.1002/iub.359
Hayworth CR, Rojas JC, Padilla E, Holmes GM, Sheridan EC, Gonzalez-Lima F (2010) In vivo low-level light therapy increases cytochrome oxidase in skeletal muscle. Photochem Photobiol 86(3):673–680. doi:10.1111/j.1751-1097.2010.00732.x
Lim W, Lee S, Kim I, Chung M, Kim M, Lim H, Park J, Kim O, Choi H (2007) The anti-inflammatory mechanism of 635 nm light-emitting-diode irradiation compared with existing COX inhibitors. Lasers Surg Med 39(7):614–621. doi:10.1002/lsm.20533
Liu XG, Zhou YJ, Liu TC, Yuan JQ (2009) Effects of low-level laser irradiation on rat skeletal muscle injury after eccentric exercise. Photomed Laser Surg 27(6):863–869. doi:10.1089/pho.2008.2443
Sussai DA, Carvalho Pde T, Dourado DM, Belchior AC, dos Reis FA, Pereira DM (2010) Low-level laser therapy attenuates creatine kinase levels and apoptosis during forced swimming in rats. Lasers Med Sci 25(1):115–120. doi:10.1007/s10103-009-0697-9
Camargo MZ, Siqueira CP, Preti MC, Nakamura FY, de Lima FM, Dias IF, Toginho Filho Dde O, Ramos Sde P (2012) Effects of light emitting diode (LED) therapy and cold water immersion therapy on exercise-induced muscle damage in rats. Lasers Med Sci 27(5):1051–1058. doi:10.1007/s10103-011-1039-2
Dos Reis FA, da Silva BA, Laraia EM, de Melo RM, Silva PH, Leal-Junior EC, de Carvalho Pde T (2014) Effects of pre- or post-exercise low-level laser therapy (830 nm) on skeletal muscle fatigue and biochemical markers of recovery in humans: double-blind placebo-controlled trial. Photomed Laser Surg 32(2):106–112. doi:10.1089/pho.2013.3617
Antonialli FC, De Marchi T, Tomazoni SS, Vanin AA, dos Santos Grandinetti V, de Paiva PR, Pinto HD, Miranda EF, de Tarso Camillo de Carvalho P, Leal-Junior EC (2014) Phototherapy in skeletal muscle performance and recovery after exercise: effect of combination of super-pulsed laser and light-emitting diodes. Lasers Med Sci 29(6):1967–1976. doi:10.1007/s10103-014-1611-7
Baroni BM, Leal Junior EC, De Marchi T, Lopes AL, Salvador M, Vaz MA (2010) Low level laser therapy before eccentric exercise reduces muscle damage markers in humans. Eur J Appl Physiol 110(4):789–796. doi:10.1007/s00421-010-1562-z
Felismino AS, Costa EC, Aoki MS, Ferraresi C, de Araujo Moura Lemos TM, de Brito Vieira WH (2014) Effect of low-level laser therapy (808 nm) on markers of muscle damage: a randomized double-blind placebo-controlled trial. Lasers Med Sci 29(3):933–938. doi:10.1007/s10103-013-1430-2
Douris P, Southard V, Ferrigi R, Grauer J, Katz D, Nascimento C, Podbielski P (2006) Effect of phototherapy on delayed onset muscle soreness. Photomed Laser Surg 24(3):377–382. doi:10.1089/pho.2006.24.377
Borges LS, Cerqueira MS, dos Santos Rocha JA, Conrado LA, Machado M, Pereira R, Pinto Neto O (2014) Light-emitting diode phototherapy improves muscle recovery after a damaging exercise. Lasers Med Sci 29(3):1139–1144. doi:10.1007/s10103-013-1486-z
Leal Junior EC, Lopes-Martins RA, Baroni BM, De Marchi T, Rossi RP, Grosselli D, Generosi RA, de Godoi V, Basso M, Mancalossi JL, Bjordal JM (2009) Comparison between single-diode low-level laser therapy (LLLT) and LED multi-diode (cluster) therapy (LEDT) applications before high-intensity exercise. Photomed Laser Surg 27(4):617–623. doi:10.1089/pho.2008.2350
Leal Junior EC, Lopes-Martins RA, Baroni BM, De Marchi T, Taufer D, Manfro DS, Rech M, Danna V, Grosselli D, Generosi RA, Marcos RL, Ramos L, Bjordal JM (2009) Effect of 830 nm low-level laser therapy applied before high-intensity exercises on skeletal muscle recovery in athletes. Lasers Med Sci 24(6):857–863. doi:10.1007/s10103-008-0633-4
De Marchi T, Leal Junior EC, Bortoli C, Tomazoni SS, Lopes-Martins RA, Salvador M (2012) Low-level laser therapy (LLLT) in human progressive-intensity running: effects on exercise performance, skeletal muscle status, and oxidative stress. Lasers Med Sci 27(1):231–236. doi:10.1007/s10103-011-0955-5
Ferraresi C, Dos Santos RV, Marques G, Zangrande M, Leonaldo R, Hamblin MR, Bagnato VS, Parizotto NA (2015) Light-emitting diode therapy (LEDT) before matches prevents increase in creatine kinase with a light dose response in volleyball players. Lasers Med Sci 30(4):1281–1287. doi:10.1007/s10103-015-1728-3
Baroni BM, Rodrigues R, Franke RA, Geremia JM, Rassier DE, Vaz MA (2013) Time course of neuromuscular adaptations to knee extensor eccentric training. Int J Sports Med 34(10):904–911. doi:10.1055/s-0032-1333263
Baroni BM, Rodrigues R, Freire BB, Franke Rde A, Geremia JM, Vaz MA (2015) Effect of low-level laser therapy on muscle adaptation to knee extensor eccentric training. Eur J Appl Physiol 115(3):639–647. doi:10.1007/s00421-014-3055-y
Marginson V, Rowlands AV, Gleeson NP, Eston RG (2005) Comparison of the symptoms of exercise-induced muscle damage after an initial and repeated bout of plyometric exercise in men and boys. J Appl Physiol 99(3):1174–1181. doi:10.1152/japplphysiol.01193.2004
French DN, Thompson KG, Garland SW, Barnes CA, Portas MD, Hood PE, Wilkes G (2008) The effects of contrast bathing and compression therapy on muscular performance. Med Sci Sports Exerc 40(7):1297–1306. doi:10.1249/MSS.0b013e31816b10d5
White JP, Wilson JM, Austin KG, Greer BK, St. John N, Panton LB (2008) Effect of carbohydrate-protein supplement timing on acute exercise-induced muscle damage. J Int Soc Sports Nutr 5:5. doi:10.1186/1550-2783-5-5
Yelland MJ, Schluter PJ (2006) Defining worthwhile and desired responses to treatment of chronic low back pain. Pain Med 7(1):38–45. doi:10.1111/j.1526-4637.2006.00087.x
Leal-Junior EC, Vanin AA, Miranda EF, de Carvalho PT, Dal Corso S, Bjordal JM (2015) Effect of phototherapy (low-level laser therapy and light-emitting diode therapy) on exercise performance and markers of exercise recovery: a systematic review with meta-analysis. Lasers Med Sci 30(2):925–939. doi:10.1007/s10103-013-1465-4
Santos LA, Marcos RL, Tomazoni SS, Vanin AA, Antonialli FC, Grandinetti Vdos S, Albuquerque-Pontes GM, de Paiva PR, Lopes-Martins RA, de Carvalho PT, Bjordal JM, Leal-Junior EC (2014) Effects of pre-irradiation of low-level laser therapy with different doses and wavelengths in skeletal muscle performance, fatigue, and skeletal muscle damage induced by tetanic contractions in rats. Lasers Med Sci 29(5):1617–1626. doi:10.1007/s10103-014-1560-1
Higashi RH, Toma RL, Tucci HT, Pedroni CR, Ferreira PD, Baldini G, Aveiro MC, Borghi-Silva A, de Oliveira AS, Renno AC (2013) Effects of low-level laser therapy on biceps braquialis muscle fatigue in young women. Photomed Laser Surg 31(12):586–594. doi:10.1089/pho.2012.3388
Rossato M, Dellagrana RA, Lanferdini FJ, Sakugawa RL, Lazzari CD, Baroni BM, Diefenthaeler F (2016) Effect of pre-exercise phototherapy applied with different cluster probe sizes on elbow flexor muscle fatigue. Lasers Med Sci 31(6):1237–1244. doi:10.1007/s10103-016-1973-0
Ferraresi C, de Sousa MV, Huang YY, Bagnato VS, Parizotto NA, Hamblin MR (2015) Time response of increases in ATP and muscle resistance to fatigue after low-level laser (light) therapy (LLLT) in mice. Lasers Med Sci 30(4):1259–1267. doi:10.1007/s10103-015-1723-8
Newton MJ, Sacco P, Chapman D, Nosaka K (2013) Do dominant and non-dominant arms respond similarly to maximal eccentric exercise of the elbow flexors? J Sci Med Sport 16(2):166–171. doi:10.1016/j.jsams.2012.06.001
Dattilo M, Antunes HK, Medeiros A, Monico Neto M, Souza HS, Tufik S, de Mello MT (2011) Sleep and muscle recovery: endocrinological and molecular basis for a new and promising hypothesis. Med Hypotheses 77(2):220–222. doi:10.1016/j.mehy.2011.04.017
Sousa M, Teixeira VH, Soares J (2014) Dietary strategies to recover from exercise-induced muscle damage. Int J Food Sci Nutr 65(2):151–163. doi:10.3109/09637486.2013.849662
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The authors would like to thank to CNPq and UFCSPA by the research scholarships.
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The authors declare they have no competing interests and the project had no founding sources. The study was approved by the institutional ethics in research committee (protocol number 924944) and was prospectively registered on ClinicalTrials.gov (ID NCT02493556). All volunteers have signed the written informed consent.
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An erratum to this article is available at http://dx.doi.org/10.1007/s10103-016-2113-6.
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Fritsch, C.G., Dornelles, M.P., Severo-Silveira, L. et al. Effects of low-level laser therapy applied before or after plyometric exercise on muscle damage markers: randomized, double-blind, placebo-controlled trial. Lasers Med Sci 31, 1935–1942 (2016). https://doi.org/10.1007/s10103-016-2072-y
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DOI: https://doi.org/10.1007/s10103-016-2072-y