Skip to main content
Top
Published in: Lasers in Medical Science 1/2015

01-01-2015 | Original Article

Effect of phototherapy with light-emitting diodes (890 nm) on tendon repair: an experimental model in sheep

Authors: Luiz Henrique Lima de Mattos, Luis Emiliano Cisneros Álvarez, Ana Lúcia Miluzzi Yamada, Carlos Alberto Hussni, Celso Antonio Rodrigues, Marcos Jun Watanabe, Ana Liz Garcia Alves

Published in: Lasers in Medical Science | Issue 1/2015

Login to get access

Abstract

The effect of phototherapy with 890-nm light-emitting diodes (LEDs) on the healing of experimentally induced tendinitis in sheep was evaluated in this study. Partial tenotomies measuring 0.2 cm wide × 0.5 cm long were performed on the second third of the superficial digital flexor tendons of 10 healthy sheep. The animals were divided into two groups: “treated” (TG), treated with LEDs at the aforementioned wavelength, and “control” (CG), a control group treated with a placebo. Kinesiotherapy, which consisted of 5-min walks on grassy ground, was performed on both groups. B-mode and power Doppler ultrasonographies (US) were performed to evaluate the tendon healing process during the first 14 days after surgery and on the 21st and 28th postoperative days. Biopsies were performed on day 28 for the histopathological assessment of neovascularisation and the pattern of the tendon fibres. The absence of lameness and a significant improvement (p < 0.05) in the sensitivity to pain during palpation were observed in the treated group. Furthermore, a significant reduction in oedema and an increased number of vessels (p < 0.05) were observed in this group with the B-mode and power Doppler US, respectively. No significant difference in the evolution of the lesion was found. There was a histological difference (p < 0.05) in neovascularisation in the treated group. Phototherapy with 890-nm light-emitting diodes decreases the inflammatory process.
Literature
1.
go back to reference Contran RS, Kumar V, Robbins SL (2005) Fundamentos de Robbins: patologia estrutural e funcional [Robbins fundamentals: structural and functional pathology]. Guanabara Koogan, Rio de Janeiro Contran RS, Kumar V, Robbins SL (2005) Fundamentos de Robbins: patologia estrutural e funcional [Robbins fundamentals: structural and functional pathology]. Guanabara Koogan, Rio de Janeiro
2.
go back to reference Salate ACB (2002) Síndromes por overduse em tendão de calcâneo [Overuse syndromes in the Achilles tendon]. Fisioterapia Brasil 3:351–355 Salate ACB (2002) Síndromes por overduse em tendão de calcâneo [Overuse syndromes in the Achilles tendon]. Fisioterapia Brasil 3:351–355
3.
go back to reference Peloso JG, Mundy GD, Honnas CM, Moyer W (1996) Epidemiologic study of musculoskeletal injuries in racing thoroughbred horses in Kentucky. Annu Convention Am Assoc Equine Pract 42:284–285 Peloso JG, Mundy GD, Honnas CM, Moyer W (1996) Epidemiologic study of musculoskeletal injuries in racing thoroughbred horses in Kentucky. Annu Convention Am Assoc Equine Pract 42:284–285
4.
go back to reference Sodatis JJ, Goodfellow DB, Wilber JH (1997) End to end operative repair of Achilles tendon rupture. Am J Sports Med 25:90–95CrossRef Sodatis JJ, Goodfellow DB, Wilber JH (1997) End to end operative repair of Achilles tendon rupture. Am J Sports Med 25:90–95CrossRef
5.
go back to reference Dahlgren LA, Mohamed HO, Nixon AJ (2005) Temporal expression of growth factors and matrix molecules in healing tendon lesions. J Orthop Res 23:84–92PubMedCrossRef Dahlgren LA, Mohamed HO, Nixon AJ (2005) Temporal expression of growth factors and matrix molecules in healing tendon lesions. J Orthop Res 23:84–92PubMedCrossRef
6.
go back to reference Madison JB (1995) Acute and chronic tendinitis in horses. Compend Contin Educ Pract Vet 17:853–856 Madison JB (1995) Acute and chronic tendinitis in horses. Compend Contin Educ Pract Vet 17:853–856
7.
go back to reference Gaughan EM, Gift LJ, De Bowes BR, Roush J (1995) The influence of sequential intratendinous sodium hyaluronate on tendon healing in horses. Vet Comp Orthop Traumatol 8:40–45 Gaughan EM, Gift LJ, De Bowes BR, Roush J (1995) The influence of sequential intratendinous sodium hyaluronate on tendon healing in horses. Vet Comp Orthop Traumatol 8:40–45
8.
go back to reference Wilson AM, Goodship AE (1994) Exercise-induced hyperthermia as a possible mechanism for tendon degeneration. J Biomech 27:899–905PubMedCrossRef Wilson AM, Goodship AE (1994) Exercise-induced hyperthermia as a possible mechanism for tendon degeneration. J Biomech 27:899–905PubMedCrossRef
9.
go back to reference Enwemeka CS, Reddy GK (2000) The biological effects of laser therapy and other physical modalities on connective. Laser Ther 12:19–22 Enwemeka CS, Reddy GK (2000) The biological effects of laser therapy and other physical modalities on connective. Laser Ther 12:19–22
10.
go back to reference Parizotto NA (1998) Ação do laser de hélio-neônio sobre o processo de reparo tecidual: um estudo do colágeno por microscopia eletrônica de varredura, microscopia de força atômica e espectroscopia por infravermelho [The action of a helium neon laser on the tissue repair process: a collagen study by scanning electron microscopy, atomic force microscopy and infrared spectroscopy]. Doctoral Dissertation, School of Electrical Engineering and Computing, Unicamp Parizotto NA (1998) Ação do laser de hélio-neônio sobre o processo de reparo tecidual: um estudo do colágeno por microscopia eletrônica de varredura, microscopia de força atômica e espectroscopia por infravermelho [The action of a helium neon laser on the tissue repair process: a collagen study by scanning electron microscopy, atomic force microscopy and infrared spectroscopy]. Doctoral Dissertation, School of Electrical Engineering and Computing, Unicamp
11.
go back to reference Mcdonough MS, Baxter DG (2007) Principles of electrotherapy in veterinary physiotherapy. In: Stubbs N, Goff L, McGowan MC (eds) Animal physiotherapy. Blackwell, Oxford, pp 182–186 Mcdonough MS, Baxter DG (2007) Principles of electrotherapy in veterinary physiotherapy. In: Stubbs N, Goff L, McGowan MC (eds) Animal physiotherapy. Blackwell, Oxford, pp 182–186
12.
go back to reference Low L, Reed A (2001) Eletroterapia explicada: princípios e prática [Electrotherapy explained: principles and practice]. Manole, Barueri Low L, Reed A (2001) Eletroterapia explicada: princípios e prática [Electrotherapy explained: principles and practice]. Manole, Barueri
13.
go back to reference Veçoso CM (1993) Laser em fisioterapia [Laser in physiotherapy]. Ed. Lovise, São Paulo Veçoso CM (1993) Laser em fisioterapia [Laser in physiotherapy]. Ed. Lovise, São Paulo
14.
go back to reference Al-Watban FAH, Andres BL (2003) Polychromatic LED therapy in burn healing of non-diabetic and diabetic rats. J Clin Laser Med Surg 21:249–258PubMedCrossRef Al-Watban FAH, Andres BL (2003) Polychromatic LED therapy in burn healing of non-diabetic and diabetic rats. J Clin Laser Med Surg 21:249–258PubMedCrossRef
15.
go back to reference Corazza AV (2005) Fotobiomodulação comparativa entre o Laser e LED de baixa intensidade na angiogênese de feridas cutâneas de ratos [Comparative photobiomodulation between the LED and low-intensity laser in the angiogenesis of skin wounds in rats]. Master’s Thesis, University of São Paulo at São Carlos School of Engineering Corazza AV (2005) Fotobiomodulação comparativa entre o Laser e LED de baixa intensidade na angiogênese de feridas cutâneas de ratos [Comparative photobiomodulation between the LED and low-intensity laser in the angiogenesis of skin wounds in rats]. Master’s Thesis, University of São Paulo at São Carlos School of Engineering
16.
go back to reference Karu T (1988) Molecular mechanism of therapeutic effect of low intensity laser irradiation. Lasers Life Sci 2:53–74 Karu T (1988) Molecular mechanism of therapeutic effect of low intensity laser irradiation. Lasers Life Sci 2:53–74
17.
go back to reference Vladimirov YA, Osipov AN, Klebanov GI (2004) Photobiological principles of therapeutic applications of laser radiation. Biochemistry 69:81–90PubMed Vladimirov YA, Osipov AN, Klebanov GI (2004) Photobiological principles of therapeutic applications of laser radiation. Biochemistry 69:81–90PubMed
18.
go back to reference Keegan KG, Dent EV, Wilson DA, Janicek J, Kramer J, Lacarrubba A, Walsh DM, Cassels MW, Esther TM, Schiltz P, Frees KE, Wilhite CL, Clark JM, Pollit CC, Shaw R, Norris T (2010) Repeatability of subjective evaluation of lameness in horses. Equine Vet J 42:92–97PubMedCrossRef Keegan KG, Dent EV, Wilson DA, Janicek J, Kramer J, Lacarrubba A, Walsh DM, Cassels MW, Esther TM, Schiltz P, Frees KE, Wilhite CL, Clark JM, Pollit CC, Shaw R, Norris T (2010) Repeatability of subjective evaluation of lameness in horses. Equine Vet J 42:92–97PubMedCrossRef
19.
go back to reference Genovese R, Rantanen NW, Simpson BS, Simpson DM (1990) Clinical experience with quantitative analysis of superficial digital flexor tendon injuries in thoroughbred and standard bred racehorses. Vet Clin N Am Equine Pract 6:129–145 Genovese R, Rantanen NW, Simpson BS, Simpson DM (1990) Clinical experience with quantitative analysis of superficial digital flexor tendon injuries in thoroughbred and standard bred racehorses. Vet Clin N Am Equine Pract 6:129–145
20.
go back to reference Risselada M, Kramer M, Saunders JM, Verleyen P, Bree HV (2006) Power Doppler assessment of the neovascularization during uncomplicated fracture healing of long bones in dogs and cats. Vet Radiol Ultrasound 47:301–306PubMedCrossRef Risselada M, Kramer M, Saunders JM, Verleyen P, Bree HV (2006) Power Doppler assessment of the neovascularization during uncomplicated fracture healing of long bones in dogs and cats. Vet Radiol Ultrasound 47:301–306PubMedCrossRef
21.
go back to reference Nixon AJ, Dahlgren LA, Haupt JL, Yeager AE, Ward DL (2008) Effect of adipose-derived nucleated cell fractions on tendon repair in horses with collagenase-induced tendinitis. Am J Vet Res 69:928–937PubMedCrossRef Nixon AJ, Dahlgren LA, Haupt JL, Yeager AE, Ward DL (2008) Effect of adipose-derived nucleated cell fractions on tendon repair in horses with collagenase-induced tendinitis. Am J Vet Res 69:928–937PubMedCrossRef
22.
go back to reference SAS Institute (2009) SAS/STAT user’s guide. Version 9.2. SAS Institute Inc., Cary, NC SAS Institute (2009) SAS/STAT user’s guide. Version 9.2. SAS Institute Inc., Cary, NC
23.
go back to reference Alves ALG (1998) Influência da beta-aminopropionitrila associada à atividade física na reparação de equinos após agressão pela colagenase. Análise ultrassonográfica e morfológica [Influence of beta-aminopropionitrile associated with physical activity in the repair of horses following collagenase aggression. Sonographic and morphological analysis]. Doctoral Dissertation, School of Veterinary Medicine and Animal Husbandry, São Paulo State University Alves ALG (1998) Influência da beta-aminopropionitrila associada à atividade física na reparação de equinos após agressão pela colagenase. Análise ultrassonográfica e morfológica [Influence of beta-aminopropionitrile associated with physical activity in the repair of horses following collagenase aggression. Sonographic and morphological analysis]. Doctoral Dissertation, School of Veterinary Medicine and Animal Husbandry, São Paulo State University
24.
go back to reference Williams IF (1984) Studies on the pathogenesis of equine tendinitis following collagenase injury. Res Vet Sci 36:326–338PubMed Williams IF (1984) Studies on the pathogenesis of equine tendinitis following collagenase injury. Res Vet Sci 36:326–338PubMed
25.
go back to reference Yamada ALM, Alves ALG et al (2009) Comparação de diferentes doses de colagenase em modelo de indução de tendinite para eqüinos: estudo clínico e ultra-sonográfico [Comparison of different doses in collagenase-induced equine tendinitis: clinical and ultrasonographic study]. Cienc Rural 39:1124–1130CrossRef Yamada ALM, Alves ALG et al (2009) Comparação de diferentes doses de colagenase em modelo de indução de tendinite para eqüinos: estudo clínico e ultra-sonográfico [Comparison of different doses in collagenase-induced equine tendinitis: clinical and ultrasonographic study]. Cienc Rural 39:1124–1130CrossRef
26.
go back to reference Alves ALG, Stewart AA, Dudhia J, Kasashima Y, Goodship AE, Smith RKW (2011) Cell-based therapies for tendon and ligament injuries. Vet Clin N Am Equine Pract 27:315–333CrossRef Alves ALG, Stewart AA, Dudhia J, Kasashima Y, Goodship AE, Smith RKW (2011) Cell-based therapies for tendon and ligament injuries. Vet Clin N Am Equine Pract 27:315–333CrossRef
27.
go back to reference Casalechi HL, Marques ACF, Silva EAP, Aimbire F, Marcos RL, Lopes-Martins RAB, Carvalho PTC, Albertini R (2014) Analysis of the effect of phototherapy in model with traumatic Achilles tendon injury in rats. Lasers Med Sci 29:1075–1081PubMedCrossRef Casalechi HL, Marques ACF, Silva EAP, Aimbire F, Marcos RL, Lopes-Martins RAB, Carvalho PTC, Albertini R (2014) Analysis of the effect of phototherapy in model with traumatic Achilles tendon injury in rats. Lasers Med Sci 29:1075–1081PubMedCrossRef
28.
go back to reference Basford J, Sheffield C, Harmsen W (1999) Laser therapy: a randomised, controlled trial of the effects of low-intensity Nd: YAG laser irradiation on musculoskeletal back pain. Arch Phys Med Rehabil 80:647–652PubMedCrossRef Basford J, Sheffield C, Harmsen W (1999) Laser therapy: a randomised, controlled trial of the effects of low-intensity Nd: YAG laser irradiation on musculoskeletal back pain. Arch Phys Med Rehabil 80:647–652PubMedCrossRef
29.
go back to reference Vasseljen O, Hoeg N, Kjeldstad B, Johnsson A, Larsen S (1992) Low level laser versus placebo in the treatment of tennis elbow. Scand J Rehabil Med 24:37–42PubMed Vasseljen O, Hoeg N, Kjeldstad B, Johnsson A, Larsen S (1992) Low level laser versus placebo in the treatment of tennis elbow. Scand J Rehabil Med 24:37–42PubMed
30.
go back to reference Klein RG, Eek BC (1990) Low-energy laser treatment and exercise for chronic low back pain: double blind controlled trial. Arch Phys Med Rehabil 71:34–37PubMed Klein RG, Eek BC (1990) Low-energy laser treatment and exercise for chronic low back pain: double blind controlled trial. Arch Phys Med Rehabil 71:34–37PubMed
31.
go back to reference Vecchio P, Cave C, King V, Adebajo AO, Smith M, Hazelman BL (1993) A double-blind study of the effectiveness of low-level laser treatment of rotator cuff tendinitis. Br J Rheumatol 32:740–742PubMedCrossRef Vecchio P, Cave C, King V, Adebajo AO, Smith M, Hazelman BL (1993) A double-blind study of the effectiveness of low-level laser treatment of rotator cuff tendinitis. Br J Rheumatol 32:740–742PubMedCrossRef
32.
go back to reference Cidra-Filho FJ, Mezzardo-Martins L, Martins DF, Santos ARS (2014) Light-emitting diode therapy induces analgesia in a mouse model of postoperative pain through activation of peripheral opioid receptors and the L-arginine/nitric oxide pathway. Lasers Med Sci 29:695–702CrossRef Cidra-Filho FJ, Mezzardo-Martins L, Martins DF, Santos ARS (2014) Light-emitting diode therapy induces analgesia in a mouse model of postoperative pain through activation of peripheral opioid receptors and the L-arginine/nitric oxide pathway. Lasers Med Sci 29:695–702CrossRef
33.
go back to reference Kitchen SS, Partridge CJ (1991) A review of low-level laser therapy. Part I: background, physiological effects and hazards. Physiotherapy 7:161–170CrossRef Kitchen SS, Partridge CJ (1991) A review of low-level laser therapy. Part I: background, physiological effects and hazards. Physiotherapy 7:161–170CrossRef
34.
go back to reference Albertini R, Aimbire FS, Correa FS, Ribeiro W, Cogo JC, Antunes E, Teixeira AS, Nucci G, Neto CHCF, Zângaro RA, Lopes-martins RA (2004) Effects of different protocol doses of low power gallium-aluminum-arsenate (Ga-Al-As) laser radiation (650 nm) on carrageenan induced rat paw oedema. J Photochem Photobiol B 74:101–107PubMedCrossRef Albertini R, Aimbire FS, Correa FS, Ribeiro W, Cogo JC, Antunes E, Teixeira AS, Nucci G, Neto CHCF, Zângaro RA, Lopes-martins RA (2004) Effects of different protocol doses of low power gallium-aluminum-arsenate (Ga-Al-As) laser radiation (650 nm) on carrageenan induced rat paw oedema. J Photochem Photobiol B 74:101–107PubMedCrossRef
35.
go back to reference Schindl A, Schindl M, Schindl L (1997) Phototherapy with low intensity laser irradiation for a chronic radiation ulcer in a patient with lupus erythematosus and diabetes mellitus. Br J Dermatol 137:840–884PubMedCrossRef Schindl A, Schindl M, Schindl L (1997) Phototherapy with low intensity laser irradiation for a chronic radiation ulcer in a patient with lupus erythematosus and diabetes mellitus. Br J Dermatol 137:840–884PubMedCrossRef
36.
go back to reference Trelles M, Mayayo E (1997) Bone fracture consolidates faster with low power laser. Lasers Surg Med 7:36–45CrossRef Trelles M, Mayayo E (1997) Bone fracture consolidates faster with low power laser. Lasers Surg Med 7:36–45CrossRef
37.
go back to reference Genovese WJ (2000) Revisão laser [Laser review]. Pancast, São Paulo Genovese WJ (2000) Revisão laser [Laser review]. Pancast, São Paulo
38.
go back to reference Kawano Y, Utsunomiya-Kai Y, Kentaro K, Miyakawa I, Ohshiro T, Narahara H (2012) The production of VEGF involving MAP kinase activation by low level laser therapy in human granulosa cells. Laser Ther 21:269–274PubMedCentralPubMedCrossRef Kawano Y, Utsunomiya-Kai Y, Kentaro K, Miyakawa I, Ohshiro T, Narahara H (2012) The production of VEGF involving MAP kinase activation by low level laser therapy in human granulosa cells. Laser Ther 21:269–274PubMedCentralPubMedCrossRef
39.
go back to reference Xavier M, David DR, Souza RA, Arrieiro AN, Miranda AN, Miranda H, Santana ET, Silva JA, Salgado MA, Aimbire F, Albertini R (2010) Anti-inflammatory effects of low-level light emitting diode therapy on Achilles tendinitis in rats. Lasers Surg Med 42:553–558PubMedCrossRef Xavier M, David DR, Souza RA, Arrieiro AN, Miranda AN, Miranda H, Santana ET, Silva JA, Salgado MA, Aimbire F, Albertini R (2010) Anti-inflammatory effects of low-level light emitting diode therapy on Achilles tendinitis in rats. Lasers Surg Med 42:553–558PubMedCrossRef
40.
go back to reference Machado MVM, Vulcano LC, Hussni CA, Alves ALG (2000) Efeito da laserterapia em tendinite experimental no tendão flexor digital superficial em equinos: estudo histológico e ultrassonográfico [Effects of laser therapy on experimental tendinitis in horses: ultrasonographic and histologic study]. Arch Vet Sci 5:111–115 Machado MVM, Vulcano LC, Hussni CA, Alves ALG (2000) Efeito da laserterapia em tendinite experimental no tendão flexor digital superficial em equinos: estudo histológico e ultrassonográfico [Effects of laser therapy on experimental tendinitis in horses: ultrasonographic and histologic study]. Arch Vet Sci 5:111–115
41.
go back to reference Tsai W, Hsu C, Pang J, Lin M, Chen Y, Liang F (2012) Low-level laser irradiation stimulates tenocyte migration with up-regulation of dynamin II expression. PLos ONE 7:1–7 Tsai W, Hsu C, Pang J, Lin M, Chen Y, Liang F (2012) Low-level laser irradiation stimulates tenocyte migration with up-regulation of dynamin II expression. PLos ONE 7:1–7
42.
go back to reference Xavier M, Souza R, Pires V, Santos A, Aimbire F, Junior J, Albertini R, Villaverde A (2014) Low-level light-emitting diode therapy increases mRNA expressions of IL-10 and type I and III collagens on Achilles tendinitis in rats. Lasers Med Sci 29:85–90PubMedCrossRef Xavier M, Souza R, Pires V, Santos A, Aimbire F, Junior J, Albertini R, Villaverde A (2014) Low-level light-emitting diode therapy increases mRNA expressions of IL-10 and type I and III collagens on Achilles tendinitis in rats. Lasers Med Sci 29:85–90PubMedCrossRef
43.
go back to reference Reddy GK, Stehno Bittel L, Enwemeka CS (2001) Laser photostimulation accelerates wound healing in diabetic rats. Wound Repair Regen 9:248–255PubMedCrossRef Reddy GK, Stehno Bittel L, Enwemeka CS (2001) Laser photostimulation accelerates wound healing in diabetic rats. Wound Repair Regen 9:248–255PubMedCrossRef
44.
go back to reference Saperia D, Glassberg E, Lyons R (1987) mRNA level in cutaneous wounds treated with helium-neon laser. Proposed mechanism of enhanced wound healing. Biochem Biophys Res Commun 138:1123–1128CrossRef Saperia D, Glassberg E, Lyons R (1987) mRNA level in cutaneous wounds treated with helium-neon laser. Proposed mechanism of enhanced wound healing. Biochem Biophys Res Commun 138:1123–1128CrossRef
45.
go back to reference Mikail SC (2008) Avaliação da terapia do laser de arsenito de gálio em tendinite de cavalos Puro Sangue Inglês de corrida [Evaluation of gallium arsenide laser for treatment of equine tendinitis]. Master’s Thesis, University of São Paulo, São Paulo Mikail SC (2008) Avaliação da terapia do laser de arsenito de gálio em tendinite de cavalos Puro Sangue Inglês de corrida [Evaluation of gallium arsenide laser for treatment of equine tendinitis]. Master’s Thesis, University of São Paulo, São Paulo
46.
go back to reference Casalechi HL, Nicolau RA, Casalechi VL, Silveira-Júnior L, Paula AMB, Pacheco MTT (2009) The effects of low level light emitting diode on the repair process of Achilles tendon therapy in rats. Lasers Med Sci 24:659–665PubMedCrossRef Casalechi HL, Nicolau RA, Casalechi VL, Silveira-Júnior L, Paula AMB, Pacheco MTT (2009) The effects of low level light emitting diode on the repair process of Achilles tendon therapy in rats. Lasers Med Sci 24:659–665PubMedCrossRef
47.
go back to reference Leja C, Geminiani A, Caton J, Romanos G (2013) Thermodynamic effects of laser irradiation of implants placed in bone: an in vitro study. Lasers Med Sci 28:1435–1440PubMedCrossRef Leja C, Geminiani A, Caton J, Romanos G (2013) Thermodynamic effects of laser irradiation of implants placed in bone: an in vitro study. Lasers Med Sci 28:1435–1440PubMedCrossRef
Metadata
Title
Effect of phototherapy with light-emitting diodes (890 nm) on tendon repair: an experimental model in sheep
Authors
Luiz Henrique Lima de Mattos
Luis Emiliano Cisneros Álvarez
Ana Lúcia Miluzzi Yamada
Carlos Alberto Hussni
Celso Antonio Rodrigues
Marcos Jun Watanabe
Ana Liz Garcia Alves
Publication date
01-01-2015
Publisher
Springer London
Published in
Lasers in Medical Science / Issue 1/2015
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI
https://doi.org/10.1007/s10103-014-1641-1

Other articles of this Issue 1/2015

Lasers in Medical Science 1/2015 Go to the issue