Skip to main content
Top
Published in: Trials 1/2014

Open Access 01-12-2014 | Study protocol

What is the ideal dose and power output of low-level laser therapy (810 nm) on muscle performance and post-exercise recovery? Study protocol for a double-blind, randomized, placebo-controlled trial

Authors: Adriano Rodrigues de Oliveira, Adriane Aver Vanin, Thiago De Marchi, Fernanda Colella Antonialli, Vanessa dos Santos Grandinetti, Paulo Roberto Vicente de Paiva, Gianna Móes Albuquerque Pontes, Larissa Aline Santos, Ivo de Oliveira Aleixo Junior, Paulo de Tarso Camillo de Carvalho, Jan Magnus Bjordal, Ernesto Cesar Pinto Leal-Junior

Published in: Trials | Issue 1/2014

Login to get access

Abstract

Background

Recent studies involving phototherapy applied prior to exercise have demonstrated positive results regarding the attenuation of muscle fatigue and the expression of biochemical markers associated with recovery. However, a number of factors remain unknown, such as the ideal dose and application parameters, mechanisms of action and long-term effects on muscle recovery. The aims of the proposed project are to evaluate the long-term effects of low-level laser therapy on post-exercise musculoskeletal recovery and identify the best dose andapplication power/irradiation time.

Design and methods

A double-blind, randomized, placebo-controlled clinical trial with be conducted. After fulfilling the eligibility criteria, 28 high-performance athletes will be allocated to four groups of seven volunteers each. In phase 1, the laser power will be 200 mW and different doses will be tested: Group A (2 J), Group B (6 J), Group C (10 J) and Group D (0 J). In phase 2, the best dose obtained in phase 1 will be used with the same distribution of the volunteers, but with different powers: Group A (100 mW), Group B (200 mW), Group C (400 mW) and Group D (0 mW). The isokinetic test will be performed based on maximum voluntary contraction prior to the application of the laser and after the eccentric contraction protocol, which will also be performed using the isokinetic dynamometer. The following variables related to physical performance will be analyzed: peak torque/maximum voluntary contraction, delayed onset muscle soreness (algometer), biochemical markers of muscle damage, inflammation and oxidative stress.

Discussion

Our intention, is to determine optimal laser therapy application parameters capable of slowing down the physiological muscle fatigue process, reducing injuries or micro-injuries in skeletal muscle stemming from physical exertion and accelerating post-exercise muscle recovery. We believe that, unlike drug therapy, LLLT has a biphasic dose–response pattern.

Trial registration

The protocol for this study is registered with the Protocol Registry System, ClinicalTrials.gov identifier NCT01844271.
Appendix
Available only for authorised users
Literature
1.
go back to reference Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, Wallace EP: Development of a fatigue scale. J Psychosom Res. 1993, 37: 147-153. 10.1016/0022-3999(93)90081-P.CrossRefPubMed Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, Wallace EP: Development of a fatigue scale. J Psychosom Res. 1993, 37: 147-153. 10.1016/0022-3999(93)90081-P.CrossRefPubMed
2.
go back to reference Kawakami Y, Amemiya K, Kanehisa H, Ikegawa S, Fukunaga T: Fatigue responses of human triceps surae muscles during repetitive maximal isometric contractions. J. Appl. Physiol. 1969–1975, 2000: 88- Kawakami Y, Amemiya K, Kanehisa H, Ikegawa S, Fukunaga T: Fatigue responses of human triceps surae muscles during repetitive maximal isometric contractions. J. Appl. Physiol. 1969–1975, 2000: 88-
3.
go back to reference Pasquet B, Carpentier A, Duchateau J, Hainaut K: Muscle fatigue during concentric and eccentric contractions. Muscle Nerve. 2000, 23: 1727-1735. 10.1002/1097-4598(200011)23:11<1727::AID-MUS9>3.0.CO;2-Y.CrossRefPubMed Pasquet B, Carpentier A, Duchateau J, Hainaut K: Muscle fatigue during concentric and eccentric contractions. Muscle Nerve. 2000, 23: 1727-1735. 10.1002/1097-4598(200011)23:11<1727::AID-MUS9>3.0.CO;2-Y.CrossRefPubMed
4.
go back to reference Torisu T, Wang K, Svensson P, De Laat A, Fujii H, Arendt-Nielsen L: Effects of muscle fatigue induced by low-level clenching on experimental muscle pain and resting jaw muscle activity: gender differences. Exp. Brain Res. 2006, 174: 566-574. 10.1007/s00221-006-0497-4.CrossRefPubMed Torisu T, Wang K, Svensson P, De Laat A, Fujii H, Arendt-Nielsen L: Effects of muscle fatigue induced by low-level clenching on experimental muscle pain and resting jaw muscle activity: gender differences. Exp. Brain Res. 2006, 174: 566-574. 10.1007/s00221-006-0497-4.CrossRefPubMed
5.
go back to reference Totsuka M, Nakaji S, Suzuki K, Sugawara K, Sato K: Break point of serum creatine kinase release after endurance exercise. J Appl Physiol. 2002, 93: 1280-1286.CrossRefPubMed Totsuka M, Nakaji S, Suzuki K, Sugawara K, Sato K: Break point of serum creatine kinase release after endurance exercise. J Appl Physiol. 2002, 93: 1280-1286.CrossRefPubMed
6.
go back to reference Proske U, Morgan DL: Muscle damage from eccentric exercise: mechanism, mechanical signs, adaptation and clinical applications. J Physiol. 2001, 537 (2): 333-345. 10.1111/j.1469-7793.2001.00333.x.CrossRefPubMedPubMedCentral Proske U, Morgan DL: Muscle damage from eccentric exercise: mechanism, mechanical signs, adaptation and clinical applications. J Physiol. 2001, 537 (2): 333-345. 10.1111/j.1469-7793.2001.00333.x.CrossRefPubMedPubMedCentral
7.
go back to reference Morgan DL, Allen DG: Early events in stretch-induced muscle damage. J Appl Physiol. 2007–2015, 1999: 87- Morgan DL, Allen DG: Early events in stretch-induced muscle damage. J Appl Physiol. 2007–2015, 1999: 87-
8.
go back to reference Byrne C, Twist C, Eston R: Neuromuscular function after exercise-induced muscle damage—theoretical and applied implications. Sports Med. 2004, 34: 49-69. 10.2165/00007256-200434010-00005.CrossRefPubMed Byrne C, Twist C, Eston R: Neuromuscular function after exercise-induced muscle damage—theoretical and applied implications. Sports Med. 2004, 34: 49-69. 10.2165/00007256-200434010-00005.CrossRefPubMed
9.
go back to reference Clarkson PM, Hubal MJ: Exercise-induced muscle damage. Am J Phys Med Rehabil. 2002, 81: S52-S69. 10.1097/00002060-200211001-00007.CrossRefPubMed Clarkson PM, Hubal MJ: Exercise-induced muscle damage. Am J Phys Med Rehabil. 2002, 81: S52-S69. 10.1097/00002060-200211001-00007.CrossRefPubMed
10.
go back to reference Cheung K, Hume P, Maxwell L: Delayed onset muscle soreness: treatment strategies and performance factors. Sports Med. 2003, 33: 145-164. 10.2165/00007256-200333020-00005.CrossRefPubMed Cheung K, Hume P, Maxwell L: Delayed onset muscle soreness: treatment strategies and performance factors. Sports Med. 2003, 33: 145-164. 10.2165/00007256-200333020-00005.CrossRefPubMed
11.
go back to reference Howatson G, van Someren KA: The prevention and treatment of exercise-induced muscle damage. Sports Med. 2008, 38: 483-450. 10.2165/00007256-200838060-00004.CrossRefPubMed Howatson G, van Someren KA: The prevention and treatment of exercise-induced muscle damage. Sports Med. 2008, 38: 483-450. 10.2165/00007256-200838060-00004.CrossRefPubMed
12.
go back to reference Barnett A: Using recovery modalities between training sessions in elite athletes: does it help?. Sports Med. 2006, 36: 781-796. 10.2165/00007256-200636090-00005.CrossRefPubMed Barnett A: Using recovery modalities between training sessions in elite athletes: does it help?. Sports Med. 2006, 36: 781-796. 10.2165/00007256-200636090-00005.CrossRefPubMed
13.
go back to reference Ahmaidi S, Granier P, Taoutaou Z, Mercier J, Dubouchaud H, Prefaut C: Effects of active recovery on plasma lactate and anaerobic power following repeated intensive exercise. Med Sci Sports Exerc. 1996, 28: 450-456. 10.1097/00005768-199604000-00009.CrossRefPubMed Ahmaidi S, Granier P, Taoutaou Z, Mercier J, Dubouchaud H, Prefaut C: Effects of active recovery on plasma lactate and anaerobic power following repeated intensive exercise. Med Sci Sports Exerc. 1996, 28: 450-456. 10.1097/00005768-199604000-00009.CrossRefPubMed
14.
go back to reference Baldari C, Videira M, Madeira F, Sergio J, Guidetti L: Lactate removal during active recovery related to the individual anaerobic and ventilatory thresholds in soccer players. Eur J Appl Physiol. 2004, 93: 224-230. 10.1007/s00421-004-1203-5.CrossRefPubMed Baldari C, Videira M, Madeira F, Sergio J, Guidetti L: Lactate removal during active recovery related to the individual anaerobic and ventilatory thresholds in soccer players. Eur J Appl Physiol. 2004, 93: 224-230. 10.1007/s00421-004-1203-5.CrossRefPubMed
15.
go back to reference Martin NA, Zoeller RF, Robertson RJ, Lephart SM: The comparative effects of sports massage, active recovery, and rest in promoting blood lactate clearance after supramaximal leg exercise. J Athl Train. 1998, 33: 30-35.PubMedPubMedCentral Martin NA, Zoeller RF, Robertson RJ, Lephart SM: The comparative effects of sports massage, active recovery, and rest in promoting blood lactate clearance after supramaximal leg exercise. J Athl Train. 1998, 33: 30-35.PubMedPubMedCentral
16.
go back to reference Howatson G, Goodall S, van Someren KA: The influence of cold water immersions on adaptation following a single bout of damaging exercise. Eur J Appl Physiol. 2009, 105: 615-621. 10.1007/s00421-008-0941-1.CrossRefPubMed Howatson G, Goodall S, van Someren KA: The influence of cold water immersions on adaptation following a single bout of damaging exercise. Eur J Appl Physiol. 2009, 105: 615-621. 10.1007/s00421-008-0941-1.CrossRefPubMed
17.
go back to reference Lattier G, Millet GY, Martin A, Martin V: Fatigue and recovery after high-intensity exercise. Part II: recovery interventions. Int J Sports Med. 2004, 25: 509-515. 10.1055/s-2004-820946.CrossRefPubMed Lattier G, Millet GY, Martin A, Martin V: Fatigue and recovery after high-intensity exercise. Part II: recovery interventions. Int J Sports Med. 2004, 25: 509-515. 10.1055/s-2004-820946.CrossRefPubMed
18.
go back to reference Leal Junior EC, Lopes-Martins RA, Dalan F, Ferrari M, Sbabo FM, Generosi RA, Baroni BM, Penna SC, Iversen VV, Bjordal JM: Effect of 655-nm low-level laser therapy on exercise-induced skeletal muscle fatigue in humans. Photomed Laser Surg. 2008, 26: 419-424. 10.1089/pho.2007.2160.CrossRefPubMed Leal Junior EC, Lopes-Martins RA, Dalan F, Ferrari M, Sbabo FM, Generosi RA, Baroni BM, Penna SC, Iversen VV, Bjordal JM: Effect of 655-nm low-level laser therapy on exercise-induced skeletal muscle fatigue in humans. Photomed Laser Surg. 2008, 26: 419-424. 10.1089/pho.2007.2160.CrossRefPubMed
19.
go back to reference Leal Junior EC, Lopes-Martins RA, Vanin AA, Baroni BM, Grosselli D, De Marchi T, Iversen VV, Bjordal JM: Effect of 830 nm low-level laser therapy in exercise-induced skeletal muscle fatigue in humans. Lasers Med Sci. 2009, 24: 425-431. 10.1007/s10103-008-0592-9.CrossRefPubMed Leal Junior EC, Lopes-Martins RA, Vanin AA, Baroni BM, Grosselli D, De Marchi T, Iversen VV, Bjordal JM: Effect of 830 nm low-level laser therapy in exercise-induced skeletal muscle fatigue in humans. Lasers Med Sci. 2009, 24: 425-431. 10.1007/s10103-008-0592-9.CrossRefPubMed
20.
go back to reference Leal Junior EC, Lopes-Martins RA, Rossi RP, De Marchi T, Baroni BM, de Godoi V, Marcos RL, Ramos L, Bjordal JM: Effect of cluster multi-diode light emitting diode therapy (LEDT) on exercise-induced skeletal muscle fatigue and skeletal muscle recovery in humans. Lasers Surg Med. 2009, 41: 572-577. 10.1002/lsm.20810.CrossRefPubMed Leal Junior EC, Lopes-Martins RA, Rossi RP, De Marchi T, Baroni BM, de Godoi V, Marcos RL, Ramos L, Bjordal JM: Effect of cluster multi-diode light emitting diode therapy (LEDT) on exercise-induced skeletal muscle fatigue and skeletal muscle recovery in humans. Lasers Surg Med. 2009, 41: 572-577. 10.1002/lsm.20810.CrossRefPubMed
21.
go back to reference Leal Junior EC, Lopes-Martins RA, de Almeida P, Ramos L, Iversen VV, Bjordal JM: Effect of low-level laser therapy (GaAs 904 nm) in skeletal muscle fatigue and biochemical markers of muscle damage in rats. Eur J Appl Physiol. 2010, 108: 1083-1088. 10.1007/s00421-009-1321-1.CrossRefPubMed Leal Junior EC, Lopes-Martins RA, de Almeida P, Ramos L, Iversen VV, Bjordal JM: Effect of low-level laser therapy (GaAs 904 nm) in skeletal muscle fatigue and biochemical markers of muscle damage in rats. Eur J Appl Physiol. 2010, 108: 1083-1088. 10.1007/s00421-009-1321-1.CrossRefPubMed
22.
go back to reference Leal Junior EC, Lopes-Martins RA, Frigo L, De Marchi T, Rossi RP, de Godoi V, Tomazoni SS, da Silva DP, Basso M, Lotti Filho P, Corsetti FV, Iversen VV, Bjordal JM: Effects of low-level laser therapy (LLLT) in the development of exercise-induced skeletal muscle fatigue and changes in biochemical markers related to post-exercise recovery. J Orthop Sports Phys Ther. 2010, 40: 524-532. 10.2519/jospt.2010.3294.CrossRefPubMed Leal Junior EC, Lopes-Martins RA, Frigo L, De Marchi T, Rossi RP, de Godoi V, Tomazoni SS, da Silva DP, Basso M, Lotti Filho P, Corsetti FV, Iversen VV, Bjordal JM: Effects of low-level laser therapy (LLLT) in the development of exercise-induced skeletal muscle fatigue and changes in biochemical markers related to post-exercise recovery. J Orthop Sports Phys Ther. 2010, 40: 524-532. 10.2519/jospt.2010.3294.CrossRefPubMed
23.
go back to reference De Marchi T, Leal Junior EC, Bortoli C, Tomazoni SS, Lopes-Martins RA, Salvador M: Low-level laser therapy (LLLT) in human progressive-intensity running: effects on exercise performance, skeletal muscle status, and oxidative stress. Lasers Med Sci. 2012, 27: 231-236. 10.1007/s10103-011-0955-5.CrossRefPubMed De Marchi T, Leal Junior EC, Bortoli C, Tomazoni SS, Lopes-Martins RA, Salvador M: Low-level laser therapy (LLLT) in human progressive-intensity running: effects on exercise performance, skeletal muscle status, and oxidative stress. Lasers Med Sci. 2012, 27: 231-236. 10.1007/s10103-011-0955-5.CrossRefPubMed
24.
go back to reference Almeida P, Lopes-Martins RA, De Marchi T, Tomazoni SS, Albertini R, Corrêa JC, Rossi RP, Machado GP, da Silva DP, Bjordal JM, Leal Junior EC: Red (660 nm) and infrared (830 nm) low-level laser therapy in skeletal muscle fatigue in humans: what is better?. Lasers Med Sci. 2012, 27: 453-458. 10.1007/s10103-011-0957-3.CrossRefPubMed Almeida P, Lopes-Martins RA, De Marchi T, Tomazoni SS, Albertini R, Corrêa JC, Rossi RP, Machado GP, da Silva DP, Bjordal JM, Leal Junior EC: Red (660 nm) and infrared (830 nm) low-level laser therapy in skeletal muscle fatigue in humans: what is better?. Lasers Med Sci. 2012, 27: 453-458. 10.1007/s10103-011-0957-3.CrossRefPubMed
25.
go back to reference 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: Comparison between single-diode low-level laser therapy (LLLT) and LED multi-diode (cluster) therapy (LEDT) applications before high-intensity exercise. Photomed Laser Surg. 2009, 27: 617-623. 10.1089/pho.2008.2350.CrossRefPubMed 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: Comparison between single-diode low-level laser therapy (LLLT) and LED multi-diode (cluster) therapy (LEDT) applications before high-intensity exercise. Photomed Laser Surg. 2009, 27: 617-623. 10.1089/pho.2008.2350.CrossRefPubMed
26.
go back to reference 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: Effect of 830 nm low-level laser therapy applied before high-intensity exercises on skeletal muscle recovery in athletes. Lasers Med Sci. 2009, 24: 857-863. 10.1007/s10103-008-0633-4.CrossRefPubMed 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: Effect of 830 nm low-level laser therapy applied before high-intensity exercises on skeletal muscle recovery in athletes. Lasers Med Sci. 2009, 24: 857-863. 10.1007/s10103-008-0633-4.CrossRefPubMed
27.
go back to reference Leal Junior EC, de Godoi V, Mancalossi JL, Rossi RP, De Marchi T, Parente M, Grosselli D, Generosi RA, Basso M, Frigo L, Tomazoni SS, Bjordal JM, Lopes-Martins RA: Comparison between cold water immersion therapy (CWIT) and light emitting diode therapy (LEDT) in short-term skeletal muscle recovery after high-intensity exercise in athletes: preliminary results. Lasers Med Sci. 2011, 26: 493-501. 10.1007/s10103-010-0866-x.CrossRefPubMed Leal Junior EC, de Godoi V, Mancalossi JL, Rossi RP, De Marchi T, Parente M, Grosselli D, Generosi RA, Basso M, Frigo L, Tomazoni SS, Bjordal JM, Lopes-Martins RA: Comparison between cold water immersion therapy (CWIT) and light emitting diode therapy (LEDT) in short-term skeletal muscle recovery after high-intensity exercise in athletes: preliminary results. Lasers Med Sci. 2011, 26: 493-501. 10.1007/s10103-010-0866-x.CrossRefPubMed
28.
go back to reference Baroni BM, Leal Junior EC, De Marchi T, Lopes AL, Salvador M, Vaz MA: Low level laser therapy before eccentric exercise reduces muscle damage markers in humans. Eur J Appl Physiol. 2010, 110: 789-796. 10.1007/s00421-010-1562-z.CrossRefPubMed Baroni BM, Leal Junior EC, De Marchi T, Lopes AL, Salvador M, Vaz MA: Low level laser therapy before eccentric exercise reduces muscle damage markers in humans. Eur J Appl Physiol. 2010, 110: 789-796. 10.1007/s00421-010-1562-z.CrossRefPubMed
29.
go back to reference Joensen J, Demmink JH, Johnson MI, Iversen VV, Lopes-Martins RAB, Bjordal JM: The thermal effects of therapeuticl with 810 and 904 nm wavelengths on human skin. Photomed and Laser Surg. 2011, 29: 145-153. 10.1089/pho.2010.2793.CrossRef Joensen J, Demmink JH, Johnson MI, Iversen VV, Lopes-Martins RAB, Bjordal JM: The thermal effects of therapeuticl with 810 and 904 nm wavelengths on human skin. Photomed and Laser Surg. 2011, 29: 145-153. 10.1089/pho.2010.2793.CrossRef
30.
go back to reference Malm C: Exercise-induced muscle damage and inflammation: fact or fiction?. Acta Physiol Scand. 2001, 171: 233-239. 10.1046/j.1365-201x.2001.00825.x.CrossRefPubMed Malm C: Exercise-induced muscle damage and inflammation: fact or fiction?. Acta Physiol Scand. 2001, 171: 233-239. 10.1046/j.1365-201x.2001.00825.x.CrossRefPubMed
31.
go back to reference Huang YY, Chen AC, Carrol JD, Hamblim MR: Biphasic dose response in low level light therapy. Dose Response. 2009, 7: 358-383. 10.2203/dose-response.09-027.Hamblin.CrossRefPubMedPubMedCentral Huang YY, Chen AC, Carrol JD, Hamblim MR: Biphasic dose response in low level light therapy. Dose Response. 2009, 7: 358-383. 10.2203/dose-response.09-027.Hamblin.CrossRefPubMedPubMedCentral
32.
go back to reference Chow RT, Johnson MI, Lopes-Martins RA, Bjordal JM: Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials. Lancet. 1897–1908, 2009: 374- Chow RT, Johnson MI, Lopes-Martins RA, Bjordal JM: Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials. Lancet. 1897–1908, 2009: 374-
33.
go back to reference World Association for Laser Therapy (WALT): Dosage Recommendations. Recommended Treatment Doses for Low Level Laser Therapy. 2010, Barcelona: WALT World Association for Laser Therapy (WALT): Dosage Recommendations. Recommended Treatment Doses for Low Level Laser Therapy. 2010, Barcelona: WALT
34.
go back to reference Leal-Junior EC, Vanin AA, Miranda EF, De Carvalho PT, Dal Corso S, Bjordal JM: 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. 2013, doi:10.1007/s10103-013-1465-4 Leal-Junior EC, Vanin AA, Miranda EF, De Carvalho PT, Dal Corso S, Bjordal JM: 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. 2013, doi:10.1007/s10103-013-1465-4
Metadata
Title
What is the ideal dose and power output of low-level laser therapy (810 nm) on muscle performance and post-exercise recovery? Study protocol for a double-blind, randomized, placebo-controlled trial
Authors
Adriano Rodrigues de Oliveira
Adriane Aver Vanin
Thiago De Marchi
Fernanda Colella Antonialli
Vanessa dos Santos Grandinetti
Paulo Roberto Vicente de Paiva
Gianna Móes Albuquerque Pontes
Larissa Aline Santos
Ivo de Oliveira Aleixo Junior
Paulo de Tarso Camillo de Carvalho
Jan Magnus Bjordal
Ernesto Cesar Pinto Leal-Junior
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Trials / Issue 1/2014
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/1745-6215-15-69

Other articles of this Issue 1/2014

Trials 1/2014 Go to the issue