Effects of photobiomodulation therapy on the functional performance of healthy individuals: a systematic review with meta-analysis.

Autor: Bezerra LO; Departamento de Fisioterapia, Programa de Pós-Graduação em Fisioterapia na Universidade Federal do Rio Grande Do Norte, Natal, Rio Grande do Norte, Brasil., de Macedo LES; Departamento de Fisioterapia da Universidade Federal do Rio Grande do Norte, Av Senador Salgado Filho, S/N. Campus Universitário - Lagoa Nova, Natal, 59078-970, Rio Grande do Norte, Brasil., da Silva MLA; Departamento de Fisioterapia da Universidade Federal do Rio Grande do Norte, Av Senador Salgado Filho, S/N. Campus Universitário - Lagoa Nova, Natal, 59078-970, Rio Grande do Norte, Brasil., de Oliveira JMP; Departamento de Fisioterapia da Universidade Federal do Rio Grande do Norte, Av Senador Salgado Filho, S/N. Campus Universitário - Lagoa Nova, Natal, 59078-970, Rio Grande do Norte, Brasil., de Morais Gouveia GP; Departamento de Fisioterapia da Universidade Federal do Delta do Parnaíba, Parnaíba, Piauí, Brasil., de Andrade PR; Departamento de Fisioterapia da Universidade Federal da Paraíba, João Pessoa, Paraíba, Brasil., Micussi MTABC; Departamento de Fisioterapia, Programa de Pós-Graduação em Fisioterapia na Universidade Federal do Rio Grande Do Norte, Natal, Rio Grande do Norte, Brasil. thereza.micussi@ufrn.br.; Departamento de Fisioterapia da Universidade Federal do Rio Grande do Norte, Av Senador Salgado Filho, S/N. Campus Universitário - Lagoa Nova, Natal, 59078-970, Rio Grande do Norte, Brasil. thereza.micussi@ufrn.br.
Jazyk: angličtina
Zdroj: Lasers in medical science [Lasers Med Sci] 2023 Dec 27; Vol. 39 (1), pp. 17. Date of Electronic Publication: 2023 Dec 27.
DOI: 10.1007/s10103-023-03956-2
Abstrakt: The aim of this study is to assess the effect of photobiomodulation therapy (PBMT) on functional performance concerning strength, fatigue, and functional capacity in healthy individuals. This systematic review with meta-analysis involved searches on data platforms and active searches of randomized clinical trials, focusing on PBMT as the sole intervention. Primary outcomes assessed included strength, fatigue, and functional capacity. Three reviewers screened studies by title and abstract using Rayyan, and data were extracted using a specific form. Bias risk was assessed using RoB2, and confidence in the evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). The RevMan was used for meta-analysis. Sixteen studies were included, totaling 340 individuals (183 males and 157 women). Most articles presented a low risk of bias. Variability was observed in device types and application domains, including wavelengths (655-905 nm), power (10-200 nW), energy (0.6-30 J per point), and time (30-100 s per point). PBMT improved fatigue recovery (mean difference: 5.87; 95% CI 3.83, 7.91). There was no enhancement in strength (peak torque: mean difference 12.40; 95% CI -5.55, 30.55; one-repetition maximum test: mean difference 39.97, 95% CI -2.44, 82.38; isometric and isokinetic strength: mean difference 2.77, 95% CI -14.90, 20.44) nor improvement in short-term (mean difference 0.67, 95% CI -0.58, 1.91) and long-term (mean difference 18.44, 95% CI -55.65, 92.54) functional capacity. PBMT may aid in favoring fatigue recovery in healthy individuals; however, there's no evidence to support PBMT enhancing strength or improving functional capacity.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.)
Databáze: MEDLINE
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