The Effect of Intranasal Plus Transcranial Photobiomodulation on Neuromuscular Control in Individuals with Repetitive Head Acceleration Events.

Autor: Johnson PK; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA.; Office of Research, Rocky Mountain University of Health Professions, Provo, Utah, USA., Fino PC; Department of Health and Kinesiology, University of Utah, Salt Lake City, Utah, USA., Wilde EA; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA., Hovenden ES; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA., Russell HA; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA., Velez C; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA., Pelo R; Department of Physical Therapy & Athletic Training, University of Utah, Salt Lake City, Utah, USA., Morris AJ; Department of Kinesiology, Sacramento State University, Sacramento, California, USA., Kreter N; Department of Health and Kinesiology, University of Utah, Salt Lake City, Utah, USA., Read EN; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA., Keleher F; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA., Esopenko C; Department of Rehabilitation & Human Performance, Icahn School of Medicine at Mount Sinai, New York City, New York, USA., Lindsey HM; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA., Newsome MR; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA.; H. Ben Taub Department of Physical Medicine & Rehabilitation, Baylor College of Medicine, Houston, Texas, USA., Thayn D; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA., McCabe C; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA., Mullen CM; Department of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, Utah, USA., Davidson LE; Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA., Liebel SW; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA., Carr L; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA., Tate DF; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA.; George E. Wahlen VA Medical Center, Salt Lake City, Utah, USA.
Jazyk: angličtina
Zdroj: Photobiomodulation, photomedicine, and laser surgery [Photobiomodul Photomed Laser Surg] 2024 Jun; Vol. 42 (6), pp. 404-413. Date of Electronic Publication: 2024 Jun 07.
DOI: 10.1089/pho.2023.0178
Abstrakt: Objective: This proof-of-concept study was to investigate the relationship between photobiomodulation (PBM) and neuromuscular control. Background: The effects of concussion and repetitive head acceleration events (RHAEs) are associated with decreased motor control and balance. Simultaneous intranasal and transcranial PBM (itPBM) is emerging as a possible treatment for cognitive and psychological sequelae of brain injury with evidence of remote effects on other body systems. Methods: In total, 43 (39 male) participants, age 18-69 years (mean, 49.5; SD, 14.45), with a self-reported history of concussive and/or RHAE and complaints of their related effects (e.g., mood dysregulation, impaired cognition, and poor sleep quality), completed baseline and posttreatment motor assessments including clinical reaction time, grip strength, grooved pegboard, and the Mini Balance Evaluation Systems Test (MiniBEST). In the 8-week interim, participants self-administered itPBM treatments by wearing a headset comprising four near-infrared light-emitting diodes (LED) and a near-infrared LED nasal clip. Results: Posttreatment group averages in reaction time, MiniBEST reactive control subscores, and bilateral grip strength significantly improved with effect sizes of g = 0.75, g = 0.63, g = 0.22 (dominant hand), and g = 0.34 (nondominant hand), respectively. Conclusion: This study provides a framework for more robust studies and suggests that itPBM may serve as a noninvasive solution for improved neuromuscular health.
Databáze: MEDLINE