nach oben

Erschienen in:

21.06.2018 | Original Article

Low-level laser therapy combined to functional exercise on treatment of fibromyalgia: a double-blind randomized clinical trial

Erschienen in: Lasers in Medical Science | Ausgabe 9/2018

Einloggen, um Zugang zu erhalten

Abstract

This study aims to investigate the effects of low-level laser therapy (LLLT) combined to a functional exercise program on treatment of FM. A double-blind and placebo-controlled randomized clinical trial composed of 22 women divided into two groups: placebo group (functional exercise program associated with placebo phototherapy n = 11) and laser group (same exercise program associated with active phototherapy; n = 11). Each session lasted from 40 to 60 min and was performed three times a week for 8 weeks. Phototherapy (808 nm, 100 mW, 4 J, and 142.85 J/cm² per point) was bilaterally applied to different points of the quadriceps (8), hamstrings (6), and triceps sural muscles (3) immediately after each exercise session. Pre- and post-intervention evaluations regarding pain (sites, intensity, and threshold), functional performance (balance, functional tests), muscle performance (flexibility and isokinetic variables), depression, and quality of life were conducted. A reduction in pain and improvement in functional and muscular performance, depression, and quality of life were observed in both groups (p < 0.05); however, with no significant differences between them (p > 0.05). In conclusion, the benefic effects of functional exercise were not improved by combination with LLLT.

Queiroz LP (2013) Worldwide epidemiology of fibromyalgia. Curr Pain Headache Rep 17:356. https://doi.org/10.1007/s11916-013-0356-5 CrossRefPubMed

Jay GW, Barkin RL (2015) Fibromyalgia. Dis Mon 61:66–111. https://doi.org/10.1016/j.disamonth.2015.01.002 CrossRefPubMed

Aparicio VA, Segura-Jiménez V, Álvarez-Gallardo IC, Soriano-Maldonado A, Castro-Piñero J, Delgado-Fernández M (2015) Fitness testing in the fibromyalgia diagnosis: the al-Ándalus project. Med Sci Sports Exerc 47:451–459. https://doi.org/10.1007/s11136-015-1128-y CrossRefPubMed

Boomershine CS (2015) Fibromyalgia: the prototypical central sensitivity syndrome. Curr Rheumatol Rev 11:131–145CrossRefPubMed

Clauw DJ (2014) Fibromyalgia: a clinical review. Jama 311:1547–1555. https://doi.org/10.1001/jama.2014.3266 CrossRefPubMed

Busch AJ, Webber SC, Brachaniec M, Bidonde J, Bello-Haas VD, Danyliw AD et al (2011) Exercise therapy for fibromyalgia. Curr Pain Headache Rep 15:358–367. https://doi.org/10.1007/s11916-011-0214-2 CrossRefPubMedPubMedCentral

Latorre Román PÁ, Santos E, Campos MA, García-Pinillos F (2015) Effects of functional training on pain, leg strength, and balance in women with fibromyalgia. Mod Rheumatol 25:943–947. https://doi.org/10.3109/14397595.2015.1040614 CrossRefPubMed

Sañudo B, Galiano D, Carrasco L, de Hoyo M, McVeigh JG (2011) Effects of a prolonged exercise program on key health outcomes in women with fibromyalgia: a randomized controlled trial. J Rehabil Med 43:521–526. https://doi.org/10.2340/16501977-0814 CrossRefPubMed

Ruaro JA, Fréz a R, Ruaro MB, R a N (2014) Low-level laser therapy to treat fibromyalgia. Lasers Med Sci 29:1815–1819. https://doi.org/10.1007/s10103-014-1566-8 CrossRefPubMed

10.

da Silva MM, Albertini R, de Tarso Camillo de Carvalho P, Leal-Junior ECP, Bussadori SK, Vieira SS et al (2018) Randomized, blinded, controlled trial on effectiveness of photobiomodulation therapy and exercise training in the fibromyalgia treatment. Lasers Med Sci 33:343–351. https://doi.org/10.1007/s10103-017-2388-2 CrossRefPubMed

11.

Ferraresi C, Huang Y-Y, Hamblin MR (2016) Photobiomodulation in human muscle tissue: an advantage in sports performance? J Biophotonics 9:1273–1299. https://doi.org/10.1002/jbio.201600176 CrossRefPubMedPubMedCentral

12.

da Costa Santos VB, de Paula Ramos S, Milanez VF, Corrêa JCM, de Andrade Alves RI, Dias IFL et al (2014) LED therapy or cryotherapy between exercise intervals in Wistar rats: anti-inflammatory and ergogenic effects. Lasers Med Sci 29:599–605. https://doi.org/10.1007/s10103-013-1371-9 CrossRefPubMed

13.

Vieira WHDB, Ferraresi C, Perez SEDA, Baldissera V, Parizotto NA (2012) Effects of low-level laser therapy (808 nm) on isokinetic muscle performance of young women submitted to endurance training: a randomized controlled clinical trial. Lasers Med Sci 27:497–504. https://doi.org/10.1007/s10103-011-0984-0 CrossRefPubMed

14.

Toma RL, Vassão PG, Assis L, Antunes HKM, Renno ACM (2016) Low level laser therapy associated with a strength training program on muscle performance in elderly women: a randomized double blind control study. Lasers Med Sci 31:1219–1229. https://doi.org/10.1007/s10103-016-1967-y CrossRefPubMed

15.

Wolfe F, Clauw DJ, Fitzcharles M-A, Goldenberg DL, Katz RS, Mease P et al (2010) The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken) 62:600–610. https://doi.org/10.1002/acr.20140 CrossRef

16.

da Silva FS, de Melo FES, do Amaral MMG, Caldas VVA, Pinheiro ÍLD, Abreu BJ et al (2015) Efficacy of simple integrated group rehabilitation program for patients with knee osteoarthritis: single-blind randomized controlled trial. J Rehabil Res Dev 52:309–322. https://doi.org/10.1682/JRRD.2014.08.0199 CrossRefPubMed

17.

Soriano-Maldonado A, Ruiz JR, Álvarez-Gallardo IC, Segura-Jiménez V, Santalla A, Munguía-Izquierdo D (2015) Validity and reliability of rating perceived exertion in women with fibromyalgia: exertion-pain discrimination. J Sports Sci 33:1515–1522. https://doi.org/10.1080/02640414.2014.994661 CrossRefPubMed

18.

American College of Sports Medicine (2014) ACSM’s guidelines for exercise testing and prescription. Lippincott Williams & Wilkins

19.

Ferraresi C, de Brito Oliveira T, de Oliveira Zafalon L, de Menezes Reiff RB, Baldissera V, de Andrade Perez SE et al (2011) Effects of low level laser therapy (808 nm) on physical strength training in humans. Lasers Med Sci 26:349–358. https://doi.org/10.1007/s10103-010-0855-0 CrossRefPubMed

20.

De Marchi T, Leal Junior ECP, Bortoli C, Tomazoni SS, Lopes-Martins RAB, 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 27:231–236. https://doi.org/10.1007/s10103-011-0955-5 CrossRefPubMed

21.

Wolfe F, Smythe H, Yunus M, Bennett R, Bombardier C, Goldenberg D et al (1990) The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis Rheum 33:160–172CrossRefPubMed

22.

Rikli RE, Jones CJ (1999) Functional fitness normative scores for community-residing older adults, ages 60-94. J Aging Phys Act 7:162–181CrossRef

23.

Wells KF, Dillon EK (1952) The sit and reach—a test of back and leg flexibility. Res Q Exerc Sport 23:115–118

24.

Hooten M, Smith J, Eldrige J, Olsen D, Mauck WD, Moeschler S (2014) Pain severity is associated with muscle strength and peak oxygen uptake in adults with fibromyalgia. J Pain Res 7:237. https://doi.org/10.2147/JPR.S61312 CrossRefPubMedPubMedCentral

25.

Marques AP, Barsante Santos AM, Assumpção A, Matsutani LA, Lage LV, Pereira CAB (2006) Validação da versão brasileira do fibromyalgia impact Questionnaire (FIQ). Rev Bras Reumatol 46:24–31

26.

Gomes-Oliveira MH, Gorenstein C, Neto FL, Andrade LH, Wang YP (2012) Validation of the brazilian portuguese version of the beck depression inventory-II in a community sample. Rev Bras Psiquiatr 34:389–394CrossRefPubMed

27.

Carville SF, Choy EHS (2008) Systematic review of discriminating power of outcome measures used in clinical trials of fibromyalgia. J Rheumatol 35:2094–2105CrossRefPubMed

28.

Dos Reis FA, da Silva BAK, Laraia EMS, de Melo RM, Silva PH, Leal-Junior ECP et al (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 32:106–112. https://doi.org/10.1089/pho.2013.3617 CrossRefPubMed

29.

Felismino AS, Costa EC, Aoki MS, Ferraresi C, de Araújo 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 29:933–938 https://10.1007/s10103-013-1430-2 PubMed

30.

Vanin AA, Miranda EF, Machado CSM, de Paiva PRV, Albuquerque-Pontes GM, Casalechi HL et al (2016) What is the best moment to apply phototherapy when associated to a strength training program? A randomized, double-blinded, placebo-controlled trial. Lasers Med Sci 31:1555–1564. https://doi.org/10.1007/s10103-016-2015-7 CrossRefPubMed

31.

Giannotti E, Koutsikos K, Pigatto M, Rampudda ME, Doria A, Masiero S (2014) Medium-/long-term effects of a specific exercise protocol combined with patient education on spine mobility, chronic fatigue, pain, aerobic fitness and level of disability in fibromyalgia. Biomed Res Int 1–9. https://doi.org/10.1155/2014/474029 CrossRef

32.

Armagan O, Tascioglu F, Ekim A, Oner C (2006) Long-term efficacy of low level laser therapy in women with fibromyalgia: a placebo-controlled study. J Back Musculoskelet Rehabil 9:135–140CrossRef

33.

Matsutani LA, Marques AP, Ferreira EAG, Assumpção A, Lage LV, Casarotto RA et al (2007) Effectiveness of muscle stretching exercises with and without laser therapy at tender points for patients with fibromyalgia. Clin Exp Rheumatol 25:410–415PubMed

34.

Vanin AA, Verhagen E, Barboza SD, Costa LOP, Leal-Junior ECP (2018) Photobiomodulation therapy for the improvement of muscular performance and reduction of muscular fatigue associated with exercise in healthy people: a systematic review and meta-analysis. Lasers Med Sci 33:181–214. https://doi.org/10.1007/s10103-017-2368-6 CrossRefPubMed

35.

White PF, Zafereo J, Elvir-Lazo OL, Hernandez H (2018) Treatment of drug-resistant fibromyalgia symptoms using high-intensity laser therapy: a case-based review. Rheumatol Int 38:517–523. https://doi.org/10.1007/s00296-017-3856-5 CrossRefPubMed

36.

Tomas-Carus P, Gusi N, Häkkinen A, Häkkinen K, Raimundo A, Ortega-Alonso A (2009) Improvements of muscle strength predicted benefits in HRQOL and postural balance in women with fibromyalgia: an 8-month randomized controlled trial. Rheumatology (Oxford) 48:1147–1151. https://doi.org/10.1093/rheumatology/kep208 CrossRef

37.

Adsuar JC, Olivares PR, del Pozo-Cruz B, Parraca JA, Gusi N (2011) Test-retest reliability of isometric and isokinetic knee extension and flexion in patients with fibromyalgia: evaluation of the smallest real difference. Arch Phys Med Rehabil 92:1646–1651. https://doi.org/10.1016/j.apmr.2011.04.017 CrossRefPubMed

38.

Terreri AS a P, Greve JMD, Amatuzzi MM (2001) Isokinetic evaluation of athletes’ knee. Rev Bras Med Esporte 7:170–174CrossRef

39.

Homann D, Stefanello JMF, Góes SM, Leite N (2011) Impaired functional capacity and exacerbation of pain and exertion during the 6-minute walk test in women with fibromyalgia. Rev Bras Fisioter 15:474–480CrossRefPubMed

40.

Demir-Göçmen D, Altan L, Korkmaz N, Arabacı R (2013) Effect of supervised exercise program including balance exercises on the balance status and clinical signs in patients with fibromyalgia. Rheumatol Int 33:743–750. https://doi.org/10.1007/s00296-012-2444-y CrossRefPubMed

41.

De Lorena SB, De Lima MDCC, Ranzolin A, Duarte ÂLBP (2015) Effects of muscle stretching exercises in the treatment of fibromyalgia: a systematic review. Rev Bras Reumatol 55:167–173. https://doi.org/10.1016/j.rbr.2014.08.015 CrossRefPubMed

42.

Soriano-Maldonado A, Henriksen M, Segura-Jiménez V, Aparicio VA, Carbonell-Baeza A, Delgado-Fernández M et al (2015) Association of physical fitness with fibromyalgia severity in women: the al-Ándalus project. Arch Phys Med Rehabil 96:1599–1605. https://doi.org/10.1002/acr.22610 CrossRefPubMed

43.

Soriano-Maldonado A, Estévez-López F, Segura-Jiménez V, Aparicio VA, Álvarez-Gallardo IC, Herrador-Colmenero M et al (2016) Association of physical fitness with depression in women with fibromyalgia. Pain Med 17:1542–1552. https://doi.org/10.1093/pm/pnv036 CrossRefPubMed

44.

Sener U, Ucok K, Ulasli AM, Genc A, Karabacak H, Coban NF et al (2013) Evaluation of health-related physical fitness parameters and association analysis with depression, anxiety, and quality of life in patients with fibromyalgia. Int J Rheum Dis 19:12237

45.

López-Pousa S, Bassets Pagès G, Monserrat-Vila S, de Gracia Blanco M, Hidalgo Colomé J, Garre-Olmo J (2015) Sense of well-being in patients with fibromyalgia: aerobic exercise program in a mature forest—a pilot study. Evid Based Complement Alternat Med 1–9. https://doi.org/10.1155/2015/614783 CrossRef

Titel: Low-level laser therapy combined to functional exercise on treatment of fibromyalgia: a double-blind randomized clinical trial
Publikationsdatum: 21.06.2018
Erschienen in: Lasers in Medical Science / Ausgabe 9/2018
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-018-2561-2

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2018

In vitro comparison of an Er:YAG laser-activated bleaching system with different light-activated bleaching systems for color change, surface roughness, and enamel bond strength

Gold nanorod-assisted near-infrared stimulation of bullfrog sciatic nerve

A randomized controlled trial comparing helium-neon laser therapy and infrared laser therapy in patients with diabetic foot ulcer

Photobiomodulation therapy reduces viral load and cell death in ZIKV-infected glioblastoma cell line

Photobiomodulation reduces neutrophil migration and oxidative stress in mice with carrageenan-induced peritonitis

Evaluation of the therapeutic effect of micro-plasma radio frequency on hypertrophic scars in rabbit ears