nach oben

Erschienen in:

04.03.2022 | Original Article

Effects of photobiomodulation and deep water running in patients with chronic non-specific low back pain: a randomized controlled trial

verfasst von: Daniele Mayumi Kurata Nardin, Marieli Ramos Stocco, Andreo Fernando Aguiar, Fabiana Andrade Machado, Raphael Gonçalves de Oliveira, Rodrigo Antonio Carvalho Andraus

Erschienen in: Lasers in Medical Science | Ausgabe 4/2022

Einloggen, um Zugang zu erhalten

Abstract

Photobiomodulation therapy (PBM) is often used to treat musculoskeletal disorders such as chronic non-specific low back pain (NSCLBP) as it can have positive effects on biomarkers—creatine kinase (CK) and serum cortisol levels—related to stress caused by physical exercise, such as deep water running (DWR) or by pain. The aim of this study was to evaluate the effects of the combination of PBM and aquatic exercise (DWR) on the intensity of pain, disability, 6-min walk test adapted (6WTA), and on cortisol and creatine kinase (CK) levels in a population with NSCLBP. The participants were allocated into three groups: TG_PBM (Photobiomodulation and Training Group), TG_PLA (Placebo Photobiomodulation and Training Group), and the G_PBM (Photobiomodulation Group). Information regarding anthropometric data, blood pressure, and heart rate were collected, and the questionnaires were applied: IPAQ-Short Form, Oswestry Disability Index, and the Visual Analog Scale for Pain. The submaximal exercise test (6WTA) was performed. Blood was collected for analysis of cortisol and CK levels. The training sessions were performed twice a week, for 4 weeks. In the intragroup comparisons, there were statistically significant changes in the TG_PBM and G_PBM groups in the outcomes pain intensity, disability (reductions in both groups), and in cortisol (increased in the TG_PBM and reduced in the G_PBM); in the TG_PLA group, there was a statistically significant reduction only in the outcome of pain intensity. In the intergroup comparison, in the comparison between TG_PBM and TG_PLA, there was a statistically significant difference in the level of cortisol, as well as in the comparison between TG_PBM and G_PBM, in which there was a statistically significant difference for this same outcome (cortisol) and for the 6WTA outcome. The effects of the combination of PBM and aquatic exercise have positive effects on reducing pain intensity, disability, and cortisol levels, but its effects on other variables (6WTA and CK) are too small to be considered significant. Trial registration number: NCT03465228—April 3, 2019; retrospectively registered (ClinicalTrials.gov).

Lin YP, Su YH, Chin SF, Chou YC, Chia WT (2020) Light-emitting diode photobiomodulation therapy for non-specific low back pain in working nurses: a single-center, double-blind, prospective, randomized controlled trial. Medicine 99(32):e21611. https://doi.org/10.1097/MD.0000000000021611CrossRefPubMedPubMedCentral

Zanou N, Gailly P (2013) Skeletal muscle hypertrophy and regeneration: interplay between the myogenic regulatory factors (MRFs) and insulin-like growth factors (IGFs) pathways. Cell Molec Life Sci: CMLS 70(21):4117–4130. https://doi.org/10.1007/s00018-013-1330-4CrossRefPubMed

Assis L, Moretti AI, Abrahão TB, de Souza HP, Hamblin MR, Parizotto NA (2013) Low-level laser therapy (808 nm) contributes to muscle regeneration and prevents fibrosis in rat tibialis anterior muscle after cryolesion. Lasers Med Sci 28(3):947–955. https://doi.org/10.1007/s10103-012-1183-3CrossRefPubMed

Zagatto AM, Dutra YM, Lira FS, Antunes BM, Faustini JB, Malta ES, Lopes V, de Poli R, Brisola G, Dos Santos GV, Rodrigues FM, Ferraresi C (2020) Full body photobiomodulation therapy to induce faster muscle recovery in water polo athletes: preliminary results. Photobiomodul Photomedicine Laser Surg 38(12):766–772. https://doi.org/10.1089/photob.2020.4803CrossRef

Huang Z, Ma J, Chen J, Shen B, Pei F, Kraus VB (2015) The effectiveness of low-level laser therapy for nonspecific chronic low back pain: a systematic review and meta-analysis. Arthritis Res Ther 17:360. https://doi.org/10.1186/s13075-015-0882-0CrossRefPubMedPubMedCentral

Aver Vanin A, De Marchi T, Tomazoni SS, Tairova O, Leão Casalechi H, de Tarso Camillo de Carvalho, P, Bjordal JM, & Leal-Junior EC. (2016) Pre-exercise infrared low-level laser therapy (810 nm) in skeletal muscle performance and postexercise recovery in humans, what is the optimal dose? A randomized, double-blind, placebo-controlled clinical trial. Photomed Laser Surg 34(10):473–482. https://doi.org/10.1089/pho.2015.3992CrossRefPubMed

Leal-Junior EC, Vanin AA, Miranda EF, de Carvalho PT, Dal Corso S, Bjordal JM (2015) 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 30(2):925–939. https://doi.org/10.1007/s10103-013-1465-4CrossRefPubMed

Sveinsdottir V, Eriksen HR, Ursin H, Hansen ÅM, Harris A (2016) Cortisol, health, and coping in patients with nonspecific low back pain. Appl Psychophysiol Biofeedback 41(1):9–16. https://doi.org/10.1007/s10484-015-9300-2CrossRefPubMed

Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, Denninger TR, Godges JJ, and Orthopaedic Section of the American Physical Therapy Association (2012) Low back pain. J Orthop Sports Phys Ther 42(4):A1–A57. https://doi.org/10.2519/jospt.2012.42.4.A1

10.

Mastorakos G, Pavlatou M, Diamanti-Kandarakis E, Chrousos GP (2005) Exercise and the stress system. Hormones (Athens) 4(2):73–89

11.

Beserra AHN, Kameda P, Deslandes AC, Schuch FB, Laks J, Moraes HS (2018) Can physical exercise modulate cortisol level in subjects with depression? A systematic review and meta-analysis. Trends Psychiatry Psychother 40(4):360–368. https://doi.org/10.1590/2237-6089-2017-0155CrossRefPubMed

12.

Villafañe JH, Pedersini P, Bertozzi L, Drago L, Fernandez-Carnero J, Bishop MD, Berjano P (2020) Exploring the relationship between chronic pain and cortisol levels in subjects with osteoarthritis: results from a systematic review of the literature. Osteoarthr Cartil 28(5):572–580. https://doi.org/10.1016/j.joca.2020.02.836CrossRef

13.

Barros Dos Santos AO, Pinto de Castro JB, Lima VP, da Silva EB, de Souza Vale RG (2021) Effects of physical exercise on low back pain and cortisol levels: a systematic review with meta-analysis of randomized controlled trials. Pain Manag 11(1):49–57. https://doi.org/10.2217/pmt-2020-0020CrossRefPubMed

14.

De Marchi T, Schmitt VM, Machado GP, de Sene JS, de Col CD, Tairova O, Salvador M, Leal-Junior EC (2017) Does photobiomodulation therapy is better than cryotherapy in muscle recovery after a high-intensity exercise? A randomized, double-blind, placebo-controlled clinical trial. Lasers Med Sci 32(2):429–437. https://doi.org/10.1007/s10103-016-2139-9CrossRefPubMed

15.

Malta ES, de Lira FS, Machado FA, Zago AS, do Amaral SL, Zagatto AM. (2019) Photobiomodulation by led does not alter muscle recovery indicators and presents similar outcomes to cold-water immersion and active recovery. Front Physiol 9:1948. https://doi.org/10.3389/fphys.2018.01948CrossRefPubMedPubMedCentral

16.

Ferraresi C, Huang YY, Hamblin MR (2016) Photobiomodulation in human muscle tissue: an advantage in sports performance? J Biophotonics 9(11–12):1273–1299. https://doi.org/10.1002/jbio.201600176CrossRefPubMedPubMedCentral

17.

Koch AJ, Pereira R, Machado M (2014) The creatine kinase response to resistance exercise. J Musculoskelet Neuronal Interact 14(1):68–77PubMed

18.

Lee PH, Macfarlane DJ, Lam TH, Stewart SM (2011) Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Activity 8:115. https://doi.org/10.1186/1479-5868-8-115CrossRef

19.

Tonosu J, Takeshita K, Hara N, Matsudaira K, Kato S, Masuda K, Chikuda H (2012) The normative score and the cut-off value of the Oswestry Disability Index (ODI). Eur Spine J 21(8):1596–1602. https://doi.org/10.1007/s00586-012-2173-7CrossRefPubMedPubMedCentral

20.

Hawker GA, Mian S, Kendzerska T, French M (2011) Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res 63(Suppl 11):S240–S252. https://doi.org/10.1002/acr.20543CrossRef

21.

Bohannon RW, Crouch R (2017) Minimal clinically important difference for change in 6-minute walk test distance of adults with pathology: a systematic review. J Eval Clin Pract 23(2):377–381. https://doi.org/10.1111/jep.12629CrossRefPubMed

22.

Committee ATS, on Proficiency Standards for Clinical Pulmonary Function Laboratories, (2002) ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 166(1):111–117. https://doi.org/10.1164/ajrccm.166.1.at1102CrossRef

23.

Scherr J, Wolfarth B, Christle JW, Pressler A, Wagenpfeil S, Halle M (2013) Associations between Borg’s rating of perceived exertion and physiological measures of exercise intensity. Eur J Appl Physiol 113(1):147–155. https://doi.org/10.1007/s00421-012-2421-xCrossRefPubMed

24.

Carvalho R, Silva MF, Dias JM, Olkoski MM, Dela Bela LF, Pelegrinelli A, Barreto M, Campos RR, Guenka LC, Facci LM, Cardoso JR (2020) Effectiveness of additional deep-water running for disability, lumbar pain intensity, and functional capacity in patients with chronic low back pain: a randomised controlled trial with 3-month follow-up. Musculoskeletal Sci Pract 49:102195. https://doi.org/10.1016/j.msksp.2020.102195CrossRef

25.

Pianna B, Moreno BC, de Souza CA, Bôscoa TF, Alcalde GE, Barrile SR, Gimenes C, Martinelli B, Zamunér R, Pessoa-Santos BV, Arca EA (2019) Impact of deep water running in interval training (DWR-IT) on body composition, functional capacity, and quality of life in overweight adults: study protocol for a randomized controlled trial. Trials 20(1):562. https://doi.org/10.1186/s13063-019-3618-7CrossRefPubMedPubMedCentral

26.

Chatzitheodorou D, Mavromoustakos S, Milioti S (2008) The effect of exercise on adrenocortical responsiveness of patients with chronic low back pain, controlled for psychological strain. Clin Rehabil 22(4):319–328. https://doi.org/10.1177/0269215507079858CrossRefPubMed

27.

Andraus R, Maia LP, de Souza LAD, Fernandes K, de Matos Gomes MV, de Jesus GRR, Barbieri CH (2017) LLLT actives MMP-2 and increases muscle mechanical resistance after nerve sciatic rat regeneration. Lasers Med Sci 32(4):771–778. https://doi.org/10.1007/s10103-017-2169-yCrossRefPubMed

28.

Tantawy SA, Abdelbasset WK, Kamel DM, Alrawaili SM, Alsubaie SF (2019) Laser photobiomodulation is more effective than ultrasound therapy in patients with chronic nonspecific low back pain: a comparative study. Lasers Med Sci 34(4):793–800. https://doi.org/10.1007/s10103-018-2665-8CrossRefPubMed

29.

Nambi G, Kamal W, Es S, Joshi S, Trivedi P (2018) Spinal manipulation plus laser therapy versus laser therapy alone in the treatment of chronic non-specific low back pain: a randomized controlled study. European journal of physical and rehabilitation medicine, 54(6), 880–889. https://doi.org/10.23736/S1973-9087.18.05005-0

30.

Notarnicola A, Maccagnano G, Gallone MF, Covelli I, Tafuri S, Moretti B (2017) Short term efficacy of capacitive-resistive diathermy therapy in patients with low back pain: a prospective randomized controlled trial. J Biol Regul Homeost Agents 31(2):509–515PubMed

31.

Salehpour F, Farajdokht F, Cassano P, Sadigh-Eteghad S, Erfani M, Hamblin MR, Salimi MM, Karimi P, Rasta SH, Mahmoudi J (2019) Near-infrared photobiomodulation combined with coenzyme Q10 for depression in a mouse model of restraint stress: reduction in oxidative stress, neuroinflammation, and apoptosis. Brain Res Bull 144:213–222. https://doi.org/10.1016/j.brainresbull.2018.10.010CrossRefPubMed

Titel: Effects of photobiomodulation and deep water running in patients with chronic non-specific low back pain: a randomized controlled trial
verfasst von: Daniele Mayumi Kurata Nardin
Marieli Ramos Stocco
Andreo Fernando Aguiar
Fabiana Andrade Machado
Raphael Gonçalves de Oliveira
Rodrigo Antonio Carvalho Andraus
Publikationsdatum: 04.03.2022
Verlag: Springer London
Erschienen in: Lasers in Medical Science / Ausgabe 4/2022
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-021-03443-6

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Effects of photobiomodulation and deep water running in patients with chronic non-specific low back pain: a randomized controlled trial

Abstract

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

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

Weitere Artikel der Ausgabe 4/2022

Comparative evaluation of low-level light therapy and ethinyl estradiol and desogestrel combined oral contraceptive for clinical efficacy and regulation of serum biochemical parameters in primary dysmenorrhoea: a prospective randomised multicentre trial

Treatment of carpal tunnel syndrome by low-level laser therapy versus corticosteroid injection: a randomized, prospective clinical study

Clinical and radiographic effectiveness of mineral trioxide aggregate (MTA) partial pulpotomy with low power or high power diode laser irradiation in deciduous molars: a randomized clinical trial

Erythema Ab Igne successfully treated with a 755-nm alexandrite picosecond laser

Efficacy of photobiomodulation in reducing pain and improving the quality of life in patients with idiopathic burning mouth syndrome. A systematic review and meta-analysis

Diagnosing COVID-19 in human serum using Raman spectroscopy