Skip to main content

Advertisement

Log in

Low level laser therapy associated with a strength training program on muscle performance in elderly women: a randomized double blind control study

  • Original Article
  • Published:
Lasers in Medical Science Aims and scope Submit manuscript

Abstract

The aging process leads to a gradual loss of muscle mass and muscle performance, leading to a higher functional dependence. Within this context, many studies have demonstrated the benefits of a combination of physical exercise and low level laser therapy (LLLT) as an intervention that enhances muscle performance in young people and athletes. The aim of this study was to evaluate the effects of combination of LLLT and strength training on muscle performance in elderly women. For this, a hundred elderly women were screened, and 48 met all inclusion criteria to participate in this double-blind placebo-controlled trial. Volunteers were divided in three groups: control (CG = 15), strength training associated with placebo LLLT (TG = 17), and strength training associated with active LLLT (808 nm, 100 mW, 7 J) (TLG = 16). The strength training consisted of knee flexion-extension performed with 80 % of 1-repetition maximum (1-RM) during 8 weeks. Several outcomes related to muscle performance were analyzed through the 6-min walk test (6-MWT), isokinetic dynamometry, surface electromyography (SEMG), lactate concentration, and 1-RM. The results revealed that a higher work (p = 0.0162), peak torque (p = 0.0309), and power (p = 0.0223) were observed in TLG compared to CG. Furthermore, both trained groups increased the 1-RM load (TG vs CG: p = 0.0067 and TLG vs CG: p < 0.0001) and decreased the lactate concentration in the third minute after isokinetic protocol (CG vs TLG: p = 0.0289 and CG vs TG: p = 0.0085). No difference in 6-MWT and in fatigue levels were observed among the groups. The present findings suggested that LLLT in combination with strength training was able to improve muscle performance in elderly people.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Greenlund LJ, Nair KS (2003) Sarcopenia—consequences, mechanisms, and potential therapies. Mech Ageing Dev 124(3):287–299, Review

    Article  CAS  PubMed  Google Scholar 

  2. Baudry S, Klass M, Pasquet B, Duchateau J (2007) Age-related fatigability of the ankle dorsiflexor muscles during concentric and eccentric contractions. Eur J Appl Physiol 100:515–525

    Article  PubMed  Google Scholar 

  3. Manini TM, Clark BC (2012) Dynapenia and aging: an update. J Gerontol A Biol Sci Med Sci 67A(1):28–40

    Article  Google Scholar 

  4. Evans WJ, Campbell WW (1993) Sarcopenia and age-related changes in body composition and functional capacity. J Nutr 123:465–468

    CAS  PubMed  Google Scholar 

  5. Clark B, Manini T (2012) What is dynapenia? Nutrition 28(5):495–50. doi:10.1016/j.nut.2011.12.002

    Article  PubMed  PubMed Central  Google Scholar 

  6. Delmonico MJ, Harris TB, Visser M, Park SW, Conroy MB, Velasquez-Mieyer P et al (2009) Longitudinal study of muscle strength, quality, and adipose tissue infiltration. Am J Clin Nutr 90:1579–1585

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Mayer F, Rosenberger FS, Carlsohn A, Casseal M, Muller S, Scharhag J (2011) The intensity and effects of strength training in the elderly. Dtsch Arztebl Int 108(21):359–364

    PubMed  PubMed Central  Google Scholar 

  8. de Rekeneire N, Leo-Summers L, Han L, Gill TM (2014) Epidemiology of restricting fatigue in older adults: the precipitating events project. J Am Geriatr Soc 62:476–481. doi:10.1111/jgs.12685

    Article  PubMed  PubMed Central  Google Scholar 

  9. Alexandre Tda S, Duarte YA, Santos JL, Wong R, Lebrão ML (2014) Prevalence and associated factors of sarcopenia among elderly in Brazil: findings from the SABE Study. J Nutr Health Aging 18(3):284–289. doi:10.1007/s12603-013-0413-0

    Article  PubMed  Google Scholar 

  10. Fry AC (2004) The role of resistance exercise intensity on muscle fibre adaptations. Sports Med 34(10):663–679

    Article  PubMed  Google Scholar 

  11. Folland JP, Wasiams AG (2007) The adaptations to strength training: morphological and neurological contributions to increased strength. Sports Med 37(2):145–168

    Article  PubMed  Google Scholar 

  12. Mcneil CJ, Rice CL (2007) Fatigability is increased with age during velocity-dependent contractions of the dorsiflexors. J Gerontol A Biol Sci Med Sci 62(624–629):13

    Google Scholar 

  13. Fell J, Williams AD (2008) The effect of aging on skeletal-muscle recovery from exercise: possible implications for aging athletes. J Aging Phys Act 16:97–115

    PubMed  Google Scholar 

  14. Liu CJ, Latham N (2010) Adverse events reported in progressive resistance strength training trials in older adults: 2 sides of a coin. Arch Phys Med Rehabil 91:1471–1473

    Article  PubMed  Google Scholar 

  15. Ferraresi C, de Brito Oliveira T, de Oliveira Zafalon L, de Menezes Reiff RB, Baldissera V, de Andrade Perez SE, Matheucci Júnior E, Parizotto NA (2011) Effects of low level laser therapy (808 nm) on physical strength training in humans. Lasers Med Sci 26(3):349–358

    Article  PubMed  Google Scholar 

  16. Toma RL, Tucci HT, Antunes HK, Pedroni CR, De Oliveira AS, Buck I, Ferreira PD, Vassão PG, Renno AC (2013) Effect of 808 nm low-level laser therapy in exercise-induced skeletal muscle fatigue in elderly women. Lasers Med Sci 28(5):1375–1382

    Article  PubMed  Google Scholar 

  17. Vassão PG, Toma RL, Antunes HK, Tucci HT, Renno AC (2015) Effects of photobiomodulation on the fatigue level in elderly women: an isokinetic dynamometry evaluation. Lasers Med Sci. doi:10.1007/s10103-015-1858-7

    PubMed  Google Scholar 

  18. Bakeeva LE, Manteifel VM, Rodichev EB, Karu TI (1993) Formation of gigantic mitochondria in human blood lymphocytes under the effect of an He-Ne laser. Mol Biol (Mosk) 27(3):608–617, 16

    CAS  Google Scholar 

  19. Manteifel VM, Karu TI (2005) Structure of mitochondria and activity of their respiratory chain in subsequent generations of yeast cells exposed to He-Ne laser light. Izv Akad Nauk Ser Biol 6:672–683

    PubMed  Google Scholar 

  20. Higashi RH, Toma RL, Tucci HT, Pedroni CR, Ferreira PD, Baldini G, Aveiro M, Borghi-Silva A, De Oliveira AS, Renno AC (2013) Effects of low-level laser therapy on biceps braquialis muscle fatigue in young women. Photomed Laser Surg 31(12):586–594

    Article  CAS  PubMed  Google Scholar 

  21. dos Santos MT, Muñoz IS, Nicolau RA, Nogueira DV, Hauck LA, Osório RA, de Paula Júnior AR (2014) Phototherapy effect on the muscular activity of regular physical activity practitioners. Lasers Med Sci 29(3):1145–1152. doi:10.1007/s10103-013-1481-4

    Article  Google Scholar 

  22. Vieira WH, Ferraresi C, Perez SE, 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(2):497–504. doi:10.1007/s10103-011-0984-0

    Article  PubMed  Google Scholar 

  23. Eslamian L, Borzabadi-Farahani A, Hassanzadeh-Azhiri A, Badiee MR, Fekrazad R (2014) The effect of 810-nm low-level laser therapy on pain caused by orthodontic elastomeric separators. Lasers Med Sci 29(2):559–564. doi:10.1007/s10103-012-1258-1

    Article  PubMed  Google Scholar 

  24. Ip D, Fu NY (2015) Two-year follow-up of low-level laser therapy for elderly with painful adhesive capsulitis of the shoulder. J Pain Res 25(8):247–252. doi:10.2147/JPR.S84376, eCollection 2015

    Article  Google Scholar 

  25. Mailloux J, Finno M, Rainville J (2006) Long-term exercise adherence in the elderly with chronic low back pain. Am J Phys Med Rehabil 85:120–126

    Article  PubMed  Google Scholar 

  26. R Development Core Team (2008) R: a language and environment for 411 statistical computing. R Foundation for Statistical Computing, Vienna, Austria. 412 ISBN 3-900051-07-0, URL http://www.R-project.org

  27. Ruiter C, Korte A, Schreven S, Haan A (2010) Leg dominancy in relation to fast isometric torque production and squat jump height. Eur J Appl Physiol 108:247–255

    Article  PubMed  Google Scholar 

  28. ATS Committee 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

    Article  Google Scholar 

  29. Gomes CA, Leal-Junior EC, Biasotto-Gonzalez DA, El-Hage Y, Politti F, Gonzalez Tde O, Dibai-Filho AV, de Oliveira AR, Frigero M, Antonialli FC, Vanin AA, de Tarso Camillo de Carvalho P (2014) Efficacy of pre-exercise low-level laser therapy on isokinetic muscle performance in individuals with type 2 diabetes mellitus: study protocol for a randomized controlled trial. Trials 15:116. doi:10.1186/1745-6215-15-116

    Article  PubMed  PubMed Central  Google Scholar 

  30. Wallerstein LF, Barroso TV, Mello MT, Ugrinowitsch C (2010) The influence of familiarization sessions on the stability of ramp and ballistic isometric torque in older adults. J Aging Phys Act 18(4):390–400

    PubMed  Google Scholar 

  31. Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G (2000) Development of recommendations for SEMG sensors and sensor placement 29 procedures. J Electromyogr Kinesiol 10:361–374

    Article  CAS  PubMed  Google Scholar 

  32. American College of Sports Medicine, Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, Skinner JS (2009) American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc 41(7):1510–1530. doi:10.1249/MSS.0b013e3181a0c95c

    Article  Google Scholar 

  33. Amarante do Nascimento M, Januário RS, Gerage AM, Mayhew JL, Cheche Pina FL, Cyrino ES (2013) Familiarization and reliability of one repetition maximum strength testing in older women. J Strength Cond Res 27(6):1636–1642

    Article  PubMed  Google Scholar 

  34. American Geriatrics Society, British Geriatrics Society (2014) Recommendations abstracted from the American Geriatrics Society consensus statement on vitamin D for prevention of falls and their consequences. J Am Geriatr Soc 62(1):147–152. doi:10.1111/jgs.12631

    Article  Google Scholar 

  35. Locks RR, Costa TC, Koppe S, Yamaguti AM, Garcia MC, Gomes AR (2012) Effects of strength and flexibility training on functional performance of healthy older people. Rev Bras Fisioter 16(3):184–190

    Article  PubMed  Google Scholar 

  36. Baroni BM, Leal Junior EC, De Marchi T, Lopes AL, Salvador M, Vaz MA (2010) Low level laser therapy before eccentric exercise reduces muscle damage markers in humans. Eur J Appl Physiol 110:789–796

    Article  PubMed  Google Scholar 

  37. de 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 (2012) Red (660 nm) and infrared (830 nm) low level laser therapy in skeletal muscle fatigue in humans: what is better? Lasers Med Sci 27(2):453–458. doi:10.1007/s10103-011-0957-3

    Article  PubMed  Google Scholar 

  38. Westerblad H, Allen DG (2011) Emerging roles of ROS/RNS in muscle function and fatigue. Antioxid Redox Signal 15(9):2487–2499

    Article  CAS  PubMed  Google Scholar 

  39. Place N, Yamada T, Bruton JD, Westerblad H (2010) Muscle fatigue: from observations in humans to underlying mechanisms studied in intact single muscle fibres. Eur J Appl Physiol 110(1):1–15. doi:10.1007/s00421-010-1480-0

    Article  PubMed  Google Scholar 

  40. Kelencz CA, Muñozos IS, Amorim CF, Nicolau RA (2010) Effect of low-power gallium–aluminum–arsenium noncoherent light (640 nm) on muscle activity: a clinical study. Photomed Laser Surg 28:647–652

    Article  CAS  PubMed  Google Scholar 

  41. Silva AA, Leal-Junior EC, D’Avila Kde A, Serra AJ, Albertini R, França CM, Nishida JA, de Carvalho PT (2015) Pre-exercise low-level laser therapy improves performance and levels of oxidative stress markers in mdx mice subjected to muscle fatigue by high-intensity exercise. Lasers Med Sci 30:1719–1727. doi:10.1007/s10103-015-1777-7

    Article  PubMed  Google Scholar 

  42. Henriksson J (1992) Effects of physical training on the metabolism of skeletal muscle. Diabetes Care 15(11):1701–1711

    Article  CAS  PubMed  Google Scholar 

  43. De Marchi T, Leal Junior EC, Bortoli C, Tomazoni SS, Lopes-Martins RA, 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(1):231–236. doi:10.1007/s10103-011-0955-5

  44. Meijer EP, Goris AH, van Dongen JL, Bast A, Westerterp KR (2002) Exercise induced oxidative stress in older adults as a function of habitual activity level. J Am Geriatr Soc 50(2):349–353

  45. Aagaard P, Suetta C, Caserotti P, Magnusson SP, Kjaer M (2010) Role of the nervous system in sarcopenia and muscle atrophy with aging: strength training as a countermeasure. Scand J Med Sci Sports 20:49–64

Download references

Acknowledgments

The authors would like to thank the Center for Psychobiology and Exercise Studies (CEPE) and the collaboration of M. Stanev, Ph.D. student in the Comparative Literature Department at the University of Michigan, USA. We would also like to thank the support of the Brazilian funding agencies: São Paulo State Foundation for Research (Fapesp) and the Brazilian Council for Scientific Research and Development (CNPq) for the financial support of this research. The authors declared no conflicts of interest existed with respect to the research, authorship, and/or publication of this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Renata Luri Toma.

Ethics declarations

All procedures were approved by the Ethics in Human Research Committee of the Federal University of São Paulo (approval no.195.800), and registered with the Brazilian Clinical Trials Registry (RBR-28mjwb). Volunteers were informed of the purpose and the procedures of the study and signed a consent declaration before their participation in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Toma, R.L., Vassão, P.G., Assis, L. et al. 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 (2016). https://doi.org/10.1007/s10103-016-1967-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10103-016-1967-y

Keywords

Navigation