Abstract
Our aim was to investigate the immediate effects of bilateral, 830 nm, low-level laser therapy (LLLT) on high-intensity exercise and biochemical markers of skeletal muscle recovery, in a randomised, double-blind, placebo-controlled, crossover trial set in a sports physiotherapy clinic. Twenty male athletes (nine professional volleyball players and eleven adolescent soccer players) participated. Active LLLT (830 nm wavelength, 100 mW, spot size 0.0028 cm2, 3–4 J per point) or an identical placebo LLLT was delivered to five points in the rectus femoris muscle (bilaterally). The main outcome measures were the work performed in the Wingate test: 30 s of maximum cycling with a load of 7.5% of body weight, and the measurement of blood lactate (BL) and creatine kinase (CK) levels before and after exercise. There was no significant difference in the work performed during the Wingate test (P > 0.05) between subjects given active LLLT and those given placebo LLLT. For volleyball athletes, the change in CK levels from before to after the exercise test was significantly lower (P = 0.0133) for those given active LLLT (2.52 U l−1 ± 7.04 U l−1) than for those given placebo LLLT (28.49 U l−1 ± 22.62 U l−1). For the soccer athletes, the change in blood lactate levels from before exercise to 15 min after exercise was significantly lower (P < 0.01) in the group subjected to active LLLT (8.55 mmol l−1 ± 2.14 mmol l−1) than in the group subjected to placebo LLLT (10.52 mmol l−1 ± 1.82 mmol l−1). LLLT irradiation before the Wingate test seemed to inhibit an expected post-exercise increase in CK level and to accelerate post-exercise lactate removal without affecting test performance. These findings suggest that LLLT may be of benefit in accelerating post-exercise recovery.
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References
Barnett A (2006) Using recovery modalities between training sessions in elite athletes: does it help? Sports Med 36:781–796. doi:10.2165/00007256–200636090–00005
Westerblad H, Allen DG, Lannergren J (2002) Muscle fatigue: lactic acid or inorganic phosphate the major cause? News Physiol Sci 17:17–21
Cheung K, Hume P, Maxwell L (2003) Delayed onset muscle soreness: treatment strategies and performance factors. Sports Med 33:145–164. doi:10.2165/00007256–200333020–00005
Ahmaidi S, Granier P, Taoutaou Z et al (1996) Effects of active recovery on plasma lactate and anaerobic power following repeated intensive exercise. Med Sci Sports Exerc 28:450–456. doi:10.1097/00005768–199604000–00009
Martin NA, Zoeller RF, Robertson RJ et al (1998) The comparative effects of sports massage, active recovery, and rest in promoting blood lactate clearance after supramaximal leg exercise. J Athl Train 33:30–35
Baldari C (2004) Lactate removal during active recovery related to the individual anaerobic and ventilatory thresholds in soccer players. Eur J Appl Physiol 93:224–230. doi:10.1007/s00421–004–1203–5
Howatson G, Gaze D, van Someren KA (2005) The efficacy of ice massage in the treatment of exercise-induced muscle damage. Scand J Med Sci Sports 15:416–422. doi:10.1111/j.1600–0838.2005.00437.x
Sellwood KL, Brukner P, Williams D et al (2007) Ice-water immersion and delayed-onset muscle soreness: a randomised controlled trial. Br J Sports Med 41:392–397. doi:10.1136/bjsm.2006.033985
Weerapong P, Hume PA, Kolt GS (2005) The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Med 35:235–256. doi:10.2165/00007256–200535030–00004
Coffey V, Leveritt M, Gill N (2004) Effect of recovery modality on 4-hour repeated treadmill running performance and changes in physiological variables. J Sci Med Sport 7:1–10. doi:10.1016/S1440–2440(04)80038–0
Gill ND, Beaven CM, Cook C (2006) Effectiveness of post-match recovery strategies in rugby players. Br J Sports Med 40:260–263. doi:10.1136/bjsm.2005.022483
Dowzer CN, Reilly T, Cable NT (1998) Effects of deep and shallow water running on spinal shrinkage. Br J Sports Med 32:44–48
Mekjavic IB, Exner JA, Tesch PA et al (2000) Hyperbaric oxygen therapy does not affect recovery from delayed onset muscle soreness. Med Sci Sports Exerc 32:558–563. doi:10.1097/00005768–200003000–00002
Baldwin Lanier A (2003) Use of nonsteroidal anti-inflammatory drugs following exercise-induced muscle injury. Sports Med 33:177–185. doi:10.2165/00007256–200333030–00002
Lattier G, Millet GY, Martin A et al (2004) Fatigue and recovery after high-intensity exercise. Part II: Recovery interventions. Int J Sports Med 25:509–515. doi:10.1055/s-2004–820946
Cairns SP (2006) Lactic acid and exercise performance: culprit or friend? Sports Med 36:279–291. doi:10.2165/00007256–200636040–00001
Reilly T, Ekblom B (2005) The use of recovery methods post-exercise. J Sports Sci 23:619–627. doi:10.1080/02640410400021302
Spierer DK, Goldsmith R, Baran DA et al (2004) Effects of active vs passive recovery on work performed during serial supramaximal exercise tests. Int J Sports Med 25:109–114. doi:10.1055/s-2004–819954
Szumilak D, Sulowicz W, Walatek B (1998) Rhabdomyolysis: clinical features, causes, complications and treatment. Przegl Lek 55:274–279
Wolf PL, Lott JA, Nitti GJ et al (1987) Changes in serum enzymes, lactate, and haptoglobin following acute physical stress in international-class athletes. Clin Biochem 20:73–77. doi:10.1016/S0009–9120(87)80102–9
Ide M, Tajima F, Furusawa K et al (1999) Wheelchair marathon racing causes striated muscle distress in individuals with spinal cord injury. Arch Phys Med Rehabil 80:324–327. doi:10.1016/S0003–9993(99)90145–4
Boros-Hatfaludy S, Fekete G, Apor P (1986) Metabolic enzyme activity patterns in muscle biopsy samples in different athletes. Eur J Appl Physiol Occup Physiol 55:334–338. doi:10.1007/BF02343809
MacDougall JD, Hicks AL, MacDonald JR et al (1998) Muscle performance and enzymatic adaptations to sprint interval training. J Appl Physiol 84:2138–2142
Klapcinska B, Iskra J, Poprzecki S et al (2001) The effects of sprint (300 m) running on plasma lactate, uric acid, creatine kinase and lactate dehydrogenase in competitive hurdlers and untrained men. J Sports Med Phys Fitness 41:306–311
Szabo A, Romvári R, Bogner P et al (2003) Metabolic changes induced by regular submaximal aerobic exercise in meat-type rabbits. Acta Vet Hung 51:503–512. doi:10.1556/AVet.51.2003.4.8
Brancaccio P, Maffulli N, Limongelli FM (2007) Creatine kinase monitoring in sport medicine. Br Med Bull 81–82:209–230. doi:10.1093/bmb/ldm014
Angelini C (2004) Limb-girdle muscular dystrophies: heterogeneity of clinical phenotypes and pathogenetic mechanisms. Acta Myol 23:130–136
Chow RT, Heller GZ, Barnsley L (2006) The effect of 300 mW, 830 nm laser on chronic neck pain: a double-blind, randomized, placebo-controlled study. Pain 124:201–210. doi:10.1016/j.pain.2006.05.018
Gur A, Karakoç M, Nas K et al (2002) Efficacy of low power laser therapy in fibromyalgia: a single-blind, placebo-controlled trial. Lasers Med Sci 17:57–61. doi:10.1007/s10103–002–8267–4
Lopes-Martins RA, Marcos RL, Leonardo PS et al (2006) Effect of low-level laser (Ga-Al-As 655 nm) on skeletal muscle fatigue induced by electrical stimulation in rats. J Appl Physiol 101:283–288. doi:10.1152/japplphysiol.01318.2005
Enwemeka CS (2001) Attenuation and penetration depth of red 632.8 nm and invisible infrared 904 nm light in soft tissues. Laser Ther 13:95–101
Avni D, Levkovitz S, Maltz L et al (2005) Protection of skeletal muscles from ischemic injury: low-level laser therapy increases antioxidant activity. Photomed Laser Surg 23:273–277. doi:10.1089/pho.2005.23.273
Rizzi CF, Mauriz JL, Freitas Corrêa DS et al (2006) Effects of low-level laser therapy (LLLT) on the nuclear factor (NF)-kappaB signaling pathway in traumatized muscle. Lasers Surg Med 38:704–713. doi:10.1002/lsm.20371
Leal Junior ECP, Lopes-Martins R, Dalan F et al (2008) Effect of 655 nm low level laser therapy (LLLT) in exercise-induced skeletal muscle fatigue in humans. Photomed Laser Surg 26:419–424. doi:10.1089/pho.2007.2160
Leal Junior ECP, Lopes-Martins R, Vanin A et al (2008) Effect of 830 nm low level laser therapy (LLLT) in exercise-induced skeletal muscle fatigue in humans (in press). Lasers Med Sci. doi:10.1007/s10103–008–0592–9
Xu X, Zhao X, Liu TC, Pan H (2008) Low-intensity laser irradiation improves the mitochondrial dysfunction of C2C12 induced by electrical stimulation. Photomed Laser Surg 26:197–202. doi:10.1089/pho.2007.2125
Tullberg M, Alstergren PJ, Ernberg MM (2003) Effects of low-power laser exposure on masseter muscle pain and microcirculation. Pain 105:89–96. doi:10.1016/S0304–3959(03)00166–0
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Leal Junior, E.C.P., Lopes-Martins, R.Á.B., Baroni, B.M. et al. Effect of 830 nm low-level laser therapy applied before high-intensity exercises on skeletal muscle recovery in athletes. Lasers Med Sci 24, 857–863 (2009). https://doi.org/10.1007/s10103-008-0633-4
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DOI: https://doi.org/10.1007/s10103-008-0633-4