Phototherapy on Management of Creatine Kinase Activity in General Versus Localized Exercise: A Systematic Review and Meta-Analysis

Machado, Aryane Flauzino; Micheletti, Jéssica Kirsch; Lopes, Jaqueline Santos Silva; Vanderlei, Franciele Marques; Leal-Junior, Ernesto César Pinto; Netto, Jayme; Pastre, Carlos Marcelo

doi:10.1097/jsm.0000000000000606

Cited by 23 publications

(26 citation statements)

References 38 publications

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“…The total score ranges from zero to 10 points, in which higher scores represent better methodological quality. A PEDro score equal to or greater than 7 was considered "high quality", studies whose scores were 5 or 6 were considered "moderate quality" and those whose score was 4 or less were considered "poor quality" [25,26].…”

Section: Methodological Quality Assessmentmentioning

confidence: 99%

“…In summary, the GRADE classification was based on 4 factors: design limitations [75% of study participants with high methodological quality (PEDro score 7 points)], inconsistent results (75% participants from studies with findings in the same direction ), imprecision (300 participants for each group), and publication bias (meta-analyses with more than 10 studies). Overall quality of evidence was defined as high quality (further study is very unlikely to change our confidence in the estimate of effect), moderate quality (further study is likely to have an important impact on our confidence in the estimate of effect and may change the estimate), low quality (further study is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate) and very low quality (any estimate is very uncertain) [25].…”

Section: Methodological Quality Assessmentmentioning

confidence: 99%

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Specific interventions for prevention of muscle injury in lower limbs: systematic review and meta-analysis

et al. 2019

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Intervenções específicas para prevenção de lesão muscular em membros inferiores: revisão sistemática e meta-análiseIntervenciones específicas para la prevención de lesiones musculares en miembros inferiores: revisión sistemática y meta-análisis Abstract Introduction: Muscle injuries show an incidence associated with extreme stretching, or even a highintensity eccentric contraction. Such injuries cause severe damage to athletes, including lower performance, withdrawal, and psychological distress. In this scenario, the study of effective preventive methods is an indispensable factor in the routine of professional athletes, to reduce the incidence of injuries. Objective: To verify the effectiveness of three different interventions (warm-up, neuromuscular training, and eccentric Lopes JSS, Machado AF, Cavina AP, Micheletti JK, Almeida AC, Pastre CM. 2 exercise) to prevent muscle injuries in the lower limbs. Method: We searched the Cochrane Library, EMBASE, SPORTDiscus, PEDro, and PubMed databases from the earliest records until January 20, 2018. The search was performed from word combinations such as clinical trial, muscle strain, injury prevention. The data related to the outcome of prevention were grouped in meta-analysis and described in Risk Ratio (RR) with 95% confidence interval. Results: Sixteen studies were included: five assessed eccentric exercise, three investigated neuromuscular training, and eight observed warm-up. The eccentric exercise (RR = 3.49, 95% CI 2.36, 5.16, p < 0.00001) and the neuromuscular training (RR = 2.73, 95% CI 2.03, 2.68, p < 0.00001) showed significant effects on the prevention of muscle injuries in lower limbs. On the other hand, warm-up (RR = 1.57, 95% CI 0.92, 2.7, p = 0.10) was irrelevant in reducing the incidence of injuries in the body segment investigated. Conclusion: The outcomes presented provide clinical relevance inherent in the field practices, with intrinsic potential for practical application in the management of specific preventive techniques.Introdução: Lesões musculares apresentam incidência associada à alongamento extremo, ou ainda, a uma contração excêntrica de alta intensidade. Tais lesões, acarretam prejuízos graves aos atletas que incluem queda de rendimento, afastamento e transtornos psicológicos. Neste cenário, o estudo de métodos preventivos eficazes, constituem fator indispensável na rotina de atletas profissionais, a fim de, reduzir a incidência de lesões. Objetivo: Verificar a eficácia de três diferentes intervenções (aquecimento, treinamento neuromuscular e exercício excêntrico) para prevenção de lesões musculares em membros inferiores. Método: Foram pesquisadas as bases de dados Cochrane Library, EMBASE, Sports Discus, PEDro e PubMed desde os registros mais antigos até 20 de janeiro de 2018. A busca foi realizada a partir de combinações de palavras, como, clinical trial, muscle strain, injury prevention. Os dados relacionados ao desfecho prevenção foram agrupados em meta-análise e descritos em Risk Ratio (RR) com intervalo de confiança de 95%. Resultad...

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Section: Methodological Quality Assessmentmentioning

confidence: 99%

Section: Methodological Quality Assessmentmentioning

confidence: 99%

Specific interventions for prevention of muscle injury in lower limbs: systematic review and meta-analysis

et al. 2019

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“…The following items were considered and reported: potential selection bias (regarding sequence and concealment of allocation), performance bias (blinding of subjects and researches), detection bias (blinding evaluation of results), friction bias (incomplete result data), report bias (selective result report), and other bias. Thus, for each item described, the studies received possible ratings: low, high or unclear risk (when the information presented in the study was not su cient to assess a particular area) [19].…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

Use of Anti-Inflammatory Drugs interventions for the treatment of Muscle Soreness: a Systematic Review and Meta-analysis.

Nahon¹,

Neto²,

Lopes³

et al. 2020

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Objective: To investigate the effects of pharmacological interventions in the treatment of Delayed Onset Muscle Soreness (DOMS). Design: Systematic review and meta-analysis of randomised controlled clinical trials (RCTs). Data sources: The PubMed / MEDLINE, EMBASE, SPORTDiscus, Scielo and CENTRAL (Cochrane Central Register of Controlled Trials) databases were searched from the oldest records to August 3, 2020. Eligibility criteria: 1) Tue used a RCTs design; 2) Evaluate the effects of Steroidal or Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) for treatment DOMS; and 3) Therapeutically used drugs, after exercise. Results: In total, 26 studies (patients = 934) were eligible for qualitative analysis on the treatment of DOMS. The results of the meta-analysis showed no superiority between the use or not of NSAIDs, in the improvement of late muscle pain, since statistically significant differences were not verified (21 studies, n= 955; SMD= 0.02; 95% CI -0.58, 0.63; p=0.94; I2=93%). The quality of the synthesized evidence was very low according to the criteria of Evaluation, Development and Evaluation of the Classification of Recommendations, associated with the significant heterogeneity among the included studies. Conclusion: The results demonstrate that the use of NSAIDs is not a superior treatment to the control / placebo on DOMS improvement. The variation between dose-response and exercise protocol used in the studies may have influenced the results. In addition, the high risk of identified bias characterizes limitation to be considered in profound interpretations.

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“…Despite the surprising, remarkable and rapid progress of knowledge in this field, which culminated in the publication of three systematic reviews with meta-analyses26–28 highlighting not only the ergogenic effects of PBMT and PBMT/sMF but also its protective effects,28 there are some key aspects that remain unknown and must be investigated. Among them, we highlight the potentially beneficial effects of PBMT/sMF during the detraining period after strength-training protocols.…”

Section: Introductionmentioning

confidence: 99%

Effects of photobiomodulation therapy combined to static magnetic field in strength training and detraining in humans: protocol for a randomised placebo-controlled trial

et al. 2019

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IntroductionIn recent years, it has been demonstrated that photobiomodulation therapy (PBMT) using low-level laser therapy and/or light-emitting diode therapy combined to static magnetic field (sMF) has ergogenic effects, improving muscular performance and accelerating postexercise recovery. However, many aspects related to these effects and its clinical applicability remain unknown. Therefore, the aim of this project is to evaluate the ergogenic effects of PBMT/sMF in detraining after a strength-training protocol.Methods and analysisThe study will be a randomised, triple-blind, placebo-controlled clinical trial. Healthy male volunteers will be randomly distributed into four experimental groups: PBMT/sMF before training sessions + PBMT/sMF during detraining, PBMT/sMF before training sessions + placebo during detraining, placebo before training sessions + PBMT/sMF during detraining and placebo before training sessions + placebo during detraining. Strength-training sessions will be carried out over 12 weeks, and the detraining period will occur during the 4 weeks after. The muscular strength and the structural properties of quadriceps will be analysed.Ethics and disseminationThis study was approved by the Research Ethics Committee of Nove de Julho University. The results from this study will be disseminated through scientific publications in international peer-reviewed journals and presented at national and international scientific meetings.Trial registration number NCT03858179.

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Phototherapy on Management of Creatine Kinase Activity in General Versus Localized Exercise: A Systematic Review and Meta-Analysis

Abstract: The available evidence suggest that phototherapy has beneficial effects on the management of CK activity and demonstrate a possible relationship based on damage caused by exercise, providing a greater effect in studies that used localized exercise.

Cited by 23 publications

References 38 publications

Specific interventions for prevention of muscle injury in lower limbs: systematic review and meta-analysis

Specific interventions for prevention of muscle injury in lower limbs: systematic review and meta-analysis

Use of Anti-Inflammatory Drugs interventions for the treatment of Muscle Soreness: a Systematic Review and Meta-analysis.

Effects of photobiomodulation therapy combined to static magnetic field in strength training and detraining in humans: protocol for a randomised placebo-controlled trial

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