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Acute effects of photobiomodulation therapy and magnetic field on functional mobility in stroke survivors: a randomized, sham-controlled, triple-blind, crossover, clinical trial.

Abstract

Identify the optimal energy delivered with a single application of the combination of photobiomodulation therapy (PBMT) combining different light sources (low-level laser therapy-LLLT and light emitting diode therapy-LEDT) and static magnetic field (sMF) in order to determine the acute effects on functional mobility of stroke survivors. Was conducted a randomized, placebo-controlled, crossover, triple-blind, clinical trial (RCT). Twelve patients were recruited, however ten concluded the study, they were randomly treated with four PBMT/sMF energies (sham-0 J, 10 J, 30 J, and 50 J per site irradiated), with 1-week interval washout between treatments. PBMT/sMF were administered after the pre-intervention (baseline) evaluation and the total energy delivered per site at each treatment was determined based on the results of the randomization procedure. PBMT/sMF were administered in direct contact with the skin and applied with slight pressure to nine sites on the knee extensors, six sites on the knee flexors, and two sites on the plantar flexors' muscles in both lower limbs (bilaterally). The primary outcome measure was the 6-min walk test (6MWT) and the secondary outcome was the Timed Up and Go (TUG) test. Significant improvements were found in the 6MWT test using a total energy of 30 J per site compared with sham (0 J) (p < 0.05) and compared with the baseline evaluation (p < 0.01). And in the TUG test significant improvements were also found using a total energy per site of 30 J per site compared to sham (0 J) and baseline (p < 0.05). PBMT with different light sources (laser and LEDs) and wavelengths in combination with sMF with a total energy per site of 30 J has positive acute effects on functional mobility in stroke survivors.

Authors+Show Affiliations

Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT), Nove de Julho University (UNINOVE), Sao Paulo, Brazil.Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT), Nove de Julho University (UNINOVE), Sao Paulo, Brazil. arislanderlg@gmail.com. Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), Sao Paulo, Brazil. arislanderlg@gmail.com.Department of Physiotherapy of the Guairacá College and the Centro-Oeste State University (UNICENTRO), Guarapuava, Parana, Brazil.Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT), Nove de Julho University (UNINOVE), Sao Paulo, Brazil. Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), Sao Paulo, Brazil.Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT), Nove de Julho University (UNINOVE), Sao Paulo, Brazil. Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), Sao Paulo, Brazil.Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), Sao Paulo, Brazil.Health Sciences Program, Santa Casa School of Medical Sciences of São Paulo, Sao Paulo, Brazil. Postgraduate Program, University Center of Anapolis, Anapolis, Goias, Brazil.Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT), Nove de Julho University (UNINOVE), Sao Paulo, Brazil. Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), Sao Paulo, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31782023

Citation

Casalechi, Heliodora Leão, et al. "Acute Effects of Photobiomodulation Therapy and Magnetic Field On Functional Mobility in Stroke Survivors: a Randomized, Sham-controlled, Triple-blind, Crossover, Clinical Trial." Lasers in Medical Science, 2019.
Casalechi HL, Dumont AJL, Ferreira LAB, et al. Acute effects of photobiomodulation therapy and magnetic field on functional mobility in stroke survivors: a randomized, sham-controlled, triple-blind, crossover, clinical trial. Lasers Med Sci. 2019.
Casalechi, H. L., Dumont, A. J. L., Ferreira, L. A. B., de Paiva, P. R. V., Machado, C. D. S. M., de Carvalho, P. T. C., ... Leal-Junior, E. C. P. (2019). Acute effects of photobiomodulation therapy and magnetic field on functional mobility in stroke survivors: a randomized, sham-controlled, triple-blind, crossover, clinical trial. Lasers in Medical Science, doi:10.1007/s10103-019-02898-y.
Casalechi HL, et al. Acute Effects of Photobiomodulation Therapy and Magnetic Field On Functional Mobility in Stroke Survivors: a Randomized, Sham-controlled, Triple-blind, Crossover, Clinical Trial. Lasers Med Sci. 2019 Nov 28; PubMed PMID: 31782023.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute effects of photobiomodulation therapy and magnetic field on functional mobility in stroke survivors: a randomized, sham-controlled, triple-blind, crossover, clinical trial. AU - Casalechi,Heliodora Leão, AU - Dumont,Arislander Jonathan Lopes, AU - Ferreira,Luiz Alfredo Braun, AU - de Paiva,Paulo Roberto Vicente, AU - Machado,Caroline Dos Santos Monteiro, AU - de Carvalho,Paulo de Tarso Camillo, AU - Oliveira,Claudia Santos, AU - Leal-Junior,Ernesto Cesar Pinto, Y1 - 2019/11/28/ PY - 2019/05/03/received PY - 2019/10/03/accepted PY - 2019/11/30/entrez PY - 2019/11/30/pubmed PY - 2019/11/30/medline KW - Low-level laser therapy KW - Photobiomodulation (PBM) KW - Physical therapy KW - Static magnetic field KW - Stroke JF - Lasers in medical science JO - Lasers Med Sci N2 - Identify the optimal energy delivered with a single application of the combination of photobiomodulation therapy (PBMT) combining different light sources (low-level laser therapy-LLLT and light emitting diode therapy-LEDT) and static magnetic field (sMF) in order to determine the acute effects on functional mobility of stroke survivors. Was conducted a randomized, placebo-controlled, crossover, triple-blind, clinical trial (RCT). Twelve patients were recruited, however ten concluded the study, they were randomly treated with four PBMT/sMF energies (sham-0 J, 10 J, 30 J, and 50 J per site irradiated), with 1-week interval washout between treatments. PBMT/sMF were administered after the pre-intervention (baseline) evaluation and the total energy delivered per site at each treatment was determined based on the results of the randomization procedure. PBMT/sMF were administered in direct contact with the skin and applied with slight pressure to nine sites on the knee extensors, six sites on the knee flexors, and two sites on the plantar flexors' muscles in both lower limbs (bilaterally). The primary outcome measure was the 6-min walk test (6MWT) and the secondary outcome was the Timed Up and Go (TUG) test. Significant improvements were found in the 6MWT test using a total energy of 30 J per site compared with sham (0 J) (p < 0.05) and compared with the baseline evaluation (p < 0.01). And in the TUG test significant improvements were also found using a total energy per site of 30 J per site compared to sham (0 J) and baseline (p < 0.05). PBMT with different light sources (laser and LEDs) and wavelengths in combination with sMF with a total energy per site of 30 J has positive acute effects on functional mobility in stroke survivors. SN - 1435-604X UR - https://www.unboundmedicine.com/medline/citation/31782023/Acute_effects_of_photobiomodulation_therapy_and_magnetic_field_on_functional_mobility_in_stroke_survivors:_a_randomized,_sham-controlled,_triple-blind,_crossover,_clinical_trial L2 - https://dx.doi.org/10.1007/s10103-019-02898-y DB - PRIME DP - Unbound Medicine ER -