Acute effects of photobiomodulation therapy applied to respiratory muscles of chronic obstructive pulmonary disease patients: a double-blind, randomized, placebo-controlled crossover trial

To investigate the effects of photobiomodulation applied to respiratory muscles on lung function, thoracoabdominal mobility, respiratory muscle strength, and functional capacity in COPD patients. This is a randomized double-blind crossover clinical trial. Twelve male COPD patients participated in th...

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Veröffentlicht in:Lasers in medical science 2020-07, Vol.35 (5), p.1055-1063
Hauptverfasser: de Souza, Guilherme Henrique Martins, Ferraresi, Cleber, Moreno, Marlene Aparecida, Pessoa, Bruna Varanda, Damiani, Ana Paula Moraes, Filho, Vinicius Gasparotto, dos Santos, Giovanny Viegas, Zamunér, Antonio Roberto
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container_issue 5
container_start_page 1055
container_title Lasers in medical science
container_volume 35
creator de Souza, Guilherme Henrique Martins
Ferraresi, Cleber
Moreno, Marlene Aparecida
Pessoa, Bruna Varanda
Damiani, Ana Paula Moraes
Filho, Vinicius Gasparotto
dos Santos, Giovanny Viegas
Zamunér, Antonio Roberto
description To investigate the effects of photobiomodulation applied to respiratory muscles on lung function, thoracoabdominal mobility, respiratory muscle strength, and functional capacity in COPD patients. This is a randomized double-blind crossover clinical trial. Twelve male COPD patients participated in the study. Participants were randomly allocated to receive two photobiomodulation sessions, 1 week apart: (1) an effective photobiomodulation session applied at the main respiratory muscles by means of a cluster with 69 light-emitting diodes (LEDs), containing 35 red (630 ± 10 nm; 10 mW; 0.2 cm 2 ) and 34 near-infrared (830 ± 20 nm; 10 mW; 0.2 cm 2 ) LEDs and (2) a sham photobiomodulation session, following the same procedures without emitting light. The primary outcomes were pulmonary function (spirometric indexes); thoracoabdominal mobility (cirtometry); respiratory muscle strength (maximal respiratory pressures), assessed at three moments: (1) baseline, (2) 1 h after intervention, and (3) 24 h after intervention; and the functional capacity, assessed by the 6-min walk test (6MWT) at baseline and 24 h after intervention. No significant interactions were found for spirometric variables, maximal respiratory pressures, and cirtometry. However, there was a Time × Condition interaction ( F  = 18.63; p  = 0.001; η 2 p  = 0.62) in the walked distance on the 6MWT, with a significant increase after photobiomodulation intervention ( p  
doi_str_mv 10.1007/s10103-019-02885-3
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This is a randomized double-blind crossover clinical trial. Twelve male COPD patients participated in the study. Participants were randomly allocated to receive two photobiomodulation sessions, 1 week apart: (1) an effective photobiomodulation session applied at the main respiratory muscles by means of a cluster with 69 light-emitting diodes (LEDs), containing 35 red (630 ± 10 nm; 10 mW; 0.2 cm 2 ) and 34 near-infrared (830 ± 20 nm; 10 mW; 0.2 cm 2 ) LEDs and (2) a sham photobiomodulation session, following the same procedures without emitting light. The primary outcomes were pulmonary function (spirometric indexes); thoracoabdominal mobility (cirtometry); respiratory muscle strength (maximal respiratory pressures), assessed at three moments: (1) baseline, (2) 1 h after intervention, and (3) 24 h after intervention; and the functional capacity, assessed by the 6-min walk test (6MWT) at baseline and 24 h after intervention. No significant interactions were found for spirometric variables, maximal respiratory pressures, and cirtometry. However, there was a Time × Condition interaction ( F  = 18.63; p  = 0.001; η 2 p  = 0.62) in the walked distance on the 6MWT, with a significant increase after photobiomodulation intervention ( p  &lt; 0.01) compared with the baseline. Photobiomodulation applied to respiratory muscles was effective in improving acute functional capacity in COPD patients. To the best of our knowledge, this is the first study assessing the effects of photobiomodulation applied to respiratory muscles in patients with COPD.</abstract><cop>London</cop><pub>Springer London</pub><doi>10.1007/s10103-019-02885-3</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7480-3047</orcidid></addata></record>
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source Springer Nature - Complete Springer Journals
subjects Acute effects
Chronic obstructive pulmonary disease
Clinical trials
Dentistry
Double-blind studies
Lasers
Light emitting diodes
Light therapy
Lung diseases
Medicine
Medicine & Public Health
Mobility
Muscle strength
Muscles
Obstructive lung disease
Optical Devices
Optics
Original Article
Photonics
Pulmonary functions
Quantum Optics
Randomization
Respiratory function
title Acute effects of photobiomodulation therapy applied to respiratory muscles of chronic obstructive pulmonary disease patients: a double-blind, randomized, placebo-controlled crossover trial
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