Efeito da terapia de fotobiomodulação na performance muscular de pacientes pós SARS-CoV
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i3a225573Palavras-chave:
Síndrome Respiratória Aguda Grave, Terapia com Luz de Baixa Intensidade, Reabilitação, Modalidades de FisioterapiaResumo
Objetivo: Analisar os efeitos da terapia de fotobiomodulação (TFBM) na capacidade funcional e desempenho muscular em indivíduos pós síndrome respiratória aguda grave (SARS). Métodos: Participaram da pesquisa 15 indivíduos, sendo 7 do grupo TFBM ativo (28,71 ± 12,91 anos) e 8 indivíduos do grupo TFBM placebo (28 ± 16,33 anos) acometidos pela COVID-19, dispostos aleatoriamente em dois grupos: TFBM placebo e TFBM ativo (E-Light IRL-DMC®, 288J). Todos os voluntários foram submetidos a uma avaliação final pela Escala de Avaliação da Fadiga (EAF), pico de força isométrica (Lafayette Hand-Held Dynamometer™) dos extensores do joelho e teste de sentar e levantar de cinco repetições (TSLC5). Em seguida, TFBM ativo ou placebo foi aplicado em seis locais do quadríceps da perna dominante. Resultados: Após o protocolo o TFBM ativo para pico de força obteve média (34,31 ± 13,50) e o grupo TFBM placebo (31,11 ± 7,82) e no TSLC5 grupo TFBM ativo 9,19 ± 1,75) e o TFBM placebo (9,18 ± 2,09), ambas sem diferença significante para aumento da capacidade funcional e desempenho muscular entre os grupos. Conclusão: A TFBM não apresentou efeito quando comparada ao placebo na melhora capacidade funcional e desempenho muscular em indivíduos pós SARS. Sugerem-se estudos com maior valor amostral, afim de verificar a relação de causa e feito da TFBM e as repercussões musculoesqueléticas pós SARS.
Downloads
Referências
World Health Organization. Physical inactivity: a global public health [text on the Internet]. Geneva: WHO [cited 2024 Apr 20] Available from: https://www.who.int/dietphysicalactivity
Anser MK, Yousaf Z, Khan MA, Nassani AA, Alotaibi SM, Qazi Abro MM, et al. Does communicable diseases (including COVID-19) may increase global poverty risk? A cloud on the horizon. Environ Res. 2020;187:109668. Doi: https://doi.org/10.1016/j.envres.2020.109668
Lloyd-Sherlock P, Ebrahim S, Geffen L, McKee M. Bearing the brunt of covid-19: older people in low and middle income countries. BMJ. 2020;368:m1052. Doi: https://doi.org/10.1136/bmj.m1052
Richardson S, Hirsch JS, Narasimhan M, Crawford JM, McGinn T, Davidson KW, et al. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. JAMA. 2020;323(20):2052-2059. Doi: https://doi.org/10.1001/jama.2020.6775
Brasil. Ministério da Saúde. Doença pelo coronavírus COVID-19. Bol Epidemiol. 2020;32(especial).
Townsend L, Dyer AH, Jones K, Dunne J, Mooney A, Gaffney F, et al. Persistent fatigue following SARS-CoV-2 infection is common and independent of severity of initial infection. PLoS One. 2020;15(11):e0240784. Doi: https://doi.org/10.1371/journal.pone.0240784
Paneroni M, Simonelli C, Saleri M, Bertacchini L, Venturelli M, Troosters T, et al. Muscle Strength and Physical Performance in Patients Without Previous Disabilities Recovering From COVID-19 Pneumonia. Am J Phys Med Rehabil. 2021;100(2):105-109. Doi: https://doi.org/10.1097/PHM.0000000000001641
Zampogna E, Migliori GB, Centis R, Cherubino F, Facchetti C, Feci D, et al. Functional impairment during post-acute COVID-19 phase: Preliminary finding in 56 patients. Pulmonology. 2021;27(5):452-455. Doi: https://doi.org/10.1016/j.pulmoe.2020.12.008
Akbarialiabad H, Taghrir MH, Abdollahi A, Ghahramani N, Kumar M, Paydar S, et al. Long COVID, a comprehensive systematic scoping review. Infection. 2021;49(6):1163-1186. Doi: https://doi.org/10.1007/s15010-021-01666-x
Tuzun S, Keles A, Okutan D, Yildiran T, Palamar D. Assessment of musculoskeletal pain, fatigue and grip strength in hospitalized patients with COVID-19. Eur J Phys Rehabil Med. 2021;57(4):653-662. Doi: https://doi.org/10.23736/S1973-9087.20.06563-6
Matos BTL, Buchaim DV, Pomini KT, Barbalho SM, Guiguer EL, Reis CHB, et al. Photobiomodulation Therapy as a Possible New Approach in COVID-19: A Systematic Review. Life (Basel). 2021;11(6):580. Doi: https://doi.org/10.3390/life11060580
Dias LD, Blanco KC, Faria CMG, Dozza C, Zanchin EM, Paolillo FR, et al. Perspectives on photobiomodulation and combined light-based therapies for rehabilitation of patients after COVID-19 recovery. Laser Phys Lett. 2022;19(4):045604. Doi: https://doi.org/10.1088/1612-202X/ac52f5
Kitchen LC, Berman M, Halper J, Chazot P. Rationale for 1068 nm Photobiomodulation Therapy (PBMT) as a Novel, Non-Invasive Treatment for COVID-19 and Other Coronaviruses: Roles of NO and Hsp70. Int J Mol Sci. 2022;23(9):5221. Doi: https://doi.org/10.3390/ijms23095221
Ferraresi C, Hamblin MR, Parizotto NA. Low-level laser (light) therapy (LLLT) on muscle tissue: performance, fatigue and repair benefited by the power of light. Photonics Lasers Med. 2012;1(4):267-286. Doi: https://doi.org/10.1515/plm-2012-0032
Miranda EF, Diniz WA, Gomes MVN, Oliveira MFD, Carvalho PTC, Leal-Junior ECP. Acute effects of photobiomodulation therapy (PBMT) combining laser diodes, light-emitting diodes, and magnetic field in exercise capacity assessed by 6MST in patients with COPD: a crossover, randomized, and triple-blinded clinical trial. Lasers Med Sci. 2019;34(4):711-719. Doi: https://doi.org/10.1007/s10103-018-2645-z
Vanin AA, Verhagen E, Barboza SD, Costa LOP, Leal-Junior ECP. Photobiomodulation therapy for the improvement of muscular performance and reduction of muscular fatigue associated with exercise in healthy people: a systematic review and meta-analysis. Lasers Med Sci. 2018;33(1):181-214. Doi: https://doi.org/10.1007/s10103-017-2368-6
Martin HJ, Yule V, Syddall HE, Dennison EM, Cooper C, Aihie Sayer A. Is hand-held dynamometry useful for the measurement of quadriceps strength in older people? A comparison with the gold standard Bodex dynamometry. Gerontology. 2006;52(3):154-9. Doi: https://doi.org/10.1159/000091824
Mentiplay BF, Perraton LG, Bower KJ, Adair B, Pua YH, Williams GP, et al. Assessment of Lower Limb Muscle Strength and Power Using Hand-Held and Fixed Dynamometry: A Reliability and Validity Study. PLoS One. 2015;10(10):e0140822. Doi: https://doi.org/10.1371/journal.pone.0140822
Melo TA, Duarte ACM, Bezerra TS, França F, Soares NS, Brito D. The Five Times Sit-to-Stand Test: safety and reliability with older intensive care unit patients at discharge. Rev Bras Ter Intensiva. 2019;31(1):27-33. Doi: https://doi.org/10.5935/0103-507X.20190006
Michielsen HJ, Vries JD, Van Heck GL, Van de Vijver FJR, Sijtsma K. Examination of the Dimensionality of Fatigue. Eur J Psychol Assess. 2004;20(1):39-48. Doi: https://doi.org/10.1027/1015-5759.20.1.39
Ferraresi C, Huang YY, Hamblin MR. Photobiomodulation in human muscle tissue: an advantage in sports performance? J Biophotonics. 2016;9(11-12):1273-1299. Doi: https://doi.org/10.1002/jbio.201600176
Bohannon RW, Bubela DJ, Magasi SR, Wang YC, Gershon RC. Sit-to-stand test: Performance and determinants across the age-span. Isokinet Exerc Sci. 2010;18(4):235-240. Doi: https://doi.org/10.3233/IES-2010-0389
Jones SE, Kon SS, Canavan JL, Patel MS, Clark AL, Nolan CM, et al. The five-repetition sit-to-stand test as a functional outcome measure in COPD. Thorax. 2013;68(11):1015-20. Doi: https://doi.org/10.1136/thoraxjnl-2013-203576
Huang C, Huang L, Wang Y, Li X, Ren L, Gu X, et al. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet. 2021;397(10270):220-232. Doi: https://doi.org/10.1016/S0140-6736(20)32656-8
Nopp S, Moik F, Klok FA, Gattinger D, Petrovic M, Vonbank K, et al. Outpatient Pulmonary Rehabilitation in Patients with Long COVID Improves Exercise Capacity, Functional Status, Dyspnea, Fatigue, and Quality of Life. Respiration. 2022;101(6):593-601. Doi: https://doi.org/10.1159/000522118
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2024 Acta Fisiátrica
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
