Skip to main content
Log in

Quadriceps femoris performance after resistance training with and without photobiomodulation in elderly women: a randomized clinical trial

  • Original Article
  • Published:
Lasers in Medical Science Aims and scope Submit manuscript

Abstract

The study assessed if quadriceps femoris muscle performance of older women can be improved by applying photobiomodulation therapy after a resistance training program. This study is a randomized, controlled trial with concealed allocation, intention-to-treat analysis, and blinded outcome evaluators. Forty-five healthy sedentary older women classified as active or insufficiently active were randomized to groups receiving 8 weeks of quadriceps femoris resistance training plus active group or placebo group, or a control group (no training or photobiomodulation). Surface electromyographic fatigue indexes of vastus medialis, rectus femoris, and vastus lateralis; one-maximum repetition (1-MR); and analysis of inflammatory biomarkers (IL-6, IL-8, and TNF-α cytokines, plus CK and LDH enzymes) were measured at baseline and twice in a 24 h-period after 8 weeks. No differences among the three groups were found in fatigue indexes for all three muscles, although in general, the active group presented improved fatigue indexes from baseline to 8-week outcome, while the other groups did not. Both training groups improved in 1-MR over the 8-week period. Inflammatory biomarkers were not different at long- or short-term among the three groups, except differences in groups for long-term IL-8 changes, differences in time for long-term LDH and short-term TNF-α changes, and interactions of time by group for short-term LDH changes. Quadriceps femoris performance of older women was not improved when photobiomodulation was associated to the proposed quadriceps femoris resistance training, when compared to training without photobiomodulation and a sedentary group.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Manini TM, Clark BC (2012) Dynapenia and aging: an update. J Gerontol A Biol Sci Med Sci 67:28–40

    Article  PubMed  Google Scholar 

  2. Mcneil CJ, Rice CL (2007) Fatigability is increased with age during velocity-dependent contractions of the dorsiflexors. J Gerontol A Biol Sci Med Sci 62:624–629

    Article  PubMed  Google Scholar 

  3. Rekeneire N, Leo-Summers L, Han L, Gill TM (2014) Epidemiology of restricting fatigue in older adults: the precipitating events project. JAGS 62:476–481

    Article  Google Scholar 

  4. Volpi E, Nazemi R, Fujita S (2004) Muscle tissue changes with aging. Curr Opin Clin Nutr Metab Care 7:405–410

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Amadio EM, Serra AJ, Guaraldo SA, Silva JA Jr, Antônio EL, Silva F, Portes LA, Tucci PJ, Leal-Junior EC, de Carvalho PDTC (2015) The action of pre-exercise low-level laser therapy (LLLT) on the expression of IL-6 and TNF-αproteins and on the functional fitness of elderly rats subjected to aerobic training. Lasers Med Sci 30:1127–1134

    Article  PubMed  Google Scholar 

  6. American Geriatrics Society, British Geriatrics Society (2010) AGS/BGS clinical practice guideline: prevention of falls in older persons. American Geriatrics Society, New York

  7. Folland JP, Williams AG (2007) The adaptations to strength training: morphological and neurological contributions to increased strength. Sports Med 37:145–168

    Article  PubMed  Google Scholar 

  8. Lopez P, Pinto RS, Radaelli R, Rech A, Grazioli R, Izquierdo M, Cadore EL (2017) Benefits of resistance training in physically frail elderly: a systematic review. Aging Clin Exp Res 30(8):889–899

    Article  PubMed  Google Scholar 

  9. Fell J, Williams AD (2008) The effect of aging on skeletal-muscle recovery from exercise: possible implications for aging athletes. J Aging Phys Activ 16:97–115

    Article  Google Scholar 

  10. Liu CJ, Latham N (2010) Adverse events reported in progressive resistance strength training trials in older adults: 2 sides of a coin. Arch Phys Med Rehabil 91:1471–1473

    Article  PubMed  Google Scholar 

  11. Guaraldo SA, Serra AJ, Amadio EM, Antônio EL, Silva F, Portes LA, Tucci PJ, Leal-Junior EC, de Carvalho P d T (2016) The effect of low-level laser therapy on oxidative stress and functional fitness in aged rats subjected to swimming: an aerobic exercise. Lasers Med Sci 31:833–840

    Article  PubMed  Google Scholar 

  12. Toma RL, Tucci HT, Antunes HK, Pedroni CR, De Oliveira AS, Buck I, Ferreira PD, Vassão PG, Renno AC (2013) Effect of 808 nm low-level laser therapy in exercise-induced skeletal muscle fatigue in elderly women. Lasers Med Sci 28:1375–1382

    Article  PubMed  Google Scholar 

  13. Toma RL, Vassão PG, Assis L, Antunes HK, Renno AC (2016) Low level laser therapy associated with a strength training program on muscle performance in elderly women: a randomized double blind control study. Lasers Med Sci 31:1219–1229

    Article  PubMed  Google Scholar 

  14. Ferraresi C, Parizotto NA, Pires de Sousa MV, Kaippert B, Huang YY, Koiso T, Bagnato VS, Hamblin MR (2015) Light-emitting diode therapy in exercise-trained mice increases muscle performance, cytochrome c oxidase activity, ATP and cell proliferation. J Biophotonics 8(9):740–754

    Article  CAS  PubMed  Google Scholar 

  15. Ferraresi C, Beltrame T, Fabrizzi F, Nascimento ES, Karsten M, Francisco CO, Borghi-Silva A, Catai AM, Cardoso DR, Ferreira AG, Hamblin MR, Bagnato VS, Parizotto NA (2015) Muscular pre-conditioning using light-emitting diode therapy (LEDT) for high-intensity exercise: a randomized double-blind placebo-controlled trial with a single elite runner. Physiother Theory Pract 14:1–8

    Google Scholar 

  16. Higashi RH, Toma RL, Tucci HT, Pedroni CR, Ferreira PD, Baldini G, Aveiro MC, Borghi-Silva A, de Oliveira AS, Renno AC (2013) Effects of low-level laser therapy on biceps braquialis muscle fatigue in young women. Photomed Laser Surg 31:586–594

    Article  CAS  PubMed  Google Scholar 

  17. Leal Junior EC, Lopes-Martins RA, Rossi RP, De Marchi T, Baroni BM, de Godoi V, Marcos RL, Ramos L, Bjordal JM (2009) Effect of cluster multi-diode light emitting diode therapy (LEDT) on exercise-induced skeletal muscle fatigue and skeletal muscle recovery in humans. Lasers Surg Med 41:572–577

    Article  PubMed  Google Scholar 

  18. Bogdanis GC (2012) Effects of physical activity and inactivity on muscle fatigue. Front Physiol 18:142

    Google Scholar 

  19. Bublitz C, Renno AC, Ramos RS, Assis L, Sellera CA, Trimer R, Borghi-Silva A, Arena R, Guizilini S (2016) Acute effects of low-level laser therapy irradiation on blood lactate and muscle fatigue perception in hospitalized patients with heart failure-a pilot study. Lasers Med Sci 31(6):1203–1209

    Article  PubMed  Google Scholar 

  20. Vassão PG, Toma RL, Antunes HK, Tucci HT, Renno AC (2016) Effects of photobiomodulation on the fatigue level in elderly women: an isokinetic dynamometry evaluation. Lasers Med Sci 31:275–282

    Article  PubMed  Google Scholar 

  21. Borde R, Hortobágyi T, Granacher U (2015) Dose-response relationships of resistance training in healthy old adults: a systematic review and meta-analysis. Sports Med 45(12):1693–1720 Review

    Article  PubMed  PubMed Central  Google Scholar 

  22. Vanin AA, Verhagen E, Barboza SD, Costa LOP, Leal-Junior ECP (2018 Jan) 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 33(1):181–214

    Article  PubMed  Google Scholar 

  23. Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G (2000) Development of recommendations for SEMG sensors and sensor placement procedures. J Eletromyogr Kinesiol 10:361–374

    Article  CAS  Google Scholar 

  24. Hermens HJ, Merletti R, Rix H, Freriks B (1999) The state of the art on signal processing methods for surface electromyography deliverable of the SENIAM project. Roessingh Research and Development, Enschede

    Google Scholar 

  25. Mathur S, Eng JJ, MacIntyre DL (2005) Reliability of surface EMG during sustained contractions of the quadriceps. J Electromyogr Kinesiol 15:102–110

    Article  CAS  PubMed  Google Scholar 

  26. Vieira KLSG, Vieira KVSG, Ciol MA, Azevedo PH, Pinfildi CE, Renno ACM, Colantonio E, Tucci HT (2017) Effects of light-emitting diode therapy on the performance of biceps brachii muscle of young healthy males after 8 weeks of strength training: a randomized controlled clinical trial. J Strength Cond Res 33(2):433–442

  27. American College of Sports Medicine Position Stand (1998) Exercise and physical activity for older adults. Med Sci Sports Exerc 30(6):992–1008

    Google Scholar 

  28. Petersen AM, Pedersen BK (2005) The anti-inflammatory effect of exercise. J Appl Physiol 98:1154–1162

    Article  CAS  PubMed  Google Scholar 

  29. Fischer CP, Hiscock NJ, Penkowa M, Basu S, Vessby B, Kallner A, Sjöberg LB, Pedersen BK (2004) Supplementation with vitamins C and E inhibits the release of interleukin-6 from contracting human skeletal muscle. J Physiol 558:633–645

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Leite JC, Forte R, De Vito G, Boreham CA, Gibney MJ, Brennan L, Gibney ER (2015) Comparison of the effect of multicomponent and resistance training programs on metabolic health parameters in the elderly. Arch Gerontol Geriatr 60:412–417

    Article  PubMed  Google Scholar 

  31. Perreault K, Courchesne-Loyer A, Fortier M, Maltais M, Barsalani R, Riesco E, Dionne IJ (2016) Sixteen weeks of resistance training decrease plasma heat shock protein 72 (eHSP72) and increase muscle mass without affecting high sensitivity inflammatory markers' levels in sarcopenic men. Aging Clin Exp Res 28:207–214

    Article  CAS  PubMed  Google Scholar 

  32. Baroni BM, Rodrigues R, Freire BB, Franke R de A, Geremia JM, Vaz MA (2015) Effect of low-level laser therapy on muscle adaptation to knee extensor eccentric training. Eur J Appl Physiol 115:639–647

    Article  CAS  PubMed  Google Scholar 

  33. Mikkelsen UR, Couppé C, Karlsen A, Grosset JF, Schjerling P, Mackey AL, Klausen HH, Magnusson SP, Kjær M (2013) Life-long endurance exercise in humans: circulating levels of inflammatory markers and leg muscle size. Mech Ageing Dev 134:531–540

    Article  CAS  PubMed  Google Scholar 

  34. Ferraresi C, Bertucci D, Schiavinato J, Reiff R, Araújo A, Panepucci R, Matheucci E Jr, Cunha AF, Arakelian VM, Hamblin MR, Parizotto N, Bagnato V (2016) Effects of light-emitting diode therapy on muscle hypertrophy, gene expression, performance, damage, and delayed-onset muscle soreness: case-control study with a pair of identical twins. Am J Phys Med Rehabil Oct 95(10):746–757

    Article  Google Scholar 

Download references

Funding

The authors would like to thank the participants, and the São Paulo Research Foundation—FAPESP for the financial support (process number 2012/12472-1).

Author information

Authors and Affiliations

Authors

Ethics declarations

The study was approved by the University Ethics Committee and all participants signed the consent form before any type of assessment.

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tucci, H.T., Figueiredo, D.S., de Paula Carvalho, R. et al. Quadriceps femoris performance after resistance training with and without photobiomodulation in elderly women: a randomized clinical trial. Lasers Med Sci 34, 1583–1594 (2019). https://doi.org/10.1007/s10103-019-02748-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10103-019-02748-x

Keywords

Navigation