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Lasers in Medical Science

, Volume 34, Issue 6, pp 1177–1184 | Cite as

Photobiomodulation therapy as a tool to prevent hamstring strain injuries by reducing soccer-induced fatigue on hamstring muscles

  • Maurício Pinto Dornelles
  • Carolina Gassen Fritsch
  • Francesca Chaida Sonda
  • Douglas Scott Johnson
  • Ernesto Cesar Pinto Leal-Junior
  • Marco Aurélio Vaz
  • Bruno Manfredini BaroniEmail author
Original Article

Abstract

Muscle fatigue is a potential risk factor for hamstring strain injuries in soccer players. The aim of this study was to verify the effect of photobiomodulation therapy (PBMT) on the hamstrings’ muscle fatigue of soccer players during a simulated match. Twelve male amateur soccer players (~ 25 years) participated in this randomized, crossover, double-blinded, placebo-controlled trial. The volunteers were evaluated in two sessions, with a minimum 7-day interval. At each session, volunteers received either PBMT (300 J per thigh) or placebo treatment on the hamstrings prior to the simulated soccer match. Muscle strength and functional capacity were evaluated through isokinetic dynamometry and countermovement jump (CMJ) tests, respectively, before and immediately after the simulated soccer match. Players had lower reductions on hamstring eccentric peak torque [4.85% (ES = 0.31) vs. 8.72% (ES = 0.50)], hamstring-to-quadriceps torque ratio [3.60% (ES = 0.24) vs. 7.75% (ES = 0.50)], and CMJ height [1.77% (ES = 0.09) vs. 5.47% (ES = 0.32)] when treated with PBMT compared to placebo. Magnitude-based inference supports that PBMT promoted 75%, 69%, and 53% chances for beneficial effects on hamstring eccentric peak torque, hamstring-to-quadriceps torque ratio, and CMJ height, respectively, compared to placebo treatment. In conclusion, PBMT applied before a simulated soccer match proved to be effective in attenuating the hamstrings’ muscle fatigue. These findings support PBMT as a promising tool to prevent hamstring strain injury in soccer players.

Keywords

Phototherapy Muscle injury Prevention Football 

Notes

Acknowledgements

Marco Aurélio Vaz and Ernesto Cesar Pinto Leal-Junior thank CNPq-Brazil for the research productivity fellowships. Maurício Pinto Dornelles and Carolina Gassen Fritsch thank CAPES-Brazil for the scholarships.

Compliance with ethical standards

The study was previously approved by the Ethics and Research Committee of the Universidade Federal de Ciências da Saúde de Porto Alegre (no. 63299416.4.0000.5345), and all participants signed an informed consent.

Conflict of interest

Professor Ernesto Cesar Pinto Leal-Junior receives research support from Multi Radiance Medical (Solon - OH, USA) and Douglas Scott Johnson is an employee and shareholder of Multi Radiance Medical, a photobiomodulation/laser device manufacturer. They didn’t have any participation in data collection or data analysis in this study. Furthermore, Multi Radiance Medical didn’t have any participation in any aspect related to this study. The remaining authors declare that they have no conflict of interests.

References

  1. 1.
    Ekstrand J, Waldén M, Hägglund M (2016) Hamstring injuries have increased by 4% annually in men’s professional football, since 2001: a 13-year longitudinal analysis of the UEFA Elite Club injury study. Br J Sports Med 50:731–737.  https://doi.org/10.1136/bjsports-2015-095359 CrossRefPubMedGoogle Scholar
  2. 2.
    Timmins RG, Shield AJ, Williams MD et al (2015) Biceps femoris long head architecture: a reliability and retrospective injury study. Med Sci Sports Exerc 47:905–913.  https://doi.org/10.1249/MSS.0000000000000507 CrossRefPubMedGoogle Scholar
  3. 3.
    Hägglund M, Waldén M, Magnusson H et al (2013) Injuries affect team performance negatively in professional football: an 11-year follow-up of the UEFA Champions League injury study. Br J Sports Med 47:738–742.  https://doi.org/10.1136/bjsports-2013-092215 CrossRefPubMedGoogle Scholar
  4. 4.
    Ekstrand J (2013) Keeping your top players on the pitch: the key to football medicine at a professional level. Br J Sports Med 47:723–724.  https://doi.org/10.1136/bjsports-2013-092771 CrossRefGoogle Scholar
  5. 5.
    McCall A, Carling C, Nedelec M et al (2014) Risk factors, testing and preventative strategies for non-contact injuries in professional football: current perceptions and practices of 44 teams from various premier leagues. Br J Sports Med 48:1352–1357.  https://doi.org/10.1136/bjsports-2014-093439 CrossRefPubMedGoogle Scholar
  6. 6.
    Meurer MC, Silva MF, Baroni BM (2017) Strategies for injury prevention in Brazilian football: perceptions of physiotherapists and practices of premier league teams. Phys Ther Sport 28:1–8.  https://doi.org/10.1016/j.ptsp.2017.07.004 CrossRefPubMedGoogle Scholar
  7. 7.
    Woods C, Hawkins RD, Maltby S et al (2004) The Football Association Medical Research Programme: an audit of injuries in professional football—analysis of hamstring injuries. Br J Sports Med 38:36–41.  https://doi.org/10.1136/bjsm.2002.002352 CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Timmins RG, Bourne MN, Shield AJ et al (2016) Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): a prospective cohort study. Br J Sports Med 50:1524–1535.  https://doi.org/10.1136/bjsports-2015-095362 CrossRefPubMedGoogle Scholar
  9. 9.
    Opar DA, Williams MD, Shield AJ (2012) Hamstring strain injuries: factors that lead to injury and re-injury. Sport Med 42:209–226.  https://doi.org/10.2165/11594800-000000000-00000 CrossRefGoogle Scholar
  10. 10.
    Freckleton G, Pizzari T (2013) Risk factors for hamstring muscle strain injury in sport: a systematic review and meta-analysis. Br J Sports Med 47:351–358.  https://doi.org/10.1136/bjsports-2011-090664 CrossRefPubMedGoogle Scholar
  11. 11.
    Lee JWY, Mok KM, Chan HCK et al (2017) Eccentric hamstring strength deficit and poor hamstring-to-quadriceps ratio are risk factors for hamstring strain injury in football: a prospective study of 146 professional players. J Sci Med Sport 1:1–5.  https://doi.org/10.1016/j.jsams.2017.11.017 CrossRefGoogle Scholar
  12. 12.
    Opar DA, Williams MD, Timmins RG et al (2015) Eccentric hamstring strength and hamstring injury risk in Australian footballers. Med Sci Sports Exerc 47:857–865.  https://doi.org/10.1249/MSS.0000000000000465 CrossRefPubMedGoogle Scholar
  13. 13.
    Croisier JL, Ganteaume S, Binet J et al (2008) Strength imbalances and prevention of hamstring injury in professional soccer players: a prospective study. Am J Sports Med 36:1469–1475.  https://doi.org/10.1177/0363546508316764 CrossRefPubMedGoogle Scholar
  14. 14.
    Yeung SS, Suen AMY, Yeung EW (2009) A prospective cohort study of hamstring injuries in competitive sprinters: preseason muscle imbalance as a possible risk factor. Br J Sports Med 43:589–594.  https://doi.org/10.1136/bjsm.2008.056283 CrossRefPubMedGoogle Scholar
  15. 15.
    Jones RI, Ryan B, Todd AI (2015) Muscle fatigue induced by a soccer match-play simulation in amateur Black South African players. J Sports Sci 33:1305–1311.  https://doi.org/10.1080/02640414.2015.1022572 CrossRefPubMedGoogle Scholar
  16. 16.
    Delextrat A, Gregory J, Cohen D (2010) The use of the functional H:Q ratio to assess fatigue in soccer. Int J Sports Med 31:192–197.  https://doi.org/10.1055/s-0029-1243642 CrossRefPubMedGoogle Scholar
  17. 17.
    Lovell R, Midgley A, Barrett S et al (2013) Effects of different half-time strategies on second half soccer-specific speed, power and dynamic strength. Scand J Med Sci Sport 23:105–113.  https://doi.org/10.1111/j.1600-0838.2011.01353.x CrossRefGoogle Scholar
  18. 18.
    Small K, McNaughton L, Greig M, Lovell R (2010) The effects of multidirectional soccer-specific fatigue on markers of hamstring injury risk. J Sci Med Sport 13:120–125.  https://doi.org/10.1016/j.jsams.2008.08.005 CrossRefPubMedGoogle Scholar
  19. 19.
    Clijsen R, Brunner A, Barbero M et al (2017) MSK effects of low-level laser therapy on pain in patients with musculoskeletal disorders. A systemic review and meta-analysis. Eur J Phys Rehabil Med 53:603–610.  https://doi.org/10.23736/S1973-9087.17.04432-X CrossRefPubMedGoogle Scholar
  20. 20.
    Langella LG, Casalechi HL, Tomazoni SS et al (2018) Photobiomodulation therapy (PBMT) on acute pain and inflammation in patients who underwent total hip arthroplasty—a randomized, triple-blind, placebo-controlled clinical trial. Lasers Med Sci 33: 1933-1940.  https://doi.org/10.1007/s10103-018-2558-x
  21. 21.
    Rosso MP de O, Buchaim DV, Kawano N et al (2018) Photobiomodulation therapy (PBMT) in peripheral nerve regeneration: a systematic review. Bioeng (Basel) 5:44.  https://doi.org/10.3390/bioengineering5020044 CrossRefGoogle Scholar
  22. 22.
    Huang Y-Y, Sharma SK, Carroll J, Hamblin MR (2011) Biphasic dose response in low level light therapy—an update. Dose-Response 9:602–618.  https://doi.org/10.2203/dose-response.11-009.Hamblin CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Vanin AA, Verhagen E, Barboza SD et al (2018) 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 33:181–214.  https://doi.org/10.1007/s10103-017-2368-6 CrossRefPubMedGoogle Scholar
  24. 24.
    Leal Junior ECP, Lopes-Martins RÁB, Frigo L et al (2010) Effects of low-level laser therapy (LLLT) in the development of exercise-induced skeletal muscle fatigue and changes in biochemical markers related to postexercise recovery. J Orthop Sport Phys Ther 40:524–532.  https://doi.org/10.2519/jospt.2010.3294
  25. 25.
    Baroni BM, Leal Junior ECP, Geremia JM et al (2010) Effect of light-emitting diodes therapy (LEDT) on knee extensor muscle fatigue. Photomed Laser Surg 28:653–658.  https://doi.org/10.1089/pho.2009.2688 CrossRefPubMedGoogle Scholar
  26. 26.
    Lanferdini FJ, Bini RR, Baroni BM et al (2018) Improvement of performance and reduction of fatigue with low-level laser therapy in competitive cyclists. Int J Sports Physiol Perform 13:14–22.  https://doi.org/10.1123/ijspp.2016-0187 CrossRefPubMedGoogle Scholar
  27. 27.
    Dellagrana RA, Rossato M, Sakugawa RL et al (2018) Photobiomodulation therapy on physiological and performance parameters during running tests. J Strength Cond Res 32:2807–2815.  https://doi.org/10.1519/JSC.0000000000002488 CrossRefPubMedGoogle Scholar
  28. 28.
    Pinto HD, Vanin AA, Miranda EF et al (2016) Photobiomodulation therapy improves performance and accelerates recovery of high-level rugby players in field test: a randomized, crossover, double-blind, placebo-controlled clinical study. J Strength Cond Res 30:3329–3338.  https://doi.org/10.1519/JSC.0000000000001439 CrossRefPubMedGoogle Scholar
  29. 29.
    Balsalobre-Fernández C, Glaister M, Lockey RA (2015) The validity and reliability of an iPhone app for measuring vertical jump performance. J Sports Sci 33:1574–1579.  https://doi.org/10.1080/02640414.2014.996184 CrossRefPubMedGoogle Scholar
  30. 30.
    Ribeiro-Alvares JB, Marques VB, Vaz MA, Baroni BM (2017) Four weeks of Nordic hamstring exercise reduce muscle injury risk factors in young adults. J Strength Cond Res 1. doi  https://doi.org/10.1519/JSC.0000000000001975
  31. 31.
    Baroni BM, Ruas C, Ribeiro-Alvares J, Pinto R (2018) Hamstring-to-quadriceps torque ratios of professional male soccer players: a systematic review. J Strength Cond Res [ahead of print].  https://doi.org/10.1519/JSC.0000000000002609
  32. 32.
    Vanin AA, De Marchi T, Tomazoni SS et al (2016) Pre-exercise infrared low-level laser therapy (810 nm) in skeletal muscle performance and postexercise recovery in humans, what is the optimal dose? A randomized, double-blind, placebo-controlled clinical trial. Photomed Laser Surg 34:473–482.  https://doi.org/10.1089/pho.2015.3992 CrossRefGoogle Scholar
  33. 33.
    Impellizzeri FM, Rampinini E, Coutts AJ et al (2004) Use of RPE-based training load in soccer. Med Sci Sports Exerc 36:1042–1047.  https://doi.org/10.1249/01.MSS.0000128199.23901.2F CrossRefPubMedGoogle Scholar
  34. 34.
    Cohen J (1988) Statistical Power Analysis for the Behavior Sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates, PublishersGoogle Scholar
  35. 35.
    Hopkins WG, Marshall SW, Batterham AM, Hanin J (2009) Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc 41:3–12.  https://doi.org/10.1249/MSS.0b013e31818cb278 CrossRefPubMedGoogle Scholar
  36. 36.
    Batterham AM, Hopkins WG (2006) Making meaningful inferences about magnitudes. Int J Sports Physiol Perform 1:50–57.  https://doi.org/10.1123/ijspp.1.1.50 CrossRefPubMedGoogle Scholar
  37. 37.
    Van Dyk N, Bahr R, Burnett AF et al (2017) A comprehensive strength testing protocol offers no clinical value in predicting risk of hamstring injury: a prospective cohort study of 413 professional football players. Br J Sports Med 51:1695–1702.  https://doi.org/10.1136/bjsports-2017-097754 CrossRefPubMedGoogle Scholar
  38. 38.
    Padulo J, Tiloca A, Powell D et al (2013) EMG amplitude of the biceps femoris during jumping compared to landing movements. Springerplus 2:1–7.  https://doi.org/10.1186/2193-1801-2-520 CrossRefGoogle Scholar
  39. 39.
    Gathercole RJ, Stellingwerff T, Sporer BC (2015) Effect of acute fatigue and training adaptation on counterovement jump performance in elite snowboard cross athletes. J Strength Cond Res 29:37–46CrossRefPubMedGoogle Scholar
  40. 40.
    Gandevia SC (2001) Spinal and supraspinal factors in human muscle fatigue. Physiol Rev 81:1725–1789.  https://doi.org/10.1152/physrev.2001.81.4.1725 CrossRefGoogle Scholar
  41. 41.
    Carroll TJ, Taylor JL, Gandevia SC (2017) Recovery of central and peripheral neuromuscular fatigue after exercise. J Appl Physiol 122:1068–1076.  https://doi.org/10.1152/japplphysiol.00775.2016 CrossRefPubMedGoogle Scholar
  42. 42.
    Mair SD, Seaber AV, Glisson RR, Garrett WE (1996) The role of fatigue in susceptibility to acute muscle strain injury. Am J Sports Med 24:137–143.  https://doi.org/10.1177/036354659602400203 CrossRefPubMedGoogle Scholar
  43. 43.
    Gear WS (2011) Effect of different levels of localized muscle fatigue on knee position sense. J Sport Sci Med 10:725–730Google Scholar
  44. 44.
    Kellis E, Katis A, Vrabas IS (2006) Effects of an intermittent exercise fatigue protocol on biomechanics of soccer kick performance. Scand J Med Sci Sport 16:334–344.  https://doi.org/10.1111/j.1600-0838.2005.00496.x CrossRefGoogle Scholar
  45. 45.
    Morgan DL (1990) New insights into the behavior of muscle during active lengthening. Biophys J 57:209–221.  https://doi.org/10.1016/S0006-3495(90)82524-8 CrossRefPubMedPubMedCentralGoogle Scholar
  46. 46.
    Camargo MZ, Siqueira CPCM, Preti MCP et al (2012) Effects of light emitting diode (LED) therapy and cold water immersion therapy on exercise-induced muscle damage in rats. Lasers Med Sci 27:1051–1058.  https://doi.org/10.1007/s10103-011-1039-2 CrossRefPubMedGoogle Scholar
  47. 47.
    Baroni BM, Leal Junior ECP, De Marchi T et al (2010) Low level laser therapy before eccentric exercise reduces muscle damage markers in humans. Eur J Appl Physiol 110:789–796.  https://doi.org/10.1007/s00421-010-1562-z CrossRefPubMedGoogle Scholar
  48. 48.
    Lopes-Martins RA (2006) Effect of low-level laser (Ga-Al-As 655 nm) on skeletal muscle fatigue induced by electrical stimulation in rats. J Appl Physiol 101:283–288.  https://doi.org/10.1152/japplphysiol.01318.2005 CrossRefPubMedGoogle Scholar
  49. 49.
    Hayworth CR, Rojas JC, Padilla E et al (2010) In vivo low-level light therapy increases cytochrome oxidase in skeletal muscle. Photochem Photobiol 86:673–680.  https://doi.org/10.1111/j.1751-1097.2010.00732.x CrossRefPubMedGoogle Scholar
  50. 50.
    Samoilova KA, Zhevago NA, Menshutina MA, Grigorieva NB (2008) Role of nitric oxide in the visible light-induced rapid increase of human skin microcirculation at the local and systemic level: I. diabetic patients. Photomed Laser Surg 26:433–442.  https://doi.org/10.1089/pho.2007.2197 CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2019

Authors and Affiliations

  • Maurício Pinto Dornelles
    • 1
  • Carolina Gassen Fritsch
    • 1
  • Francesca Chaida Sonda
    • 2
  • Douglas Scott Johnson
    • 3
  • Ernesto Cesar Pinto Leal-Junior
    • 4
  • Marco Aurélio Vaz
    • 2
  • Bruno Manfredini Baroni
    • 1
    Email author
  1. 1.Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA)Porto AlegreBrazil
  2. 2.Exercise Research LaboratoryUniversidade Federal do Rio Grande do Sul (UFRGS)Porto AlegreBrazil
  3. 3.Multi Radiance MedicalSolonUSA
  4. 4.Laboratory of Phototherapy and Innovative Technologies in HealthUniversidade Nove de Julho (UNINOVE)São PauloBrazil

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