The Enhancement Effect of Low-Level Laser Therapy for Muscle Training with Combined NMES and BFR

Not Applicable

Recruiting

• Conditions: Blood Flow Restriction Therapy; Neuromuscular Electrical Stimulation (NMES); Laser Therapy, Low-Level; Muscle Strength

• Registration Number: NCT06739148
• Lead Sponsor: National Cheng-Kung University Hospital

Brief Summary

Blood flow restriction training (BFR) with neuromuscular stimulation (NMES) is employed for individuals with limited mobility and joint issues. However, this approach is highly susceptible to muscle fatigue, despite its potential beneficial effects on muscle strength. Recently, there has been growing interest in using low-level laser therapy (LLLT) to address muscle fatigue. LLLT, known for improving microcirculation and mitochondrial function, shows promise in alleviating enhanced muscle fatigue associated with combined BFR and NMES training. Despite these positive effects, there is limited knowledge about the short-term training impact of combined BFR and NMES with LLLT preconditioning. This project aims to investigate whether the photobiomodulation effects of LLLT could further enhance the training benefits of combined BFR and NMES. The study will employ an integrated analysis of decomposition surface EMG, EEG, and mechanomyogram to explore the behavior and neuromuscular mechanisms underlying the training benefits. If additional benefits are identified, LLLT pre-conditioning is recommended to enhance the use of combined BFR and NMES.

Detailed Description

Not available

Study Timeline

• Status Verified: 2024-09
• Study First Submitted: 2024-09-12
• Study Start: 2024-10-01
• Study First Submitted QC: 2024-12-16
• Last Update Submitted: 2024-12-16
• Study First Posted: 2024-12-18
• Last Update Posted: 2024-12-18
• Primary Completion: 2025-07-31
• Study Completion: 2025-07-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

1. Healthy adults aged 20-40, without a diagnosis of cardiovascular or neuromusculoskeletal diseases.
2. Normal vision range after visual correction.

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Exclusion Criteria

1. Exclude students who have a teacher-student relationship with the principal investigator to ensure the participants' autonomy.
2. History of brain injury, stroke, spinal cord injury, or other neuromuscular-related conditions.
3. Contraindications for laser therapy: pregnancy, malignant tumor tissues, bleeding areas, and photosensitive skin regions.
4. Presence of any contraindications for blood flow restriction training, such as a history of injury or strain in the non-dominant arm's biceps, deep vein thrombosis or venous occlusion in the non-dominant arm, acute unstable fractures in the non-dominant arm, acute regional infections in the non-dominant arm, severe peripheral arterial occlusive disease in the non-dominant arm, complete lymphatic obstruction in the non-dominant arm, and edema due to acute pulmonary edema or congestive heart failure in the non-dominant arm.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Myoton	before training, 1week of training, 2 weeks of training, at the end of 3 weeks training	Non-dominant hand extensor digitorum muscle belly parameters of static mechanical properties of muscles (Tone, Stiffness, Relaxation, Creep, etc.)
Mechanomyogram	before training, 1week of training, 2 weeks of training, at the end of 3 weeks training	Recording of extensor digitorum muscle microshock waves during contraction
Multi-electrode surface EMG	before training, at the end of 3 weeks training	Record muscle activity during contraction
Dynamometer System	before training, 1week of training, 2 weeks of training, at the end of 3 weeks training	Measurement to track the degree of force applied by a non-dominant hand.

Trial Locations

Locations (1)

National Chen Kong University Hospital, Tainan; 🇨🇳 Tainan, Taiwan