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. Author manuscript; available in PMC: 2017 Dec 1.
Published in final edited form as: J Biophotonics. 2016 Nov 22;9(11-12):1273–1299. doi: 10.1002/jbio.201600176

Table 5.

Clinical trials of photobiomodulation (PBM) in chronic responses in exercises with lower limb muscles

Reference PBM parameters Mode of irradiation Muscle/exercise Main findings
[14] Cluster with 6 laser diodes 808 nm;
Diode area 0.0028cm2; 60 mW; 21.42W/cm2
0.6 J per diode (10 s), 214.28 J/cm2
3.6 J per site of irradiation: 6 × 0.6 J
7 sites of irradiation per limb
Total delivered: 25.2 J
Contact
After exercise
7 sites of irradiation on quadriceps femoris
Leg press training and isokinetic dynamometer
RCT with 36 subjects (12 control; 12 training; 12 training+ PBM)
PBM increased load in maximum repetition (1-RM)
PBM increased knee extensor peak torque
No effect of PBM on thigh perimetry
[15] Cluster with 6 laser diodes 808 nm
Diode area 0.0028cm2; 60 mW; 21.42W/cm2
0.6 J per diode (10 s), 214.28 J/cm2
3.6 J per site of irradiation: 6 × 0.6 J
5 sites of irradiation per limb
Total delivered: 18 J
Contact
After exercise
5 sites of irradiation on quadriceps femoris
Cycle ergometer training and isokinetic dynamometer
RCT with 45 subjects (15 control; 15 training; 15 training+PBM)
PBM decreased fatigue index of knee extensor muscles
No effect of PBM in total knee extensor work
[54] Array with 50 LEDs 850 nm;
Diode area 0.2 cm2; 100 mW; 500 mW/cm2;
1.5 J per diode (15 s); 7.5 J/cm2;
75 J applied per muscle group: 50 × 1.5 J
Sites of irradiation per limb
Quadríceps femoris
Total delivered: 150 J
Contact
After exercise
Irradiation on whole quadriceps femoris
Leg press training
Leg extension training
Case-control with 2 subjects monozigotic twins (1 placebo; 1 PBM)
PBM increased maximal load
PBM increased muscle hypertrophy
PBM decreased CK in blood
PBM decreased fatigue
PBM increased gene expression of muscle hypertrophy and defense against oxidative stress
PBM decreased gene expression of inflammation and muscle atrophy
[55] Cluster with 5 laser diodes 810 nm
Diode area 0.029 cm2; 200 mW; 6.89 W/cm2
6 J per diode (30 s); 206.89 J/cm2
30 J per site of irradiation: 5 × 6 J
8 sites of irradiation per limb
Total delivered: 240 J
Contact
Muscular pre-conditioning
2 sites of irradiation on vastus medialis
3 sites on vastus lateralis
3 sites on rectus femoris
Eccentric training in isokinetic dynamometer
RCT with 30 subjects (10 control; 10 training; 10 training+PBM)
PBM increased muscle thickness
PBM increased isometric knee extensor peak torque
PBM increased eccentric knee extensor peak torque
[56] Laser diode 660 nm;
Diode area 0.06 cm2; 30 mW; 0.5 W/cm2;
0.24 J (8 s), 4 J/cm2;
8 sites of irradiation per limb
Total delivered: 1.92 J
Contact
Muscular pre-conditioning and after exercise
8 sites on triceps surae
Vertical jumps
RCT with 22 subjects (8 control; 7 LLLT-6 days; 7 LLLT-10 days)
No effect of PBM on vertical jump performance (power and fatigue)
No effect of PBM on delayed onset muscle soreness
[57] Laser diode 808 nm;
Diode area 0.028 cm2; 100 mW; 35.71 W/cm2;
7 J (70 s), 250 J/cm2;
8 sites of irradiation per limb
Total delivered: 56 J
Contact
After exercise
8 sites of irradiation on quadriceps femoris
Leg extension training
RCT with 48 subjects (15 control; 17 training+LLLT; 16 training)
PBM increased work compared to control
PBM increased peak torque compared to control
PBM increased power compared to control
No effect of PBM on fatigue index
No effect of PBM on lactate levels
No effect of PBM on 6-min walk test
No effect of PBM on surface electromyography
No effect of PBM in 1 maximum repetition (1-RM)
[59] Cluster with:
4 laser diodes 905 nm;
Diode area 0.44 cm2; 0.3125 mW; 0.71 mW/cm2;
4 LEDs 875 nm;
Diode area 0.9 cm2; 17.5 mW; 19.44 mW/cm2;
4 LEDs 640 nm;
Diode area 0.9 cm2; 15 mW; 16.66 mW/cm2;

30 J per site of irradiation: 228 s
6 sites of irradiation per limb
Total delivered: 180 J
Contact
Muscular pre-conditioning/after exercise/pre-conditioning and after exercise
2 sites of irradiation on vastus medialis,
2 sites on vastus lateralis
2 sites on rectus femoris
Leg press training
Leg extension training
RCT with 48 subjects (12 placebo; 36 PBM)
PBM (pre-conditioning only-12 subjects) increased 1-RM in leg press
PBM (pre-conditioning only-12 subjects) increased 1-RM in leg extension
PBM (pre-conditioning only-12 subjects) increased peak torque in MVC
PBM (pre-conditioning and after-12 subjects) added no effect
PBM (after only-12 subjects) added no effect
PBM (all modalities-36 subjects) did not increase thigh perimetry