The effects of low-level laser therapy on muscle strength and functional outcomes in individuals with knee osteoarthritis: a double-blinded randomized controlled trial

Abstract The purpose of this study was to compare the therapeutic effects of low-level laser therapy (LLLT) with 808 and 660 nm wavelength on muscle strength and functional outcomes in individuals with knee osteoarthritis (OA). A total of 47 participants were randomly assigned to the 808 nm, 660 nm,...

Full description

Bibliographic Details
Main Authors: Amornthep Jankaew, Yu-Lin You, Tai-Hua Yang, Yu-Wei Chang, Cheng-Feng Lin
Format: Article
Language:English
Published: Nature Portfolio 2023-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-26553-9
_version_ 1797958676124794880
author Amornthep Jankaew
Yu-Lin You
Tai-Hua Yang
Yu-Wei Chang
Cheng-Feng Lin
author_facet Amornthep Jankaew
Yu-Lin You
Tai-Hua Yang
Yu-Wei Chang
Cheng-Feng Lin
author_sort Amornthep Jankaew
collection DOAJ
description Abstract The purpose of this study was to compare the therapeutic effects of low-level laser therapy (LLLT) with 808 and 660 nm wavelength on muscle strength and functional outcomes in individuals with knee osteoarthritis (OA). A total of 47 participants were randomly assigned to the 808 nm, 660 nm, and sham control groups. Two LLLT groups received continuous LLLT with a mean power of 300 mW in different wavelengths at the knee joint 15 min a session three days per week for eight weeks, while the control group received the sham LED treatment. The knee strength and functional performance involving 30-s sit-to-stand, 40 m fast-paced walk, stair climbing, and the TUG test were measured at the baseline and one week after the interventions were completed. The results showed that knee extensor strength was more improved in the 808 nm group as compared to the 660 nm group (p < 0.001, d = 0.57) and the sham control (p < 0.001, d = 0.40), while increased flexor strength was demonstrated in the 808 nm (p = 0.009, d = 0.67) and sham control groups (p < 0.001, d = 0.97). The number of 30-s sit-to-stand was increased only in the 660 nm group (p = 0.006, d = 0.49). All three groups exhibited improvements in the other three functional performance-based tests after the interventions with no statistically significant differences among the groups. In conclusion, both intervention groups improved muscle strength and functional performance as compared to the control group. The 808 nm wavelength group showed better results in knee extensor strength. Therefore, laser therapy is suggested to be integrated into rehabilitation programs to improve muscle strength and functional performance in the population with knee OA.
first_indexed 2024-04-11T00:23:20Z
format Article
id doaj.art-d712ff5a96ec4b71b9ec932d09f7bd65
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-04-11T00:23:20Z
publishDate 2023-01-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-d712ff5a96ec4b71b9ec932d09f7bd652023-01-08T12:12:34ZengNature PortfolioScientific Reports2045-23222023-01-011311910.1038/s41598-022-26553-9The effects of low-level laser therapy on muscle strength and functional outcomes in individuals with knee osteoarthritis: a double-blinded randomized controlled trialAmornthep Jankaew0Yu-Lin You1Tai-Hua Yang2Yu-Wei Chang3Cheng-Feng Lin4Institute of Allied Health Sciences, College of Medicine, National Cheng Kung UniversityDepartment of Physical Therapy, College of Medicine, National Cheng Kung UniversityDepartment of Orthopedics, National Cheng Kung University HospitalDepartment of Physical Therapy, College of Medicine, National Cheng Kung UniversityInstitute of Allied Health Sciences, College of Medicine, National Cheng Kung UniversityAbstract The purpose of this study was to compare the therapeutic effects of low-level laser therapy (LLLT) with 808 and 660 nm wavelength on muscle strength and functional outcomes in individuals with knee osteoarthritis (OA). A total of 47 participants were randomly assigned to the 808 nm, 660 nm, and sham control groups. Two LLLT groups received continuous LLLT with a mean power of 300 mW in different wavelengths at the knee joint 15 min a session three days per week for eight weeks, while the control group received the sham LED treatment. The knee strength and functional performance involving 30-s sit-to-stand, 40 m fast-paced walk, stair climbing, and the TUG test were measured at the baseline and one week after the interventions were completed. The results showed that knee extensor strength was more improved in the 808 nm group as compared to the 660 nm group (p < 0.001, d = 0.57) and the sham control (p < 0.001, d = 0.40), while increased flexor strength was demonstrated in the 808 nm (p = 0.009, d = 0.67) and sham control groups (p < 0.001, d = 0.97). The number of 30-s sit-to-stand was increased only in the 660 nm group (p = 0.006, d = 0.49). All three groups exhibited improvements in the other three functional performance-based tests after the interventions with no statistically significant differences among the groups. In conclusion, both intervention groups improved muscle strength and functional performance as compared to the control group. The 808 nm wavelength group showed better results in knee extensor strength. Therefore, laser therapy is suggested to be integrated into rehabilitation programs to improve muscle strength and functional performance in the population with knee OA.https://doi.org/10.1038/s41598-022-26553-9
spellingShingle Amornthep Jankaew
Yu-Lin You
Tai-Hua Yang
Yu-Wei Chang
Cheng-Feng Lin
The effects of low-level laser therapy on muscle strength and functional outcomes in individuals with knee osteoarthritis: a double-blinded randomized controlled trial
Scientific Reports
title The effects of low-level laser therapy on muscle strength and functional outcomes in individuals with knee osteoarthritis: a double-blinded randomized controlled trial
title_full The effects of low-level laser therapy on muscle strength and functional outcomes in individuals with knee osteoarthritis: a double-blinded randomized controlled trial
title_fullStr The effects of low-level laser therapy on muscle strength and functional outcomes in individuals with knee osteoarthritis: a double-blinded randomized controlled trial
title_full_unstemmed The effects of low-level laser therapy on muscle strength and functional outcomes in individuals with knee osteoarthritis: a double-blinded randomized controlled trial
title_short The effects of low-level laser therapy on muscle strength and functional outcomes in individuals with knee osteoarthritis: a double-blinded randomized controlled trial
title_sort effects of low level laser therapy on muscle strength and functional outcomes in individuals with knee osteoarthritis a double blinded randomized controlled trial
url https://doi.org/10.1038/s41598-022-26553-9
work_keys_str_mv AT amornthepjankaew theeffectsoflowlevellasertherapyonmusclestrengthandfunctionaloutcomesinindividualswithkneeosteoarthritisadoubleblindedrandomizedcontrolledtrial
AT yulinyou theeffectsoflowlevellasertherapyonmusclestrengthandfunctionaloutcomesinindividualswithkneeosteoarthritisadoubleblindedrandomizedcontrolledtrial
AT taihuayang theeffectsoflowlevellasertherapyonmusclestrengthandfunctionaloutcomesinindividualswithkneeosteoarthritisadoubleblindedrandomizedcontrolledtrial
AT yuweichang theeffectsoflowlevellasertherapyonmusclestrengthandfunctionaloutcomesinindividualswithkneeosteoarthritisadoubleblindedrandomizedcontrolledtrial
AT chengfenglin theeffectsoflowlevellasertherapyonmusclestrengthandfunctionaloutcomesinindividualswithkneeosteoarthritisadoubleblindedrandomizedcontrolledtrial
AT amornthepjankaew effectsoflowlevellasertherapyonmusclestrengthandfunctionaloutcomesinindividualswithkneeosteoarthritisadoubleblindedrandomizedcontrolledtrial
AT yulinyou effectsoflowlevellasertherapyonmusclestrengthandfunctionaloutcomesinindividualswithkneeosteoarthritisadoubleblindedrandomizedcontrolledtrial
AT taihuayang effectsoflowlevellasertherapyonmusclestrengthandfunctionaloutcomesinindividualswithkneeosteoarthritisadoubleblindedrandomizedcontrolledtrial
AT yuweichang effectsoflowlevellasertherapyonmusclestrengthandfunctionaloutcomesinindividualswithkneeosteoarthritisadoubleblindedrandomizedcontrolledtrial
AT chengfenglin effectsoflowlevellasertherapyonmusclestrengthandfunctionaloutcomesinindividualswithkneeosteoarthritisadoubleblindedrandomizedcontrolledtrial