Photobiomodulation therapy (red/NIR LEDs) reduced the length of stay in intensive care unit and improved muscle function: A randomized, triple-blind, and sham-controlled trial

Raimundo Pereira Miranda Neto, Lara Maria Bataglia Espósito, Francisco Costa da Rocha, Antônio Anchieta Sousa Filho, Jefferson Hermann Gomes Silva, Eulália Caroline de Sousa Santos, Bruna Lorena Soares Cavalcante Sousa, Ketlhen Ravena Rodrigues dos Santos Gonçalves, Adriana Sanches Garcia-Araujo, Michael R. Hamblin, Cleber Ferraresi

Research output: Contribution to journalArticlepeer-review

Abstract

Context: Photobiomodulation therapy (PBMT) has been widely used to improve strength, fatigue resistance and increase muscle mass in healthy individuals. These effects could help critically ill patients admitted to intensive care units (ICUs) who show reduced mobility and muscle strength. ICU-acquired weakness lessens overall health and increases the patient's length of stay in the ICU. Objective: This study evaluated the effects of PBMT using low intensity light-emitting diodes (LEDs) on the mobility and muscle strength (functional capacity) and length of stay of patients admitted to hospital ICU. Methods: This randomized, triple-blind, sham-controlled trial was conducted in a hospital ICU. Sixty patients were randomly assigned to two equal groups: (a) PBMT and (b) Sham. PBMT was applied daily to patients until their discharge from the ICU, using a flexible neoprene array of 264 LEDs (120 at 635 nm, 1.2 mW each; 144 at 880 nm, 15 mW each) for 90s (207.36 Joules) at each site. Ten sites were located bilaterally on the thighs, legs, arms, and forearms ventrally and dorsally, 15 min totaling 2,073.6 Joules per session. Outcomes were length of stay (in h) until discharge from the ICU, muscle strength by the Medical Research Council (MRC) score and handgrip dynamometry (HGD), patient mobility by Intensive Care Unit Mobility Scale (IMS) and the Simplified Acute Physiology Score 3 (SAPS 3) for predicting mortality of patients admitted to the ICU. Results: PBMT reduced the average length of stay in the ICU by ~30% (p = 0.028); increased mobility (IMS: 255% vs. 110% p = 0.007), increased muscle strength (MRC: 12% vs. −9% p = 0.001) and HGD (34% vs. −13% p < 0.001), and the SAPS3 score was similar (p > 0.05). Conclusion: The results suggest that daily PBMT can reduce the length of stay of ICU patients and increase muscle strength and mobility.

Original languageEnglish
Article numbere202300501
JournalJournal of Biophotonics
Volume17
Issue number5
DOIs
Publication statusPublished - May 2024

Keywords

  • handgrip
  • intensive care unit
  • light-emitting diode
  • low-level laser therapy
  • medical research council

ASJC Scopus subject areas

  • General Chemistry
  • General Materials Science
  • General Biochemistry,Genetics and Molecular Biology
  • General Engineering
  • General Physics and Astronomy

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