Use of photobiomodulation in the treatment of acute tendon injury

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.8744

Keywords:

Tendon injury; Photobiomodulation.

Abstract

In the face of controversies about the treatment of tendon injuries, non-surgical treatment using photobiomodulation therapy has been shown to be effective in repair. Objective was to evaluate the effects of photobiomodulation therapy on the tendon repair process. 42 Rattus norvegicus belonging to the wistar lineage were used, which were randomly divided into 2 experimental groups: Control (CG); Photobiomodulation (PBM). The groups were subdivided into 3 experimental periods: 7, 14 and 21 days. PBM started 24 hours after injury induction and followed for 7, 14, 21 days. For FBM, the 660 nm, 40 mW, 0.23 J and 6 s laser was used. The volume of the edema was evaluated, immediately before the tendon transection; 24 hours later; on the day of euthanasia, following their respective experimental periods. Histopathological analysis of the region of the transect and the quantification of blood vessels were performed using HE. Edema results: 24 hours after injury induction, there was no statistical difference between the experimental groups. After the experimental periods, 7, 14 and 21 days, the PBM group was effective in reducing the edema compared to the control. Histological results revealed that the PBM group had a greater tendon injury compared to the control after 7 days. After 14 and 21 days, the PBM group showed a better repair process compared to the control group. Likewise, PBM showed a greater number of blood vessels when compared to the control, after all experimental periods. The PBM treatment was effective in reducing the volume of the edema, preventing degenerative morphological alterations of the tendon, after 21 days.

References

Aimbire, F., Albertine, R., De Magalhães, R. G., Lopes-Martins, R. A. B., Castro-Faria-Neto, H. C., Zângaro, R. A., Chavantes, M. C., & Pacheco, M. T. T. (2005). Effect of LLLT Ga-Al-As (685 nm) on LPS-induced inflammation of the airway and lung in the rat. Lasers in Medical Science, 20(1), 11–20. https://doi.org/10.1007/s10103-005-0339-9

Albertini, R., Aimbire, F. S. C., Correa, F. I., Ribeiro, W., Cogo, J. C., Antunes, E., Teixeira, S. A., De Nucci, G., Castro-Faria-Neto, H. C., Zângaro, R. A., & Lopes-Martins, R. A. B. (2004). Effects of different protocol doses of low power gallium-aluminum-arsenate (Ga-Al-As) laser radiation (650 nm) on carrageenan induced rat paw ooedema. Journal of Photochemistry and Photobiology B: Biology, 74(2–3), 101–107. https://doi.org/10.1016/j.jphotobiol.2004.03.002

Aller, M. A., Arias, J. L., Sánchez-Patán, F., & Arias, J. (2006). The inflammatory response: An efficient way of life. Medical Science Monitor, 12(10), 225–234.

Andarawis-Puri, N., Flatow, E. L., & Soslowsky, L. J. (2015). Tendon basic science: Development, repair, regeneration, and healing. Journal of Orthopaedic Research, 33(6), 780–784. https://doi.org/10.1002/jor.22869

Arias, J. I., Aller, M. A., & Arias, J. (2009). Surgical inflammation: A pathophysiological rainbow. Journal of Translational Medicine, 7, 1–15. https://doi.org/10.1186/1479-5876-7-19

Bogaerts, S., Desmet, H., Slagmolen, P., & Peers, K. (2016). Strain mapping in the Achilles tendon - A systematic review. Journal of Biomechanics, 49(9), 1411–1419. https://doi.org/10.1016/j.jbiomech.2016.02.057

Boschi, E. S., Leite, C. E., Saciura, V. C., Caberlon, E., Lunardelli, A., Bitencourt, S., Melo, D. A. S., & Oliveira, J. R. (2008). Anti-inflammatory effects of low-level laser therapy (660 nm) in the early phase in carrageenan-induced pleurisy in rat. Lasers in Surgery and Medicine, 40(7), 500–508. https://doi.org/10.1002/lsm.20658

De Freitas, L. F., & Hamblin, M. R. (2016). Proposed Mechanisms of Photobiomodulation or Low-Level Light Therapy. IEEE Journal on Selected Topics in Quantum Electronics, 22(3). https://doi.org/10.1109/JSTQE.2016.2561201

de Mattos, L. H. L., Álvarez, L. E. C., Yamada, A. L. M., Hussni, C. A., Rodrigues, C. A., Watanabe, M. J., & Alves, A. L. G. (2014). Effect of phototherapy with light-emitting diodes (890 nm) on tendon repair: an experimental model in sheep. Lasers in Medical Science, 30(1), 193–201. https://doi.org/10.1007/s10103-014-1641-1

Deng, S., Sun, Z., Zhang, C., Chen, G., & Li, J. (2017). Surgical Treatment Versus Conservative Management for Acute Achilles Tendon Rupture: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Journal of Foot and Ankle Surgery, 56(6), 1236–1243. https://doi.org/10.1053/j.jfas.2017.05.036

Dietrich, F. (2012). Comparação Do Efeito Do Plasma Rico Em Plaquetas E Fibrina Rica Em Plaquetas No Reparo Do Tendão De. 1–104.

Egger, A. C., & Berkowitz, M. J. (2017). Achilles tendon injuries. Current Reviews in Musculoskeletal Medicine, 10(1), 72–80. https://doi.org/10.1007/s12178-017-9386-7

Frauz, K., Teodoro, L., Carneiro, G., Cristina da Veiga, F., Lopes Ferrucci, D., Luis Bombeiro, A., Waleska Simões, P., Elvira Alvares, L., Leite R. de Oliveira, A., Pontes Vicente, C., Seabra Ferreira, R., Barraviera, B., do Amaral, M., Augusto M. Esquisatto, M., de Campos Vidal, B., Rosa Pimentel, E., & Aparecida de Aro, A. (2019). Transected Tendon Treated with a New Fibrin Sealant Alone or Associated with Adipose-Derived Stem Cells. Cells, 8(1), 56. https://doi.org/10.3390/cells8010056

Hamblin, M. R. (2018). Mechanisms and Mitochondrial Redox Signaling in Photobiomodulation. Photochemistry and Photobiology, 94(2), 199–212. https://doi.org/10.1111/php.12864

Hamblin, M. R., Huang, Y. Y., Sharma, S. K., & Carroll, J. (2011). Biphasic dose response in low level light therapy - an update. Dose-Response, 9(4), 602–618. https://doi.org/10.2203/dose-response.11-009.Hamblin

James, R., Kesturu, G., Balian, G., & Chhabra, A. B. (2008). Tendon: Biology, Biomechanics, Repair, Growth Factors, and Evolving Treatment Options. Journal of Hand Surgery, 33(1), 102–112. https://doi.org/10.1016/j.jhsa.2007.09.007

Karaaslan, F., Mermerkaya, M. U., Çıraklı, A., Karaoğlu, S., & Duygulu, F. (2016). Surgical versus conservative treatment following acute rupture of the Achilles tendon: Is there a pedobarographic difference? Therapeutics and Clinical Risk Management, 12, 1311–1315. https://doi.org/10.2147/TCRM.S116385

Karvat, J., Antunes, J. S., Bernardino, G. R., Kakihata, C. M. M., & Bertolini, G. R. F. (2014). Effect of low-level LASER and neural mobilization on nociceptive threshold in experimental sciatica. Revista Dor, 15(3), 207–210. https://doi.org/10.5935/1806-0013.20140045

Khan, R. J., & Carey Smith, R. L. (2010). Surgical interventions for treating acute Achilles tendon ruptures. Cochrane Database of Systematic Reviews, 9. https://doi.org/10.1002/14651858.cd003674.pub4

Martignago, C. C. S., Tim, C. R., Assis, L., Andrade, A. L. M., Brassolati, P., Bossini, P. S., Leiebano, R. E., & Parizotto, N. A. (2019). Preemptive treatment with photobiomodulation therapy in skin flap viability. Journal of Photochemistry and Photobiology B: Biology, 201, 111634. https://doi.org/10.1016/j.jphotobiol.2019.111634

Meulenkamp, B., Stacey, D., Fergusson, D., Hutton, B., Mlis, R. S., & Graham, I. D. (2018). Protocol for treatment of Achilles tendon ruptures; A systematic review with network meta-analysis. Systematic Reviews, 7(1), 1–7. https://doi.org/10.1186/s13643-018-0912-5

Naterstad, I. F., Rossi, R. P., Marcos, R. L., Parizzoto, N. A., Frigo, L., Joensen, J., Lopes Martins, P. S. L., Bjordal, J. M., & Lopes-Martins, R. A. B. (2018). Comparison of Photobiomodulation and Anti-Inflammatory Drugs on Tissue Repair on Collagenase-Induced Achilles Tendon Inflammation in Rats. Photomedicine and Laser Surgery, 36(3), 137–145. https://doi.org/10.1089/pho.2017.4364

Ochen, Y., Beks, R. B., Van Heijl, M., Hietbrink, F., Leenen, L. P. H., Van Der Velde, D., Heng, M., Van Der Meijden, O., Groenwold, R. H. H., & Houwert, R. M. (2019). Operative treatment versus nonoperative treatment of Achilles tendon ruptures: Systematic review and meta-analysis. BMJ (Online), 364. https://doi.org/10.1136/bmj.k5120

Pereira, A. S., Shitsuka, Dorlivete Moreira Parreira, F. J., & Shitsuka, R. (2018). Metodologia da Pesquisa Científica - Licenciatura em Computação. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1. Acesso em: 28 março 2020.

Sommer, A. P., Pinheiro, A. L. B., Mester, A. R., Franke, R. P., & Whelan, H. T. (2001). Biostimulatory windows in low-intensity laser activation: Lasers, scanners, and NASA’s light-emitting diode array system. Journal of Clinical Laser Medicine and Surgery, 19(1), 29–33. https://doi.org/10.1089/104454701750066910

Stavenuiter, X. J. R., Lubberts, B., Prince, R. M., Johnson, A. H., DiGiovanni, C. W., & Guss, D. (2019). Postoperative Complications Following Repair of Acute Achilles Tendon Rupture. Foot and Ankle International, 40(6), 679–686. https://doi.org/10.1177/1071100719831371

Thorpe, C. T., Peffers, M. J., Simpson, D., Halliwell, E., Screen, H. R. C., & Clegg, P. D. (2016). Anatomical heterogeneity of tendon: Fascicular and interfascicular tendon compartments have distinct proteomic composition. Scientific Reports, 6(October 2015), 1–12. https://doi.org/10.1038/srep20455

Tim, C. R., Bossini, P. S., Kido, H. W., Malavazi, I., von Zeska Kress, M. R., Carazzolle, M. F., Rennó, A. C., & Parizotto, N. A. (2016). Low-level laser therapy induces an upregulation of collagen gene expression during the initial process of bone healing: a microarray analysis. Journal of Biomedical Optics, 21(8), 088001. https://doi.org/10.1117/1.jbo.21.8.088001

Vaghardoost, R., Momeni, M., Kazemikhoo, N., Mokmeli, S., Dahmardehei, M., Ansari, F., Nilforoushzadeh, M. A., Sabr joo, P., Mey Abadi, S., Naderi Gharagheshlagh, S., & Sassani, S. (2018). Effect of low-level laser therapy on the healing process of donor site in patients with grade 3 burn ulcer after skin graft surgery (a randomized clinical trial). Lasers in Medical Science, 33(3), 603–607. https://doi.org/10.1007/s10103-017-2430-4

Volpi, P. (2016). Arthroscopy and sport injuries : applications in high-level athletes.

Wilkins, R., & Bisson, L. J. (2012). Operative versus nonoperative management of acute achilles tendon ruptures: A quantitative systematic review of randomized controlled trials. American Journal of Sports Medicine, 40(9), 2154–2160. https://doi.org/10.1177/0363546512453293

Published

01/10/2020

How to Cite

DUTRA JR, E. de F.; HIDD, S. M. C. M.; AMARAL, M. M.; MAIA FILHO, A. L. M.; ASSIS, L. .; MARTIGNAGO, C. C. S.; FIGUEREDO-SILVA, J. .; TIM, C. R. . Use of photobiomodulation in the treatment of acute tendon injury. Research, Society and Development, [S. l.], v. 9, n. 10, p. e3989108744, 2020. DOI: 10.33448/rsd-v9i10.8744. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/8744. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences