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- ItemSomente MetadadadosEfeitos da fotobiomodulação no desempenho físico em atletas: revisão sistemática com metanálise(Universidade Federal de São Paulo (UNIFESP), 2021) Guedes, Priscilla Silva [UNIFESP]; Guerra, Ricardo Luís Fernandes [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Context and Objective: Photobiomodulation (FBM) has been studied for many years in various effects, such as: analgesia, tissue repair and tissue healing. Recently, studies have been exploring fatigue recovery and performance in athletes. This study aimed to conduct a systematic review and meta-analysis to analyze the effect of photobiomodulation on performance in athletes. Methods: A literature search was performed in the databases: MEDLINE (via PubMed), LILACS, PEDro, EMBASE and SPORTSDiscus. The studies were considered eligible when they performed Photobiomodulation with a control or placebo group, in order to assess performance in athletes. Articles in duplicates, reviews, experimental studies in animals, non-athlete and sick individuals were excluded. Searches were not limited by language of publication. The articles were filtered by title and summary using the Rayyan® online collaborative platform. The platform allowed the process to be carried out blindly in the extraction and resolution of duplicates. Two authors worked independently on data extraction (PSG and YLM) and when necessary a third author broke the tie. The articles were read in full when there was not enough information in the summary that could indicate the presence of the required criteria (eg: control group, placebo group or evaluated population). The randomized clinical trials that were included in the review had the risk of bias assessment performed by the Cochrane collaboration tool for risk of bias assessment and the quality of the evidence performed by the GRADE - Grading of Recommendatios Assessment, Development and Evaluation. Results: Of the 53 randomized clinical trials (RTC's) found, 12 criteria were selected for qualitative analysis and 10 RTC's for quantitative analysis (meta-analysis). Regarding the risk of bias, studies show a greater tendency to low risk of bias and in relation to the quality of evidence, the research showed a trend of “moderate” quality of studies. The studies proved to be quite heterogeneous and well diversified in relation to the applicability of the Laser. Meta-analysis showed that: on the strength outcome the effect of Photobiomodulation is no different from the effect of the intervention with Placebo [DMP = 0.13; 95% CI = -0.42; 0.68; p = 0.6405];in power, there were no differences in effects between Photobiomodulation and Placebo interventions [DMP = 0.07; 95% CI = -0.27; 0.41; p = 0.6808]; in velocity, there was no difference when comparing the effect sizes of Photobiomodulation vs Placebo [DMP = -0.15; 95% CI = -0.89; 0.60; p = 0.7001]; and in the and in the resistance outcome, there was no effect of photobiomodulation on this parameter when compared to Placebo [DMP = 0.40; 95% CI = - 0.07; 0.87]. Conclusion: we conclude that although the literature demonstrates positivity in the treatment with photobiomodulation in athletes, in the outcomes researched in this review with meta-analysis there was no difference in the comparison of the effect sizes of Photobiomodulation vs Placebo.
- ItemAcesso aberto (Open Access)Eficácia do uso do ILIB: uma revisão sistemática da literatura(Universidade Federal de São Paulo, 2021) Santos, Maria Luiza Souza [UNIFESP]; Marcacine, Karla Oliveira [UNIFESP]; http://lattes.cnpq.br/8215365139117330; http://lattes.cnpq.br/9478518037764555Objetivo: analisar a produção científica sobre as aplicações do ILIB na prática clínica Métodos: estudo de revisão sistemática da literatura. A busca bibliográfica foi realizada nas bases PubMed/MEDLINE, EMBASE, CINAHL, Web of Science, Scopus, PsycInfo, LILACS,e na biblioteca eletrônica SciELO, utilizando os Descritores em Ciências da Saúde (DeCS) em português e inglês. Resultados: foram encontrados 16 estudos publicados no período de 1992 a 2021 na língua inglesa. A maior parte foi classificada em grau B de recomendação e nível de evidência 1B (8 estudos), seguido de 4 estudos com grau A e nível 2A de evidência. Discussão: Dentre os estudos analisados, problemas cardíacos e diabetes são as principais doenças abordadas. O ILIB ocasiona diminuição da inflamação, melhora no processo cicatricial, aumento da microcirculação e causa vasodilatação dos vasos. Além disso, a terapia com o laser endovenoso leva a diminuição de corpos cetônicos e metabólitos de glicose em pacientes com diabetes. Conclusões: O ILIB é uma nova terapia que possui ampla gama de aplicação para as mais variadas condições clínicas e apresenta resultados positivos com ausência de contraindicações.