CoDAS
https://codas.org.br/article/doi/10.1590/2317-1782/e20240139pt
CoDAS
Original Article

Efeitos imediatos da fotobiomodulação na pressão máxima da língua: estudo clínico randomizado

Immediate effects of photobiomodulation on maximum tongue pressure: a randomized clinical study

Ester Florens Guerra Gouvêa; Lorena Moreira Marra; Vanessa Mouffron Novaes Alves; Mariana Rodrigues Batista; Andréa Rodrigues Motta; Renata Maria Moreira Moraes Furlan

Downloads: 0
Views: 89

Resumo

RESUMO: Objetivo: verificar os efeitos imediatos da fotobiomodulação com laser infravermelho sobre a pressão máxima da língua.

Método: trata-se de um estudo clínico randomizado, realizado com 72 indivíduos adultos, saudáveis, de ambos os sexos, com média de idade de 24,6 anos, desvio-padrão de 4,6, com ausência de anomalia craniofacial, sem sinais e/ou sintomas de disfunção temporomandibular, sem contraindicação à fototerapia e que não faziam uso contínuo de medicamentos miorrelaxantes e/ou anti-inflamatórios. Foram excluídos da amostra os participantes com alterações no frênulo de língua. Foi realizada a medição da pressão máxima da língua utilizando-se o Iowa Oral Performance Instrument (IOPI) antes e após irradiação com laser de baixa intensidade no comprimento de onda de 808 nm, sendo três pontos na porção anterior da língua e três na posterior. Os participantes foram alocados em quatro grupos com 18 indivíduos cada, de forma randomizada: o G4, irradiado com 4 J por ponto; o G7, irradiado com 7 J por ponto; o GC que não recebeu irradiação; e o GP, submetido aos mesmos procedimentos do G4 e G7, mas sem a ativação do laser, ou seja, sem irradiação.

Resultados: não foram constatadas diferenças estatisticamente significantes entre as pressões máximas anteriores e posteriores da língua quando comparados os valores pré e pós-intervenção. Embora sem significância estatística, os grupos que receberam a irradiação apresentaram leve aumento da média, enquanto os grupos não irradiados apresentaram diminuição.

Conclusão: não foram constatadas diferenças entre as pressões máximas anteriores e posteriores da língua, quando comparados os valores de pressão pré e pós-intervenção.

Palavras-chave

Terapia com Luz de Baixa Intensidade, Força Muscular, Fonoaudiologia, Sistema Estomatognático, Língua

Abstract

Purpose  To verify the immediate effects of infrared laser photobiomodulation on maximum tongue pressure.

Methods  This is a randomized clinical study with 72 healthy adults of both sexes, with a mean age of 24.6 years, standard deviation of 4.6, no craniofacial anomalies, no signs or symptoms of temporomandibular disorder, no contraindications to phototherapy, and who did not continuously use muscle relaxant or anti-inflammatory medications. Participants with lingual frenulum changes were excluded from the sample. Maximum tongue pressure was measured using the Iowa Oral Performance Instrument (IOPI) before and after irradiating low-level laser at a wavelength of 808 nm on three points on the anterior portion and three on the posterior portion of the tongue. Participants were randomly allocated into four groups of 18 individuals each: G4, irradiated with 4 J per point; G7, irradiated with 7 J per point; CG, which did not receive irradiation; and PG, subjected to the same procedures as G4 and G7, but without laser activation – i.e., without irradiation.

Results  no statistically significant differences were found between the maximum anterior and posterior tongue pressures when comparing pre- and post-intervention values. Although without statistical significance, the mean values increased slightly in the groups that received irradiation and decreased in the non-irradiated groups.

Conclusion  no differences were found between the maximum anterior and posterior tongue pressures when comparing the pre- and post-intervention pressure values.

Keywords

Low-Level Light Therapy; Muscle Strength; Speech, Language and Hearing Sciences; Stomatognathic System; Tongue

References

1 Fonseca NF, Motta AR, Freitas FC, Nonato MR, Francelino EM, Furlan RMMM. The effects of lingual training: a systematic review with meta-analysis. CoDAS. 2023;35(5):e20210324. http://doi.org/10.1590/2317-1782/20232021324pt. PMid:37610923.

2 Gilbert RJ, Napadow VJ, Gaige TA, Wedeen VJ. Anatomical basis of lingual hydrostatic deformation. J Exp Biol. 2007;210(Pt 23):4069-82. http://doi.org/10.1242/jeb.007096. PMid:18025008.

3 Zemlin WR. Princípios de anatomia e fisiologia em fonoaudiologia. Porto Alegre: Artes Médicas Sul; 2000.

4 Clark HM, Solomon NP. Age and sex differences in orofacial strength. Dysphagia. 2012;27(1):2-9. http://doi.org/10.1007/s00455-011-9328-2. PMid:21350818.

5 Azevedo ND, Lima JC, Furlan RMMM, Motta AR. Tongue pressure measurement in children with mouth-breathing behaviour. J Oral Rehabil. 2018;45(8):612-7. http://doi.org/10.1111/joor.12653. PMid:29782038.

6 Felício CM, da Silva Dias FV, Folha GA, de Almeida LA, de Souza JF, Anselmo-Lima WT, et al. Orofacial motor functions in pediatric obstructive sleep apnea and implications for myofunctional therapy. Int J Pediatr Otorhinolaryngol. 2016;90:5-11. http://doi.org/10.1016/j.ijporl.2016.08.019. PMid:27729152.

7 Nicosia MA, Hind JA, Roecker EB, Carnes M, Doyle J, Dengel GA, et al. Age effects on the temporal evolution of isometric and swallowing pressure. J Gerontol A Biol Sci Med Sci. 2000;55(11):M634-40. http://doi.org/10.1093/gerona/55.11.M634. PMid:11078092.

8 Rahal A, Motta AR, Fernandes CG, Cunha DA, Migliorucci RR, Berretin-Felix G. Manual de motricidade orofacial. São José dos Campos: Pulso Editorial; 2014. 128 p.

9 Alves VMN, Furlan RMMM, Motta AR. Immediate effects of photobiomodulation with low-level laser therapy on muscle performance: an integrative literature review. Rev CEFAC. 2019;21(4):e12019. http://doi.org/10.1590/1982-0216/201921412019.

10 Leal-Junior EC, Vanin AA, Miranda EF, de Carvalho PT, Dal Corso S, Bjordal JM. Effect of phototherapy (low-level laser therapy and light-emitting diode therapy) on exercise performance and markers of exercise recovery: a systematic review with meta-analysis. Lasers Med Sci. 2015;30(2):925-39. http://doi.org/10.1007/s10103-013-1465-4. PMid:24249354.

11 Freitas LF, Hamblin MR. Proposed mechanisms of photobiomodulation or low-level light therapy. IEEE J Sel Top Quantum Electron. 2016;22(3):7000417. http://doi.org/10.1109/JSTQE.2016.2561201. PMid:28070154.

12 Vanin AA, Miranda EF, Machado CS, de Paiva PR, Albuquerque-Pontes GM, Casalechi HL, et al. What is the best moment to apply phototherapy when associated to a strength training program? A randomized, double-blinded, placebo-controlled trial. Lasers Med Sci. 2016;31(8):1555-64. http://doi.org/10.1007/s10103-016-2015-7. PMid:27371449.

13 Oliveira AFSS, Silva JL, Camillo CAM, Andraus RAC, Maia LP. Does photobiomodulation improve muscle performance and recovery? a systematic review. Rev Bras Med Esporte. 2023;29:e2021-0412. http://doi.org/10.1590/1517-8692202329012021_0412.

14 Batista MR, Estrela LA, Alves VMN, Motta AR, Furlan RMMM. Immediate effects of red (660 nm) and infrared (808 nm) photobiomodulation therapy on fatigue of the orbicularis oris muscle: a randomized clinical study. CoDAS. 2021;34(2):e20200363. http://doi.org/10.1590/2317-1782/20212020363. PMid:34705999.

15 Mouffron V, Furlan RMMM, Motta AR. Immediate effects of photobiomodulation on maximum lip pressure. CoDAS. 2022;34(2):e20210024. http://doi.org/10.1590/2317-1782/20212021024. PMid:35019078.

16 Marchesan IQ. Protocolo de avaliação do frênulo da língua. Rev CEFAC. 2010;12(6):977-89. http://doi.org/10.1590/S1516-18462010000600009.

17 Adams V, Mathisen B, Baines S, Lazarus C, Callister R. Reliability of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument with healthy adults. Dysphagia. 2014;29(1):83-95. http://doi.org/10.1007/s00455-013-9486-5. PMid:24045852.

18 Martins FAG, Motta AR, Neves LS, Furlan RMMM. Evaluation of the maximum tongue and lip pressure in individuals with Class I, II, or III Angle malocclusions and different facial types. CoDAS. 2023;35(5):e20220102. http://doi.org/10.1590/2317-1782/20232022102. PMid:37436259.

19 Pexels. Imagem de boca com pontos de aplicação [Internet]. 2023 [citado em 2024 Abril 30]. Disponível em: https://www.pexels.com

20 Vassão PG, Toma RL, Antunes HK, Tucci HT, Renno AC. Effects of photobiomodulation on the fatigue level in elderly women: an isokinetic dynamometry evaluation. Lasers Med Sci. 2016;31(2):275-82. http://doi.org/10.1007/s10103-015-1858-7. PMid:26714981.

21 Vieira WH, Ferraresi C, Perez SE, Baldissera V, Parizotto NA. Effects of low level laser therapy (808 nm) on isokinetic muscle performance of young women submitted to endurance training: a randomized controlled clinical trial. Lasers Med Sci. 2012;27(2):497-504. http://doi.org/10.1007/s10103-011-0984-0. PMid:21870127.

22 Vieira WHB, Bezerra RM, Queiroz RA, Maciel NF, Parizotto NA, Ferraresi C. Use of low-level laser therapy (808nm) to muscle fatigue resistance: a randomized double-blind crossover trial. Photomed Laser Surg. 2014;32(12):678-85. http://doi.org/10.1089/pho.2014.3812. PMid:25496083.

23 Souza CG, Borges DT, Macedo LB, Brasileiro JS. Low-level laser therapy reduces the fatigue index in the ankle plantar flexors of healthy subjects. Lasers Med Sci. 2016;31(9):1949-55. http://doi.org/10.1007/s10103-016-2074-9. PMid:27638148.

24 Toma RL, Vassão PG, Assis L, Antunes HK, Renno AC. Low level laser therapy associated with a strength training program on muscle performance in elderly women: a randomized double blind control study. Lasers Med Sci. 2016;31(6):1219-29. http://doi.org/10.1007/s10103-016-1967-y. PMid:27250715.

25 Baroni BM, Rodrigues R, Freire BB, Franke RA, Geremia JM, Vaz MA. Effect of low-level laser therapy on muscle adaptation to knee extensor eccentric training. Eur J Appl Physiol. 2015;115(3):639-47. http://doi.org/10.1007/s00421-014-3055-y. PMid:25417170.

26 Leal EC Jr, Lopes-Martins RA, Frigo L, De Marchi T, Rossi RP, de Godoi V, et al. Effects of low-level laser therapy (LLLT) in the development of exercise-induced skeletal muscle fatigue and changes in biochemical markers related to postexercise recovery. J Orthop Sports Phys Ther. 2010;40(8):524-32. http://doi.org/10.2519/jospt.2010.3294. PMid:20436237.

27 Stål P, Eriksson PO, Eriksson A, Thornell LE. Enzyme-histochemical and morphological characteristics of muscle fibre types in the human buccinator and orbicularis oris. Arch Oral Biol. 1990;35(6):449-58. http://doi.org/10.1016/0003-9969(90)90208-R. PMid:2142593.

28 Stål P, Marklund S, Thornell LE, De Paul R, Eriksson PO. Fibre composition of human intrinsic tongue muscles. Cells Tissues Organs. 2003;173(3):147-61. http://doi.org/10.1159/000069470. PMid:12673097.

29 Ferraresi C, Kaippert B, Avci P, Huang YY, de Sousa MV, Bagnato VS, et al. Low-level laser (light) therapy increases mitochondrial membrane potential and ATP synthesis in C2C12 myotubes with a peak response at 3-6 h. Photochem Photobiol. 2015;91(2):411-6. http://doi.org/10.1111/php.12397. PMid:25443662.

30 Ferraresi C, de Sousa MV, Huang YY, Bagnato VS, Parizotto NA, Hamblin MR. Time response of increases in ATP and muscle resistance to fatigue after low level laser (light) therapy (LLLT) in mice. Lasers Med Sci. 2015;30(4):1259-67. http://doi.org/10.1007/s10103-015-1723-8. PMid:25700769.

31 Leal-Junior ECP, Lopes-Martins RÁB, Bjordal JM. Clinical and scientific recommendations for the use of photobiomodulation therapy in exercise performance enhancement and post-exercise recovery: current evidence and future directions. Braz J Phys Ther. 2019;23(1):71-5. http://doi.org/10.1016/j.bjpt.2018.12.002. PMid:30591412.

32 Lenius K, Carnaby-Mann G, Crary EM. The relationship between lingual-palatal pressures and submental surface electromyographic signals. J Oral Rehabil. 2009;36(2):118-23. http://doi.org/10.1111/j.1365-2842.2008.01921.x. PMid:19522896.

33 Reis VS, Araújo TG, Furlan RMMM, Motta AR. Correlation between tongue pressure and electrical activity of the suprahyoid muscles. Rev CEFAC. 2017;19(6):792-800. http://doi.org/10.1590/1982-021620171968617.
 


Submitted date:
04/30/2024

Accepted date:
08/11/2024

67bf71e3a9539506975c25c3 codas Articles

CoDAS

Share this page
Page Sections