Evidence map›Paper›PMID 38262071›Full record

Trial reportJournal of biophotonics2024

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 and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of biophotonics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Shining a Light on Skeletal Muscle Regeneration: Red Photobiomodulation Boosts Myoblast Differentiation In Vitro.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Raimundo Pereira Miranda NetoPost-Graduation Program in Biomedical Engineering, Universidade Brasil, Sao Paulo, Brazil.
Lara Maria Bataglia EspósitoDepartment of Physical Therapy, Federal University of Sao Carlos, Sao Carlos, Brazil.ORCID 0000-0002-8471-0688
Francisco Costa da RochaDepartment of Physical Therapy, Federal University of Sao Carlos, Sao Carlos, Brazil.
Antônio Anchieta Sousa FilhoPiauiense Association to Fight Cancer (APCC), Sao Marcos Hospital, Teresina, Brazil.
Jefferson Hermann Gomes SilvaPiauiense Association to Fight Cancer (APCC), Sao Marcos Hospital, Teresina, Brazil.
Eulália Caroline de Sousa SantosPiauiense Association to Fight Cancer (APCC), Sao Marcos Hospital, Teresina, Brazil.
Bruna Lorena Soares Cavalcante SousaFederal University of Minas Gerais, Sao Carlos, Brazil.
Ketlhen Ravena Rodrigues Dos Santos GonçalvesPiaui State University-UESPI, Teresina, Brazil.
Adriana Sanches Garcia-AraujoDepartment of Physical Therapy, Federal University of Sao Carlos, Sao Carlos, Brazil.ORCID 0000-0002-6491-6240
Michael R HamblinLaser Research Centre, Faculty of Health Science, University of Johannesburg, Doornfontein, South Africa.ORCID 0000-0001-6431-4605
Cleber FerraresiDepartment of Physical Therapy, Federal University of Sao Carlos, Sao Carlos, Brazil.ORCID 0000-0002-1361-8390

Funding

Photodynamic Therapy of Localized InfectionsR01AI050875 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI HAMBLIN, MICHAEL R · 2003 to 2017
$4.8M
Synergistic Photodynamic Therapy for Catherer-Associated Urinary Tract InfectionsR21AI121700 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI HAMBLIN, MICHAEL R · 2016 to 2017
$462k
NIAID NIH HHS R01 AI050875NIAID NIH HHS R21 AI121700
6 · The paper itself

Abstract

contextPhotobiomodulation 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.

objectiveThis 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.

methodsThis 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.

resultsPBMT 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).

conclusionThe results suggest that daily PBMT can reduce the length of stay of ICU patients and increase muscle strength and mobility.

Indexed as

Intensive Care UnitsLength of StayLow-Level Light TherapyAdultAgedFemaleHumansMaleMiddle AgedMuscle, SkeletalMuscle Strengthhandgripintensive care unitlight‐emitting diodelow‐level laser therapymedical research council

Identifiers

PMID38262071
PMCPMC11065604

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.