Evidence map›Paper›PMID 42493723›Full record

Trial reportLasers in medical science2026

Effect of photobiomodulation on fatigue-related errors in ankle joint position reproduction: the moderating role of perceived ankle instability in a randomized, placebo-controlled trial.

Yasunari Ikuta, Ryuya Yamakawa, Minoru Toriyama, Hajime Ito, Tomoyuki Nakasa, Yukio Mikami, Nobuo Adachi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Lasers in medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Yasunari IkutaDepartment of Orthopaedic Surgery, Hiroshima University Hospital, Hiroshima, Japan. yikuta@hiroshima-u.ac.jp.ORCID http://orcid.org/0000-0002-8419-9154
Ryuya YamakawaSports Medical Center, Hiroshima University Hospital, Hiroshima, Japan.
Minoru ToriyamaSports Medical Center, Hiroshima University Hospital, Hiroshima, Japan.
Hajime ItoSports Medical Center, Hiroshima University Hospital, Hiroshima, Japan.
Tomoyuki NakasaDepartment of Artificial Joints and Biomaterials, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Yukio MikamiSports Medical Center, Hiroshima University Hospital, Hiroshima, Japan.
Nobuo AdachiDepartment of Orthopaedic Surgery, Hiroshima University Hospital, Hiroshima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate whether pre-exercise photobiomodulation (PBM) attenuates fatigue-induced decline in ankle joint position reproduction (JPR) and determine whether perceived ankle instability modifies this response. In this randomized, placebo-controlled trial with participant blinding and blinded outcome assessment, 30 healthy young adults (age: 24.3 ± 3.7 years; 15 male, 15 female) received either PBM or placebo treatment applied to the lower-leg musculature before a fatiguing protocol. PBM parameters included a wavelength of 830 nm, average power of 1 W, and total energy of 300 J per limb. Ankle JPR was assessed before and after fatigue. Participants were stratified by Cumberland Ankle Instability Tool (CAIT) scores. All physical assessments were performed by independent outcome assessors blinded to group allocation, with each participant evaluated by the same designated assessor throughout the study. The primary analysis revealed no overall between-group difference in fatigue-related changes in ankle JPR. A secondary exploratory group × CAIT interaction was observed, suggesting potential effect modification by perceived ankle instability. In the higher perceived instability subgroup, the estimated between-group difference was consistent with less post-fatigue worsening of JPR error following PBM; however, this estimate was based on small subgroup sizes and was not adjusted for multiple comparisons. The primary hypothesis was not supported; pre-exercise PBM showed no overall effect on fatigue-induced changes in ankle JPR. The exploratory group × CAIT interaction suggests that perceived ankle instability may be an effect modifier the response to PBM. However, this hypothesis requires confirmation in a larger, preregistered trial prospectively powered for interaction testing and incorporating functional outcomes in populations with clinically diagnosed chronic ankle instability.

Indexed as

Ankle JointFatigueJoint InstabilityLow-Level Light TherapyAdultFemaleHumansMaleMuscle FatigueProprioceptionYoung AdultCumberland Ankle Instability ToolJoint position reproductionLow-level laser therapyMuscle fatiguePhotobiomodulationProprioception

Identifiers

PMID42493723
PMCPMC13395833

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.