Electromyography changes in assessment of functional status of muscles in subjects with knee-osteoarthritis undergoing low level laser therapy

Authors

  • M Arun Kumar
  • D Venkatesh
  • Savita Ravindra

DOI:

https://doi.org/10.51248/.v41i1.538

Keywords:

Low Level Laser therapy (LLLT), knee osteoarthritis;electromyography, maximum amplitude of contraction

Abstract

Introduction and Aim: Knee Osteoarthritis (KOA) is a common degenerative joint disease which is one of the leading causes of disability in elderly people. Electromyography (EMG) is an electrophysiological method in evaluating skeletal muscle activity. Low-level laser (light) therapy (LLLT) is a modality of treatment used in several conditions required to suppress the pain, inflammation, stimulation of healing and restoration of function. Surface EMG parameters were studied before and after the low level laser therapy in subjects with knee osteoarthritis. 

Materials and Methods: Subjects with knee OA participated in the study. Low level laser therapy (LLLT) was administered using a laser device with probe giving maximum power output of 10 mw with a wavelength of 810 nm. Surface electromyography (sEMG) of quadriceps muscles was recorded in all the study participants before and after the therapy. The parameters were statistically compared. 

Results: There was a statistically significant difference between the maximum contraction and duration of contraction before and after the laser intervention in all the muscles. 

Conclusion: It can be concluded that the muscle performance increased in the subjects with knee OA after the LLLT.

Author Biographies

M Arun Kumar

Department of Physiology, M S Ramaiah Medical College, Bangalore, India

D Venkatesh

Department of Physiology, M S Ramaiah Medical College, Bangalore, India

Savita Ravindra

Department of Physiotherapy, M S Ramaiah Medical College, Bangalore, India

References

Hayami, T. Osteoarthritis of the knee joint as a cause of musculoskeletal ambulation disability symptom complex (MADS). ClinCalcium. 2008; 18:1574-1580.

Heidari, B. Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I. Caspian J Intern Med. 2011;2(2):205-212.

Wick, M.C., Kastlunger, M., Weiss, R.J. Clinical imaging assessments of knee osteoarthritis in the elderly: a mini-review. Gerontology. 2014;60(5):386-394.

Cushnaghan, J., Cooper, C., Dieppe, P., Kirwan, J., McAlindon, T., McCrae, F. Clinical assessment of osteoarthritis of the knee. Ann Rheum Dis. 1990 Oct;49(10):768-770.

Mills, K.R. The basics of electromyography. Journal of Neurology, Neurosurgery & Psychiatry. 2005 Jun 1;76(suppl 2):32-35.

Chowdhury, R.H., Reaz, M.B.I., Ali, M.A.B.M., Bakar, A.A.A., Chellappan, K., Chang, T.G. Surface electromyography signal processing and classification techniques. Sensors (Basel). 2013 Sep 17;13(9):12431-12466.

Kendell, C., Lemaire, E.D., Losier, Y., Wilson, A., Chan, A., Hudgins, B. A novel approach to surface electromyography: an exploratory study of electrode-pair selection based on signal characteristics. J NeuroengRehabil. 2012 Apr 26; 9:24.

Pullman, S.L., Goodin, D.S., Marquinez, A.I., Tabbal, S., Rubin, M. Clinical utility of surface EMG. Neurology. 2000 Jul 25;55(2):171.

Avci, P., Gupta, A., Sadasivam, M., Vecchio, D., Pam, Z., Pam, N., et al., Low-level laser (light) therapy (LLLT) in skin: stimulating, healing, restoring. SeminCutan Med Surg. 2013 Mar;32(1):41-52.

Chung, H., Dai, T., Sharma, S.K., Huang, Y.Y., Carroll, J.D., Hamblin, M.R. The nuts and bolts of low-level laser (light) therapy. Annals of Biomedical Engineering. 2012 Feb;40(2):516.

Heged?s, B., Viharos, L., Gervain, M., Gálfi, M. The Effect of low-level laser in knee osteoarthritis: a double-blind, randomized, placebo-controlled trial. Photomed Laser Surg. 2009 Aug;27(4):577-584.

Rice, D.A., McNair, P.J., Lewis, G.N. Mechanisms of quadriceps muscle weakness in knee joint osteoarthritis: the effects of prolonged vibration on torque and muscle activation in osteoarthritic and healthy control subjects. Arthritis Res Ther. 2011;13(5):R151.

Reid, K.F., Price, L.L., Harvey, W.F., Driban, J.B., Hau, C., Fielding, R.A., et al., Muscle power is an independent determinant of pain and quality of life in knee osteoarthritis. Arthritis Rheumatol. 2015 Dec;67(12):3166-3173.

Booij, M. J., Richards, R., Harlaar, J., van den Noort, J.C. Effect of walking with a modified gait on activation patterns of the knee spanning muscles in people with medial knee osteoarthritis. Knee. 2019.

Christie, A.D., Foulis, S.A., Kent, J.A. ATP cost of muscle contraction is associated with motor unit discharge rate in humans. Neurosci Lett. 2016; 629:186-188.

Karu, T.I. Mitochondrial mechanisms of photobiomodulation in context of new data about multiple roles of ATP. Photomed. Laser Surg. 2010; 28:159-160.

Tripathi,T., Ganesh,G., Rai, P. Pain pathways and effect of low level laser therapy on pain during fixed orthodontic treatment-an overview. European Journal of Dentistry and Medicine. 2016; 8:1-5.

Kingsley, J.D., Demchak, T., Mathis, R. Low-level laser therapy as a treatment for chronic pain. Front Physiol [Internet]. 2014 Aug 19;5.

Kuang, S., Rudnicki, M.A. The emerging biology of satellite cells and their therapeutic potential. Trends Mol Med. 2008;14(2):82-91.

Chargé, S.B., Rudnicki, M.A. Cellular and molecular regulation of muscle regeneration. Physiol Rev. 2004;84(1):209-238.

Hawke, T.J., Garry, D.J. Myogenic satellite cells: physiology to molecular biology. J Appl Physiol. 2001;91(2):534–51.

Hanna, R., Agas, D., Benedicenti, S., Ferrando, S., Laus, F., Cuteri, V., et al., A comparative study between the effectiveness of 980 nm photobiomodulation delivered by hand-piece with gaussian vs. flat-top profiles on osteoblasts maturation. FrontEndocrinol(Lausanne) [Internet]. 2019 Feb 20 [cited 2019 May 22];10.

Cotler, H.B., Chow, R.T., Hamblin, M.R., Carroll, J. The Use of low level laser therapy (lllt) for musculoskeletal pain. MOJ OrthopRheumatol. 2015;2(5):00068.

Dima, R., TieppoFrancio, V., Towery, C., Davani, S. Review of literature on low-level laser therapy benefits for nonpharmacological pain control in chronic pain and osteoarthritis. AlternTher Health Med. 2018 Sep;24(5):8-10.

Wickenheisser, V.A., Zywot, E.M., Rabjohns, E.M., Lee, H.H., Lawrence, D.S., Tarrant, T.K. Laser light therapy in inflammatory, musculoskeletal, and autoimmune disease. Curr Allergy Asthma Rep. 2019 02;19(8):37.

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Published

2021-04-03

How to Cite

1.
Arun Kumar M, Venkatesh D, Ravindra S. Electromyography changes in assessment of functional status of muscles in subjects with knee-osteoarthritis undergoing low level laser therapy. Biomedicine [Internet]. 2021Apr.3 [cited 2021Apr.14];41(1):82-7. Available from: https://biomedicineonline.org/index.php/home/article/view/538

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Original Research Articles