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    Low-level laser therapy (LLLT) effectively reduces blood lactate and creatine kinase levels in soccer athletes post-exercise. This targeted therapy aids in mitigating muscle damage and fatigue, enhancing athletic recovery.

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    Area of Science:

    • Sports Medicine
    • Rehabilitative Therapies
    • Biomedical Engineering

    Background:

    • Low-level laser therapy (LLLT) effectiveness in athletic recovery is debated due to inconsistent research.
    • Athletes face unique metabolic demands, and elevated creatine kinase (CK) and blood lactate (BL) levels indicate muscle damage and fatigue.
    • LLLT's potential to modulate inflammatory mediators like CK and BL is under investigation for athletic populations.

    Purpose of the Study:

    • To investigate if LLLT decreases muscle-damaging mediators (CK and BL) in soccer athletes after performance compared to a sham treatment.
    • To assess the impact of LLLT on player fatigue and delayed-onset muscle soreness.

    Main Methods:

    • A systematic review of 3 studies evaluating LLLT's effect on blood lactate (BL) and creatine kinase (CK) levels.
    • LLLT was applied pre-performance, post-performance, or both, with varying energy levels (10, 30, or 50 J) and application sites.
    • Outcomes were compared against sham treatment or control groups.

    Main Results:

    • All 3 studies reported a significant decrease (P < .05) in both BL and CK levels with LLLT compared to the control group.
    • LLLT application, particularly post-exercise, demonstrated the most significant reduction in these muscle-damaging mediators.
    • Specific parameters included bilateral application on rectus femoris, vastus lateralis, and vastus medialis for 10 seconds each.

    Conclusions:

    • LLLT, when applied post-exercise, significantly reduces blood lactate and creatine kinase levels in soccer athletes.
    • This therapeutic modality shows promise in accelerating athletic recovery by mitigating exercise-induced muscle damage and fatigue.
    • The reviewed studies suggest LLLT is a viable option for enhancing recovery in athletes, with high evidence quality (Physiotherapy Evidence Database score ≥8/10).