Review Article

Effects of Therapy with Light Emitting Diode (LED) in the Calcaneal Tendon Lesions of Rats: A Literature Review

Table 1

Articles included in the review, organized in chronological order of publication: authors, years, type of lesion, lesion area, LED parameters, irradiation form, number of sessions, moment of sessions, type of analysis, time of analysis, and results.

Authors/YearType of lesionLED ParametersIrradiation formN. of sessionsMoment of sessionsType of analysisTime of analysis (days)Results

Bastos; Lizarelli; Parizotto (2009) [14]Partial tenotomy (nm) 880 and 630
P (W): 0.025
Beam area (cm2): 0.28
T (s): NI
ED (J/cm2): 6
E (J): NI
PD(W/cm2):NI
NI5 and 10Every 24 hoursHMNIAfter 5 days: ↑ proliferation of fibroblasts.
After 10 days:
↑ alignment and organization of collagen fibers.

Casalechi (2009) [23]Tenotomy (nm) 640
P (W): 0.1
Beam area (cm2): 0.5
T (s): 120
ED (J/cm2): 20
E (J): NI
PD (W/cm2): NI
90° contact6.13 and 20Beginning 1h after tenotomy and repetition every 24hHMNI↓ inflammatory cells ↓remodeling;
↑ organization of collagen fibers.

Xavier et al (2010) [24]Tendinitis (nm) 880
P (W): 0.022
Beam area(cm2): 0.5
T (s): 170
D/E (J/cm2): 7.5
E (J): NI
PD(W/cm2): NI
90° contact4 and 7Beginning 12h after lesion and repetition every 48hHM and CRPNI↑ inflammatory cells; re-organization of collagen fibers;
↓ mRNA, IL-6 and TNF-a expression.

Silva; Carvalho; Moura Júnior (2011) [25]Tendinitis (nm) 640
P (W): 0.03
Beam area (cm2): 0.5
T (s): 120
ED (J/cm2): 4
E (J): NI
PD(W/cm2): NI
90° contact6 and 13Every 24 hoursHT and HMNIAfter 7 and 14 days: ↑ fibroblasts when compared to groups with tendinitis;
Lack of significant result between groups of treated and healthy rats
Without re-construction of the normal structure of the tendon in all animals.

Parente et al (2013) [13]Tendinopathy (nm): 640
P (W): 0.096
Beam area (cm2): 3.3
T (s): 70
ED (J/cm2): 2.04
E (J): NI
PD(W/cm2): NI
NC3 and 10Beginning 12h after lesion and repetition every 48hHTNITEND groups after 7 and 21 days: ↑ inflammatory cells ↑disorganization of collagen fibers.
LED groups after 7 and 21 days: amount of cells and organization of collagen fibers similar to control groups.
DROG groups 7 and 21 days: number of cells similar to TEND groups with ↑ organization of collagen fibers.

Xavier et al(2014) [26]Tendinitis (nm): 880
P (W): 0.02
Beam area (cm2): 0.5
T (s): 170
D/E (J/cm2): 7.5
E (J): NI
PD(W/cm2): NI
NC4 e 7Beginning 12h after lesion and repetition every 48hCRPNIAfter 7 days: ↑ IL -10.
After 7 and 14 days: ↑ types I and III collagen

Helrigle et al (2015) [27]Tendinopathy (nm): 945
P (W): 0,032
Beam area (cm2): 1
T (s): 120
ED (J/cm2): 3.84
E (J): 3.84
PD(W/cm2): 0,032
90° contact2, 4 and 7Beginning 12h after trauma and repetition every 48hImmunoenzymatic test (ELISA)NIAfter 7 and 14 days:
↓ IL-6 and TNF-α,
↑ IL-10;
↓ inflammatory effects.

Moura Júnior et al (2015) [28]Tenotomy (nm) 625 e 945
P (W): 0.033
Beam area (cm2): 0.5
T (s): 60
ED (J/cm2): 4
E (J): 2
PD(W/cm2): 0.5
90° contact6 and 13Beginning 24h after surgeryHT, HM and RSNILED 945 groups after 7 days:
↓ inflammatory cells; ↑ type-III collagen (Raman);
LED 625 groups after 7 days: no significant difference of the control group;
↑synthesis of type-I collagen (Raman).

: wavelength, ED: energy density, E: energy, PD: power density, T: time, NI: no information, CRP: C-reactive protein, HT: histological analysis, HM: histomorphometric analysis, and RS: Raman spectroscopy.