Efficacy of laser therapy for exercise-induced fatigue: A meta-analysis

BACKGROUND: Laser therapy is widely used for exercise-induced fatigue, while the effect among different studies remains controversial. The present study was to summary available randomized controlled trials (RCTs) to evaluate the effect of laser therapy in subjects with exercise-induced fatigue. METHODS: PubMed, Embase, and Cochrane Library were searched to identify the potential RCTs from inception to October 2017. The weighted mean difference (WMD) with 95% confidence intervals (CIs) was calculated using a random-effects model. RESULTS: Twenty RCTs involving a total of 394 individuals were included in final analysis. No significant differences were observed between the laser therapy and control for the outcomes of lactate (WMD: −0.19; 95%CI: −0.52 to 0.13; P = .244), repetitions (WMD: 4.44; 95%CI: −1.43 to 10.32; P = .138), work load (WMD: 3.38; 95%CI: −1.15 to 7.91; P = .144), time taken to perform the exercise tests (WMD: 4.42; 95%CI: −2.33 to 11.17; P = .199), creatine kinase (WMD: −41.80; 95%CI: −168.78 to 85.17; P = .519), maximum voluntary contraction (WMD: 23.83; 95%CI: −7.41 to 55.07; P = .135), mean peak forces (WMD: 2.87; 95%CI: −1.01 to 6.76; P = = .147), and visual analog scale (VAS) (WMD: −1.91; 95%CI: −42.89 to 39.08; P = = .927). The results of sensitivity analysis suggested that laser therapy might play an important role on the levels of lactate (WMD: −0.30; 95%CI: −0.59 to −0.01; P = = .040), maximum voluntary contraction (WMD: 33.54; 95%CI: 1.95 to 65.12; P = = .037), and VAS (WMD: −21.00; 95%CI: −40.78 to −1.22; P = = .037). The results of subgroup analyses indicated no significant differences between the laser therapy and placebo for lactate and repetitions when stratified by study design, mean age, gender, and study quality. CONCLUSIONS: The findings of this meta-analysis did not indicate any significant differences between the laser therapy and placebo.