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García-Rueda L, Cabanas-Valdés R, Salgueiro C, Pérez-Bellmunt A, Rodríguez-Sanz J, López-de-Celis C. Immediate effects of TECAR therapy on lower limb to decrease hypertonia in chronic stroke survivors: a randomized controlled trial. Disabil Rehabil 2024:1-10. [PMID: 38958103 DOI: 10.1080/09638288.2024.2365992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Accepted: 06/05/2024] [Indexed: 07/04/2024]
Abstract
PURPOSE To analyze immediate effects of TECAR therapy (TT) to reduce lower limb hypertonia and improve functionality in chronic post-stroke. MATERIALS AND METHODS It is a single-blind randomized controlled clinical trial. A total of 36 chronic stroke survivors were divided into two groups. The experimental group received a single 30-minute session of TT with functional massage (FM) on lower limb. The control group received a single 30-minute session sham treatment of TT plus FM. The primary outcome measure was hypertonia (Modified Ashworth Scale, MAS). Secondary outcomes were gait speed (4-Meter Walk-Test), standing knee-flexion (Fugl-Meyer Assessment Scale IV-item), change in weight bearing ankle dorsiflexion (Ankle Lunge Test, ALT), and functional lower limb strength (5-Times Sit-to-Stand Test). All measurements were performed at baseline, immediately and 30-minutes after treatment. RESULTS There was a group-time interaction in MAS-knee (p = 0.044), MAS-ankle (p = 0.018) and ALT (p = 0.016) between T1 and T0 (p<.0001) and T2 and T0 (p<.0001) for the experimental group. There was a significant increase in ALT between T1 and T0 (p = 0.003) in the control group. CONCLUSIONS A single session of TT performed at the same time as FM immediately reduces plantar-flexors and knee-extensor muscle hypertonia and increases change in weight bearing ankle dorsiflexion in chronic stroke survivors.
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Affiliation(s)
| | - Rosa Cabanas-Valdés
- Physiotherapy Department, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Carina Salgueiro
- Physiotherapy Department, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
- Clínica de Neurorehabilitación, Barcelona, Spain
| | - Albert Pérez-Bellmunt
- Basic Sciences Department, Actium Functional Anatomy Research Group, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Jacobo Rodríguez-Sanz
- Basic Sciences Department, Actium Functional Anatomy Research Group, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Carlos López-de-Celis
- Physiotherapy Department, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
- Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain
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Veronese S, Bacci PA, Garcia-Gimenez V, Canel Micheloud CC, Haro García NL, Sbarbati A. V-EMF therapy: A new painless and completely non-invasive treatment for striae gravidarum. J Cosmet Dermatol 2024; 23:2007-2014. [PMID: 38549181 DOI: 10.1111/jocd.16220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 11/06/2023] [Accepted: 01/29/2024] [Indexed: 05/19/2024]
Abstract
BACKGROUND The appearance of striae gravidarum (SG) during pregnancy is a common problem. The most common SG are abdominal striae, which can cause the greatest sequelae after pregnancy, and in the long term. There are several solutions to prevent and treat these striae, but not all are completely effective, and not without side effects. AIMS The aim of this study was to evaluate the effectiveness of a treatment that applies an electromagnetic field under vacuum (V-EMF therapy) on the abdominal SG. METHODS A retrospective analysis was conducted on the medical records of 26 women affected by abdominal SG and treated with V-EMF therapy. The results were evaluated using two different 5-point Likert Scales: one administered to the treated subjects to evaluate their satisfaction, and one to the doctors who performed the treatment, to evaluate the improvement of the striae. The presence of side effects, and the effects of sun exposure after treatment were also considered. RESULTS Only two treated subjects rated their level of satisfaction with a Score III on the Liker Scale. Everyone else expressed higher levels of satisfaction. Only one doctor rated the improvement of the striae with a Liker scale score of III. All the others reported greater improvements. No discomfort or side effects were noted either during the individual treatment sessions, or at the end of the treatment. The striae showed a newfound ability to tan. CONCLUSIONS V-EMF therapy proves to be a valid, safe, and effective treatment modality for SG.
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Affiliation(s)
- Sheila Veronese
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Pier Antonio Bacci
- Medical Centre for Vascular Diseases and Aesthetic Pathologies, Arezzo, Italy
| | - Victor Garcia-Gimenez
- Knowledge and Management in Physiological Aging Medicine Universidad Autónoma de Barcelona, Barcelona, Spain
| | | | | | - Andrea Sbarbati
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
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Argüelles D, Saitua A, Miraz R, Calle-González N, Requena F, Nocera I, Vitale V, Sgorbini M, Muñoz A. The application of a single session of capacitive resistive electric transfer 24 h before exercise modifies the accelerometric pattern in standardbred racing trotters. BMC Vet Res 2024; 20:217. [PMID: 38773549 PMCID: PMC11110407 DOI: 10.1186/s12917-024-04039-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Accepted: 04/25/2024] [Indexed: 05/24/2024] Open
Abstract
BACKGROUND It has been reported that capacitive resistive electric transfer (CRET) increases blood circulation, hemoglobin oxygenation and temperature in muscles. The attributed benefits of these changes have been linked to improved athletic performance, enhanced muscle flexibility and fastening recovery from exercise-induced fatigue. For all of this, the present research aims to investigate whether the application of CRET 24 h before exercise affects the accelerometric pattern in horses during exercise. Six sound Standardbred trotters were subjected to a CRET session of 40 min of duration, applied on both sides of the neck, back and croup, 24 h before a training session. Training sessions consisted of a warming-up (WU) for 6400 m and a training bout (TB) at their maximal training speed for 1600 m. The same protocol was followed for the device off (sham protocol), also applied 24 h before the training session. CRET and sham experiments were separated by one week, the order of application of both was randomly defined for each individual and drivers were blinded for the duration of the experiment. During the training sessions, horses wore an accelerometer fixed at the sternal level. Speed, stride frequency (SF), length (SL), regularity and symmetry and accelerometric activities were measured during WU and TB. RESULTS CRET increased speed, mediolateral and total accelerometric activities during WU and speed, SL, dorsoventral, longitudinal and total accelerometric activities during TB, but stride regularity and symmetry decreased. CONCLUSION The application of CRET 24 h before exercise increased speed and accelerometric activities, results that highlight the need to evaluate the interaction between CRET and training in order to develop new methods to limit fatigue. However, the decrease in stride regularity and symmetry after CRET application could be negative effects, which could be attributed to the increased speed.
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Affiliation(s)
- David Argüelles
- Department of Animal Medicine and Surgery, Faculty of Veterinary Medicine, University of Córdoba, Córdoba, Spain
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, Córdoba, Spain
| | - Aritz Saitua
- Department of Animal Medicine and Surgery, Faculty of Veterinary Medicine, University of Córdoba, Córdoba, Spain
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, Córdoba, Spain
| | - Raquel Miraz
- Department of Animal Medicine and Surgery, Faculty of Veterinary Medicine, University of Córdoba, Córdoba, Spain
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, Córdoba, Spain
| | - Natalie Calle-González
- Department of Animal Medicine and Surgery, Faculty of Veterinary Medicine, University of Córdoba, Córdoba, Spain
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, Córdoba, Spain
| | - Francisco Requena
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, Córdoba, Spain
- Department of Cellular Biology, Physiology and Immunology, School of Veterinary Medicine, University of Córdoba, Córdoba, Spain
| | - Irene Nocera
- Department of Veterinary Sciences, University of Pisa, Pisa, Italy
| | - Valentina Vitale
- Department of Animal Medicine and Surgery, School of Veterinary Medicine, Cardenal Herrera-CEU University, Valencia, Spain
| | - Micaela Sgorbini
- Department of Veterinary Sciences, University of Pisa, Pisa, Italy
| | - Ana Muñoz
- Department of Animal Medicine and Surgery, Faculty of Veterinary Medicine, University of Córdoba, Córdoba, Spain.
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, Córdoba, Spain.
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Miyamori T, Aoyagi M, Saito T, Masui Y, Ishihara Y, Shimasaki Y, Yoshimura M. Effects of high-frequency hyperthermia on the elastic modulus of the lumbar muscle in female athletes with low back pain: A randomized crossover trial. Medicine (Baltimore) 2024; 103:e38011. [PMID: 38669391 PMCID: PMC11049711 DOI: 10.1097/md.0000000000038011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Accepted: 04/04/2024] [Indexed: 04/28/2024] Open
Abstract
OBJECTIVE To investigate the effects of capacitive and resistive monopolar radiofrequency (CRMF) on the shear elastic modulus of the multifidus and erector spinae muscles in female athletes with low back pain (LBP) and a history of LBP. DESIGN Randomized crossover trial. SETTING Academic institution. PARTICIPANTS Twenty female university athletes with LBP or a history of LBP were included. INTERVENTIONS All participants received CRMF, hotpack, and sham (CRMF without power) in a random order on the right side of the lumbar region. More than 2 days were allocated between the experiments to eliminate any residual effects. MAIN OUTCOME MEASURES The shear elastic moduli of the right multifidus and erector spinae were evaluated in the prone (rest) position while sitting with 35° trunk flexion (stretched) using shear wave ultrasound imaging equipment. The moduli were measured before, immediately after, and 30 minutes after the intervention. RESULTS Repeated-measures 2-way analysis of variance and post hoc analysis showed that the moduli of the CRMF group were significantly lower than those of the sham group in the stretched position immediately after intervention (P = .045). This difference diminished 30 minutes after the intervention (P = .920). CONCLUSIONS CRMF can be used to reduce the shear elastic modulus of the multifidus muscle in the short term. Further studies are warranted to determine how to provide longer effects. TRIAL REGISTRATION None.
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Affiliation(s)
- Takayuki Miyamori
- Department of Physical Therapy, Faculty of Health Science, Juntendo University, Tokyo, Japan
| | - Masashi Aoyagi
- Juntendo Administration for Sports, Health and Medical Sciences, Juntendo University, Tokyo, Japan
| | - Taiki Saito
- Rehabilitation Center, Oyumino Central Hospital, Chiba, Japan
| | - Yuki Masui
- Graduate School of Health and Sports Science, Juntendo University, Chiba, Japan
| | - Yoshihiko Ishihara
- School of Science and Technology for Future Life, Tokyo Denki University, Tokyo, Japan
| | - Yu Shimasaki
- Department of Health and Sports Science, Faculty of Health and Sports Science, Juntendo University, Tokyo, Japan
| | - Masafumi Yoshimura
- Department of Health and Sports Science, Faculty of Health and Sports Science, Juntendo University, Tokyo, Japan
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Canet-Vintró M, Rodríguez-Sanz J, López-de-Celis C, Hidalgo-García C, Oviedo GR, Rodríguez-Rodríguez S, Pérez-Bellmunt A. Changes in the Sprint, Vertical Jump and Quadriceps Strength after a Capacitive Resistive Electric Transfer Therapy Intervention-A Randomized Clinical Trial. Sports (Basel) 2024; 12:36. [PMID: 38275985 PMCID: PMC10819731 DOI: 10.3390/sports12010036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Revised: 01/16/2024] [Accepted: 01/18/2024] [Indexed: 01/27/2024] Open
Abstract
Generating large mechanical power during actions such as sprinting or jumping is a crucial factor in many sports. These types of actions require a good warm-up activation. Capacitive-Resistive Electric Transfer (CRET) is a non-invasive therapy based on the application of radio frequency electric currents within the range of 300 kHz-1.2 MHz to accelerate tissue metabolic activity. This study aimed to evaluate the effectiveness of adding CRET to an active warm-up protocol in young adult athletes. For the double-blind randomized clinical trial, 60 healthy athletes were recruited and divided into an Experimental group (EG) and a Sham group (SG). EG received a CRET protocol in addition to an active warm-up. SG carried out the same warm-up but with a placebo CRET. The main outcome measures were isometric extension force, countermovement-jump (CMJ), 30 m-sprint test, and surface electromyography (sEMG). There is no statistically significant interaction (group-time) for any of the variables studied. Significant main effects for time were found in isometric extension force (p = 0.008); 30 m sprint (p = 0.017); rectus femoris sEMG during CMJ (p = 0.002); vastus lateralis sEMG during CMJ (p = 0.012); vastus medialis during CMJ (p = 0.010) and rectus femoris sEMG during the 30 m sprint test (p = 0.012). Non-significant differences between means are observed in the isometric extension force (48.91 EG; 10.87 SG) and 30 m sprint (-0.13 EG; -0.04 SG) variables. To conclude, a non-significant tendency was observed in sprint and quadriceps strength following CRET therapy, compared to the individuals' pre-treatment state. Future research should use more treatment sessions to observe this tendency.
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Affiliation(s)
- Max Canet-Vintró
- Department of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat International de Catalunya, 08195 Barcelona, Spain; (M.C.-V.); (G.R.O.); (S.R.-R.); (A.P.-B.)
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain
| | - Jacobo Rodríguez-Sanz
- Department of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat International de Catalunya, 08195 Barcelona, Spain; (M.C.-V.); (G.R.O.); (S.R.-R.); (A.P.-B.)
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain
| | - Carlos López-de-Celis
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain
- Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat International de Catalunya, 08195 Barcelona, Spain
- Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, Spain
| | | | - Guillermo R. Oviedo
- Department of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat International de Catalunya, 08195 Barcelona, Spain; (M.C.-V.); (G.R.O.); (S.R.-R.); (A.P.-B.)
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain
| | - Sergi Rodríguez-Rodríguez
- Department of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat International de Catalunya, 08195 Barcelona, Spain; (M.C.-V.); (G.R.O.); (S.R.-R.); (A.P.-B.)
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain
| | - Albert Pérez-Bellmunt
- Department of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat International de Catalunya, 08195 Barcelona, Spain; (M.C.-V.); (G.R.O.); (S.R.-R.); (A.P.-B.)
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain
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Jiménez-Sánchez C, Cordova-Alegre P, Carpallo-Porcar B, Burgos-Bragado JM, Sanjuan-Sánchez D, Brandín-de la Cruz N. Effects of transcutaneous radiofrequency diathermy versus ultrasound on latent myofascial trigger points in the upper trapezius: A randomized crossover trial. J Back Musculoskelet Rehabil 2024; 37:1049-1058. [PMID: 38427466 DOI: 10.3233/bmr-230296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/03/2024]
Abstract
BACKGROUND Currently, the use of radiofrequency diathermy for the treatment of neck pain is booming. OBJECTIVE This study aimed to evaluate the clinical efficacy of Digital Capacitive Diathermy (DCD®) on stiffness, pain, cervical range of motion, and cervical disability and to compare it with ultrasound (US) in patients with latent myofascial trigger point (MTrP) in the upper trapezius. METHODS Nineteen participants with latent MTrPs in the upper trapezius were included in the assessor-masked, randomized, clinical crossover trial. Subjects were exposed to both interventions: US and DCD® and treatment effectiveness was measured by myotonometric variables, pressure pain threshold (PPT), visual analog scale (VAS), cervical side-bending flexion ranges, and the neck disability index scale (NDI). RESULTS There were no significant differences between US and DCD® interventions regarding changes in outcome measures. The US group achieved a statistically significant difference of 2.16 to 1.13 points (p= 0.005; r= 0.646) for the VAS. The DCD® intervention showed a statistically significant improvement of 1.11 points for the NDI at 1-week following intervention (95% CI 0.14-2.07; p= 0.27; d= 0.217). CONCLUSION Our findings suggest that DCD® and US can both be considered effective modalities for the treatment of latent MTrPs, having a longer duration of action with DCD® therapy.
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Affiliation(s)
- Carolina Jiménez-Sánchez
- Department of Physical Therapy, Universidad San Jorge, Zaragoza, Spain
- IIS Aragon, Zaragoza, Spain
| | - Paula Cordova-Alegre
- Department of Physical Therapy, Universidad San Jorge, Zaragoza, Spain
- IIS Aragon, Zaragoza, Spain
| | - Beatriz Carpallo-Porcar
- Department of Physical Therapy, Universidad San Jorge, Zaragoza, Spain
- IIS Aragon, Zaragoza, Spain
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Niajalili M, Mohsen Roostayi M, Daryabor A, Naimi SS, Amoli MJ. The effect of Tecar therapy on neurological disorders and nerve conduction velocity of lower limbs in peripheral neuropathy of type 2 diabetic patients: A six-week follow-up study. Turk J Phys Med Rehabil 2023; 69:479-487. [PMID: 38766579 PMCID: PMC11099859 DOI: 10.5606/tftrd.2023.11875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 04/14/2023] [Indexed: 05/22/2024] Open
Abstract
Objectives This study aimed to investigate the effect of Tecar therapy on neuropathy symptoms and tibial nerve conduction velocity in individuals with diabetes. Patients and methods The single-blind, randomized, sham-controlled clinical trial was conducted between January 2019 and October 2019. Twenty-four type 2 diabetics (8 males, 16 females; mean age: 60.4±8.9 years; range, 40 to 78 years) with peripheral neuropathy were randomly allocated to control (n=12) and study (n=12) groups. The study group received the capacitive Tecar therapy with 10 to 30% intensity and infrared radiation in 10 sessions. The controls received the same protocol with zero intensity. The neuropathy symptoms and nerve conduction velocity were evaluated at baseline, after 10 sessions, and six weeks after the end of sessions. Results There were no significant differences in variables (p>0.05). In this way, the homogeneity of the data variables was confirmed. Moreover, the results of two-way mixed analysis of variance showed that improvement of neuropathy symptoms in the study group was significantly more than controls in all stages (p<0.001). After 10 sessions, the results of post hoc analysis showed that the neuropathy symptoms and tibial nerve conduction velocity were significantly improved in both groups (p<0.05). However, there was no change in these outcomes after six weeks in the control group (p>0.05). Conclusion Tecar therapy could improve neuropathy symptoms and tibial nerve conduction velocity in diabetic individuals with peripheral neuropathy. Therefore, the use of this method to control the symptoms of diabetic patients can be recommended.
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Affiliation(s)
- Maryam Niajalili
- Department of Physiotheraphy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohamad Mohsen Roostayi
- Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Aliyeh Daryabor
- Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sedigheh Sadat Naimi
- Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mitra Javan Amoli
- Student Research Committee, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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García-Rueda L, Cabanas-Valdés R, Salgueiro C, Rodríguez-Sanz J, Pérez-Bellmunt A, López-de-Celis C. Immediate Effects of TECAR Therapy on Gastrocnemius and Quadriceps Muscles with Spastic Hypertonia in Chronic Stroke Survivors: A Randomized Controlled Trial. Biomedicines 2023; 11:2973. [PMID: 38001972 PMCID: PMC10668938 DOI: 10.3390/biomedicines11112973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Revised: 10/31/2023] [Accepted: 11/02/2023] [Indexed: 11/26/2023] Open
Abstract
BACKGROUND The aim of this study was to assess changes in muscle properties after a single session of capacitive and resistive energetic transfer (TECAR) therapy on spastic gastrocnemius and quadriceps muscles in chronic post-stroke. METHODS A total of 36 chronic stroke survivors with lower limb hypertonia were enrolled in a double-blind randomized controlled trial. The experimental group (n = 18) received a single 30 min session of TECAR therapy in combination with functional massage (FM) on the gastrocnemius and quadriceps muscles. The control group (n = 18) received a sham treatment of TECAR therapy (without electrical stimulation) in combination with real FM. The primary outcome was muscle tone of the lower limb muscles assessed with the Modified Ashworth Scale (MAS). The secondary outcomes were goniometric degrees of the MAS (goniometer), neuromuscular properties of the gastrocnemius/quadriceps (myotonometer), and passive range of motion (inclinometer). All measurements were performed at baseline (T0), immediately after treatment (T1), and at 30 min post-treatment (T2) by a blinded assessor. RESULTS The MAS score ankle dorsiflexion significantly decreased at T0-T1 (p = 0.046), and the change was maintained at T0-T2 (p = 0.019) in the experimental group. Significant improvements were noted in the passive range of motion for knee flexion (p = 0.012) and ankle dorsiflexion (p = 0.034) at T2. In addition, knee flexion improved at T1 (p = 0.019). CONCLUSION A single session of Tecar therapy at the same time with FM on the gastrocnemius and rectus femoris immediately reduces muscle tone and increases the passive range of motion of both ankle and knee in chronic stroke survivors. There were no significant changes in the neuromuscular properties measured with myotonometer.
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Affiliation(s)
- Laura García-Rueda
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Barcelona, Spain;
| | - Rosa Cabanas-Valdés
- Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat International de Catalunya, 08195 Barcelona, Spain;
| | - Carina Salgueiro
- Clínica de Neurorehabilitación Sant Cugat del Vallés, 08195 Barcelona, Spain;
| | - Jacobo Rodríguez-Sanz
- Department of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat International de Catalunya, 08195 Barcelona, Spain;
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain
| | - Albert Pérez-Bellmunt
- Department of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat International de Catalunya, 08195 Barcelona, Spain;
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain
| | - Carlos López-de-Celis
- Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat International de Catalunya, 08195 Barcelona, Spain;
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain
- Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, Spain
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Wachi M, Jiroumaru T, Satonaka A, Ikeya M, Shichiri N, Ochi J, Hyodo Y, Fujikawa T. Four minutes of capacitive and resistive electric transfer therapy increased jump performance. Electromagn Biol Med 2023; 42:144-149. [PMID: 38057284 DOI: 10.1080/15368378.2023.2290742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 11/25/2023] [Indexed: 12/08/2023]
Abstract
Capacitive and resistive electric transfer (CRET) therapy can improve flexibility and increase muscle activity and may be useful as a warm-up technique. This study examined the effects of short-time CRET on jump performance. Thirty healthy men (age range, 20-40 years) were randomly divided into passive (n = 15) and active (n = 15) warm-up groups. The participants and statisticians were blinded to the participant allocation. The passive warm-up group underwent 4 min of CRET therapy on their posterior lower legs. The active warm-up group performed stretching and jogging for 4 min. Calf muscle temperature and rebound jump (RJ) index were measured before and after the intervention. The mean (± standard deviation) muscle temperature increased by 2.0 ± 0.5°C and 1.4 ± 0.6°C in the passive and active warm-up groups, respectively (p < 0.05). RJ index increased significantly in both groups (p < 0.05). Therefore, passive warm-up using CRET may help avoid energy loss while increasing the muscle temperature in a short time when compared with traditional active warm-up techniques.
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Affiliation(s)
- Michio Wachi
- Department of Physical Therapy, Bukkyo University, Kyoto, Japan
| | | | - Ayako Satonaka
- Department of Physical Therapy, Biwako Professional University of Rehabilitation, Higashiomi, Japan
- Graduate School of Medicine, Nagoya University, Nagoya, Japan
| | - Masae Ikeya
- Department of Physical Therapy, Biwako Professional University of Rehabilitation, Higashiomi, Japan
| | - Nobuko Shichiri
- Department of Occupational Therapy, Bukkyo University, Kyoto, Japan
| | - Junko Ochi
- Department of Physical Therapy, Bukkyo University, Kyoto, Japan
| | - Yutaro Hyodo
- Kanazawa Orthopaedic & Sports Medicine Clinic, Shiga, Japan
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Raeisi M, Mohammadi HK, Heshmatipour M, Tarrahi MJ, Taheri N. Effect of Transfer Energy Capacitive and Resistive Therapy on Shoulder Pain, Disability, and Range of Motion in Patients With Adhesive Capsulitis: A Study Protocol for a Randomized Controlled Trial. J Chiropr Med 2023; 22:116-122. [PMID: 37346238 PMCID: PMC10280083 DOI: 10.1016/j.jcm.2022.04.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 04/16/2022] [Accepted: 04/27/2022] [Indexed: 11/24/2022] Open
Abstract
Objective We describe a protocol to evaluate the effectiveness of transfer energy capacitive and resistive (TECAR) therapy on shoulder passive range of motion, shoulder pain, and disability index in patients with adhesive capsulitis. Methods This study will be a double-blinded randomized clinical trial with a 1-month follow-up. For the purpose of this research, 30 patients with a 3-month history of shoulder pain and disability diagnosed as adhesive capsulitis will be selected and then randomized into 2 groups, including conventional physiotherapy consisting of electrophysical modalities and therapeutic exercises, which will be given to the control group. In the intervention group, after conventional physiotherapy, 10 minutes of TECAR therapy in resistive mode will be applied on both the anterior and inferior aspects of the shoulder joint. Outcome measures will be related to shoulder passive range of abduction, flexion, and external rotation that will be measured using a digital inclinometer, as well as shoulder pain and disability index that will be assessed by the validated questionnaire. Assessment will be done at baseline, 1 day after the intervention, and by passing 1 month. Results The statistical analysis will describe within-group and between-group comparisons; the findings will be illustrated in tables and charts. Conclusion Given the reason that the effectiveness of TECAR therapy has not been widely evaluated in adhesive capsulitis, the findings of this pilot study would provide baseline information on the effectiveness and complications of this treatment method and possibly propose a more appropriate protocol for patients with adhesive capsulitis.
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Affiliation(s)
- Maryam Raeisi
- Department of Physical Therapy, School of Rehabilitation Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Hosein Kouhzad Mohammadi
- Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Mojtaba Heshmatipour
- Department of Physical Therapy, School of Rehabilitation Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mohammad Javad Tarrahi
- Department of Epidemiology and Biostatics, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Navid Taheri
- Department of Physical Therapy, School of Rehabilitation Science, Isfahan University of Medical Sciences, Isfahan, Iran
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11
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Albornoz-Cabello M, Ibáñez-Vera AJ, Barrios-Quinta CJ, Lara-Palomo IC, Cardero-Durán MDLÁ, Espejo-Antúnez L. Effects of Radiofrequency Diathermy Plus Therapeutic Exercises on Pain and Functionality of Patients with Patellofemoral Pain Syndrome: A Randomized Controlled Trial. J Clin Med 2023; 12:jcm12062348. [PMID: 36983348 PMCID: PMC10051503 DOI: 10.3390/jcm12062348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 03/13/2023] [Accepted: 03/15/2023] [Indexed: 03/30/2023] Open
Abstract
Although consensus has been reached about the use of therapeutic exercise in patellofemoral pain syndrome, several techniques used worldwide such as radiofrequency diathermy could be useful as complementary therapy. The objective of this randomized controlled trial was to compare the effects of adding radiofrequency diathermy to therapeutic exercises in patients with patellofemoral pain syndrome. Fifty-six participants were randomly assigned either to radiofrequency diathermy plus therapeutic exercises group (n = 29) or therapeutic exercises group (n = 27). Both groups received the same therapeutic exercises, and the diathermy group additionally received monopolar dielectric diathermy for three weeks (5-3-2 weekly sessions). Data related to intensity of pain, probability of neuropathic pain, functionality, and range of movement of the knee were measured at baseline and three weeks after the intervention. Comparing pre-treatment and values obtained at the third week, significant improvements were found in intensity of pain, neuropathic pain, functionality, and range of motion in both groups (p < 0.05). The diathermy plus exercises group had significantly better intensity of pain than the control group at the end of the three weeks (p < 0.01). The addition of diathermy by emission of radiofrequency to the therapeutic knee exercise protocol is more effective than a therapeutic exercise protocol alone in the relief of intensity of pain in patients with patellofemoral pain in the immediate post-treatment follow-up compared with baseline scores.
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Affiliation(s)
| | | | | | | | | | - Luis Espejo-Antúnez
- Department of Medical-Surgical Therapy, Faculty of Medicine and Health Sciences, University of Extremadura, 06006 Badajoz, Spain
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12
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Elhosary EA, Ahmed Hamada H, Ali AlMubali F, López Sánchez GF, Ahmed SM. Effect of monopolar capacitive resistive radiofrequency in treating stress urinary incontinence: A pilot randomized control trial. Front Psychol 2023; 13:1062363. [PMID: 36687887 PMCID: PMC9851078 DOI: 10.3389/fpsyg.2022.1062363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 12/06/2022] [Indexed: 01/07/2023] Open
Abstract
Objective To assess the effectiveness of 448 kHz monopolar capacitive resistive radiofrequency (MCRR) in the treatment of females with stress urinary incontinence (SUI). Materials and methods Forty females with SUI complaints were separated randomly into two equal groups. Group A with 20 females received the MCRR therapy for 20 min and performed pelvic floor exercises for 20 min. Group B with 20 females received placebo treatment by applying the same application as in Group A without emitting any waves for 20 min, three times a week, for 4 weeks. The patients in both groups were instructed to pause the treatment during their menstruation; the patients were instructed to maintain home pelvic floor exercises. Both groups were assessed by a perineometer that was used to assess the strength of the pelvic floor muscles (PFM), the visual analogue scale (VAS), and the Incontinence Symptom Severity Index to assess the frequency of urinary incontinence symptoms as described by each patient before treatment and after 4 weeks of treatment. Results There was a significant reduction (p < 0.05) in VAS and the Incontinence Symptom Severity Index and a significant increase in the strength of the PFM in both groups post-treatment compared with the pre-treatment. Regarding between-subject effects, there was a significant difference in VAS, the Incontinence Symptom Severity Index, and the perineometer between both groups (p < 0.05), and this significant improvement favored Group A. Conclusion MCRR and pelvic floor exercises are more effective methods for the treatment of SUI than just pelvic floor exercises of females with SUI. Clinical Trial Registration ClinicalTrials.gov. Identifier: NCT04612205.
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Affiliation(s)
- Eman A. Elhosary
- Department of Physical Therapy for Women Health, Faculty of Physical Therapy, Kafr Elshiekh University, Kafr Elshiekh, Egypt
| | - Hamada Ahmed Hamada
- Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt,*Correspondence: Hamada Ahmed Hamada,
| | - Fatimah Ali AlMubali
- Department of Physical Therapy, Sharurah Armed Forces Hospital, Sharurah, Saudi Arabia
| | - Guillermo F. López Sánchez
- Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain,Guillermo F. López Sánchez,
| | - Sara M. Ahmed
- Department of Physical Therapy for Women’s Health, Cairo University, Giza, Egypt
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13
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Physiotherapeutic Strategies and Their Current Evidence for Canine Osteoarthritis. Vet Sci 2022; 10:vetsci10010002. [PMID: 36669003 PMCID: PMC9863568 DOI: 10.3390/vetsci10010002] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 12/14/2022] [Accepted: 12/17/2022] [Indexed: 12/24/2022] Open
Abstract
Osteoarthritis (OA) is a common and debilitating condition in domestic dogs. Alongside pharmaceutical interventions and weight loss, exercise and physiotherapy (PT) are important measures in maintaining patient mobility and quality of life. Physiotherapy for OA aims to reduce pain, optimize muscular function and maintain joint function. Physiotherapeutic plans typically include PT exercises combined with therapeutic modalities, lifestyle and environmental modifications to improve the patient's overall quality of life and function. Information on therapeutic clinical efficacy of physiotherapeutic measures for canine OA is still very limited. Thus, physiotherapeutic strategies are still primarily based on evidence extrapolated from human protocols tailored to people with OA. The authors propose a simple systematic PT approach for canine OA, prioritizing measures according to simplicity, cost effectiveness and practicality. This guide (the "Physiotherapy Pyramid") aims to provide a clear stratified approach to simplify decision making and planning for owners, veterinarians and veterinary physiotherapists, leading to more straightforward design and implementation of treatment plans. Measures are implemented starting at the base of the pyramid, subsequently progressing to the top, allowing effective and practical interventions to be prioritized. The levels of the pyramid are in ascending order: environmental modification, exercise plan, OA-specific home exercises and treatment by a veterinary physiotherapist.
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14
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Short-Term Efficacy of Capacitive-Resistive Electrical Transfer Therapy in Short-Haired Sled Dogs in Middle-Distance Competition. Animals (Basel) 2022; 12:ani12243530. [PMID: 36552450 PMCID: PMC9774424 DOI: 10.3390/ani12243530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2022] [Revised: 12/12/2022] [Accepted: 12/12/2022] [Indexed: 12/15/2022] Open
Abstract
Achieving the successful recovery of sled dogs is one of the key tasks for veterinary teams involved in clinical care for middle-distance sled dog competitions. This study compares the efficacy of capacitive-resistive electrical transfer (CRet) with that of massage in the treatment of lower back pain in 40 short-haired sled dogs during a medium-distance snow sled race (LekkarodTM-2021). The dogs were divided into two groups: a CRet group (20 dogs) and a massage group (20 dogs). All subjects received a single 18 min treatment session and were evaluated one hour after the end of the treatment. A multivariate analysis of variance (MANOVA) was performed in which pre- and post-treatment pain measures were evaluated in relation to age and type of treatment. Older dogs were found to have higher significant pain scores before starting treatment. Both treatments reduce pain short-term in all cases. However, post-treatment pain values were significantly lower in dogs treated with CRet when compared to dogs treated with massage. The results show that capacitive-resistive electrical transfer has better short-term results and is beneficial in both younger and older dogs, making this technique attractive to veterinary teams working in canine sporting competitions.
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15
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Vacuum and Electromagnetic Fields Treatment to Regenerate a Diffuse Mature Facial Scar Caused by Sulfuric Acid Assault. BIOENGINEERING (BASEL, SWITZERLAND) 2022; 9:bioengineering9120799. [PMID: 36551005 PMCID: PMC9774184 DOI: 10.3390/bioengineering9120799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Revised: 12/05/2022] [Accepted: 12/12/2022] [Indexed: 12/15/2022]
Abstract
Acid attacks are on the rise, and they cause extensive and deep burns, especially on the face. The treatments used to improve the aesthetic, functional and social impact of non-acid scars do not always prove useful for acid scars. This article reports the case of a woman with an extended, mature, acid facial scar, caused by sulfuric acid assault, treated with a recent new procedure that combines the application of vacuum and electromagnetic fields. Before and after the treatment, the aesthetic appearance, and motor function of the face and neck were evaluated, as well as the level of hydration, the amount of sebum, the elasticity, and the pH of the skin. The improvements highlighted after the treatment of the aesthetic and functional characteristics of the face and neck, and of the physical parameters of the skin seemed to indicate that this particular treatment induces tissue regeneration, even in the nerve component. However, it is evident that the rehabilitation pathways of facial wounds and scars must be personalized, and must include continuous psychological support for the patient.
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16
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De Sousa-De Sousa L, Espinosa HG, Maté-Muñoz JL, Lozano-Estevan MDC, Cerrolaza-Tudanca S, Rozalén-Bustín M, Fernández-Carnero S, García-Fernández P. Effects of Capacitive-Resistive Electric Transfer on Sports Performance in Paralympic Swimmers: A Stopped Randomized Clinical Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14620. [PMID: 36361500 PMCID: PMC9656992 DOI: 10.3390/ijerph192114620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/16/2022] [Revised: 11/03/2022] [Accepted: 11/05/2022] [Indexed: 06/16/2023]
Abstract
Throughout history a variety of therapeutic tools have been studied as possible enhancers of sports activities. This study proposes the use of Capacitive-Resistive Electric Transfer (CRET) as a performance booster to paralympic athletes, specifically those belonging to the Spanish Paralympic swimming committee. The study was a randomized, single-blind, and observer-blind, crossover clinical trial. Six athletes were randomly assigned to three groups: one treated with CRET (A); a placebo group (B) and a control group (C). The CRET group attended a twenty-minute session before being subjected to pool trials at distances of 50 and 100 m at maximum performance. Measurements were in two dimensions: time in seconds and the Borg scale for perceived exertion. Comparisons between groups were made with respect to distance and the main variables. In the case of perceived exertion, no significant changes were observed in any of the distances; however, in the case of the time variable, a significant difference was observed between Group A vs. Personal Record at 100 m distance (76.3 ± 6.8 vs. 68.4 ± 3.3). The proposed protocol and level of hyperthermia applied suggest refusal of CRET use for the 100-m distance a few minutes before sports practice. Our analysis suggests the need to modify the presented protocol. ClinicalTrials.gov identifier under NCT number: NCT04336007.
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Affiliation(s)
- Luis De Sousa-De Sousa
- Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain
| | - Hugo G. Espinosa
- School of Engineering and Built Environment, Griffith University, Brisbane, QLD 4111, Australia
| | - Jose Luis Maté-Muñoz
- Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain
| | | | - Sara Cerrolaza-Tudanca
- Faculty of Health Sciences, Alfonso X University, Villanueva de la Cañada, 28691 Madrid, Spain
| | - Manuel Rozalén-Bustín
- Faculty of Health Sciences, Alfonso X University, Villanueva de la Cañada, 28691 Madrid, Spain
| | - Samuel Fernández-Carnero
- Physiotherapy and Pain Group, Department of Physiotherapy and Nursing, Alcalá University, 28801 Alcalá de Henares, Spain
| | - Pablo García-Fernández
- Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain
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17
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TECAR Therapy Associated with High-Intensity Laser Therapy (Hilt) and Manual Therapy in the Treatment of Muscle Disorders: A Literature Review on the Theorised Effects Supporting Their Use. J Clin Med 2022; 11:jcm11206149. [PMID: 36294470 PMCID: PMC9604865 DOI: 10.3390/jcm11206149] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 10/14/2022] [Accepted: 10/17/2022] [Indexed: 11/17/2022] Open
Abstract
Background: It has been estimated that between 30 and 50 per cent of all injuries that take place throughout participation in a sport are the consequence of soft tissue injuries, and muscle injuries are the primary cause of physical disability. Methods: The current literature review was designed between October 2021 and April 2022, according to the PRISMA standards, using the PubMed, Scopus, and Web of Science databases. At the screening stage, we eliminated articles that did not fit into the themes developed in all subchapters of the study (n = 70), articles that dealt exclusively with orthopaedics (n = 34), 29 articles because the articles had only the abstract visible, and 17 articles that dealt exclusively with other techniques for the treatment of musculoskeletal disorders. The initial search revealed 343 titles in the databases, from which 56 duplicate articles were automatically removed, and 2 were added from other sources. Results: The combination of these three techniques results in the following advantages: It increases joint mobility, especially in stiff joints, it increases the range of motion, accelerates tissue repair, improves tissue stability, and extensibility, and it reduces soft tissue inflammation (manual therapy). In addition, it decreases the concentration of pro-inflammatory mediators and improves capillary permeability, resulting in the total eradication of inflammation (HILT). It warms the deep tissues, stimulates vascularity, promotes the repose of tissues (particularly muscle tissue), and stimulates drainage (TECAR). Conclusions: TECAR therapy, combined with manual therapy and High-Intensity Laser therapy in treating muscle diseases, presented optimal collaboration in the recovery process of all muscle diseases.
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18
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Parkinson SD, Zanotto GM, Maldonado MD, King MR, Haussler KK. The Effect of Capacitive-Resistive Electrical Therapy on Neck Pain and Dysfunction in Horses. J Equine Vet Sci 2022; 117:104091. [PMID: 35908601 DOI: 10.1016/j.jevs.2022.104091] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 07/25/2022] [Accepted: 07/26/2022] [Indexed: 11/27/2022]
Abstract
Neck pain and stiffness are increasingly recognized in horses and often treated using multimodal pharmaceutical and rehabilitation approaches. In humans, deep tissue heating is reported to reduce neck pain and increase flexibility. The objective of this project was to determine the effects of capacitive-resistive electrical therapy on neck pain and stiffness in horses. A blinded, randomized, controlled clinical trial with 10 horses assigned to active and 10 horses assigned to sham treatment groups. Neck pain, stiffness, and muscle hypertonicity were assessed by manual palpation. Forelimb postural stability was evaluated using a portable media device with built-in inertial sensing components. All outcome parameters were recorded once weekly for four weeks. Using manufacturer recommendations, the treatment group received active capacitive-resistive electrical therapy to the lower cervical region (C4-C7), twice weekly for a total of six treatments, while the control group received a sham (inactive) treatment. Data was analyzed using a mixed model that was fit separately for each response variable. There were no significant differences noted over time or between groups for any outcome parameter evaluated. While neck pain and stiffness decreased by week three in both groups, the improvement was not significant. Limitations include the lack of a definitive pathoanatomic diagnosis of cervical pathology and in vivo temperature measurements. Capacitive-resistive electrical therapy was ineffective in reducing neck pain and dysfunction using the recommended treatment protocols. No short-term adverse effects were noted. Specific clinical applications and effective treatment parameters need further evaluation.
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Affiliation(s)
- Samantha D Parkinson
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO; Present address: Samantha Parkinson, Department of Veterinary Preventive Medicine, The Ohio State University, Columbus, OH
| | - Gustavo M Zanotto
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO
| | - Mikaela D Maldonado
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO
| | - Melissa R King
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO
| | - K K Haussler
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO.
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19
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A Comparison of the Effect of a 4.4-MHz Radiofrequency Deep Heating Therapy and Ultrasound on Low Back Pain: A Randomized, Double-Blind, Multicenter Trial. J Clin Med 2022; 11:jcm11175011. [PMID: 36078940 PMCID: PMC9457341 DOI: 10.3390/jcm11175011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Revised: 08/22/2022] [Accepted: 08/24/2022] [Indexed: 11/17/2022] Open
Abstract
Despite the increasing interest in RF (Radiofrequency) therapy, little is known about its effectiveness for low back pain (LBP). The aim of this study was to investigate the effectiveness of 4.4-MHz RF diathermy compared to ultrasound (US) in patients with LBP. One-hundred-and-eighteen patients with LBP were randomized with RF (n = 62) or US (n = 56). Investigator and subjects were blinded to the treatment group. Either RF (4.4 MHz, 45 W/cm2) or US (1 MHz, 2 W/cm2) was applied for 10 to 15 min, 3 times per week for 4 weeks. The primary outcome was the Oswestry Disability Index (ODI, %). Secondary outcomes were numeric rating scale (NRS), Biering−Sorensen test, up-and-go test, successful pain relief, and successful functional improvement. Clinical outcomes were evaluated prior to intervention (baseline), and at 4 and 12 weeks after treatment. There were no significant differences between the groups regarding baseline demographic and clinical characteristics. Both groups observed a significant improvement of ODI (%), NRS, Biering−Sorensen test, and up-and-go test at 4 and 12 weeks after treatment (p < 0.05); however, no significant differences were found between groups. The RF group showed a higher proportion of successful pain relief at 12 weeks after treatment than the US group (p = 0.048). The RF diathermy showed favorable results in pain reduction, improvement of function, mobility, and back muscle endurance. Compared with US, RF diathermy obtained slightly better perception of patients in pain relief at 12 weeks after treatment. The results from this study indicated that 4.4-MHz RF diathermy can effectively be used as a conservative treatment option for patients with LBP.
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20
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Pérez-Bellmunt A, Caballé-Serrano J, Rodríguez-Sanz J, Hidalgo-García C, González-Rueda V, Gassó-Villarejo S, Zegarra-Chávez D, López-de-Celis C. Comparison of resistive capacitive energy transfer therapy on cadaveric molars and incisors with and without implants. Sci Rep 2022; 12:11845. [PMID: 35831354 PMCID: PMC9279425 DOI: 10.1038/s41598-022-16189-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 07/06/2022] [Indexed: 12/23/2022] Open
Abstract
Capacitive–resistive energy transfer therapy (CRet) is used to improve the rehabilitation of different injuries. This study aimed to evaluate and compare the changes in temperature and current flow during different CRet applications on upper and lower molars and incisors, with and without implants, on ten cryopreserved corpses. Temperatures were taken on molars and incisors with invasive devices and skin temperature was taken with a digital thermometer at the beginning and after treatments. Four interventions: 15 VA capacitive hypothermic (CAPH), 8 watts resistive (RES8), 20 watts resistive (RES20) and 75 VA capacitive (CAP75) were performed for 5 min each. All treatments in this study generated current flow (more than 0.00005 A/m2) and did not generate a significant temperature increase (p > 0.05). However, RES20 application slightly increased surface temperature on incisors without implants (p = 0.010), and molar with (p = 0.001) and without implant (p = 0.008). Also, CAP75 application increased surface temperature on molars with implant (p = 0.002) and upper incisor with implant (p = 0.001). In conclusion, RES8 and CAPH applications seem to be the best options to achieve current flow without an increase in temperature on molars and incisors with and without implants.
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Affiliation(s)
- Albert Pérez-Bellmunt
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Campus Sant Cugat, Carrer de Josep Trueta s/n, Sant Cugat del Vallès, 08195, Barcelona, Spain.,ACTIUM Anatomy Group, Carrer de Josep Trueta, Sant Cugat del Vallès, 08195, Barcelona, Spain
| | - Jordi Caballé-Serrano
- Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Universitat Internacional de Catalunya, Carrer de Josep Trueta, Sant Cugat del Vallès, 08195, Barcelona, Spain.,Department of Periodontology, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland
| | - Jacobo Rodríguez-Sanz
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Campus Sant Cugat, Carrer de Josep Trueta s/n, Sant Cugat del Vallès, 08195, Barcelona, Spain. .,ACTIUM Anatomy Group, Carrer de Josep Trueta, Sant Cugat del Vallès, 08195, Barcelona, Spain.
| | - César Hidalgo-García
- Faculty of Health Sciences, University of Zaragoza, C/ Domingo Miral S/N, 50009, Zaragoza, Zaragoza, Spain
| | - Vanessa González-Rueda
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Campus Sant Cugat, Carrer de Josep Trueta s/n, Sant Cugat del Vallès, 08195, Barcelona, Spain.,ACTIUM Anatomy Group, Carrer de Josep Trueta, Sant Cugat del Vallès, 08195, Barcelona, Spain.,Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Barcelona, Spain
| | - Sergi Gassó-Villarejo
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Campus Sant Cugat, Carrer de Josep Trueta s/n, Sant Cugat del Vallès, 08195, Barcelona, Spain.,ACTIUM Anatomy Group, Carrer de Josep Trueta, Sant Cugat del Vallès, 08195, Barcelona, Spain
| | - Daniel Zegarra-Chávez
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Campus Sant Cugat, Carrer de Josep Trueta s/n, Sant Cugat del Vallès, 08195, Barcelona, Spain.,ACTIUM Anatomy Group, Carrer de Josep Trueta, Sant Cugat del Vallès, 08195, Barcelona, Spain
| | - Carlos López-de-Celis
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Campus Sant Cugat, Carrer de Josep Trueta s/n, Sant Cugat del Vallès, 08195, Barcelona, Spain.,ACTIUM Anatomy Group, Carrer de Josep Trueta, Sant Cugat del Vallès, 08195, Barcelona, Spain.,Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Barcelona, Spain
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21
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Avendaño-Coy J, Aceituno-Gómez J, García-Durán S, Arroyo-Fernández R, Blázquez-Gamallo R, García-Madero VM, Escribá-de-la-Fuente SM, Fernández-Pérez C. Capacitive resistive monopolar radiofrequency at 448 kHz plus exercising versus exercising alone for subacromial pain: A sham-controlled randomized clinical trial. Clin Rehabil 2022; 36:1450-1462. [PMID: 35702007 DOI: 10.1177/02692155221107736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To investigate the effectiveness of thermal and sub-thermal capacitive-resistive monopolar radiofrequency at 448 kHz plus exercising compared to sham radiofrequency plus exercising on pain, functionality, and quality of life in patients with subacromial pain. DESIGN Randomized, controlled, parallel, double-blind, three-arm clinical trial. SETTING Hospital and Primary Care. SUBJECTS Eighty-one participants with subacromial pain in three intervention groups. INTERVENTIONS Three interventions with capacitive-resistive radiofrequency (thermal, sub-thermal, and sham) over 9 sessions (3 per week) plus an exercising protocol identical for all groups over 15 sessions (5 per week). OUTCOME MEASURES Visual analogue scale and pressure pain threshold for pain, Shoulder Pain and Disability Index and Quick-Disabilities of the Arm, Shoulder and Hand for functionality, and quality of life via the European Quality of Life-Five Dimensions were assessed at baseline, immediately posttreatment, and 1 month and 3 months post-intervention. RESULTS No between-group differences were found in the pain visual analogue scale (F = 1.0; P = 0.37), Shoulder Pain and Disability Index (F = 1.0; P = 0.36), European Quality of Life-Five Dimensions (F = 0.76; P = 0.47), and pressure pain (F = 0.14; P = 0.86) outcomes, with a statistical power < 0.30 for all comparisons. Between-group differences were found in the Quick-Disabilities of the Arm, Shoulder and Hand (F = 3.4; P < 0.038), with an improvement of -14.1 points (confidence interval at 95% (95% CI) -28.1 to -0.1) in the thermal versus the sham group at 1 month follow-up. The mobility dimension of European Quality of Life-Five Dimensions improved in a greater proportion of participants in the thermal group (22.2% thermal, 7.4% sub-thermal, and 0.0% sham; P = 0.02). CONCLUSION Adding thermal radiofrequency to exercising can further improve slightly functionality and mobility in people with subacromial pain in the short term, but not pain perception. Future studies with larger sample sizes are warranted to increase statistical power.
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Affiliation(s)
- Juan Avendaño-Coy
- Toledo Physiotherapy Research Group (GIFTO), 16500Universidad de Castilla-La Mancha, Toledo, Spain.,Faculty of Physical Therapy and Nursing, 16733Castilla-La Mancha University, Toledo, Spain
| | - Javier Aceituno-Gómez
- Faculty of Physical Therapy and Nursing, 16733Castilla-La Mancha University, Toledo, Spain.,Talavera Integrated Health Area (Castilla La Mancha Health Service - SESCAM), Talavera de la Reina, Spain
| | - Sandra García-Durán
- Faculty of Physical Therapy and Nursing, 16733Castilla-La Mancha University, Toledo, Spain.,Talavera Integrated Health Area (Castilla La Mancha Health Service - SESCAM), Talavera de la Reina, Spain
| | - Rubén Arroyo-Fernández
- Faculty of Physical Therapy and Nursing, 16733Castilla-La Mancha University, Toledo, Spain.,Talavera Integrated Health Area (Castilla La Mancha Health Service - SESCAM), Talavera de la Reina, Spain
| | - Raquel Blázquez-Gamallo
- Talavera Integrated Health Area (Castilla La Mancha Health Service - SESCAM), Talavera de la Reina, Spain
| | | | | | - Cristina Fernández-Pérez
- Talavera Integrated Health Area (Castilla La Mancha Health Service - SESCAM), Talavera de la Reina, Spain
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22
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The Effect of Capacitive and Resistive Electric Transfer Intervention on Delayed-Onset Muscle Soreness Induced by Eccentric Exercise. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095723. [PMID: 35565117 PMCID: PMC9104855 DOI: 10.3390/ijerph19095723] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 05/01/2022] [Accepted: 05/06/2022] [Indexed: 11/21/2022]
Abstract
This study aimed to investigate the acute effect of capacitive and resistive electric transfer (CRet) intervention on eccentrically damaged muscle. A total of 28 healthy and sedentary male volunteers were randomly allocated to either CRet intervention or control groups. The participants performed a bout of eccentric exercise of the knee extensors with the dominant leg and received 30 min of CRet intervention of the quadriceps 48 h after the exercise. The dependent variables for the analysis were knee flexion range of motion (ROM), muscle soreness and maximum voluntary isometric (MVC-ISO), and concentric contraction (MVC-CON) torque of the knee extensors. These were measured prior to exercise (baseline) and before and after CRet intervention (48 h after the exercise). The results showed that knee flexion ROM, muscle strength (MVC-ISO and MVC-CON), and muscle soreness significantly improved after CRet intervention. CRet intervention may improve muscle soreness and loss of muscle function in an eccentrically damaged muscle.
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23
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Barassi G, Mariani C, Supplizi M, Prosperi L, Di Simone E, Marinucci C, Pellegrino R, Guglielmi V, Younes A, Di Iorio A. Capacitive and Resistive Electric Transfer Therapy: A Comparison of Operating Methods in Non-specific Chronic Low Back Pain. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2022; 1375:39-46. [PMID: 35147930 DOI: 10.1007/5584_2021_692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Capacitive and resistive electric transfer (TECAR) modes of therapy use radiant energy to generate endogenous heat and are used for musculoskeletal disorders for their analgesic, decontracting, and elasticizing properties. While the capacitive mode is supposed to interact with soft tissues, the resistive mode interacts more with hard tissues. This study aims to investigate whether the successive order of the two modes during their application could make a difference concerning the outcome. The study included 40 patients affected by chronic non-specific low back pain. Patients were assessed using algometry, before and immediately after the therapeutic intervention, and thermal imaging, before, immediately after, and then 30 and 60 min after the intervention. Each patient had two TECAR interventions on different days of a total of 20 min each, with a resistive followed by capacitive mode and conversely, capacitive followed by resistive mode. The capacitive mode alternated with the resistive mode by 10 min during either intervention. Results showed that the effects consisting of temporary increases in the superficial temperature of the lower back and pressure pain threshold were alike for both interventions. We conclude that TECAR therapy reduces low back pain regardless of the operative mode adopted, with only an insignificant advantage when starting the sequence from the resistive application.
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Affiliation(s)
- Giovanni Barassi
- Center for Physiotherapy, Rehabilitation and Reeducation (Ce.Fi.R.R.), venue "G. d'Annnunzio" University of Chieti-Pescara, Chieti, Italy.
| | - Chiara Mariani
- Center for Physiotherapy, Rehabilitation and Reeducation (Ce.Fi.R.R.), venue "G. d'Annnunzio" University of Chieti-Pescara, Chieti, Italy
| | - Marco Supplizi
- Center for Physiotherapy, Rehabilitation and Reeducation (Ce.Fi.R.R.), venue "G. d'Annnunzio" University of Chieti-Pescara, Chieti, Italy
| | - Loris Prosperi
- Center for Physiotherapy, Rehabilitation and Reeducation (Ce.Fi.R.R.), venue "G. d'Annnunzio" University of Chieti-Pescara, Chieti, Italy
| | - Edoardo Di Simone
- Center for Physiotherapy, Rehabilitation and Reeducation (Ce.Fi.R.R.), venue "G. d'Annnunzio" University of Chieti-Pescara, Chieti, Italy
| | - Celeste Marinucci
- Center for Physiotherapy, Rehabilitation and Reeducation (Ce.Fi.R.R.), venue "G. d'Annnunzio" University of Chieti-Pescara, Chieti, Italy
| | - Raffaello Pellegrino
- Antalgic Mini-invasive and Rehab-Outpatients Unit, Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy
| | - Vito Guglielmi
- Center for Physiotherapy, Rehabilitation and Reeducation (Ce.Fi.R.R.), venue "G. d'Annnunzio" University of Chieti-Pescara, Chieti, Italy
| | - Alì Younes
- Center for Physiotherapy, Rehabilitation and Reeducation (Ce.Fi.R.R.), venue "G. d'Annnunzio" University of Chieti-Pescara, Chieti, Italy
| | - Angelo Di Iorio
- Laboratory of Clinical Epidemiology and Aging, Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy
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24
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Wachi M, Jiroumaru T, Satonaka A, Ikeya M, Oka Y, Fujikawa T. Effect of electromyographic activity using capacitive and resistive electric transfer on non-specific chronic low back pain: a double-blind randomized clinical trial. Electromagn Biol Med 2022; 41:222-229. [DOI: 10.1080/15368378.2022.2065681] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Michio Wachi
- Department of Physical Therapy, Biwako Professional University of Rehabilitation: 967 Kitasakacho, Higashiomi, Japan
- Graduate School of Medicine, Nagoya University, Nagoya, Japan
| | - Takumi Jiroumaru
- Department of Physical Therapy, Biwako Professional University of Rehabilitation: 967 Kitasakacho, Higashiomi, Japan
| | - Ayako Satonaka
- Department of Physical Therapy, Biwako Professional University of Rehabilitation: 967 Kitasakacho, Higashiomi, Japan
- Graduate School of Medicine, Nagoya University, Nagoya, Japan
| | - Masae Ikeya
- Department of Physical Therapy, Biwako Professional University of Rehabilitation: 967 Kitasakacho, Higashiomi, Japan
- Department of Applied Biology, Graduate School of Science and Technology, Kyoto Institute of Technology, Matsugasakigoshokaidocho, Kyoto, Japan
| | - Yasumasa Oka
- Department of Rehabilitation, Kanazawa Orthopaedic & Sports Medicine Clinic, Ono, Japan
| | - Takamitsu Fujikawa
- Department of Physical Therapy, Bukkyo University, Toganoo-cho, Kyoto, Japan
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25
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Is Tecar Therapy Effective on Biceps Femoris and Quadriceps Rehabilitation? A Cadaveric Study. J Sport Rehabil 2022; 31:756-763. [PMID: 35365590 DOI: 10.1123/jsr.2021-0458] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2021] [Revised: 02/13/2022] [Accepted: 02/21/2022] [Indexed: 11/18/2022]
Abstract
BACKGROUND Capacitive-resistive electric transfer therapy is an interesting rehabilitation treatment to use in musculoskeletal injuries. The purpose is to analyze the temperature change and current flow in superficial and deep biceps femoris and quadriceps tissues when applying different protocols of capacitive-resistive electric transfer therapy. METHODS Five cryopreserved cadavers (10 legs) were included in this study. Four interventions (high/low power) were performed for 5 minutes. Dynamic movements were performed to the biceps femoris and quadriceps. Superficial, middle, and deep temperature were recorded at 1-minute intervals and 5 minutes after the treatment using invasive temperature meters placed with ultrasound guidance. RESULTS Low-power applications have generated a very low thermal effect and an important current flow. The high-power capacitive application achieves a greater increase in superficial temperature compared with low power (P < .001). The high-power resistive application recorded a greater increase in superficial, middle, and deep temperatures with a greater current flow compared with the other applications (P < .001). CONCLUSION This study could serve as basic science data to justify the acceleration of the processes of muscle recovery, improving cell proliferation without increasing the temperature in acute muscle injuries and increasing the temperature and viscoelasticity of the tissues in chronic processes with this therapy.
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26
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Navarro-Ledesma S, Gonzalez-Muñoz A. Mid- and Long-Term Results Using 448 kHz Stimulation on the Elasticity of the Supraspinatus Tendon Measured by Quantitative Ultrasound Elastographyin Badminton Professionals: Prospective Randomized Double-Blinded Clinical Trial with Nine Months of Follow-Up. J Clin Med 2022; 11:jcm11061664. [PMID: 35329990 PMCID: PMC8950567 DOI: 10.3390/jcm11061664] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 03/10/2022] [Accepted: 03/15/2022] [Indexed: 02/04/2023] Open
Abstract
The aim of this study is to analyse the changes that occur in the elasticity of the supraspinatus tendon after the application of a 448 kHz capacitive resistive monopolar radiofrequency (CRMR) at 3, 6 and 9 months in professional badminton players. A randomized double-blinded clinical trial that included 9 months of follow-up was used. A private care practice was used to recruit the participants of this study. They were randomly assigned either the CRMR treatment (n = 19) or the placebo treatment (n = 19). The experimental group received a total of nine treatments of 448 kHz CRMR divided into three treatments per week. The control group received the same regimen but with no radiofrequency. Quantitative ultrasound strain elastography was used to report the main values for three areas of the supraspinatus tendon. These were measured at the start (T1) and directly after (T2), one week after, (T3), three months after (T4), six months after (T5) and nine months after (T6) the completion of the intervention program. There were statistically significant differences in the supraspinatus tendon elasticity immediately after (p ≤ 0.001), one week after (p ≤ 0.001) and three months after (p = 0.01) the intervention program. No significant changes were found six or nine months after the intervention program. A three-week intervention program using 448 kHz produced significant changes in the elasticity of the supraspinatus tendon, with the changes lasting up to approximately three months when compared to the control group.
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Affiliation(s)
- Santiago Navarro-Ledesma
- Department of Physiotherapy, Campus of Melilla, University of Granada, Querol Street 5, 52004 Melilla, Spain
- Correspondence:
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27
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Carralero-Martínez A, Muñoz Pérez MA, Kauffmann S, Blanco-Ratto L, Ramírez-García I. Efficacy of capacitive resistive monopolar radiofrequency in the physiotherapeutic treatment of chronic pelvic pain syndrome: A randomized controlled trial. Neurourol Urodyn 2022; 41:962-972. [PMID: 35266184 DOI: 10.1002/nau.24903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2021] [Revised: 12/26/2021] [Accepted: 02/14/2022] [Indexed: 11/11/2022]
Abstract
AIM To evaluate the efficacy of adjuvant, capacitive resistive monopolar radiofrequency (CRMRF, INDIBA) treatment at 448 kHz together with physiotherapeutic techniques compared to a sham treatment with the same techniques, for pain reduction and quality of life (QoL) improvements in patients with chronic pelvic pain syndrome (CPPS). METHODS A triple-blind, randomized controlled trial (RCT) including patients with CPPS randomly allocated (1:1) to a CRMRF-activated group (intervention) or a CRMRF-deactivated one (control). Both groups received physiotherapeutic techniques and pain education weekly for 10 consecutive weeks. Data from a visual analogical scale and the SF-12 questionnaire were collected at trial commencement and repeated at the 5th and 10th sessions. Pain intensity was considered the main outcome. For the comparisons between variables, the χ2 and Student's t test were used. Superiority was analyzed by estimating the mean change (95% confidence interval). Analysis was performed for the per-protocol and the intention-to-treat populations. The statistical significance level was set at p < 0.05. RESULTS Eighty-one patients were included (67.9% women) with a mean age of 43.6 years (SD 12.9). CRMRF lessened pain scores by more than 2 points and improved QoL by 5 points. There were no relevant side effects and overall adherence to the treatment was 86.4%. CONCLUSIONS This is the first RCT that evaluates the efficacy of CRMRF (INDIBA) compared to a sham treatment, and demonstrates its superiority in decreasing pain and improving QoL. Such results may lead to greater prescribing of CRMRF when treating CPPS patients.
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Affiliation(s)
- Andrea Carralero-Martínez
- RAPbarcelona Physiotherapy Clinical Center, Barcelona, Spain.,Gynecology, Obstetrics and Neonatology Institute, Barcelona Clinical Hospital, Barcelona, Spain.,Department of Pediatrics, Obstetrics and Gynecology and Preventive Medicine. PhD program in Methodology of Biomedical Research and Public Health, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain
| | - Miguel A Muñoz Pérez
- Department of Pediatrics, Obstetrics and Gynecology and Preventive Medicine. PhD program in Methodology of Biomedical Research and Public Health, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain.,Foundation University Institute for Primary Health Care Research, Jordi Gol i Gurina (IDIAP JGol), Barcelona, Spain.,Institut Català de la Salut (ICS), Barcelona, Spain
| | | | | | - Inés Ramírez-García
- RAPbarcelona Physiotherapy Clinical Center, Barcelona, Spain.,Blanquerna School of Health Science, Ramon Llull University, Barcelona, Spain.,GHenderS (Global Health, Gender and Society) Research Group, Barcelona, Spain
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28
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Wachi M, Jiroumaru T, Satonaka A, Ikeya M, Noguchi S, Suzuki M, Hyodo Y, Oka Y, Fujikawa T. Effects of capacitive and resistive electric transfer therapy on pain and lumbar muscle stiffness and activity in patients with chronic low back pain. J Phys Ther Sci 2022; 34:400-403. [PMID: 35527841 PMCID: PMC9057676 DOI: 10.1589/jpts.34.400] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 02/13/2022] [Indexed: 11/24/2022] Open
Abstract
[Purpose] In this study, we investigated the therapeutic effects of capacitive and
resistive electric transfer therapy in patients with chronic low back pain. [Participants
and Methods] The study included 24 patients with chronic low back pain (12 patients each
in the intervention and sham groups). Pain intensity, superficial and deep lumbar
multifidus stiffness and maximum forward trunk flexion and associated activation level of
the iliocostalis (thoracic and lumbar component) and lumbar multifidus muscles were
measured. [Results] Post-intervention pain intensity and muscle stiffness were
significantly lower than pre-intervention measurements in the intervention group. However,
no between-group difference was observed in the muscle activation level at the end-point
of standing trunk flexion. [Conclusion] Our findings highlight a significant therapeutic
benefit of capacitive and resistive electric transfer therapy in patients with chronic low
back pain and muscle stiffness.
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Affiliation(s)
- Michio Wachi
- Department of Physical Therapy, Biwako Professional University of Rehabilitation: 967 Kitasaka-cho, Higashiomi City, Shiga 527-0145, Japan
| | | | - Ayako Satonaka
- Department of Physical Therapy, Biwako Professional University of Rehabilitation: 967 Kitasaka-cho, Higashiomi City, Shiga 527-0145, Japan
| | - Masae Ikeya
- Department of Applied Biology, Kyoto Institute of Technology, Japan
| | - Shinichi Noguchi
- Department of Physical Therapy, Biwako Professional University of Rehabilitation: 967 Kitasaka-cho, Higashiomi City, Shiga 527-0145, Japan
| | - Mika Suzuki
- Department of Physical Therapy, Biwako Professional University of Rehabilitation: 967 Kitasaka-cho, Higashiomi City, Shiga 527-0145, Japan
| | - Yutaro Hyodo
- Department of Applied Biology, Kyoto Institute of Technology, Japan
| | - Yasumasa Oka
- Department of Applied Biology, Kyoto Institute of Technology, Japan
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De Sousa-De Sousa L, Tebar Sanchez C, Maté-Muñoz JL, Hernández-Lougedo J, Barba M, Lozano-Estevan MDC, Garnacho-Castaño MV, García-Fernández P. Application of Capacitive-Resistive Electric Transfer in Physiotherapeutic Clinical Practice and Sports. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312446. [PMID: 34886180 PMCID: PMC8657372 DOI: 10.3390/ijerph182312446] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 11/18/2021] [Accepted: 11/23/2021] [Indexed: 11/16/2022]
Abstract
Diathermy techniques embody an oscillating electrical current passaging through the body tissues generating therapeutic heat; use of this technique in the physiotherapy field has been introduced recently, and because there is scarce information, the following review is proposed, aiming to explore the available evidence on applying CRET in physiotherapy clinical practice and sports. A systematic search was led through a keyword search on PubMed, MedLine, DialNet, Scopus, PEDro, Web of Science and Clinicaltrials databases. Including randomised controlled trials and quasi-experimental studies, which applied radiofrequency diathermy in sports and physiotherapy fields, without any restrictions on dates, published in Spanish, English, Portuguese or Italian. Data extraction was conducted through the Cochrane data extraction form and presented in tabular format; 30 articles were included for analysis, and assessment of methodological quality was made through the PEDro scale with a "Good/Fair" general quality score. The nature of existing articles does not allow a quantitative analysis. Conclusion: identified fields of applications were musculoskeletal physiotherapy, treatment of pelvic floor and sexual dysfunctions, as well as dermato-functional physiotherapy and sports, evidencing an increase of skin temperature, enhanced skin and muscle blood perfusion, as well as reporting an increase in oxyhaemoglobin. Further research is needed. Prospero registration number: CRD42020215592.
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Affiliation(s)
- Luis De Sousa-De Sousa
- Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain; (L.D.S.-D.S.); (J.L.M.-M.); (P.G.-F.)
| | - Cristina Tebar Sanchez
- Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain; (L.D.S.-D.S.); (J.L.M.-M.); (P.G.-F.)
- Correspondence: ; Tel.: +34-649-358-347
| | - José Luis Maté-Muñoz
- Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain; (L.D.S.-D.S.); (J.L.M.-M.); (P.G.-F.)
| | - Juan Hernández-Lougedo
- Department of Physical Activity and Sports, Faculty of Health Sciences, Alfonso X University, Villanueva de la Cañada, 28691 Madrid, Spain; (J.H.-L.); (M.B.)
| | - Manuel Barba
- Department of Physical Activity and Sports, Faculty of Health Sciences, Alfonso X University, Villanueva de la Cañada, 28691 Madrid, Spain; (J.H.-L.); (M.B.)
| | | | | | - Pablo García-Fernández
- Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain; (L.D.S.-D.S.); (J.L.M.-M.); (P.G.-F.)
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Effectiveness of intracavitary monopolar dielectric radiofrequency in women with endometriosis-associated pain: A case series. Complement Ther Clin Pract 2021; 46:101517. [PMID: 34864492 DOI: 10.1016/j.ctcp.2021.101517] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 08/04/2021] [Accepted: 11/22/2021] [Indexed: 12/11/2022]
Abstract
BACKGROUND and Purpose: Endometriosis-associated pain is the main cause of chronic pelvic pain in women. Endometriosis has a significant negative impact across different domains of patients' quality of life. This study aimed to evaluate the efficacy of an intracavitary application of monopolar dielectric radiofrequency in women with endometriosis-associated pain. PATIENT PRESENTATION Five women with endometriosis received 25 sessions of an intracavitary application of monopolar dielectric radiofrequency within three months. Outcomes, including quality of life, sex interference (Endometriosis Health Profile [EHP]-30 + section C), myofascial pain syndrome (myofascial trigger points), pain intensity (Visual Analogue Scale), frequency and referral pattern, pressure pain thresholds, allodynia and neuropathic pain (modified DN4), were examined both during and outside menses, after intervention and six months later. RESULTS Clinically meaningful improvements were achieved by most participants regarding pelvic pain intensity, abdominal sensitivity, and myofascial pain of the pelvic floor. CONCLUSION This study lays the foundation for future in-depth research, suggesting that monopolar dielectric radiofrequency could be helpful in improving the symptomatology and quality of life of women with endometriosis, also in patients who are unresponsive to medical and/or surgical treatments, or who cannot undergo them in the short term.
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31
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Navarro-Ledesma S, Gonzalez-Muñoz A. Short-term effects of 448 kilohertz radiofrequency stimulation on supraspinatus tendon elasticity measured by quantitative ultrasound elastography in professional badminton players: a double-blinded randomized clinical trial. Int J Hyperthermia 2021; 38:421-427. [PMID: 33691576 DOI: 10.1080/02656736.2021.1896790] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
OBJECTIVE To study changes in supraspinatus tendon elasticity after a 448 kHz capacitive resistive monopolar radiofrequency (CRMR) intervention in professional badminton players. DESIGN Double-blinded randomized clinical trial. SETTING All participants were recruited in a private care practice. Participants were randomized to receive either a CRMR treatment (n = 19) or placebo (n = 19). SUBJECTS Professional badminton players (n = 38). INTERVENTION A total of nine intervention (three per week) with CRMR at 448 kHz were carried out in the experimental group. The same intervention without an active CRMR current was carried out in the control group. MAIN MEASURES Mean values of three different regions of the supraspinatus tendon were reported at baseline (T1), immediately after the intervention (T2) and one week after the end of the whole intervention program (T3) using quantitative ultrasound strain elastography (SEL). RESULTS There were statistically significant differences in the supraspinatus tendon elasticity immediately after the intervention (p= <.001) and one week after the end of the whole intervention program (p=.001). CONCLUSION CRMR at 448 kHz produces significant changes in supraspinatus tendon elasticity after an intervention program of three weeks and those changes last for a week when compared to control group. Clinical trial registration: NCT04273633 (ClinicalTrials.gov).
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Rodríguez-Sanz J, López-de-Celis C, Hidalgo-García C, Canet-Vintró M, Fanlo-Mazas P, Pérez-Bellmunt A. Temperature and current flow effects of different electrode placement in shoulder capacitive-resistive electric transfer applications: a cadaveric study. BMC Musculoskelet Disord 2021; 22:139. [PMID: 33541324 PMCID: PMC7860630 DOI: 10.1186/s12891-020-03918-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 12/14/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Impingement syndrome is currently estimated to represent 60% of all shoulder pain disorders. Capacitive-Resistive electric transfer therapy is aimed to provoke temperature and current flow changes in superficial and deep tissues. This in vitro study has evaluated the variation of temperature and current flow in the shoulder tissues during two different areas of application of the movable capacitive-resistive electric transfer electrode. METHODS A cross-sectional study designed, five fresh cryopreserved cadavers (10 shoulders) were included in this study. Four interventions (capacitive and resistive modes; low- and high-power) were performed for 5 min each by a diathermy "T-Plus" device in two shoulder regions: postero-superior and antero-lateral. Supraspinatus tendon, glenohumeral capsule and superficial temperatures were recorded at 1-min intervals and 5 min after treatment. RESULTS A statistically significant difference was found only for the superficial area and time interaction, with high power-resistive application at the postero-superior shoulder area (P< 0.035). All the applications showed a 5 min after treatment temperature increase compared with the basal data, in all the application points. Superficial temperature in the high power-resistive application showed the greatest percent increase (42.93% ± 22.58), followed by the temperature in the tendon area with the same high power-resistive application (22.97% ± 14.70). The high power-resistive application showed the greatest percent of temperature increase in the applications, reaching 65.9% ± 22.96 at 5-min at the superficial level, and 32% ± 24.25 at 4-min at the level of the supraspinatus tendon. At the capsule level, high power-resistive was also the application that showed the greatest percent of increase, with 21.52% ± 16.16. The application with the lowest percent of temperature increase was the low power-capacitive, with a mean value of 4.86% at supraspinatus tendon level and 7.47% at capsular level. CONCLUSION The shoulder postero-superior or antero-lateral areas of application of capacitive-resistive electric transfer did not cause statistically significant differences in the temperature changes in either supraspinatus tendon or glenohumeral capsule tissues in cadaveric samples. The high power-resistive application in the postero-superior area significantly increased superficial temperature compared with the same application in the antero-lateral position area.
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Affiliation(s)
- Jacobo Rodríguez-Sanz
- Universitat Internacional de Catalunya. Actium functional anatomy group. Faculty of Medicine and Health Sciences, Barcelona, Spain
| | - Carlos López-de-Celis
- Universitat Internacional de Catalunya. Actium functional anatomy group. Faculty of Medicine and Health Sciences, Barcelona, Spain
- Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina, Barcelona, Spain
| | - César Hidalgo-García
- Facultad de Ciencias de la Salud de la Universidad de Zaragoza, Unidad de Investigación en Fisioterapia, c/ Domingo Miral s/n, 50009 Zaragoza, Spain
| | - Max Canet-Vintró
- Universitat Internacional de Catalunya. Actium functional anatomy group. Faculty of Medicine and Health Sciences, Barcelona, Spain
| | - Pablo Fanlo-Mazas
- Facultad de Ciencias de la Salud de la Universidad de Zaragoza, Unidad de Investigación en Fisioterapia, c/ Domingo Miral s/n, 50009 Zaragoza, Spain
| | - Albert Pérez-Bellmunt
- Universitat Internacional de Catalunya. Actium functional anatomy group. Faculty of Medicine and Health Sciences, Barcelona, Spain
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López-de-Celis C, Rodríguez-Sanz J, Hidalgo-García C, Cedeño-Bermúdez SA, Zegarra-Chávez D, Fanlo-Mazas P, Pérez-Bellmunt A. Thermal and Current Flow Effects of a Capacitive-Resistive Electric Transfer Application Protocol on Chronic Elbow Tendinopathy. A Cadaveric Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:1012. [PMID: 33498846 PMCID: PMC7908421 DOI: 10.3390/ijerph18031012] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Revised: 01/18/2021] [Accepted: 01/19/2021] [Indexed: 11/16/2022]
Abstract
Lateral elbow tendinopathy, or "tennis elbow," is a pathology that affects around 1.3% of the general population. Capacitive-resistive electric transfer therapy aims to provoke temperature and current flow changes in superficial and deep tissues. The aim of this in vitro study was to analyze the thermal behavior and transmission of electric current on the superficial and deep tissues of the elbow during the application of different modalities of a capacitive-resistive electric transfer treatment protocol for chronic elbow tendinopathy. A cross-sectional study was designed; five fresh cryopreserved cadavers (10 elbows) were included in this study. A 30 min intervention was performed based on a protocol commonly used in clinics for the treatment of chronic lateral elbow tendinopathy by diathermy using the "T-Plus." Common extensor tendon, radiohumeral capsule, and superficial temperatures were registered after each application for the duration of the 30 min treatment protocol. During all applications, we observed a current flow of over 0.03 A. The protocol showed a statistically significant increase in superficial temperature by 24% (5.02°) (p < 0.005), the common extensor tendon by 19.7% (4.36°) (p < 0.007), and the radiohumeral joint capsule by 17.5% (3.41°) (p < 0.005) at the end of the 30 min protocol compared with the baseline temperature. The different applications of the protocol showed specific effects on the temperature and current flow in the common extensor tendon and radiohumeral capsule. All applications of the protocol produced a current flow that is associated with the generation of cell proliferation. These results strengthen the hypothesis of cell proliferation and thermal changes in deep and distal structures. More studies are needed to confirm these results.
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Affiliation(s)
- Carlos López-de-Celis
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain; (C.L.-d.-C.); (J.R.-S.); (S.A.C.-B.); (D.Z.-C.)
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Barcelona, Spain
- Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, Spain
| | - Jacobo Rodríguez-Sanz
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain; (C.L.-d.-C.); (J.R.-S.); (S.A.C.-B.); (D.Z.-C.)
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Barcelona, Spain
| | - César Hidalgo-García
- Facultad de Ciencias de la Salud, Unidad de Investigación en Fisioterapia, Universidad de Zaragoza, C/Domingo Miral S/N, 50009 Zaragoza, Spain; (C.H.-G.); (P.F.-M.)
| | - Simón A. Cedeño-Bermúdez
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain; (C.L.-d.-C.); (J.R.-S.); (S.A.C.-B.); (D.Z.-C.)
| | - Daniel Zegarra-Chávez
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain; (C.L.-d.-C.); (J.R.-S.); (S.A.C.-B.); (D.Z.-C.)
| | - Pablo Fanlo-Mazas
- Facultad de Ciencias de la Salud, Unidad de Investigación en Fisioterapia, Universidad de Zaragoza, C/Domingo Miral S/N, 50009 Zaragoza, Spain; (C.H.-G.); (P.F.-M.)
| | - Albert Pérez-Bellmunt
- ACTIUM Functional Anatomy Group, 08195 Barcelona, Spain; (C.L.-d.-C.); (J.R.-S.); (S.A.C.-B.); (D.Z.-C.)
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Barcelona, Spain
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Thermal and non-thermal effects of capacitive-resistive electric transfer application on different structures of the knee: a cadaveric study. Sci Rep 2020; 10:22290. [PMID: 33339869 PMCID: PMC7749154 DOI: 10.1038/s41598-020-78612-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Accepted: 11/24/2020] [Indexed: 11/08/2022] Open
Abstract
Capacitive-resistive electric transfer therapy is used in physical rehabilitation and sports medicine to treat muscle, bone, ligament and tendon injuries. The purpose is to analyze the temperature change and transmission of electric current in superficial and deep knee tissues when applying different protocols of capacitive-resistive electric transfer therapy. Five fresh frozen cadavers (10 legs) were included in this study. Four interventions (high/low power) were performed for 5 min by a physiotherapist with experience. Dynamic movements were performed to the posterior region of the knee. Capsular, intra-articular and superficial temperature were recorded at 1-min intervals and 5 min after the treatment, using thermocouples placed with ultrasound guidance. The low-power protocols had only slight capsular and intra-capsular thermal effects, but electric current flow was observed. The high-power protocols achieved a greater increase in capsular and intra-articular temperature and a greater current flow than the low-power protocols. The information obtained in this in vitro study could serve as basic science data to hypothesize capsular and intra-articular knee recovery in living subjects. The current flow without increasing the temperature in inflammatory processes and increasing the temperature of the tissues in chronic processes with capacitive-resistive electric transfer therapy could be useful for real patients.
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Accelerometric Changes before and after Capacitive Resistive Electric Transfer Therapy in Horses with Thoracolumbar Pain Compared to a SHAM Procedure. Animals (Basel) 2020; 10:ani10122305. [PMID: 33291357 PMCID: PMC7762083 DOI: 10.3390/ani10122305] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 11/29/2020] [Accepted: 12/02/2020] [Indexed: 12/24/2022] Open
Abstract
Simple Summary Capacitive resistive electric transfer (CRET), a radiofrequency at 448 kHz, has been shown to result in increased muscle oxygenation and flexibility in the quadriceps muscle of human beings. In this study, 18 sport horses with thoracolumbar pain were divided into two homogenous groups: CRET (n = 9), subjected to four sessions of CRET during two consecutive weeks and SHAM (n = 9), subjected to the same sessions but with the device off. Clinical examination and accelerometry were made at the beginning and at the end of the study. A Mann-Whitney test and a Wilcoxon matched pair test were used to compare between SHAM and CRET groups and before and after the intervention, respectively. CRET horses showed a reduction of 1 degree in thoracolumbar pain (p = 0.002) and of 2 degrees in epaxial muscle pain (p = 0.03). SHAM horses had a reduction of 1 degree in thoracolumbar pain (p = 0.01). CRET horses presented increased dorsoventral power at walk and trot (p < 0.002), probably reflecting increased dorsoventral movement and flexibility. Such changes were not found in SHAM horses. No changes were found in the dorsoventral displacement of the center of gravity in either group. Our study demonstrated that sport horses with mild to moderate thoracolumbar pain could improve clinically and biomechanically after CRET therapy. Abstract Capacitive resistive electric transfer (CRET), a radiofrequency at 448 kHz, increases flexibility in quadricep muscles of human athletes. To assess whether CRET would result in clinical and biomechanical improvements in horses with thoracolumbar pain, 18 sport horses were divided into two groups: CRET (n = 9), subjected to four CRET sessions, during two consecutive weeks, and SHAM (n = 9), subjected to the same procedure with the device off. Clinical examination and accelerometry were performed before and after the four sessions. During the study, horses were in training and in active competition, and did not receive any other treatment. Mann-Whitney and a Wilcoxon matched pair tests were used to compare between the SHAM and CRET groups and before and after the intervention, respectively. CRET horses showed increased dorsoventral (p < 0.002), mediolateral and total power (p < 0.01) after the intervention, suggesting increased back flexibility. SHAM horses did not show any of these modifications after the intervention. No changes were found in the dorsoventral displacement of the gravity center in either group. Thoracolumbar pain decreased one degree after CRET (p = 0.002), and it did not change after SHAM. Epaxial muscle pain decreased two degrees after CRET (p = 0.03) and one degree after SHAM (p = 0.01). These results reflected that CRET therapy would increase back flexibility and decrease thoracolumbar and epaxial pain.
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Tashiro Y, Suzuki Y, Nakayama Y, Sonoda T, Yokota Y, Kawagoe M, Tsuboyama T, Aoyama T. The effect of Capacitive and Resistive electric transfer on non-specific chronic low back pain. Electromagn Biol Med 2020; 39:437-444. [PMID: 33021115 DOI: 10.1080/15368378.2020.1830795] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The objective of this study was to evaluate the effect of Capacitive and Resistive electric transfer (CRet)-combined exercise therapy for participants with non-specific chronic low back pain (NSCLBP). Twenty-six received only the exercise program (E group, n = 15), or received both CRet and the same exercise program (E+CRet group, n = 11). Pain intensity, functional disability and trunk function were measured pre-, and post-intervention and there was also a 1-month follow-up period. Data analysis was performed for each index using the Mann-Whitney U test for comparisons between two groups at each time point, and the Wilcoxon signed-rank test for comparison between each time point within the group. The results of this study indicate that pain intensity was improved in both groups at post-intervention, also, the effect continued during follow-up period. In addition, functional disability was significantly improved in the E+CRet group at the post-intervention and during the follow-up period. The intervention effect on NSCLBP was higher in the E+CRet group than the E group. CRet, which is a form of deep thermotherapy, combined with exercise have a possibility of more effectiveness than exercise alone.
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Affiliation(s)
- Yuto Tashiro
- Department of Physical Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine , Kyoto, Japan
| | - Yusuke Suzuki
- Department of Physical Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine , Kyoto, Japan
| | - Yasuaki Nakayama
- Department of Physical Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine , Kyoto, Japan
| | - Takuya Sonoda
- Department of Physical Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine , Kyoto, Japan
| | - Yuki Yokota
- Department of Physical Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine , Kyoto, Japan
| | - Mirei Kawagoe
- Department of Physical Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine , Kyoto, Japan
| | - Tadao Tsuboyama
- Department of Physical Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine , Kyoto, Japan
| | - Tomoki Aoyama
- Department of Physical Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine , Kyoto, Japan
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Capacitive and resistive electric transfer therapy in rehabilitation: a systematic review. Int J Rehabil Res 2020; 43:291-298. [PMID: 32909988 DOI: 10.1097/mrr.0000000000000435] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Capacitive and resistive electric transfer (CRET) therapy is a physical treatment modality commonly used to treat musculoskeletal pain. It normally uses a longwave radiofrequency of ~0.5 MHz. The system consists of a neutral plate and two different electrodes that can transfer energy in two modalities: capacitive and resistive. The aim of this systematic review was to identify and summarize the available data in the literature on this physical modality. From a search of articles published before December 2019 in MEDLINE and Scopus indexed journals, we retrieved 276 articles, 13 of which met the inclusion criteria for this review. Most articles dealt with musculoskeletal disorders, mainly spine disorders and knee osteoarthritis. More than 75% of the studies used a similar range of frequency (440-600 KHz). Almost all described an improvement in strength and function and reduced pain intensity after the treatment. Although nine of the 13 studies (70%) were randomized controlled trials, only two had a low risk of bias according to the Cochrane library assessment tool. CRET seems to be an effective therapy to decrease pain, and improve the quality of life and disability of patients affected by musculoskeletal disorders. There is no study on symptoms of patients with neurological disorders. Further research is necessary to standardize the therapeutic protocols across different orthopedic diseases, and to assess the benefits of CRET in other fields such as neurological or rheumatologic disorders.
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Bito T, Suzuki Y, Kajiwara Y, Zeidan H, Harada K, Shimoura K, Tatsumi M, Nakai K, Nishida Y, Yoshimi S, Kawabe R, Yokota J, Yamashiro C, Tsuboyama T, Aoyama T. Effects of deep thermotherapy on chest wall mobility of healthy elderly women. Electromagn Biol Med 2020; 39:123-128. [PMID: 32131642 DOI: 10.1080/15368378.2020.1737803] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Chest wall mobility decreases with age in community-dwelling women aged 65 years or older. Thermotherapy is used to improve soft-tissue extensibility. However, its effects on chest wall mobility are unclear. This study aimed to examine the effect of thermotherapy on chest wall mobility in healthy elderly women. Twenty-eight elderly women participated in this study. Chest wall mobility at three levels (axillary, xiphoid, and tenth rib), respiratory function (forced vital capacity and forced expiratory volume), and tissue temperature (skin temperature (ST)) and deep temperature (DT) with 10 mm and 20 mm depth from the skin (10 mm DT and 20 mm DT)) were measured before and after 15 minutes of thermotherapy. The subjects randomly received one of the three interventions (capacitive and resistive electric transfer (CRet), hot pack (HP), and sham CRet (sham)). Chest wall mobility at all levels significantly increased after CRet intervention. Hot pack significantly increased tenth rib excursion; it also significantly increased ST, 10 mm DT, and 20 mm DT, whereas CRet significantly increased 10 mm DT and 20 mm DT. There were significant differences between CRet, HP, and sham in ST, 10 mm DT, and 20 mm DT. Furthermore, 20 mm DT had increased more in CRet than in HP. CRet improved chest wall mobility at all levels and HP improved at the tenth rib level. This implies that CRet can be one of the approaches to improve chest wall mobility.
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Affiliation(s)
- Tsubasa Bito
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan.,Kobe Century Memorial Hospital, Hyogo-ku, Kobe, Japan
| | - Yusuke Suzuki
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Yuu Kajiwara
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Hala Zeidan
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Keiko Harada
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Kanako Shimoura
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Masataka Tatsumi
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Kengo Nakai
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Yuichi Nishida
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Soyoka Yoshimi
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Rika Kawabe
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Junpei Yokota
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Chiaki Yamashiro
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Tadao Tsuboyama
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan.,School of Health Sciences, Bukkyo University, Nakagyo-ku, Kyoto, Japan
| | - Tomoki Aoyama
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
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López-de-Celis C, Hidalgo-García C, Pérez-Bellmunt A, Fanlo-Mazas P, González-Rueda V, Tricás-Moreno JM, Ortiz S, Rodríguez-Sanz J. Thermal and non-thermal effects off capacitive-resistive electric transfer application on the Achilles tendon and musculotendinous junction of the gastrocnemius muscle: a cadaveric study. BMC Musculoskelet Disord 2020; 21:46. [PMID: 31959172 PMCID: PMC6971989 DOI: 10.1186/s12891-020-3072-4] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2019] [Accepted: 01/16/2020] [Indexed: 11/19/2022] Open
Abstract
Background Calf muscle strain and Achilles tendon injuries are common in many sports. For the treatment of muscular and tendinous injuries, one of the newer approaches in sports medicine is capacitive-resistive electric transfer therapy. Our objective was to analyze this in vitro, using invasive temperature measurements in cadaveric specimens. Methods A cross-sectional study designed with five fresh frozen cadavers (10 legs) were included in this study. Four interventions (capacitive and resistive modes; low- and high-power) was performed for 5 min each by a diathermy “T-Plus” device. Achilles tendon, musculotendinous junction and superficial temperatures were recorded at 1-min intervals and 5 min after treatment. Results With the low-power capacitive protocol, at 5 min, there was a 25.21% increase in superficial temperature, a 17.50% increase in Achilles tendon temperature and an 11.27% increase in musculotendinous junction temperature, with a current flow of 0.039 A ± 0.02. With the low-power resistive protocol, there was a 1.14% increase in superficial temperature, a 28.13% increase in Achilles tendon temperature and an 11.67% increase in musculotendinous junction temperature at 5 min, with a current flow of 0.063 A ± 0.02. With the high-power capacitive protocol there was an 88.52% increase in superficial temperature, a 53.35% increase in Achilles tendon temperature and a 39.30% increase in musculotendinous junction temperature at 5 min, with a current flow of 0.095 A ± 0.03. With the high-power resistive protocol, there was a 21.34% increase in superficial temperature, a 109.70% increase in Achilles tendon temperature and an 81.49% increase in musculotendinous junction temperature at 5 min, with a current flow of 0.120 A ± 0.03. Conclusion The low-power protocols resulted in only a very slight thermal effect at the Achilles tendon and musculotendinous junction, but current flow was observed. The high-power protocols resulted in a greater temperature increase at the Achilles tendon and musculotendinous junction and a greater current flow than the low-power protocols. The high-power resistive protocol gave the greatest increase in Achilles tendon and musculotendinous junction temperature. Capacitive treatments (low- and high-power) achieved a greater increase in superficial temperature.
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Affiliation(s)
- Carlos López-de-Celis
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain.,Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain
| | - César Hidalgo-García
- Faculty of Health Sciences, Universidad de Zaragoza, C/ Domingo Miral S/N, 50009, Zaragoza, Zaragoza, Spain.,Physiotherapy Research Unit, Universidad de Zaragoza, C/ Domingo Miral S/N, 50009, Zaragoza, Zaragoza, Spain
| | - Albert Pérez-Bellmunt
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Pablo Fanlo-Mazas
- Faculty of Health Sciences, Universidad de Zaragoza, C/ Domingo Miral S/N, 50009, Zaragoza, Zaragoza, Spain.,Physiotherapy Research Unit, Universidad de Zaragoza, C/ Domingo Miral S/N, 50009, Zaragoza, Zaragoza, Spain
| | - Vanessa González-Rueda
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain.,Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain
| | - José Miguel Tricás-Moreno
- Faculty of Health Sciences, Universidad de Zaragoza, C/ Domingo Miral S/N, 50009, Zaragoza, Zaragoza, Spain.,Physiotherapy Research Unit, Universidad de Zaragoza, C/ Domingo Miral S/N, 50009, Zaragoza, Zaragoza, Spain
| | - Sara Ortiz
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Jacobo Rodríguez-Sanz
- Faculty of Health Sciences, Universidad de Zaragoza, C/ Domingo Miral S/N, 50009, Zaragoza, Zaragoza, Spain. .,Physiotherapy Research Unit, Universidad de Zaragoza, C/ Domingo Miral S/N, 50009, Zaragoza, Zaragoza, Spain.
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Becero M, Saitua A, Argüelles D, Sánchez de Medina AL, Castejón-Riber C, Riber C, Muñoz A. Capacitive resistive electric transfer modifies gait pattern in horses exercised on a treadmill. BMC Vet Res 2020; 16:10. [PMID: 31918723 PMCID: PMC6953297 DOI: 10.1186/s12917-020-2233-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Accepted: 01/03/2020] [Indexed: 11/20/2022] Open
Abstract
Background Capacitive resistive electric transfer (CRET), a radiofrequency at 448 kHz, resulted in increased superficial and deep temperature and hemoglobin saturation, faster elimination of metabolic and inflammatory products and enhanced sport performance in humans. This research aims to investigate whether the application of CRET affects the locomotor pattern in horses and to assess whether an accumulative effect appears when two CRET sessions are applied two consecutive days. Methods Nine horses were subjected to two CRET sessions applied in both right and left sides of neck, shoulder, back and croup. The horses were exercised on a treadmill, at walk and at trot, before CRET application and at 2, 6 and 12 h after. A second CRET session was applied next day, and the animals were evaluated again at the same times (i.e. at 26, 30 and 36 h after the first session). Between 5 and 7 days later, the same horses were subjected to a sham procedure and they were evaluated in the same times as in the CRET experiment. During treadmill exercise, locomotor parameters were measured with a triaxial accelerometer fixed in the pectoral region and in the sacrum midline. Results The sham procedure did not affect any of the accelerometric variables studied. CRET applications resulted in greater total powers, which resulted in absolute increased dorsoventral, mediolateral and longitudinal powers. However, a reduction in dorsoventral power expressed as a percentage of total power was found. Stride regularity increased. The greater total power resulted in longer stride length and because the velocity was kept fixed on the treadmill, stride frequency decreased. An accumulative effect of CRET application was only found in stride length and frequency. Conclusions It appears that CRET is a useful technique to enhance power and to elongate the stride at defined walk and trot velocities. The effect of these changes on performance should be studied for horses competing in different sport disciplines.
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Affiliation(s)
- Mireya Becero
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, Campus Universitario de Rabanales, 14004, Cordoba, España
| | - Aritz Saitua
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, Campus Universitario de Rabanales, 14004, Cordoba, España.,Veterinary Teaching Hospital, School of Veterinary Medicine, Autonomous University of Barcelona, Bellaterra, 08193, Barcelona, Spain
| | - David Argüelles
- Veterinary Teaching Hospital, School of Veterinary Medicine, Autonomous University of Barcelona, Bellaterra, 08193, Barcelona, Spain
| | - Antonia Lucía Sánchez de Medina
- Department of Animal Medicine and Surgery, School of Veterinary Medicine, University of Córdoba, Campus Universitario de Rabanales, 14004, Cordoba, España.,Veterinary Teaching Hospital, School of Veterinary Medicine, University of Córdoba, Campus Universitario de Rabanales, 14004, Cordoba, España
| | - Cristina Castejón-Riber
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, Campus Universitario de Rabanales, 14004, Cordoba, España.,Department of Corporal Expression, University of Córdoba, 4004, Córdoba, Spain
| | - Cristina Riber
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, Campus Universitario de Rabanales, 14004, Cordoba, España.,Department of Animal Medicine and Surgery, School of Veterinary Medicine, University of Córdoba, Campus Universitario de Rabanales, 14004, Cordoba, España
| | - Ana Muñoz
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, Campus Universitario de Rabanales, 14004, Cordoba, España. .,Department of Animal Medicine and Surgery, School of Veterinary Medicine, University of Córdoba, Campus Universitario de Rabanales, 14004, Cordoba, España.
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41
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Paolucci T, Pezzi L, Centra MA, Porreca A, Barbato C, Bellomo RG, Saggini R. Effects of capacitive and resistive electric transfer therapy in patients with painful shoulder impingement syndrome: a comparative study. J Int Med Res 2019; 48:300060519883090. [PMID: 31680597 PMCID: PMC7783264 DOI: 10.1177/0300060519883090] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Objective Capacitive and resistive electric transfer therapy (CARE) reduces pain and
improves quality of life for many orthopaedic degenerative and inflammatory
disorders. The research aim was to determine the effects of CARE on painful
shoulder. The outcomes were pain reduction and recovery of shoulder
function. Methods A retrospective, observational case-control study was conducted. Participants
were 46 patients (22 in the CARE group and 24 in the SHAM group). Clinical
data, pain (visual analogic scale, VAS) and functional scale scores
(Disabilities of the Arm, Shoulder and Hand scale, and Constant–Murley
Scale) were measured at baseline T0 (before treatment), T1 (after treatment)
and follow-up T2 (2 months after the end of the treatment). Results VAS scores in the CARE group improved from 7.23 ± 1.11 at baseline to
2.68 ± 0.99 at follow-up. The SHAM group did not experience any improvement.
Similarly, functional scale scores improved in the CARE group compared with
the SHAM group. Conclusion Considering the small number of sessions needed, low cost and long-term
benefits, CARE could be a useful therapeutic option for the conservative
management of shoulder pain to restore pain-free and powerful movement to
the shoulder joint.
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Affiliation(s)
- T Paolucci
- University G. d'Annunzio Chieti, Department of Medical and Oral Sciences and Biotechnologies, Chieti-Pescara, Italy
| | - L Pezzi
- University G. d'Annunzio Chieti, Department of Medical and Oral Sciences and Biotechnologies, Chieti-Pescara, Italy
| | - M A Centra
- University G. d'Annunzio Chieti, Department of Medical and Oral Sciences and Biotechnologies, Chieti-Pescara, Italy
| | - A Porreca
- Department of Economics, 'Gabriele d'Annunzio' University, Chieti-Pescara, Italy
| | - C Barbato
- University of Study of Urbino Carlo Bo, Department of Biomolecular Sciences, Urbino, Italy
| | - R G Bellomo
- University of Study of Urbino Carlo Bo, Department of Biomolecular Sciences, Urbino, Italy
| | - R Saggini
- University G. d'Annunzio Chieti, Department of Medical and Oral Sciences and Biotechnologies, Chieti-Pescara, Italy
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Hernández-Bule ML, Medel E, Colastra C, Roldán R, Úbeda A. Response of neuroblastoma cells to RF currents as a function of the signal frequency. BMC Cancer 2019; 19:889. [PMID: 31488097 PMCID: PMC6728948 DOI: 10.1186/s12885-019-6090-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Accepted: 08/26/2019] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Capacitive-resistive electric transfer (CRET) is a non-invasive therapeutic strategy that applies radiofrequency electric currents within the 400-600 kHz range to tissue repair and regeneration. Previous studies by our group have shown that 48 h of intermittent exposure to a 570 kHz CRET signal at a subthermal density of 50 μA/mm2 causes significant changes in the expression and activation of cell cycle control proteins, leading to cycle arrest in human cancer cell cultures. The present study investigates the relevance of the signal frequency in the response of the human neuroblastoma cell line NB69 to subthermal electric treatment with four different signal frequency currents within the 350-650 kHz range. METHODS Trypan blue assay, flow cytometry, immunofluorescence and immunoblot were used to study the effects of subthermal CRET currents on cell viability, cell cycle progression and the expression of several marker proteins involved in NB69 cell death and proliferation. RESULTS The results reveal that among the frequencies tested, only a 448 kHz signal elicited both proapoptotic and antiproliferative, statistically significant responses. The apoptotic effect would be due, at least in part, to significant changes induced by the 448 kHz signal in the expression of p53, Bax and caspase-3. The cytostatic response was preceded by alterations in the kinetics of the cell cycle and in the expression of proteins p-ERK1/2, cyclin D1 and p27, which is consistent with a potential involvement of the EGF receptor in electrically induced changes in the ERK1/2 pathway. This receives additional support from results indicating that the proapototic and antiproliferative responses to CRET can be transiently blocked when the electric stimulus is applied in the presence of PD98059, a chemical inhibitor of the ERK1/2 pathway. CONCLUSION The understanding of the mechanisms underlying the ability of slowing down cancer cell growth through electrically-induced changes in the expression of proteins involved in the control of cell proliferation and apoptosis might afford new insights in the field of oncology.
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Affiliation(s)
- María Luisa Hernández-Bule
- BEM-Research Service, Ramón y Cajal University Hospital - IRYCIS, Ctra. Colmenar Viejo km 9-100, 28034, Madrid, Spain.
| | - Enrique Medel
- BEM-Research Service, Ramón y Cajal University Hospital - IRYCIS, Ctra. Colmenar Viejo km 9-100, 28034, Madrid, Spain
| | - Clara Colastra
- BEM-Research Service, Ramón y Cajal University Hospital - IRYCIS, Ctra. Colmenar Viejo km 9-100, 28034, Madrid, Spain
| | - Raquel Roldán
- BEM-Research Service, Ramón y Cajal University Hospital - IRYCIS, Ctra. Colmenar Viejo km 9-100, 28034, Madrid, Spain
| | - Alejandro Úbeda
- BEM-Research Service, Ramón y Cajal University Hospital - IRYCIS, Ctra. Colmenar Viejo km 9-100, 28034, Madrid, Spain
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43
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Coccetta CA, Sale P, Ferrara PE, Specchia A, Maccauro G, Ferriero G, Ronconi G. Effects of capacitive and resistive electric transfer therapy in patients with knee osteoarthritis: a randomized controlled trial. Int J Rehabil Res 2019; 42:106-111. [PMID: 30362981 DOI: 10.1097/mrr.0000000000000324] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Capacitive and resistive electric transfer (CRET), an endogenous diathermy treatment, has been demonstrated to reduce pain and improve quality of life in numerous orthopedic degenerative and inflammatory problems but not in knee osteoarthritis (KOA). The aim of this prospective randomized controlled trial was to evaluate whether a 2-week program of CRET can reduce pain, stiffness and functional limitations in KOA compared with a sham treatment. Patients with KOA were randomly assigned to a study group (n = 31) or a control one (n = 22). The study group underwent six intermittent CRET applications, whereas the controls underwent a sham protocol without application of energy. The outcome measures were the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) (primary outcome) and the visual analogue scale (VAS) for pain and Medical Research Council Scale (secondary outcomes). All patients were evaluated before treatment (T0), at the end of treatment (T1), and at 1 (T2) and 3 months after treatment (T3). Results showed that CRET significantly improved strength, physical function and pain in patients with KOA. In the study group a reduction in WOMAC and VAS scores was observed at T1, T2, and T3 compared with T0. No significant changes of WOMAC and VAS scores were observed in the control group across all time points. Considering the small number of sessions, low cost and long-term benefits, CRET might be a useful therapeutic option for the conservative management of KOA to reduce pain, stiffness and functional limitation.
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Affiliation(s)
| | - Patrizio Sale
- Rehabilitation Unit, Department of Neuroscience, University of Padua, Padua, Italy
| | - Paola E Ferrara
- UOC di Riabilitazione e Medicina Fisica, Fondazione Policlinico Universitario A. Gemelli
| | - Alessandro Specchia
- UOC di Riabilitazione e Medicina Fisica, Fondazione Policlinico Universitario A. Gemelli
| | - Giulio Maccauro
- Istituto di Ortopedia e Traumatologia, Università Cattolica del Sacro Cuore di Roma , Rome, Italy
| | | | - Gianpaolo Ronconi
- UOC di Riabilitazione e Medicina Fisica, Fondazione Policlinico Universitario A. Gemelli
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Bito T, Tashiro Y, Suzuki Y, Kajiwara Y, Zeidan H, Kawagoe M, Sonoda T, Nakayama Y, Yokota Y, Shimoura K, Tatsumi M, Nakai K, Nishida Y, Yoshimi S, Tsuboyama T, Aoyama T. Acute effects of capacitive and resistive electric transfer (CRet) on the Achilles tendon. Electromagn Biol Med 2019; 38:48-54. [DOI: 10.1080/15368378.2019.1567525] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Affiliation(s)
- Tsubasa Bito
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Yuto Tashiro
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Yusuke Suzuki
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Yuu Kajiwara
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Hala Zeidan
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Mirei Kawagoe
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Takuya Sonoda
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Yasuaki Nakayama
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Yuki Yokota
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Kanako Shimoura
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Masataka Tatsumi
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Kengo Nakai
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Yuichi Nishida
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Soyoka Yoshimi
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Tadao Tsuboyama
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
| | - Tomoki Aoyama
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Sakyo-ku, Japan
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45
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Effects of a capacitive-resistive electric transfer therapy on physiological and biomechanical parameters in recreational runners: A randomized controlled crossover trial. Phys Ther Sport 2018; 32:227-234. [PMID: 29870922 DOI: 10.1016/j.ptsp.2018.05.020] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Revised: 05/24/2018] [Accepted: 05/25/2018] [Indexed: 11/20/2022]
Abstract
OBJECTIVES This study compared the effects of a capacitive-resistive electric transfer therapy (Tecar) and passive rest on physiological and biomechanical parameters in recreational runners when performed shortly after an exhausting training session. DESIGN Randomized controlled crossover trial. SETTING University biomechanical research laboratory. PARTICIPANTS Fourteen trained male runners MAIN OUTCOME MEASURES: Physiological (running economy, oxygen uptake, respiratory exchange ratio, ventilation, heart rate, blood lactate concentration) and biomechanical (step length; stride angle, height, frequency, and contact time; swing time; contact phase; support phase; push-off phase) parameters were measured during two incremental treadmill running tests performed two days apart after an exhaustive training session. RESULTS When running at 14 km/h and 16 km/h, the Tecar treatment group presented greater increases in stride length (p < 0.001), angle (p < 0.05) and height (p < 0.001) between the first and second tests than the control group and, accordingly, greater decreases in stride frequency (p < 0.05). Physiological parameters were similar between groups. CONCLUSIONS The present study suggests that a Tecar therapy intervention enhances biomechanical parameters in recreational runners after an exhaustive training session more than passive rest, generating a more efficient running pattern without affecting selected physiological parameters.
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46
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Yokota Y, Sonoda T, Tashiro Y, Suzuki Y, Kajiwara Y, Zeidan H, Nakayama Y, Kawagoe M, Shimoura K, Tatsumi M, Nakai K, Nishida Y, Bito T, Yoshimi S, Aoyama T. Effect of Capacitive and Resistive electric transfer on changes in muscle flexibility and lumbopelvic alignment after fatiguing exercise. J Phys Ther Sci 2018; 30:719-725. [PMID: 29765189 PMCID: PMC5940481 DOI: 10.1589/jpts.30.719] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2017] [Accepted: 02/27/2018] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study aimed to clarify the effects of Capacitive and Resistive electric transfer (CRet) on changes in muscle flexibility and lumbopelvic alignment after fatiguing exercise. [Subjects and Methods] Twenty-two healthy males were assigned into either the CRet (n=11) or control (n=11) group. Fatiguing exercise and CRet intervention were applied at the quadriceps muscle of the participants' dominant legs. The Ely test, pelvic tilt, lumbar lordosis, and superficial temperature were measured before and after exercise and for 30 minutes after intervention. Statistical analysis was performed using one-way analysis of variance, with Tukey's post-hoc multiple comparison test to clarify within-group changes and Student's t-test to clarify between-group differences. [Results] The Ely test and pelvic tilt were significantly different in both groups after exercise, but there was no difference in the CRet group after intervention. Superficial temperature significantly increased in the CRet group for 30 minutes after intervention, in contrast to after the exercise and intervention in the control group. There was no significant between-group difference at any timepoint, except in superficial temperature. [Conclusion] CRet could effectively improve muscle flexibility and lumbopelvic alignment after fatiguing exercise.
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Affiliation(s)
- Yuki Yokota
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Takuya Sonoda
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Yuto Tashiro
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Yusuke Suzuki
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Yu Kajiwara
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
- Department of Physical Therapy, Faculty of Health Science,
Kio University, Japan
| | - Hala Zeidan
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Yasuaki Nakayama
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Mirei Kawagoe
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Kanako Shimoura
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Masataka Tatsumi
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Kengo Nakai
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Yuichi Nishida
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Tsubasa Bito
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Soyoka Yoshimi
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
| | - Tomoki Aoyama
- Department of Physical Therapy, Human Health Sciences,
Graduate School of Medicine, Kyoto University: 53 Kawaharamachi Shogoin, Sakyo-ku, Kyoto
606-8507, Japan
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