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Vahdatpour B, Haghighat S, Sadri L, Taghian M, Sadri S. Effects of Transfer Energy Capacitive and Resistive On Musculoskeletal Pain: A Systematic Review and Meta-Analysis:. Galen Med J 2022; 11:e2407. [PMID: 36698689 PMCID: PMC9838110 DOI: 10.31661/gmj.v11i.2407] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Indexed: 11/24/2022] Open
Abstract
The use of transfer energy capacitive and resistive (TECAR) therapy to treat musculoskeletal pain has not been clearly established. Hence, this study was conducted to combine the available results. We searched the main databases, including PubMed (January 1950), Web of Knowledge (January 1945), Scopus (January 1980), and ProQuest (January 1983) until December 2021, to find the related studies. Only those studies were included that assessed the pain in participants who received TECAR therapy and compared it with a control group. Using the random effect model, standardized mean difference (SMD) was calculated at a 95% confidence interval (CI). The differences between patients and control group were -1.04 after four weeks of intervention (95% CI: -1.59 to -0.48, I2=86.9%) and -1.80 after eight weeks (95% CI: -2.15 to -1.46, I2=87%), which was significant (P0.001). The intra-group pain comparison before and after two, four, and eight weeks of TECAR therapy obtained SMD levels of -3.96 (95% CI: -5.28 to -2.65, I2=96.9%), -4.12 (95% CI: -5.98 to -2.26, I2=97.3), and -5.03 (95% CI: -7.23 to -2.83, I2=92.2%), respectively. Despite some limitations, our findings may assist clinicians in decision-making about TECAR therapy for the approach to musculoskeletal pain based on evidence-based medicine.
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Affiliation(s)
- Babak Vahdatpour
- Department of Physical Medicine and Rehabilitation, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Shila Haghighat
- Department of Physical Medicine and Rehabilitation, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Leyli Sadri
- Department of Pediatric Dentistry, School of Dentistry, Mazandaran University of Medical Sciences, Mazandaran, Iran
| | - Mehdi Taghian
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Mazandaran University of Medical Sciences, Mazandaran, Iran
| | - Soroush Sadri
- Department of Physical Medicine and Rehabilitation, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
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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: 5] [Impact Index Per Article: 2.5] [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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Bryś K, Grabarek BO, Król P, Staszkiewicz R, Wierzbik-Strońska M, Król T. The Thermal Influence of an Electromagnetic Field with a Radio Frequency Depending on the Type of Electrode Used. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11378. [PMID: 36141650 PMCID: PMC9517109 DOI: 10.3390/ijerph191811378] [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: 07/06/2022] [Revised: 08/27/2022] [Accepted: 09/08/2022] [Indexed: 06/16/2023]
Abstract
Diathermy is a method used in physiotherapy based on obtaining an increase in temperature by supplying energy from the electromagnetic field to the tissues. The aim of this retrospective work, based on the data included in a medical documentation, was to assess the dynamics of temperature changes on the body surface after the application of a high-frequency electromagnetic field depending on the type of electrode used. In order to generate a radio frequency electromagnetic field, an INDIBA ACTIV® CT9 was used. In order to measure the temperature, an HT-17 thermovision camera was used, enabling measurements within the range of -20 to 300 °C, with an accuracy of ±2% or 2 °C. The participants consisted of 30 healthy subjects (15 women and 15 men) who were physiotherapy students in the Faculty of Public Health in the Silesian Medical University in Katowice, Poland; they were divided into two comparative groups (A and B). It was found that the differences between the groups were not significant in the measurements carried out before using the electrode (p = 0.84; Mann-Whitney U test). On the other hand, at 0, 5 and 15 min, statistically significant differences were noted in the tissue temperature between the groups, depending on the electrode used (p = 0.00; Mann-Whitney U test). Based on the obtained results, it can be concluded that with the extension of the observation time, the tissue temperature increased (for Group A, Me 30.40 °C vs. 34.90 °C; for Group B, Me 30.70 °C vs. 35.20 °C). Our study confirmed that the use of both a capacitive and resistive electrode during treatment with the use of a high-frequency electromagnetic field statistically significantly increased the surface temperature of the area to which the therapy was applied. The results of the study can be used in clinical practice by physiotherapists to optimize the conditions of therapy.
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Affiliation(s)
- Kamil Bryś
- Department of Histology, Cytophysiology and Embryology, Faculty of Medicine, Academia of Silesia in Katowice, 41-800 Zabrze, Poland
| | - Beniamin Oskar Grabarek
- Department of Histology, Cytophysiology and Embryology, Faculty of Medicine, Academia of Silesia in Katowice, 41-800 Zabrze, Poland
| | - Piotr Król
- Institute of Sport Sciences, Academy of Physical Education in Katowice, 40-065 Katowice, Poland
| | - Rafał Staszkiewicz
- Department of Histology, Cytophysiology and Embryology, Faculty of Medicine, Academia of Silesia in Katowice, 41-800 Zabrze, Poland
- 5th Military Clinical Hospital with the SP ZOZ Polyclinic in Krakow, 30-901 Krakow, Poland
| | | | - Tomasz Król
- Department of Kinesitherapy and Special Methods, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, 40-055 Katowice, Poland
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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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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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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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