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Casagrande SM, Biondo-Simões MDLP, Ioshii S, Robes RR, Biondo-Simões R, Boeno BRDO. Histological evaluation of the effect of low-frequency electric stimulation on healing Achilles tendons in rats. Acta Cir Bras 2021; 36:e360103. [PMID: 33533827 PMCID: PMC7853699 DOI: 10.1590/acb360103] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 12/11/2020] [Indexed: 11/22/2022] Open
Abstract
PURPOSE Histologically evaluate the effects of low frequency electrical stimulation in the treatment of Achilles tendon injuries in rats. METHODS Thirty-four rats underwent Achilles tendon tenotomy and tenorrhaphy. They were randomly allocated in two groups. Half of the sample constituted the experiment group, whose lesions were stimulated with 2 Hz, nonpolarized current and 1 mA, for 14 days. The other animals formed the control group. They were evaluated at 2, 4 and 6 weeks. The histological study was carried out, the collagen density and the wound maturity index were measured. RESULTS The healing score was higher in the group stimulated at the 6th week (p = 0.018). The density collagen 1 was higher in the group treated at the three times (p = 0.004) and that collagen 3 was higher in the group treated at 6 weeks (p = 0.004). Together, collagen 1 and 3 were higher in the group stimulated at 4 and 6 weeks (p = 0.009, p = 0.004). The maturity index was higher in this group at the three moments (p = 0.017 p = 0.004 and p = 0.009). CONCLUSION Low frequency electric stimulation improved healing and increased the quantity of collagen.
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Casagrande SM, Biondo-Simões MDLP, Berti LF, Robes RR, Biondo-Simões R, Nakadomari TS, Henning Junior L. Tensiometric evaluation of the effect of lowfrequency electric stimulation on healing Achilles tendons in rats. Acta Cir Bras 2020; 35:e351103. [PMID: 33331453 PMCID: PMC7748081 DOI: 10.1590/acb351103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2020] [Accepted: 10/09/2020] [Indexed: 11/22/2022] Open
Abstract
PURPOSE To evaluate the effects of low-frequency electric stimulation on biomechanics following surgical treatment of the Achilles tendon in rats. METHODS Forty-two rats were divided into two groups. One was given electric stimulation and the other was not. All were submitted to Achilles tenotomy and tenorrhaphy performed with a modified Kessler stitch. The experiment group underwent electric stimulation with 2 Hz, a nonpolarized current of 1 mA intensity for 14 days. The animals were euthanized at 2, 4 and 6 weeks for the biomechanical study. RESULTS The work performed, that is, the tendon's capacity to absorb energy until rupture, was greater in the electrically stimulated group in the 2nd (p = 0.032) and in the 6th week (p = 0.010). The maximum tension, which is the capacity to support a load, was higher in the treated group in the 2nd (p = 0.030) and the 6th week (p = 024). These results indicate greater resistance of the electrically stimulated tendons. An analysis of the elastic module showed no differences. CONCLUSION Low-frequency electric stimulation increased the resistance of the tendons at 2 and 6 weeks of evolution in rats.
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Armstrong K, Gokal R, Todorsky W. Neuromodulating Influence of Two Electroacupuncture Treatments on Heart Rate Variability, Stress, and Vagal Activity. J Altern Complement Med 2020; 26:928-936. [PMID: 32654498 DOI: 10.1089/acm.2019.0267] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Introduction: Although the clinical use of electro-acupuncture is widespread, the neuromodulating influence of various applied frequencies is not well established. Objectives: Heart rate variability (HRV), stress and parasympathetic recovery are closely related to health, longevity and vitality in humans. This study was undertaken to determine the influence of different electro-therapy frequencies on various autonomic nervous system markers when applied to a Battlefield Acupuncture Protocol (BFA). Design: A detailed comparison of autonomic nervous system (ANS) response to low frequency (LF) 2.5 Hz electro-acupuncture and mid-frequency (MF) 15 Hz electro-acupuncture applied by point stimulation to acupuncture points was undertaken on 2 groups of 12 patients. Interventions: Both LFEA and MFEA were applied to Battlefield Acupuncture protocol, consisting of five (5) key acupuncture ear (auricular) points that isolate the autonomic nervous system (ANS) and central nervous system's role in the chronic/acute pain cycle. Evaluations entailed an advanced status of autonomic nervous system (ANS) function through Electro-Cardiogram (ECG) baseline markers reflecting: sympathetic stress (SI); parasympathetic vagal tone (high frequency [HF]) and heart rate variability (HRV = total power). All were repeated subsequent to electro-therapy using 2 separate electro-modalities of low-frequency (2.5 Hz) electro-acupuncture (LFEA) and Mid-Frequency (15 Hz) electro-acupuncture (MFEA). All 24 patients received one (1) elector-acupuncture session. Results: The autonomic nervous system response to LFEA (2.5 Hz) reflected a statistically significant pre-post improvement in three of the markers collected: heart rate variability (HRV) improved by 61% [p = 0.002]; sympathetic stress (SI) reduced 42% [p = 0.002]; and parasympathetic vagal tone (HF) increased 56% [p = 0.017]. In contrast, MFEA (15 Hz) showed positive but non-significant changes in outcomes in all nervous system markers. Conclusions: The autonomic nervous system response with LFEA showed a measurable reduction in sympathetic stress with subsequent improvement in vagal tone, and HRV. This positive sympathetic nervous system deactivation from LFEA application shown in this study could have a major impact on other pathologies related to human health and longevity. Further cohort studies are warranted to determine the validity of these outcomes.
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Affiliation(s)
- Kelly Armstrong
- Center for Pain & Stress Research Ltd., St. Augustine, FL, USA
| | - Raman Gokal
- University of Manchester, Royal Infirmary, Manchester, United Kingdom.,Center for Pain & Stress Research Ltd., Toronto, Canada
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O Bortolazzo F, D Lucke L, de Oliveira Fujii L, Marqueti RDC, Vieira Ramos G, Theodoro V, Bombeiro AL, Felonato M, A Dalia R, D Carneiro G, Pontes Vicente C, A M Esquisatto M, A S Mendonça F, T Dos Santos GM, R Pimentel E, de Aro AA. Microcurrent and adipose-derived stem cells modulate genes expression involved in the structural recovery of transected tendon of rats. FASEB J 2020; 34:10011-10026. [PMID: 32558993 DOI: 10.1096/fj.201902942rr] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Revised: 05/02/2020] [Accepted: 05/05/2020] [Indexed: 01/30/2023]
Abstract
Tendon injuries are common and have a high incidence of re-rupture that can cause loss of functionality. Therapies with adipose-derived stem cells (ASC) and the microcurrent (low-intensity electrical stimulation) application present promising effects on the tissue repair. We analyzed the expression of genes and the participation of some molecules potentially involved in the structural recovery of the Achilles tendon of rats, in response to the application of both therapies, isolated and combined. The tendons were distributed in five groups: normal (N), transected (T), transected and ASC (C) or microcurrent (M) or with ASC, and microcurrent (MC). Microcurrent therapy was beneficial for tendon repair, as it was observed a statistically significant increase in the organization of the collagen fibers, with involvement of the TNC, CTGF, FN, FMDO, and COL3A1 genes as well as PCNA, IL-10, and TNF-α. ASC therapy significantly increased the TNC and FMDO genes expression with no changes in the molecular organization of collagen. With the association of therapies, a significant greater collagen fibers organization was observed with involvement of the FMOD gene. The therapies did not affect the expression of COL1A1, SMAD2, SMAD3, MKX, and EGR1 genes, nor did they influence the amount of collagen I and III, caspase-3, tenomodulin (Tnmd), and hydroxyproline. In conclusion, the application of the microcurrent isolated or associated with ASC increased the organization of the collagen fibers, which can result in a greater biomechanical resistance in relation to the tendons treated only with ASC. Future studies will be needed to demonstrate the biological effects of these therapies on the functional recovery of injured tendons.
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Affiliation(s)
- Fernanda O Bortolazzo
- Department of Structural and Functional Biology, Institute of Biology, University of Campinas-UNICAMP, São Paulo, Brazil
| | - Letícia D Lucke
- Department of Structural and Functional Biology, Institute of Biology, University of Campinas-UNICAMP, São Paulo, Brazil
| | - Lucas de Oliveira Fujii
- Biomedical Sciences Graduate Program, University Center of Herminio Ometto Foundation/FHO, São Paulo, Brazil
| | - Rita de Cassia Marqueti
- Graduate Program of rehabilitation science and Graduate Program of Sciences and Technology of Health and Rehabilitation Sciences, University of Brasilia (UnB), Brasília, Brazil
| | | | - Viviane Theodoro
- Biomedical Sciences Graduate Program, University Center of Herminio Ometto Foundation/FHO, São Paulo, Brazil
| | - André L Bombeiro
- Department of Structural and Functional Biology, Institute of Biology, University of Campinas-UNICAMP, São Paulo, Brazil
| | - Maíra Felonato
- Biomedical Sciences Graduate Program, University Center of Herminio Ometto Foundation/FHO, São Paulo, Brazil
| | - Rodrigo A Dalia
- Biomedical Sciences Graduate Program, University Center of Herminio Ometto Foundation/FHO, São Paulo, Brazil
| | - Giane D Carneiro
- Department of Structural and Functional Biology, Institute of Biology, University of Campinas-UNICAMP, São Paulo, Brazil
| | - Cristina Pontes Vicente
- Department of Structural and Functional Biology, Institute of Biology, University of Campinas-UNICAMP, São Paulo, Brazil
| | - Marcelo A M Esquisatto
- Biomedical Sciences Graduate Program, University Center of Herminio Ometto Foundation/FHO, São Paulo, Brazil
| | - Fernanda A S Mendonça
- Biomedical Sciences Graduate Program, University Center of Herminio Ometto Foundation/FHO, São Paulo, Brazil
| | - Gláucia Maria T Dos Santos
- Biomedical Sciences Graduate Program, University Center of Herminio Ometto Foundation/FHO, São Paulo, Brazil
| | - Edson R Pimentel
- Department of Structural and Functional Biology, Institute of Biology, University of Campinas-UNICAMP, São Paulo, Brazil
| | - Andrea A de Aro
- Department of Structural and Functional Biology, Institute of Biology, University of Campinas-UNICAMP, São Paulo, Brazil.,Biomedical Sciences Graduate Program, University Center of Herminio Ometto Foundation/FHO, São Paulo, Brazil
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Ibrahim ZM, Waked IS, Ibrahim O. Negative pressure wound therapy versus microcurrent electrical stimulation in wound healing in burns. J Wound Care 2019; 28:214-219. [DOI: 10.12968/jowc.2019.28.4.214] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Zizi M. Ibrahim
- Assistant Professor, Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Egypt
- Assistant Professor, Associate Professor, Rehabilitation Sciences Department, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Instar S. Waked
- Assistant Professor, Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Egypt
| | - Olfat Ibrahim
- Assistant Professor, Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo University, Egypt
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Khalifeh JM, Zohny Z, MacEwan M, Stephen M, Johnston W, Gamble P, Zeng Y, Yan Y, Ray WZ. Electrical Stimulation and Bone Healing: A Review of Current Technology and Clinical Applications. IEEE Rev Biomed Eng 2018; 11:217-232. [PMID: 29994564 DOI: 10.1109/rbme.2018.2799189] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Pseudarthrosis is an exceedingly common, costly, and morbid complication in the treatment of long bone fractures and after spinal fusion surgery. Electrical bone growth stimulation (EBGS) presents a unique approach to accelerate healing and promote fusion success rates. Over the past three decades, increased experience and widespread use of EBGS devices has led to significant improvements in stimulation paradigms and clinical outcomes. In this paper, we comprehensively review the literature and examine the history, scientific evidence, available technology, and clinical applications for EBGS. We summarize indications, limitations, and provide an overview of cost-effectiveness and future directions of EBGS technology. Various models of electrical stimulation have been proposed and marketed as adjuncts for spinal fusions and long bone fractures. Clinical studies show variable safety and efficacy of EBGS under different conditions and clinical scenarios. While the results of clinical trials do not support indiscriminate EBGS utilization for any bone injury, the evidence does suggest that EBGS is desirable and cost efficient for certain orthopedic indications, especially when used in combination with standard, first-line treatments. This review should serve as a reference to inform practicing clinicians of available treatment options, facilitate evidence-based decision making, and provide a platform for further research.
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Low level laser therapy accelerates the extracellular matrix reorganization of inflamed tendon. Tissue Cell 2017; 49:483-488. [DOI: 10.1016/j.tice.2017.05.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Revised: 05/22/2017] [Accepted: 05/23/2017] [Indexed: 11/18/2022]
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Ferreira R, Silva R, Folha RAC, Polacow MLO, Teodori RM, Pinfildi CE. Achilles Tendon Vascularization of Proximal, Medial, and Distal Portion Before and After Partial Lesion in Rats Treated with Phototherapy. Photomed Laser Surg 2017; 33:579-84. [PMID: 26666977 DOI: 10.1089/pho.2015.3974] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
BACKGROUND The Achilles tendon is one of the tendons most commonly injured by microtraumas and overuse during sports practice. This tendon is especially fragile because of the low blood supply in its central part. Nevertheless, the literature does not offer enough scientific support to explain the composition and vascular dynamic of animal tendons, despite the relevance of being able to observe if the animal tendon undergoes the same processes of vascularization in different regions, as occurs in humans. METHODS We used 28 rats weighing 280 ± 20 g, which were divided into four groups with seven animals each (control, sham, 830 nm, 660 nm). The laser parameters were: power output 60 mW for both lasers, 40 J/cm(2) of energy density, total energy 1.1 J, power density 2.14 W/cm(2), and application time 18.6 sec. This study evaluated the vascular constitution of healthy and injured calcaneous tendons. The tendons of each animal were processed to be embedded in Paraplast and, after that, they were divided into three parts: proximal, medial, and distal. Afterwards, they were cut in slices of 6 μm were made, then they were stained with hematoxylin and eosin. Using an ocular lens reticulated with magnification × 400, we analyzed the number and the area density of the blood vessels using morphometric methods. Data were analyzed with the Shapiro-Wilk test, followed by Tukey, considering p as <0.05. RESULTS The area density and the number of blood vessels in the proximal part were 36% and 42%, respectively, of the values found in the medial part. The distal part had 64% more vessels and 52.8% more area density (p < 0.05) than the medial part. CONCLUSIONS Low-level laser therapy (LLLT) had no effect on the studied parameters. The vascularization of rat tendon is similar to that of humans, which contributes to the studies of therapies that have been applied in humans.
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Affiliation(s)
- Rafaela Ferreira
- 1 Department of Physiotherapy, University Metodista of Piracicaba-Piracicaba , SP, Brazil
| | - Rosangela Silva
- 1 Department of Physiotherapy, University Metodista of Piracicaba-Piracicaba , SP, Brazil
| | - Roberta A C Folha
- 2 Department of Human Movement Science (DHMS)-University Federal of São Paulo-Campus Baixada Santista-Santos, SP, Brazil. Post-Graduation Interdisciplinary Health Science-Unifesp-Baixada Santista, Santos SP, Brazil
| | - Maria Luiza O Polacow
- 1 Department of Physiotherapy, University Metodista of Piracicaba-Piracicaba , SP, Brazil
| | - Rosana Macher Teodori
- 1 Department of Physiotherapy, University Metodista of Piracicaba-Piracicaba , SP, Brazil
| | - Carlos Eduardo Pinfildi
- 2 Department of Human Movement Science (DHMS)-University Federal of São Paulo-Campus Baixada Santista-Santos, SP, Brazil. Post-Graduation Interdisciplinary Health Science-Unifesp-Baixada Santista, Santos SP, Brazil
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Rampazo ÉP, Liebano RE, Pinfildi CE, Folha RAC, Ferreira LM. High voltage pulsed current in collagen realignment, synthesis, and angiogenesis after Achilles tendon partial rupture. Braz J Phys Ther 2016; 20:312-9. [PMID: 27556387 PMCID: PMC5015677 DOI: 10.1590/bjpt-rbf.2014.0167] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2015] [Accepted: 02/10/2016] [Indexed: 11/21/2022] Open
Abstract
Objective To verify the efficacy of high voltage pulsed current in collagen realignment and synthesis and in angiogenesis after the partial rupturing of the Achilles tendon in rats. Method Forty male Wistar rats were randomized into four groups of 10 animals each: sham, cathodic stimulation, anodic stimulation, and alternating stimulation. Their Achilles tendons were submitted to direct trauma by a free-falling metal bar. Then, the treatment was administered for six consecutive days after the injury. In the simulation group, the electrodes were positioned on the animal, but the device remained off for 30 minutes. The other groups used a frequency of 120 pps, sensory threshold, and the corresponding polarity. On the seventh day, the tendons were removed and sent for histological slide preparation for birefringence and Picrosirius Red analysis and for blood vessel quantification. Results No significant difference was observed among the groups regarding collagen realignment (types I or III collagen) or quantity of blood vessels. Conclusion High voltage pulsed current for six consecutive days was not effective in collagen realignment, synthesis, or angiogenesis after the partial rupturing of the Achilles tendon in rats.
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Affiliation(s)
- Érika P Rampazo
- Departamento de Cirurgia Plástica, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
| | - Richard E Liebano
- Departamento de Fisioterapia, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil
| | | | - Roberta A C Folha
- Departamento de Cirurgia Plástica, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
| | - Lydia M Ferreira
- Departamento de Cirurgia Plástica, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
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Da Ré Guerra F, Vieira CP, Oliveira LP, Marques PP, dos Santos Almeida M, Pimentel ER. Low-level laser therapy modulates pro-inflammatory cytokines after partial tenotomy. Lasers Med Sci 2016; 31:759-66. [PMID: 26984348 DOI: 10.1007/s10103-016-1918-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Accepted: 03/01/2016] [Indexed: 10/25/2022]
Abstract
Tendon injuries give rise to substantial morbidity, and current understanding of the mechanisms involved in tendon injury and repair is limited. This lesion remains a clinical issue because the injury site becomes a region with a high incidence of recurrent rupture and has drawn the attention of researchers. We already demonstrated that low-level laser therapy (LLLT) stimulates the synthesis and organization of collagen I, MMP-9, and MMP-2 and improved the gait recovery of the treated animals. The aim of this study was to evaluate the effects of LLLT in the nitric oxide and cytokines profile during the inflammatory and remodeling phases. Adult male rats were divided into the following groups: G1--intact, G2-- injured, G3--injured + LLLT (4 J/cm(2) continuous), G4--injured + LLLT (4 J/cm(2)-20 Hz--pulsed laser). According to the analysis, the animals were euthanized on different dates (1, 4, 8, or 15 days after injury). ELISA assay of TNF-α, IL-1β, IL-10, and TGF-β was performed. Western blotting of isoform of nitric oxide synthase (i-NOS) and nitric oxide dosage experiments was conducted. Our results showed that the pulsed LLLT seems to exert an anti-inflammatory effect over injured tendons, with reduction of the release of proinflammatory cytokines, such as TNF-α and the decrease in the i-NOS activity. Thanks to the pain reduction and the facilitation of movement, there was a stimulation in the TGF-β and IL-1β release. In conclusion, we believe that pulsed LLLT worked effectively as a therapy to reestablish the tendon integrity after rupture.
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Affiliation(s)
- Flávia Da Ré Guerra
- Department of Anatomy, Institute of Biomedical Science, Federal University of Alfenas - UNIFAL-MG, 37130-000, Alfenas, MG, Brazil.
| | - Cristiano Pedrozo Vieira
- Department of Structural and Functional Biology, Institute of Biology, CP 6109, University of Campinas - UNICAMP, 13083-970, Campinas, SP, Brazil
| | - Letícia Prado Oliveira
- Department of Structural and Functional Biology, Institute of Biology, CP 6109, University of Campinas - UNICAMP, 13083-970, Campinas, SP, Brazil
| | - Petrus Pires Marques
- Department of Biochemistry, Institute of Biomedical Science, Federal University of Alfenas - UNIFAL-MG, 37130-000, Alfenas, MG, Brazil
| | - Marcos dos Santos Almeida
- Department of Anatomy, Institute of Biomedical Science, Federal University of Alfenas - UNIFAL-MG, 37130-000, Alfenas, MG, Brazil
| | - Edson Rosa Pimentel
- Department of Structural and Functional Biology, Institute of Biology, CP 6109, University of Campinas - UNICAMP, 13083-970, Campinas, SP, Brazil
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Guerra FDR, Vieira CP, dos Santos de Almeida M, Oliveira LP, Claro ACF, Simões GF, de Oliveira ALR, Pimentel ER. Pulsed LLLT improves tendon healing in rats: a biochemical, organizational, and functional evaluation. Lasers Med Sci 2013; 29:805-11. [DOI: 10.1007/s10103-013-1406-2] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2013] [Accepted: 07/18/2013] [Indexed: 01/21/2023]
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Poltawski L, Watson T. Bioelectricity and microcurrent therapy for tissue healing – a narrative review. PHYSICAL THERAPY REVIEWS 2013. [DOI: 10.1179/174328809x405973] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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Ahmed AF, Elgayed SS, Ibrahim IM. Polarity effect of microcurrent electrical stimulation on tendon healing: Biomechanical and histopathological studies. J Adv Res 2012. [DOI: 10.1016/j.jare.2011.05.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Neves MAI, Pinfildi CE, Wood VT, Gobbato RC, da Silva FM, Parizotto NA, Hochman B, Ferreira LM. Different power settings of LLLT on the repair of the calcaneal tendon. Photomed Laser Surg 2011; 29:663-8. [PMID: 21668375 DOI: 10.1089/pho.2010.2919] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE The purpose of this study was to evaluate the effect of an 830-nm GaAlAs diode laser operating at output powers of 40, 60, 80, and 100 mW and energy density of 30 J/cm(2) on the repair of partial calcaneal tendon ruptures in rats. METHODS A partial tendon rupture was induced in all animals, which were treated with laser irradiation for 5 consecutive days. Six days after injury, the injured tendons were removed and examined by polarized light microscopy. Collagen fiber organization was evaluated by birefringence measurements, and collagen content was determined by Picrosirius Red staining. RESULTS It was observed that the higher the output power (60-100 mW) the greater the amount of type III collagen (p<0.01). The amount of type I collagen was significantly greater (p=0.05) in the 80 mW group than in the control group (sham stimulation). A non-statistically significant improvement in the realignment of collagen fibers was observed in the irradiated groups. CONCLUSIONS Low-level laser therapy resulted in significantly greater amounts of type III collagen (output powers of 60 mW or more) and type I collagen (output power of 80 mW), however, no significant differences between groups were found in the realignment of collagen fibers.
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Affiliation(s)
- Marco Aurelio Invaldi Neves
- Department of Plastic Surgery, Universidade Federal de São Paulo, Rua Napoleão de Barros 715, São Paulo, Brazil.
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Ng GYF, Chung PYM, Wang JS, Cheung RTH. Enforced bipedal downhill running induces Achilles tendinosis in rats. Connect Tissue Res 2011; 52:466-71. [PMID: 21591929 DOI: 10.3109/03008207.2011.562334] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Enforced downhill running has been reported to induce tendinosis in the rat supraspinatus tendon but similar exercise failed to induce Achilles tendinosis in this animal. Due to the presence of acromial arch in the shoulder, accessing the supraspinatus tendon with physical modalities is difficult; thus this model may not be suitable for studying the treatment for tendinosis. To develop a rat model for Achilles tendinosis, we tested 14 mature Sprague-Dawley rats by dividing them into 2 groups of 7 each. The experimental group was subjected to a daily enforced downhill bipedal running program by suspending their upper bodies so that they ran with their hind limbs on a treadmill for 1 hr/day for 8 weeks. The downward inclination was 20 degrees and the speed was 17 m/min. The animals in the control group did not undergo any exercise. After 8 weeks, the Achilles tendons were harvested and subjected to histological and biomechanical analysis. Histological examination revealed tenocyte proliferation, change in tenocytes appearance, and collagen bundle disintegration in the running group. The biomechanical testing revealed significant decrease in stiffness (p = 0.002) and ultimate tensile strength (p = 0.016) in the running group than in the control group. Both the histological and biomechanical findings are suggestive of changes in the tendon of the running group that resembled the pathological changes of tendinosis in human. This new model of Achilles tendinosis in rat will be useful for studying the etiology and subsequent management strategies of this condition.
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Affiliation(s)
- Gabriel Yin-Fat Ng
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, Kowloon, Hong Kong, PR China. rsgng@ polyu.edu.hk
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Joensen J, Gjerdet NR, Hummelsund S, Iversen V, Lopes-Martins RAB, Bjordal JM. An experimental study of low-level laser therapy in rat Achilles tendon injury. Lasers Med Sci 2011; 27:103-11. [PMID: 21547473 PMCID: PMC3254871 DOI: 10.1007/s10103-011-0925-y] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2010] [Accepted: 04/06/2011] [Indexed: 12/27/2022]
Abstract
The aim of this controlled animal study was to investigate the effect of low-level laser therapy (LLLT) administered 30 min after injury to the Achilles tendon. The study animals comprised 16 Sprague Dawley male rats divided in two groups. The right Achilles tendons were injured by blunt trauma using a mini guillotine, and were treated with LLLT or placebo LLLT 30 min later. The injury and LLLT procedures were then repeated 15 hours later on the same tendon. One group received active LLLT (λ = 904 nm, 60 mW mean output power, 0.158 W/cm2 for 50 s, energy 3 J) and the other group received placebo LLLT 23 hours after LLLT. Ultrasonographic images were taken to measure the thickness of the right and left Achilles tendons. Animals were then killed, and all Achilles tendons were tested for ultimate tensile strength (UTS). All analyses were performed by blinded observers. There was a significant increase in tendon thickness in the active LLLT group when compared with the placebo group (p < 0.05) and there were no significant differences between the placebo and uninjured left tendons. There were no significant differences in UTS between laser-treated, placebo-treated and uninjured tendons. Laser irradiation of the Achilles tendon at 0.158 W/cm2 for 50 s (3 J) administered within the first 30 min after blunt trauma, and repeated after 15 h, appears to lead to edema of the tendon measured 23 hours after LLLT. The guillotine blunt trauma model seems suitable for inflicting tendon injury and measuring the effects of treatment on edema by ultrasonography and UTS. More studies are needed to further refine this model.
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Affiliation(s)
- Jon Joensen
- Department of Physiotherapy, Faculty of Health and Social Science, Bergen University College, Bergen, Norway.
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Oliveira FS, Pinfildi CE, Parizoto NA, Liebano RE, Bossini PS, Garcia ÉB, Ferreira LM. Effect of low level laser therapy (830 nm) with different therapy regimes on the process of tissue repair in partial lesion calcaneous tendon. Lasers Surg Med 2009; 41:271-6. [DOI: 10.1002/lsm.20760] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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