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Ortego-Isasa I, Ortega-Morán JF, Lozano H, Stieglitz T, Sánchez-Margallo FM, Usón-Gargallo J, Pagador JB, Ramos-Murguialday A. Colonic Electrical Stimulation for Chronic Constipation: A Perspective Review. Biomedicines 2024; 12:481. [PMID: 38540095 PMCID: PMC10967790 DOI: 10.3390/biomedicines12030481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Revised: 02/08/2024] [Accepted: 02/19/2024] [Indexed: 11/11/2024] Open
Abstract
Chronic constipation affects around 20% of the population and there is no efficient solution. This perspective review explores the potential of colonic electric stimulation (CES) using neural implants and methods of bioelectronic medicine as a therapeutic way to treat chronic constipation. The review covers the neurophysiology of colonic peristaltic function, the pathophysiology of chronic constipation, the technical aspects of CES, including stimulation parameters, electrode placement, and neuromodulation target selection, as well as a comprehensive analysis of various animal models highlighting their advantages and limitations in elucidating the mechanistic insights and translational relevance for CES. Finally, the main challenges and trends in CES are discussed.
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Affiliation(s)
- Iñaki Ortego-Isasa
- TECNALIA, Basque Research and Technology Alliance (BRTA), 20009 San Sebastian, Spain; (H.L.); (A.R.-M.)
| | | | - Héctor Lozano
- TECNALIA, Basque Research and Technology Alliance (BRTA), 20009 San Sebastian, Spain; (H.L.); (A.R.-M.)
| | - Thomas Stieglitz
- Laboratory for Biomedical Microtechnology, Department of Microsystems Engineering–IMTEK and BrainLinks-BrainTools Center, University of Freiburg, 79110 Freiburg, Germany;
| | - Francisco M. Sánchez-Margallo
- Jesús Usón Minimally Invasive Surgery Centre, 10071 Cáceres, Spain; (J.F.O.-M.); (F.M.S.-M.); (J.U.-G.)
- TERAV/ISCIII, Red Española de Terapias Avanzadas, Instituto de Salud Carlos III (RICORS, RD21/0017/0029), 28029 Madrid, Spain
| | - Jesús Usón-Gargallo
- Jesús Usón Minimally Invasive Surgery Centre, 10071 Cáceres, Spain; (J.F.O.-M.); (F.M.S.-M.); (J.U.-G.)
| | - J. Blas Pagador
- Jesús Usón Minimally Invasive Surgery Centre, 10071 Cáceres, Spain; (J.F.O.-M.); (F.M.S.-M.); (J.U.-G.)
- TERAV/ISCIII, Red Española de Terapias Avanzadas, Instituto de Salud Carlos III (RICORS, RD21/0017/0029), 28029 Madrid, Spain
| | - Ander Ramos-Murguialday
- TECNALIA, Basque Research and Technology Alliance (BRTA), 20009 San Sebastian, Spain; (H.L.); (A.R.-M.)
- Department of Neurology and Stroke, University of Tubingen, 72076 Tubingen, Germany
- Institute of Medical Psychology and Behavioral Neurobiology, University of Tubingen, 72076 Tubingen, Germany
- Athenea Neuroclinics, 20014 San Sebastian, Spain
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Ravara B, Giuriati W, Zampieri S, Kern H, Pond AL. Translational mobility medicine and ugo carraro: a life of significant scientific contributions reviewed in celebration. Neurol Res 2024; 46:139-156. [PMID: 38043115 DOI: 10.1080/01616412.2023.2258041] [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: 11/11/2022] [Accepted: 09/04/2023] [Indexed: 12/05/2023]
Abstract
Prof. Ugo Carraro reached 80 years of age on 23 February 2023, and we wish to celebrate him and his work by reviewing his lifetime of scientific achievements in Translational Myology. Currently, he is a Senior Scholar with the University of Padova, Italy, where, as a tenured faculty member, he founded the Interdepartmental Research Center of Myology. Prof. Carraro, a pioneer in skeletal muscle research, is a world-class expert in structural and molecular investigations of skeletal muscle biology, physiology, pathology, and care. An authority in bidimensional gel electrophoresis for myosin light chains, he was the first to separate mammalian muscle myosin heavy chain isoforms by SDS-gel electrophoresis. He has demonstrated that long-term denervated muscle can survive denervation by myofiber regeneration, and shown that an athletic lifestyle has beneficial impacts on muscle reinnervation. He has utilized his expertise in translational myology to develop and validate rehabilitative treatments for denervated and ageing skeletal muscle. He has authored more than 160 PubMed listed papers and numerous scholarly books, including his recent autobiography. Prof. Carraro founded and serves as Editor-in-Chief of the European Journal of Translational Myology and Mobility Medicine. He has organized more than 40 Padua Muscle Days Meetings and continues this, encouraging students and young scientists to participate. As he dreams endlessly, he is currently validating non-invasive analyses on saliva, a promising approach that will allow increased frequency sampling to analyze systemic factors during the transient effects of training and rehabilitation by his proposed Full-Body in- Bed Gym for bed-ridden elderly.
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Affiliation(s)
- Barbara Ravara
- Department of Biomedical Sciences (DSB), University of Padova, Padua, Italy
- CIR-Myo Interdepartmental Research Center of Myology, University of Padova, Padua, Italy
| | - Walter Giuriati
- Department of Biomedical Sciences (DSB), University of Padova, Padua, Italy
- CIR-Myo Interdepartmental Research Center of Myology, University of Padova, Padua, Italy
| | - Sandra Zampieri
- Department of Biomedical Sciences (DSB), University of Padova, Padua, Italy
- CIR-Myo Interdepartmental Research Center of Myology, University of Padova, Padua, Italy
- Department of Surgery, Oncology and Gastroenterology Sciences, Padua University Hospital, Padua, Italy
| | - Helmut Kern
- Physiko- und Rheumatherapie, Ludwig Boltzmann Institute for Rehabilitation Research, Sankt Pölten, Austria
| | - Amber L Pond
- Anatomy Department, Southern Illinois University School of Medicine, Carbondale, IL 62901, USA
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Home-Based Functional Electrical Stimulation of Human Permanent Denervated Muscles: A Narrative Review on Diagnostics, Managements, Results and Byproducts Revisited 2020. Diagnostics (Basel) 2020; 10:diagnostics10080529. [PMID: 32751308 PMCID: PMC7460102 DOI: 10.3390/diagnostics10080529] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 07/26/2020] [Accepted: 07/27/2020] [Indexed: 02/07/2023] Open
Abstract
Spinal cord injury (SCI) produces muscle wasting that is especially severe after complete and permanent damage of lower motor neurons, as can occur in complete conus and cauda equina syndrome. Even in this worst-case scenario, mass and function of permanently denervated quadriceps muscle can be rescued by surface functional electrical stimulation using a purpose designed home-based rehabilitation strategy. Early diagnostics is a key factor in the long-term success of this management. Function of quadriceps muscle was quantitated by force measurements. Muscle gross cross-sections were evaluated by quantitative color computed tomography (CT) and muscle and skin biopsies by quantitative histology, electron microscopy, and immunohistochemistry. Two years of treatment that started earlier than 5 years from SCI produced: (a) an increase in cross-sectional area of stimulated muscles; (b) an increase in muscle fiber mean diameter; (c) improvements in ultrastructural organization; and (d) increased force output during electrical stimulation. Improvements are extended to hamstring muscles and skin. Indeed, the cushioning effect provided by recovered tissues is a major clinical benefit. It is our hope that new trials start soon, providing patients the benefits they need.
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Taylor MJ, Schils S, Ruys AJ. Home FES: An Exploratory Review. Eur J Transl Myol 2019; 29:8285. [PMID: 31969976 PMCID: PMC6974778 DOI: 10.4081/ejtm.2019.8285] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Accepted: 10/31/2019] [Indexed: 12/28/2022] Open
Abstract
This review of literature focuses on the multiple uses of Functional Electrical Stimulation (FES) and how this modality may be a valuable home-based therapy. Papers pertaining to home FES exercise were collected using the Web of Science, Google Scholar databases and collegial hints. In our opinion, the following statements summarize the results. FES may be used to induce health benefits in populations with paralysis, and in persons with musculoskeletal, cardiorespiratory and renal pathology. The EU Project Rise showed how FES could have a variety of encouraging outcomes for patients with denervated muscles following traumatic injuries. As suggested by recent literature, FES has proven to be a viable form of exercise for elderly individuals. Thus, Home FES may be an option for patients looking for an additional form of muscle and cardiopulmonary physical therapy.
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Affiliation(s)
- Matthew J. Taylor
- Faculty of Engineering and IT, The University of Sydney, Camperdown, Australia
- Charles Perkins Centre, The University of Sydney, Camperdown, Australia
- Discipline of Anatomy and Histology, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
| | - Sheila Schils
- EquiNew, River Falls, Wisconsin, United States of America
| | - Andrew J. Ruys
- Faculty of Engineering and IT, The University of Sydney, Camperdown, Australia
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Stecco C, Caro RD. 2019 Ejtm Special on Muscle Fascia. Eur J Transl Myol 2019; 29:8060. [PMID: 31019664 PMCID: PMC6460217 DOI: 10.4081/ejtm.2019.8060] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Accepted: 02/09/2019] [Indexed: 02/06/2023] Open
Abstract
For many years the fasciae have been considered by the anatomists only as a "white envelope for the muscles", that is generally removed in anatomical tables, to recognize muscle nerves and vessels. This is one of the reasons that different descriptions of the fasciae exist. On the other hand, in the last years the fasciae and their properties are becoming of central importance to clinicians practicing in various conventional and alternative therapies. The results from the worldwide research activities constitute a body of significant and important data, but this clinical interest is not supported by in-depth comprehension to how integrate the new knowledge about fasciae with the classical biomechanical models based on muscles, tendons and bones. To close this gap an Ejtm Special on "Muscle Fascia" will be published September 30, 2019, but the typescripts will be added to the Ejtm Early Release list as soon as all authors will approve their Epub papers. Deadline for original articles and reviews is June 1st, 2019, but the Editors hope that authors submit their typescripts much earlier.
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Affiliation(s)
- Carla Stecco
- Department of Neurosciences, Section of Human Anatomy, University of Padova, Padova, Italy
| | - Raffaele De Caro
- Department of Neurosciences, Section of Human Anatomy, University of Padova, Padova, Italy
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Carraro U. 2019Spring PaduaMuscleDays: Translational Myology and Mobility Medicine. Eur J Transl Myol 2019; 29:8105. [PMID: 31019665 PMCID: PMC6460213 DOI: 10.4081/ejtm.2019.8105] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Accepted: 02/21/2019] [Indexed: 12/20/2022] Open
Abstract
A half-century tradition of skeletal muscles studies, started with a research on fever, is continuing under the auspices of the Interdepartmental Research Centre of Myology (CIR-Myo), Department of Biomedical Sciences, University of Padova, Italy, the A&C M-C Foundation for Translational Myology, Padova, Italy and the European Journal of Translational Myology (EJTM). This year an EJTM Special will be dedicated to Muscle Fascia, an under looked topic, which merits more attention. Furthermore, this year the 2019SpringPaduaMuscleDays: Translational Myology and Mobility Medicine, an International Conference, was held March 28-30, 2019 in Euganei Hills and Padova (Italy). The abstracts of the 2019SpPMD, that are reported in the Myology News of EJTM 29(1), 2019, are excellent examples of translational research. Their excellent contents are at the level needed for approval by Ethical Committees, International Granting Agencies, and Editors of international journals, thanks to the high scientific profiles of researchers and clinicians who are eager to present their results at the PaduaMuscleDays.
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Affiliation(s)
- Ugo Carraro
- Interdepartmental Research Centre of Myology (CIR-Myo), Department of Biomedical Sciences, University of Padova, Italy
- A&C M-C Foundation for Translational Myology, Padova, Italy
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