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A multidisciplinary approach to the study of peripheral nerve regeneration in the cat has been presented. The purpose of this work has been to determine if pulsing electromagnetic field (PEMF) therapy can enhance peripheral nerve regeneration after injury. In equal groups of animals, two types of pulsing electromagnetic field treatment were compared with untreated controls.
All animals underwent quantitative electrophysiologic and morphologic assessment at the area of injury. In addition, muscle fibre sizing in the periphery and retrograde labeling of anterior horn motoneurons with horseradish peroxidase were studied. Results have shown no statistical differences between the groups in electrophysiologic or morphologic parameters. However, in animals treated with a pulse-burst electromagnetic field there was a statistically significant improvement in the labelling and localization of anterior horn cells in the central nervous system.
These results
indicate that pulse-burst electromagnetic radiation can increase the
numbers of motor neurons that re-establish appropriate connections
to the periphery after nerve injury. Orgel MG,
Orgel MG, O'Brien WJ, Murray H. Plast Reconstr Surg
OBJECTIVE: The purpose of this study was to determine the effect of pulsed electromagnetic field (PEMF) exposure on healing tibial osteotomies in New Zealand White rabbits. DESIGN: One-millimeter Gigli saw osteotomies were stabilized by external fixation.
One day after surgery, rabbits were randomly assigned to receive either no exposure (sham control) or thirty minutes or sixty minutes per day of low-frequency, low-amplitude PEMF. Radiographs were obtained weekly throughout the study. Rabbits were euthanized at fourteen, twenty-one, or twenty-eight days, and tibiae underwent either destructive torsional testing or histologic analysis. To determine the baseline torsional strength and stiffness of rabbit tibiae, eleven normal intact tibiae were tested to failure.
RESULTS: Sixty-minute PEMF-treated osteotomies had significantly higher torsional strength than did sham controls at fourteen and twenty-one days postoperatively. Thirty-minute PEMF-treated osteotomies were significantly stronger than sham controls only after twenty-one days. Normal intact torsional strength was achieved by fourteen days in the sixty-minute PEMF group, by twenty-one days in the thirty-minute PEMF group, and by twenty-eight days in the sham controls. Maximum fracture callus area correlated with the time to reach normal torsional strength.
CONCLUSION: In this animal model,
low-frequency, low-amplitude PEMF significantly accelerated callus
formation and osteotomy healing in a dose-dependent manner.
Fredericks D. et.al. Uni of Iowa College of Medicine, J Orthop
Trauma
Pulsed electromagnetic fields (PEMF) are successfully employed in
the treatment of a variety of orthopaedic conditions, particularly
delayed and nonunion fractures. In this study, we examined PEMF
effects on in vitro osteogenesis by bone nodule formation and on
mRNA expression of bone morphogenetic proteins 2 and 4 by
reverse-transcriptase polymerase chain reaction (RT-PCR) in cultured
rat calvarial osteoblasts. PEMF exposure induced a significant
increase in both the number (39% over unexposed controls) and size
(70% larger compared to unexposed controls) of bone-like nodules
formed. PEMF also induced an increase in the levels of BMP-2 and
BMP-4 mRNA in comparison to controls. This effect was directly
related to the duration of PEMF exposure. This study shows that
clinically applied PEMF have a reproducible osteogenic effect in
vitro and simultaneously induce BMP-2 and -4 mRNA transcription.
This supports the concept that the two effects are related.
Bodamyali T. et.al. Postgraduate Medicine, Uni of Bath, UK
Biochem Biophys Res Commun
We report the effects of pulsed electromagnetic fields (PEMFs) on the responsiveness of osteoclasts to cellular, hormonal, and ionic signals. Osteoclasts isolated from neonatal rat long bones were dispersed onto either slices of devitalised cortical bone (for the measurement of resorptive activity) or glass coverslips (for the determination of the cytosolic free Ca2+ concentration, [Ca2+]). Osteoclasts were also cocultured on bone with osteoblastlike, UMR-106 cells. Bone resorption was quantitated by scanning electron microscopy and computer-assisted morphometry. PEMF application to osteoblast-osteoclast cocultures for 18 hr resulted in a twofold stimulation of bone resorption. In contrast, resorption by isolated osteoclasts remained unchanged in the presence of PEMFs, suggesting that osteoblasts were necessary for the PEMF-induced resorption simulation seen in osteoblast-osteoclast cocultures. Furthermore, the potent inhibitory action of the hormone calcitonin on bone resorption was unaffected by PEMF application.
However, PEMFs completely reversed another quite distinct action of calcitonin on the osteoclast: its potent inhibitory effect on the activation of the divalent cation-sensing (or Ca2+) receptor. For these experiments, we made fura 2-based measurements of cytosolic [Ca2+] in single osteoclasts in response to the application of a known Ca2+ receptor agonist, Ni2+. We first confirmed that activation of the osteoclast Ca2+ receptor by Ni2+ (5 mM) resulted in a characteristic monophasic elevation of cytosolic [Ca2+].
As shown previously, this
response was attenuated strongly by calcitonin at concentrations
between 0.03 and 3 nM but remained intact in response to PEMFs. PEMF
application, however, prevented the inhibitory effect of calcitonin
on Ni2+-induced cytosolic Ca2+ elevation. This suggested that the
fields disrupted the interaction between the calcitonin and Ca2+
receptor systems. In conclusion, we have shown that electromagnetic
fields stimulate bone resorption through an action on the osteoblast
and, by abolishing the inhibitory effects of calcitonin, also
restore the responsiveness of osteoclasts to divalent cations.
Shankar V. et.al. Center for Osteoporosis and Skeletal Aging,
Philadelphia J Cell Physiol
Electromagnetic fields are now being used in many diseases such as osseous, ligamental, cartilaginous, or nervous reparation, diabetes, and myocardial or cerebral ischemia. Although many publications show the usefulness of magneto-therapy, discrepancies exist about the utility of electromagnetic fields in skin wound healing. The objective of this work was to study the effect of pulsed electromagnetic fields on wound healing in rats.
Twenty-two male Wistar rats were used; a circular lesion was made in the back of each animal. They were divided into three groups: group C (control) with sham treatment (n = 8), group NF, treated with topical nitrofurazone solution (n = 7), and group PEMF, treated with pulsed electromagnetic fields of 20 mT (n = 7). The treatments were 35 minutes twice a day. The absolute and relative values of the area and perimeter of the wounds showed significantly lower values in the PEMF group at days 7, 14, and 21 compared with those in group C (p < 0.01, analysis of variance), whereas the PEMF group showed significantly lower values at day 21 only compared with the NF group (p < 0.01, analysis of variance).
The results suggest a significant
beneficial stimulation in the wound healing process in rats treated
with PEMF, which could lead to the development of a practical tool
for research and clinical use.
Patino O. et.al. Postgraduate Reconstr. and Plastic Surgery, Uni
del Salvador J Burn Care Rehabil
Previous studies showed that exposure to pulsed electromagnetic fields (PEMF) produced a 22% increase in the axonal regeneration rate during the first 6 days after crush injury in the rat sciatic nerve. We used the same injury model to assess the effect on functional recovery. The animals were treated with whole body exposure to PEMF (0.3 mT, repetition rate 2 Hz) for 4 h/day during Days 1-5 while held in plastic restrainers. Functional recovery was serially assessed up to Postinjury Day 43 using recently described video imaging of the 1-5 toe spread and the gait-stance duration.
Footprint analysis was also used with calculation of a sciatic
function index. Those animals treated with PEMF had improved
functional recovery, as compared to sham controls, using the tests
for video 1-5 toe spread and gait-stance duration (P = 0.001 and P =
0.081, respectively). This effect was found throughout the 43-day
recovery period. No effect was found using the sciatic function
index. This study confirms that functional recovery after nerve
crush lesion is accelerated by PEMF and has broad implications for
the clinical use of these fields in the management of nerve
injuries.
Walker J. et.al. Orthopaedic Surgery, Uni of Kentucky Exp Neurol
The present experiment was designed to find out whether PEMF can act as a healing agent on induced fracture of rat tibia. Eighty rats were taken for this experiment. Under general anaesthesia mid-shaft of tibia and fibula of all rats were osteotomied, Intramedullary nailing was done for proper alignment of the fractured fragments. The animals were then divided into two groups: group-1 and Group-II.
Each group contained forty animals. Out of these forty animals twenty were treated as experimental and twenty as control. From the third day of osteotomy, PEMF was applied to experimental rats around the osteotomy sites for a period of nine hours a day. PEMF was not applied to the control rats.
The animals of group-1 and group-II were sacrificed after applied one week and three weeks of PEMF, respectively. Radiological and microscopical examination of the callus were performed. Gross and microscopic measurements of the callus were statistically analysed. The growth of callus was taken as a criterion of fracture healing. The results of the present experiment revealed significant enhancement of fracture healing in group-I.
The results of the radiological evaluation of group-II
experimental animals were also consistent with the morphological
analysis. It was concluded that healing of fractured rat tibia was
enhanced by the application of PEMF and this effect of PEMF was more
pronounced at the end of third week.
Sarker A. et.al. Dep. of Path., Okayama Uni, Japan. Bangladesh
Med Res Counc Bull
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