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不同能量密度低强度激光治疗大鼠坐骨神经功能恢复的评估。一项实验研究:激光对大鼠功能恢复的影响

Assessment of functional recovery of sciatic nerve in rats submitted to low-level laser therapy with different fluences. An experimental study: laser in functional recovery in rats.

作者信息

Marcolino Alexandre Marcio, Barbosa Rafael Inácio, das Neves Lais Mara Siqueira, Mazzer Nilton, de Jesus Guirro Rinaldo Roberto, de Cássia Registro Fonseca Marisa

机构信息

Post-Graduation Progamme Rehabilitation and Functional Performance, Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP Brazil ; Departamento de Biomecânica, Medicina e Reabilitação do Aparelho Locomotor, FMRP-USP, Av; Bandeirantes, 3900, CEP 14049-900 Ribeirão Preto, SP Brazil.

Post-Graduation Progamme Rehabilitation and Functional Performance, Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP Brazil.

出版信息

J Hand Microsurg. 2013 Dec;5(2):49-53. doi: 10.1007/s12593-013-0096-0. Epub 2013 Apr 25.

Abstract

Peripheral nerve lesions caused sensory and motor deficits along the distribution of the injured nerve. Numerous researches have been carried out to enhance and/or accelerate the recovery of such lesions. The objective of this study was to assess the functional recovery of sciatic nerve in rats subjected to different fluences of low-level laser therapy (LLLT). Thirty-six animals were randomly divided into four groups: one consisting of sham rats and three others irradiated with progressive fluencies of 10 J/cm(2), 40 J/cm(2) and 80 J/cm(2) of laser AsGaAl (830 nm) for 21 consecutive days. They were evaluated by the Sciatic Functional Index (SFI) method. The crush injury was performed by using a portable device with dead weight of 5,000 g whose load was applied for 10 min. A digital camera was used to record the footprints left on the acrylic track, before surgery and after, on the 7th, 14th, and 21st days. The results also showed that on the 7th day, there was a difference between the groups irradiated with 40 J/cm(2), when compared with the sham group (p < 0.05). On the 14th day the groups irradiated with 40 J/cm(2) and 80 J/cm(2) also presented better results when compared with sham, however, on the 21st day, no inter-group difference was found (p > 0.05). It was possible to observe that the LLLT at fluency of 40 J/cm(2) and 80 J/cm(2) had a positive influence on the acceleration of the functional nerve recovery.

摘要

周围神经损伤会导致沿受损神经分布区域出现感觉和运动功能障碍。人们已经开展了大量研究来促进和/或加速此类损伤的恢复。本研究的目的是评估不同能量密度的低强度激光疗法(LLLT)对大鼠坐骨神经功能恢复的影响。36只动物被随机分为四组:一组为假手术组,另外三组分别用能量密度逐渐增加的10 J/cm²、40 J/cm²和80 J/cm²的砷化镓铝(830 nm)激光连续照射21天。采用坐骨神经功能指数(SFI)法对它们进行评估。使用一个自重5000 g的便携式装置施加10分钟的负荷来造成挤压损伤。在手术前以及术后第7天、第14天和第21天,使用数码相机记录留在丙烯酸轨道上的脚印。结果还显示,在第7天,与假手术组相比,接受40 J/cm²照射的组存在差异(p < 0.05)。在第14天,与假手术组相比,接受40 J/cm²和80 J/cm²照射的组也呈现出更好的结果,然而,在第21天,未发现组间差异(p > 0.05)。可以观察到,能量密度为40 J/cm²和80 J/cm²的LLLT对神经功能恢复的加速有积极影响。

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