Department of Clinical Acupuncture and Moxibustion, Meiji University of Integrative Medicine, Kyoto, Japan.
Faculty of Health and Sports Sciences, Doshisha University, Kyotanabe, Japan.
Acupunct Med. 2018 Oct;36(5):327-332. doi: 10.1136/acupmed-2016-011292. Epub 2018 Apr 19.
In this study we examined the effect of electroacupuncture (EA) stimulation on the mechanical strength of the rat Achilles tendon after long-term recovery.
Using 20 rats, an Achilles tendon rupture model was created in an invasive manner. The rats were assigned to one of three groups, that received EA treatment (EA group), minimal acupuncture (MA group) or remained untreated (Control group). In the EA group, EA stimulation (5 ms, 50 Hz, 20 µA, 20 min) was applied to the rupture region over a period of 90 days (five times/week). In the MA group, needles were inserted into the same positions as in the EA group but no electrical current was applied. After 90 days the tendon was measured to calculate the cross-sectional area of the rupture region. Then, the mechanical strength of the tendon was measured by tensile testing.
No significant differences were observed between the three groups in cross-sectional area of the injured tendon. For maximum breaking strength, the EA group showed a significantly higher threshold compared with the Control group (P<0.05) but not the MA group (P=0.24). No significant difference was seen between the MA group and the Control group (P=0.96).
Given the EA group showed a significant increase in maximum breaking strength, it is likely that EA stimulation increases the mechanical strength of a repaired tendon after long-term recovery, and EA stimulation could be useful for preventing re-rupture.
本研究旨在探讨电针(EA)刺激对大鼠跟腱长期恢复后力学强度的影响。
采用 20 只大鼠,采用侵入性方法建立跟腱断裂模型。将大鼠分为三组,分别接受 EA 治疗(EA 组)、微针刺(MA 组)或不治疗(对照组)。在 EA 组中,在 90 天(每周 5 次)的时间内对断裂区域进行 EA 刺激(5 ms,50 Hz,20 µA,20 分钟)。在 MA 组中,将针刺入与 EA 组相同的位置,但不施加电流。90 天后测量肌腱以计算断裂区域的横截面积。然后,通过拉伸试验测量肌腱的力学强度。
三组大鼠受伤肌腱的横截面积无显著差异。对于最大断裂强度,EA 组的阈值明显高于对照组(P<0.05),但与 MA 组无差异(P=0.24)。MA 组与对照组之间无显著差异(P=0.96)。
由于 EA 组的最大断裂强度显著增加,EA 刺激可能会增加长期恢复后修复肌腱的力学强度,EA 刺激可能有助于防止再断裂。