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超短波治疗对兔膝关节伸直挛缩模型关节功能障碍和肌肉萎缩的影响:肌源性分化表达增强

Effect of ultrashort wave treatment on joint dysfunction and muscle atrophy in a rabbit model of extending knee joint contracture: Enhanced expression of myogenic differentiation.

作者信息

Wang Feng, Zhang Quan Bing, Zhou Yun, Liu A Ying, Huang Peng Peng, Liu Yi

机构信息

Department of Rehabilitation Medicine, The Second Hospital of Anhui Medical University, Hefei, China.

Department of Rehabilitation Medicine, The Second Hospital of Anhui Medical University, Hefei, China.

出版信息

Knee. 2020 Jun;27(3):795-802. doi: 10.1016/j.knee.2020.02.013. Epub 2020 Mar 19.

Abstract

OBJECTIVE

To investigate the effects of ultrashort wave treatment on joint dysfunction and muscle atrophy in a rabbit model of extending knee joint contracture.

METHODS

Forty rabbits were randomly divided into eight groups. In group C, the left knee joint was not fixed. In group I-8, the left knee joint was only fixed for eight weeks. In groups R-1, R-2, and R-4, the left knee joint was fixed for eight weeks before the rabbits underwent one, two, and four weeks of self-recovery, respectively. In groups T-1, T-2, and T-4, the left knee joint was fixed for eight weeks before the rabbits underwent one, two, and four weeks of ultrashort wave treatment, respectively. The degree of total contracture and myogenic contracture were measured, the cross-sectional area (CSA) and protein levels for myogenic differentiation (MyoD) of the rectus femoris were evaluated.

RESULTS

There was a tendency toward a reduced degree of total and myogenic contracture, and also a tendency toward an increased CSA of the rectus femoris and increased protein levels for MyoD after both self-recovery and ultrashort wave treatment. The ultrashort wave was more effective than self-recovery in reducing the total and myogenic contracture, and increasing the CSA and MyoD protein levels of the rectus femoris.

CONCLUSIONS

Ultrashort wave treatment may ameliorate joint dysfunction and muscle atrophy by upregulating the expression of MyoD protein in a rabbit model of extending knee joint contracture.

摘要

目的

探讨超短波治疗对伸直型膝关节挛缩兔模型关节功能障碍和肌肉萎缩的影响。

方法

40只兔随机分为8组。C组左膝关节不固定;I-8组左膝关节仅固定8周;R-1、R-2和R-4组左膝关节固定8周后,分别自行恢复1、2和4周;T-1、T-2和T-4组左膝关节固定8周后,分别接受1、2和4周的超短波治疗。测量总挛缩和肌源性挛缩程度,评估股直肌的横截面积(CSA)和肌源性分化蛋白(MyoD)水平。

结果

自行恢复和超短波治疗后,总挛缩和肌源性挛缩程度均有减轻趋势,股直肌CSA和MyoD蛋白水平均有升高趋势。超短波在减轻总挛缩和肌源性挛缩、增加股直肌CSA和MyoD蛋白水平方面比自行恢复更有效。

结论

在伸直型膝关节挛缩兔模型中,超短波治疗可能通过上调MyoD蛋白表达改善关节功能障碍和肌肉萎缩。

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