Alayat Mohamed Salaheldien Mohamed, Basalamah Mohammad Abubakar, Elbarrany Wagih Gamal Eldin Abd-Elghany, El Sawy Naser Ahmed Mahmoud, Abdel-Kafy Ehab Mohamed
Physical Therapy Department, Faculty of Applied Medical Science, Umm Al-Qura University: 4888 Bathaa Qurish, Mecca, Mecca 21955, Saudi Arabia.
Department of Pathology, Faculty of Medicine, Umm Al-Qura University, Saudi Arabia.
J Phys Ther Sci. 2021 Jul;33(7):549-553. doi: 10.1589/jpts.33.549. Epub 2021 Jul 1.
[Purpose] To investigate the efficacy of the multi-wave locked system laser therapy on the regeneration of peripheral nerve injuries by evaluating the functional, electrophysiological, and morphological changes of the crushed sciatic nerve in Wistar rats. [Materials and Methods] Sixty male Wistar rats (200-250 g) were randomly assigned to control negative, control positive, or laser groups and subjected to no laser therapy or crushing, to crushing without laser therapy, or crushing followed by multi-wave locked system laser therapy five times/week for four weeks (power=1 W, energy density=10 J/cm, total energy=100 J), respectively. Functional, electrophysiological, and morphometric analyses were performed before and 7, 15, 21, and 28 days after crushing. The sciatic functional index, compound motor action potential amplitude, motor nerve conduction velocity, and nerve and myelin sheath diameters were measured. [Results] The sciatic functional index value decreased significantly, while the compound motor action potential amplitude, motor nerve conduction velocity, nerve diameter, and myelin sheath diameter increased significantly in the laser group post-treatment compared to the values in the control groups. [Conclusion] Multi-wave locked system laser therapy was effective in accelerating the regeneration of crushed sciatic nerves in Wistar rats.
[目的] 通过评估Wistar大鼠坐骨神经挤压伤后的功能、电生理和形态学变化,研究多波长锁定系统激光疗法对周围神经损伤再生的疗效。[材料与方法] 将60只雄性Wistar大鼠(200 - 250 g)随机分为对照阴性组、对照阳性组或激光组,分别接受无激光治疗或挤压、挤压后无激光治疗、挤压后每周5次多波长锁定系统激光治疗,共4周(功率 = 1 W,能量密度 = 10 J/cm,总能量 = 100 J)。在挤压前以及挤压后7、15、21和28天进行功能、电生理和形态学分析。测量坐骨神经功能指数、复合运动动作电位幅度、运动神经传导速度以及神经和髓鞘直径。[结果] 与对照组相比,激光组治疗后坐骨神经功能指数值显著降低,而复合运动动作电位幅度、运动神经传导速度、神经直径和髓鞘直径显著增加。[结论] 多波长锁定系统激光疗法可有效促进Wistar大鼠坐骨神经挤压伤的再生。