经皮神经电刺激疗法(Tecar 疗法)对股二头肌和股四头肌康复是否有效?一项尸体研究。

Is Tecar Therapy Effective on Biceps Femoris and Quadriceps Rehabilitation? A Cadaveric Study.

机构信息

Facultad de Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya, Barcelona,Spain.

ACTIUM Functional Anatomy Group, Barcelona,Spain.

出版信息

J Sport Rehabil. 2022 Apr 1;31(6):756-763. doi: 10.1123/jsr.2021-0458. Print 2022 Aug 1.

Abstract

BACKGROUND

Capacitive-resistive electric transfer therapy is an interesting rehabilitation treatment to use in musculoskeletal injuries. The purpose is to analyze the temperature change and current flow in superficial and deep biceps femoris and quadriceps tissues when applying different protocols of capacitive-resistive electric transfer therapy.

METHODS

Five cryopreserved cadavers (10 legs) were included in this study. Four interventions (high/low power) were performed for 5 minutes. Dynamic movements were performed to the biceps femoris and quadriceps. Superficial, middle, and deep temperature were recorded at 1-minute intervals and 5 minutes after the treatment using invasive temperature meters placed with ultrasound guidance.

RESULTS

Low-power applications have generated a very low thermal effect and an important current flow. The high-power capacitive application achieves a greater increase in superficial temperature compared with low power (P < .001). The high-power resistive application recorded a greater increase in superficial, middle, and deep temperatures with a greater current flow compared with the other applications (P < .001).

CONCLUSION

This study could serve as basic science data to justify the acceleration of the processes of muscle recovery, improving cell proliferation without increasing the temperature in acute muscle injuries and increasing the temperature and viscoelasticity of the tissues in chronic processes with this therapy.

摘要

背景

电容电阻电传递疗法是一种有趣的康复治疗方法,可用于治疗肌肉骨骼损伤。目的是分析在应用电容电阻电传递疗法的不同方案时,肱二头肌和股四头肌的浅部和深部组织的温度变化和电流流动。

方法

本研究纳入了 5 具冷冻保存的尸体(10 条腿)。进行了 4 种干预(高/低功率),持续 5 分钟。对肱二头肌和股四头肌进行动态运动。使用超声引导下放置的侵入式温度计,在治疗后 1 分钟和 5 分钟时记录浅层、中层和深层的温度。

结果

低功率应用产生了非常低的热效应和重要的电流流动。与低功率相比,高功率电容应用可使浅层温度显著升高(P<0.001)。与其他应用相比,高功率电阻应用记录到浅层、中层和深层温度的显著升高和更大的电流流动(P<0.001)。

结论

这项研究可以为基础科学数据提供依据,证明该疗法可以加速肌肉恢复过程,促进细胞增殖,而不会增加急性肌肉损伤中的温度,同时增加慢性过程中的组织温度和粘弹性。

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