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电磁场对骨重塑的影响及机制:从临床到实验室

The effects and mechanisms of electromagnetic fields on bone remodeling: From clinical to laboratory.

作者信息

Liu Junyu, Ren Weihao, Wang Shenghang, Yang Jiancheng, Zhang Hao, Zeng Yuhong, Yin Dachuan, Shang Peng

机构信息

Research & Development Institute of Northwestern Polytechnical University in Shenzhen, Shenzhen, 518057, China.

School of Life Science, Northwestern Polytechnical University, Xi'an, 710072, China.

出版信息

J Orthop Translat. 2025 Mar 24;52:14-26. doi: 10.1016/j.jot.2025.03.003. eCollection 2025 May.


DOI:10.1016/j.jot.2025.03.003
PMID:40226335
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11986540/
Abstract

UNLABELLED: Electromagnetic fields (EMFs) are physical fields generated by electrically charged objects, and play a vital role in the growth and development of living organisms. Bone is a highly dynamic structure that undergoes a constant remodeling process. From 1962 to 1977, Bassett discovered the piezoelectric effect in bone tissue and found that EMFs accelerated osteogenesis, promoted tibial fracture healing in dogs, and had positive effects in clinical trials. Since then, EMFs have been increasingly studied in bone remodeling disorders as a non-invasive physical therapy. This review summarizes clinical trials and laboratory studies on EMF interventions in bone remodeling disorders over the past few decades, outlining the effects of EMFs on various bone cells and their underlying molecular mechanisms. In addition, we propose issues in current studies and give an outlook on the research and application of EMFs as a non-invasive physical therapy. THE TRANSLATIONAL POTENTIAL OF THIS ARTICLE: This article systematically reviews the research ranging from biological and physical mechanisms to medical applications of EMFs on bone remodeling and related diseases, identifies key challenges in future basic research, and proposes new strategies for developing novel medical equipment and advancing clinical applications in this field. These insights contribute to the advancement of non-invasive physical therapies in orthopedics.

摘要

未标注:电磁场(EMFs)是由带电物体产生的物理场,在生物体的生长发育中起着至关重要的作用。骨骼是一种高度动态的结构,经历着持续的重塑过程。1962年至1977年期间,巴塞特发现了骨组织中的压电效应,并发现电磁场可加速成骨作用,促进犬胫骨骨折愈合,且在临床试验中具有积极效果。从那时起,电磁场作为一种非侵入性物理疗法,在骨重塑紊乱方面得到了越来越多的研究。这篇综述总结了过去几十年来关于电磁场干预骨重塑紊乱的临床试验和实验室研究,概述了电磁场对各种骨细胞的影响及其潜在的分子机制。此外,我们提出了当前研究中的问题,并对电磁场作为非侵入性物理疗法的研究与应用进行了展望。 本文的转化潜力:本文系统回顾了电磁场在骨重塑及相关疾病方面从生物和物理机制到医学应用的研究,确定了未来基础研究中的关键挑战,并提出了开发新型医疗设备和推进该领域临床应用的新策略。这些见解有助于推进骨科非侵入性物理疗法的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/1e8855502136/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/3de69b24f3a6/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/006f9c5bb201/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/1493fe4a7568/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/1e4dff4d2dce/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/44409b54d45c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/4199ef1b60dc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/1e8855502136/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/3de69b24f3a6/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/006f9c5bb201/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/1493fe4a7568/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/1e4dff4d2dce/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/44409b54d45c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/4199ef1b60dc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/11986540/1e8855502136/gr6.jpg

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[5]
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[6]
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[9]
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