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Role of sensory and motor intensity of electrical stimulation on fibroblastic growth factor-2 expression, inflammation, vascularization, and mechanical strength of full-thickness wounds. Mohammad Reza Asadi, MSc; Giti Torkaman, PhD; Mehdi Hedayati, PhD; Mahmood Mofid, MSc. Aim
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Role of sensory and motor intensity of electrical stimulation on fibroblastic growth factor-2 expression, inflammation, vascularization, and mechanical strength of full-thickness wounds Mohammad Reza Asadi, MSc; Giti Torkaman, PhD; Mehdi Hedayati, PhD; Mahmood Mofid, MSc
Aim • Evaluate effect of sensory and motor intensities of cathodal current on fibroblastic growth factor-2 (FGF-2) release at wound site and biomechanical and histological properties of healed skin. • Relevance • Wound healing is complex biological process requiring interactions between cells. • Growth factors have key role in regulating these interactions.
Method • 96 healthy, male Sprague-Dawley rats randomized to 1 of 3 groups: • Sensory electrical stimulation (ES) • 600 µA of DC applied 1 h/d every other day for 3, 7, or 21 days. • Motor ES • 2.5 to 3 mA monophasic pulsed current with 300 μs pulse duration and 100 Hz frequency applied 1 h/d every other day for 3, 7, or 21 days. • Control • Electrodes placed but no current delivered.
Results • FGF-2 levels in skin wound tissue: • Day 3 • Significantly higher in sensory group than motor and control groups. • Significantly lower in motor group than control group. • Day 7: • Significantly lower in motor group than control group. • No significant difference between sensory and control groups.
Results • Histological Results: • PNL proliferation: Lower in sensory than motor and control groups on days 3 & 7. • Mast cells: Significantly more in motor group than in sensory and control groups on day 3. • New blood vessels: Significantly more in motor group than control group on day 3. • Biomechanical Results: • Day 21: Motor group had highest percent of normalized stiffness and strength (but no significant difference between groups).
Conclusion • Sensory ES during early wound healing releases angiogenic factors and decreases duration of inflammation. • Motor ES during late stage of healing produces better results on collagen density and biomechanical properties of healed wound. • Different intensities of ES should likely be applied for different stages of healing to obtain optimal effects.