The effect of electrical stimulation by bipolar-pulse microcurrents on regeneration processes in experiment and clinic
Nina N. Lazarenko , Marina I. Shemshuk , Marina Yu. Gerasimenko , Zhanna G. Tigay
Russian Journal of Physiotherapy, Balneology and Rehabilitation ›› 2019, Vol. 18 ›› Issue (6) : 360 -366.
The effect of electrical stimulation by bipolar-pulse microcurrents on regeneration processes in experiment and clinic
Objective. The purpose of this study is to study the effect of electrical stimulation by bipolar-pulsed microcurrents: in an experiment on lymphatic drainage of a marker from the mesentery of mice and in the clinic on patients with hypertrophic scars in the face.
Materials and methods. In the experiment, the rate of resorption of the marker from the mesentery of mice (n = 10) receiving the “placebo” procedure and mice (n = 10) receiving the course of electrical stimulation with bipolar-pulsed microcurrents were measured under a light microscope. In addition, the clinic observed patients aged 18 to 60 years (n = 100), with hypertrophic scars in the face area that arose for various reasons. Of these, the 1st (control) group of patients (n = 10) received only one standard drug therapy, and the 2nd (main) group (n = 90) additionally received electrical stimulation with bipolar-pulsed microcurrents in the face area.
Results. The experiment showed that the rate of resolution of the marker in the mesentery of the intestines of mice after a course of electrical stimulation was greater than in mice treated with the placebo procedure. In a clinical study in patients in the 2nd (main) group after a course of electrical stimulation, on the background of drug therapy, better results were achieved on the Vancouver Scar Scale and in a shorter time period than in patients in the 1st (control) group who received drug therapy . The greater effectiveness of the results in patients in the 2nd (main) group was confirmed by the data of statistical regression analysis.
Conclusions. The results of this experiment showed that electrical stimulation by bipolar-pulsed microcurrents accelerates lymphatic drainage in the mesentery of the intestines of mice. In a clinical study, the use of electrical stimulation with bipolar-pulsed microcurrents in patients with hypertrophic scars in the face region in the 2nd group showed high efficiency and the transition of hypertrophic scars to normotrophic ones in earlier periods.
electrical stimulation / microcurrents / lymphatic drainage / hypertrophic scars
| [1] |
Krasnov MS, Yamskova VP, Margasyuk DV, et al. The study of a new group of bioregulators isolated from large plantain. Prikladnaya biokhimiya i mikrobiologiya. 2011;47(2):146-153. (In Russ.) |
| [2] |
Краснов М.С., Ямскова В.П., Маргасюк Д.В., и др. Изучение новой группы биорегуляторов, выделенных из подорожника большого // Прикладная биохимия и микробиология. 2011. Т. 47. № 2. С. 146–153. |
| [3] |
Shaykhaliev AI, Alekseeva SR. Therapeutic and restorative effectiveness of Anahit cream in combination with the antiseptic Anolyte for purulent-inflammatory processes in surgical practice. Russian Journal of Dentistry. 2012;(4):38-42. (In Russ.) |
| [4] |
Шайхалиев А.И., Алексеева С.Р. Лечебно-восстановительная эффективность крема Анаит в комплексе с антисептиком Анолит при гнойно-воспалительных процессах в хирургической практике // Российский стоматологический журнал. 2012. № 4. С. 38–42. |
| [5] |
Chepurnenko MN. Sources of post-traumatic regeneration of skin epithelium. Geny i kletki. 2006;(2):29-31. (In Russ.) |
| [6] |
Чепурненко М.Н. Источники посттравматической регенерации эпителия кожи // Гены и клетки. 2006. № 2. С. 29–31. |
| [7] |
Fomchenko NE, Voropaev EV. Biological aspects of apoptosis (literature review). Problemy zdorov’ya i ekologii. 2013;1(35):39-45. (In Russ.) |
| [8] |
Фомченко Н.Е., Воропаев Е.В. Биологические аспекты апоптоза (обзор литературы) // Проблемы здоровья и экологии. 2013. Т. 35. № 1. С. 39–45. |
| [9] |
Zeng W, Wang X, Xu P, et al. Molecular imaging of apoptosis: from micro to macro. Theranostics. 2015;5(6):559-582. doi: 10.7150/ thno.11548. |
| [10] |
Zeng W., Wang X., Xu P., et al. Molecular imaging of apoptosis: from micro to macro // Theranostics 2015. Vol. 5. No. 6. Р. 559–582. http://dx-doi-org/10.7150/thno.11548. |
| [11] |
Bgatova NP, Borodin YuM, Pavlenko OYu, et al. The role of the lymphatic system in the regulation of intracorporeal water circulation in case of burn injury. The Bulletin of Siberian Branch of Russian Academy of Medical Sciences. 2007;(2):107-113. (In Russ.) |
| [12] |
Бгатова Н.П., Бородин Ю.М., Павленко О.Ю., и др. Роль лимфатической системы в регуляции интракорпорального кругооборота воды при ожоговой травме // Бюллетень СО РАМН. 2007. № 2. С. 107–113. |
| [13] |
Kovaleva LN. Clinical and morphological parallels in patients with cicatricial pathology. Dermatologiya. Kosmetologiya. Seksopatologiya. 2016;(1-4):108-117. (In Russ.) |
| [14] |
Ковалёва Л.Н. Клинико-морфологические параллели у пациентов с рубцовой патологией кожи // Дерматология.Косметология. Сексопатология. 2016. Т.1. № 4 . С. 108–117. |
| [15] |
Mustoe TA, Cooter RD, Gold MH, et al. International Advisory Panel on Scar Management. International clinical recommendations on scar management. Plast. Reconstr. Surg. 2002; 110(6):560-71. doi: 10.1097/00006534-200208000-00031. |
| [16] |
Mustoe T.A., Cooter R.D., Gold M.H., et al. International Advisory Panel on Scar Management. International clinical recommendations on scar management // Plast. Reconstr. Surg. 2002. Vol. 110. No. 6. P. 560–71. doi: 10.1097/00006534-200208000-00031. |
| [17] |
Zdravookhranenie v Rossii. 2019: Statisticheskiy sbornik Rosstat. Moscow; 2019:170. (In Russ.) |
| [18] |
Здравоохранение в России. 2019: Статистический сборник Росстат. М., 2019. С. 170. |
| [19] |
Pomerantsev ON, Potekaev NN. Morbidity diseases of the skin and subcutaneous tissue as a medical and social problem. Klinicheskaya dermatologiya i venerologiya. 2013;(6):4-6. (In Russ.) |
| [20] |
Померанцев О.Н., Потекаев Н.Н. Заболеваемость населения болезнями кожи и подкожной клетчатки как медико-социальная проблема // Клиническая дерматология и венерология. 2013. № 6. С. 4–6. |
| [21] |
Lazarenko NN, Gerasimenko MYu, Butenko DYu. Electropulse therapy in the complex treatment of patients with youthful acne. Almanac of Clinical Medicine. 2008;(19):31-36. (In Russ.) |
| [22] |
Лазаренко Н.Н., Герасименко М.Ю., Бутенко Д.Ю. Электроимпульсная терапия в комплексном лечении больных с юношескими угрями // Альманах клинической медицины. 2008. № 19. С. 31–36. |
| [23] |
Clark AK, Saric S, Sivamani RK. Scars: How Do We Grade Them? Am J Clin Dermatol. 2018;19(2):139-144. doi: 10.1007/s40257-017-0321-x. |
| [24] |
Clark A.K., Saric S., Sivamani R.K. Scars: How Do We Grade Them? // Am J Clin Dermatol. 2018. Vol. 19. No. 2. P. 139–144. doi: 10.1007/s40257-017-0321-x. |
| [25] |
Boen M, Jacob C. A Review and Update of Treatment Options Using the Acne Scar Classification System. Dermatol Surg. 2019;Mar;45(3):411-422. doi: 10.1097/DSS.0000000000001765. |
| [26] |
Boen M., Jacob C. A Review and Update of Treatment Options Using the Acne Scar Classification System // Dermatol Surg. 2019. Vol. 45. No. 3. P. 411-422. doi:10.1097/DSS.0000000000001765. |
| [27] |
Kovaleva LN. A modern differentiated approach to the complex treatment and prevention of skin scars of various etiologies. Dermatovenerologiya. Kosmetologiya. Seksopatologiya. 2016;(1-4):188-198. (In Russ.). |
| [28] |
Ковалёва Л.Н. Современный дифференцированный поход к комплексному лечению и профилактике рубцов кожи разной этиологии // Дерматовенерология. Косметология. Сексопатология. 2016. Т. 1. № 4. С. 188–198. |
| [29] |
Rodionova OM, Glebov VV, Artamonova EV, Butenin MA, Anikina EV. The effect of plant homeopathic monopreparations on the rate of lymphatic drainage of tissues of healthy mice. Bulletin of Experimental Biology and Medicine. 2016;(6):740-742. (In Russ.) |
| [30] |
Родионова О.М., Глебов В.В., Артамонова Е.В., Бутенин М.А., Аникина Е.В. Влияние растительных гомеопатических монопрепаратов на скорость лимфатического дренажа тканей здоровых мышей // Бюллетень экспериментальной биологии и медицины. 2016. № 6. С. 740–742. |
| [31] |
Filatova IA, Romanova IA. The first experience of applying the method of laser Doppler flowmetry in assessing the state of scars in different periods. Vestnik of the Orenburg State University. 2010;118-2(12):234-235. (In Russ.) |
| [32] |
Филатова И. А., Романова И.А. Первый опыт применения метода лазерной допплеровской флоуметрии в оценке состояния рубцов в различные сроки // Вестник Оренбургского государственного университета. 2010. Т. 118-2. № 12. С. 234–235. |
| [33] |
Snarskaya ES, Korneva LV, Kryazheva SS. Complex therapy of cicatricial changes in the skin with the use of enzyme preparations. Russian Journal of Skin and Venereal Diseases. 2012;(2):28-32. (In Russ.) |
| [34] |
Снарская Е.С., Корнева Л.В., Кряжева С.С. Комплексная терапия рубцовых изменений кожи с применением ферментных препаратов // Российский журнал кожных и венерических болезней. 2012. № 2. С. 28 –32. |
| [35] |
Lebedeva AI, Muslimov SA, Musina LA. Experimental modeling of the process of chronic inflammation and fibrosis. Biomeditsina. 2013;(4):114-123. (In Russ.) |
| [36] |
Лебедева А.И., Муслимов С.А., Мусина Л.А. Экспериментальное моделирование процесса хронического воспаления и фиброза // Биомедицина. 2013. № 4. С. 114–123. |
| [37] |
Kondakov AV, Borodina ME, Andrianov OV, Rozhkova NI. Diagnostics of radiation injuries and rehabilitation of patients after combined treatment of malignant neoplasms of the mammary gland. Research’n Practical Medicine Journal. 2016;(1):558-560. (In Russ.) |
| [38] |
Кондаков А.В., Бородина М.Е., Андрианов О.В., Рожкова Н.И. Возможности диагностики лучевых поражений и реабилитации пациентов после комбинированного лечения злокачественных новообразований молочной железы // Research’n Practical Medicine Journal. 2016. № 1. С. 558–560. |
| [39] |
Cheng N, Jeschke MG, Sheikholeslam M, Datu AK, et al. Promotion of dermal regeneration using pullulan/gelatin porous skin substitute. J Tissue Eng Regen Med. 2019;13(11):1965-1977. doi: 10.1002/term.2946. |
| [40] |
Cheng N., Jeschke M.G., Sheikholeslam M., et al. Promotion of dermal regeneration using pullulan/gelatin porous skin substitute // J Tissue Eng Regen Med. 2019. Vol. 13. No. 11. P. 1965–1977. doi: 10.1002/term.2946. |
| [41] |
Swartz MA. The Physiology of the Lymphatic System. Adv Drug Deliv Rev. 2001;50(1-2):3-20. doi: 0.1016/s0169-409x(01)00150-8. |
| [42] |
Swartz M.A. The Physiology of the Lymphatic System // Adv Drug Deliv Rev. 2001. Vol. 50. No. 1-2. P. 3–20. doi: 0.1016/s0169-409x(01)00150-8. |
| [43] |
Breslin JW, Yang Y, Scallan JP, et al. Lymphatic Vessel Network Structure and Physiology. Compr Physiol. 2018;9(1):207-299. doi: 10.1002/cphy.c180015. |
| [44] |
Breslin J.W., Yang Y, Scallan J.P., et al. Lymphatic Vessel Network Structure and Physiology // Compr Physiol. 2018. Vol. 9. No. 1. P. 207–299. doi: 10.1002/cphy.c180015. |
| [45] |
Borisov AV, Bubnova NA, Borisova RP. The significance of lymphangion as a structural and functional unit in the new theory of the structure and function of the lymphatic system. The Scientific Notes of the I.P. Pavlov St. Petersburg State Medical University. 2009;16(3):81-84. (In Russ.) |
| [46] |
Борисов А.В., Бубнова Н.А., Борисова Р.П. Значение лимфангиона как структурно-функциональной единицы в новой теории структуры и функции лимфатической системы // Ученые записки СПбГМУ им. И.П. Павлова. 2009. Т. 16. № 3. С. 81–84. |
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