1.Electroceuticals in Muscle Regeneration: Mechanisms and Therapeutic Potential
Clinical Pain 2024;23(2):66-72
Muscle regeneration is a complex process involving the activation, proliferation, and differentiation of muscle satellite cells following injury. Recent advancements in bioelectronic medicine have highlighted the potential of electroceuticals—therapies that use electrical stimulation to modulate biological systems—as a promising approach to enhance muscle repair and regeneration. In this review, we explore the mechanisms by which electrical stimulation influences muscle tissue regeneration, focusing on the modulation of cellular pathways such as myogenesis, angiogenesis, and inflammation. We also review the effects of various stimulation parameters, including frequency, intensity, and waveform, on muscle regeneration outcomes.Preclinical and clinical studies suggest that electroceutical interventions can accelerate recovery following muscle injury, enhance muscle strength, and reduce fibrosis. However, challenges remain in optimizing the stimulation protocols for different injury models and in translating these findings into widespread clinical applications. Further research is necessary to establish standardized treatment regimens and to understand the long-term effects of electroceutical therapy on muscle health. This review provides insights into the current status of electroceuticals in muscle regeneration and discusses future directions for improving therapeutic efficacy.
2.Electroceuticals in Muscle Regeneration: Mechanisms and Therapeutic Potential
Clinical Pain 2024;23(2):66-72
Muscle regeneration is a complex process involving the activation, proliferation, and differentiation of muscle satellite cells following injury. Recent advancements in bioelectronic medicine have highlighted the potential of electroceuticals—therapies that use electrical stimulation to modulate biological systems—as a promising approach to enhance muscle repair and regeneration. In this review, we explore the mechanisms by which electrical stimulation influences muscle tissue regeneration, focusing on the modulation of cellular pathways such as myogenesis, angiogenesis, and inflammation. We also review the effects of various stimulation parameters, including frequency, intensity, and waveform, on muscle regeneration outcomes.Preclinical and clinical studies suggest that electroceutical interventions can accelerate recovery following muscle injury, enhance muscle strength, and reduce fibrosis. However, challenges remain in optimizing the stimulation protocols for different injury models and in translating these findings into widespread clinical applications. Further research is necessary to establish standardized treatment regimens and to understand the long-term effects of electroceutical therapy on muscle health. This review provides insights into the current status of electroceuticals in muscle regeneration and discusses future directions for improving therapeutic efficacy.
3.Electroceuticals in Muscle Regeneration: Mechanisms and Therapeutic Potential
Clinical Pain 2024;23(2):66-72
Muscle regeneration is a complex process involving the activation, proliferation, and differentiation of muscle satellite cells following injury. Recent advancements in bioelectronic medicine have highlighted the potential of electroceuticals—therapies that use electrical stimulation to modulate biological systems—as a promising approach to enhance muscle repair and regeneration. In this review, we explore the mechanisms by which electrical stimulation influences muscle tissue regeneration, focusing on the modulation of cellular pathways such as myogenesis, angiogenesis, and inflammation. We also review the effects of various stimulation parameters, including frequency, intensity, and waveform, on muscle regeneration outcomes.Preclinical and clinical studies suggest that electroceutical interventions can accelerate recovery following muscle injury, enhance muscle strength, and reduce fibrosis. However, challenges remain in optimizing the stimulation protocols for different injury models and in translating these findings into widespread clinical applications. Further research is necessary to establish standardized treatment regimens and to understand the long-term effects of electroceutical therapy on muscle health. This review provides insights into the current status of electroceuticals in muscle regeneration and discusses future directions for improving therapeutic efficacy.
4.Electroceuticals in Muscle Regeneration: Mechanisms and Therapeutic Potential
Clinical Pain 2024;23(2):66-72
Muscle regeneration is a complex process involving the activation, proliferation, and differentiation of muscle satellite cells following injury. Recent advancements in bioelectronic medicine have highlighted the potential of electroceuticals—therapies that use electrical stimulation to modulate biological systems—as a promising approach to enhance muscle repair and regeneration. In this review, we explore the mechanisms by which electrical stimulation influences muscle tissue regeneration, focusing on the modulation of cellular pathways such as myogenesis, angiogenesis, and inflammation. We also review the effects of various stimulation parameters, including frequency, intensity, and waveform, on muscle regeneration outcomes.Preclinical and clinical studies suggest that electroceutical interventions can accelerate recovery following muscle injury, enhance muscle strength, and reduce fibrosis. However, challenges remain in optimizing the stimulation protocols for different injury models and in translating these findings into widespread clinical applications. Further research is necessary to establish standardized treatment regimens and to understand the long-term effects of electroceutical therapy on muscle health. This review provides insights into the current status of electroceuticals in muscle regeneration and discusses future directions for improving therapeutic efficacy.
5.Comparison of Regeneration Effects of Direct and Alternating Microcurrent Therapy on Atrophied Calf Muscle in a Rabbit
Dong Han KIM ; Dong Rak KWON ; Yong Suk MOON
Clinical Pain 2020;19(2):80-89
Objective:
We compared the regenerative effects of microcurrent therapy (MT) according to the type of electric current, which were direct current microcurrent therapy (DCMT) and alternating current microcurrent therapy (ACMT) on atrophied calf muscle in cast-immobilized rabbit.
Methods:
Rabbits were allocated into control group (sham MT), ACMT group, and DCMT group.Before starting treatment, right gastrocnemius (GCM) muscle was immobilized by cast for 2 weeks. Compound muscle action potential of tibial nerve in nerve conduction study, circumference of calf muscle using a ruler, and thickness of medial and lateral GCM muscle measured by ultrasound, cross sectional area (CSA), and proliferating cell nuclear antigen (PCNA) ratios (%) of muscle fibers were measured on the immunohistochemical analysis.
Results:
The mean atrophic changes (%) in right medial and lateral GCM muscle thickness, right calf circumference, and amplitude of CMAP of the right tibial nerve in ACMT group and DCMT group were significantly lower than those in control group, respectively (p<0.05). The mean CSA (μm 2 ) of type I and type II and PCNA ratios (%) of medial and lateral GCM muscle fibers in ACMT group and DCMT group were significantly greater than those in control group, respectively (p<0.05). There were no significant differences between the ACMT group and DCMT group at all parameters.
Conclusion
This study demonstrated that ACMT and DCMT showed better regeneration effect than sham MT. Microcurrent may be effective in regeneration of atrophied muscle regardless of the type of current.
6.Postoperative Ultrasound Findings of the Rotator Cuff Tendon after Arthroscopic Repair of a Rotator Cuff Tear
Clinical Pain 2020;19(2):64-69
Ultrasound (US) imaging is an efficient, easy to use, rapid, dynamic, noninvasive, with rare side-effects and inexpensive tool allowing for facilitated diagnosis and management of the painful shoulder. It also has advantages over other imaging modalities in the evaluation of the postoperative shoulder for rotator cuff integrity and correct anchor and suture placement, as well as rotator cuff analysis following repair surgery. Early postoperative tendons frequently had a hypo- echoic echo texture and the absence of a fibrillar pattern, which might be misinterpreted as recurrent tears. however, these features often normalized into tendons with an increased echo texture and the reappearance of a fibrillar pattern at 6 months. Based on these sequential findings, the US findings within 3 months after surgery should be interpreted with caution to accurately understand and monitor the repaired tendon status.
7.Comparison of Regeneration Effects of Direct and Alternating Microcurrent Therapy on Atrophied Calf Muscle in a Rabbit
Dong Han KIM ; Dong Rak KWON ; Yong Suk MOON
Clinical Pain 2020;19(2):80-89
Objective:
We compared the regenerative effects of microcurrent therapy (MT) according to the type of electric current, which were direct current microcurrent therapy (DCMT) and alternating current microcurrent therapy (ACMT) on atrophied calf muscle in cast-immobilized rabbit.
Methods:
Rabbits were allocated into control group (sham MT), ACMT group, and DCMT group.Before starting treatment, right gastrocnemius (GCM) muscle was immobilized by cast for 2 weeks. Compound muscle action potential of tibial nerve in nerve conduction study, circumference of calf muscle using a ruler, and thickness of medial and lateral GCM muscle measured by ultrasound, cross sectional area (CSA), and proliferating cell nuclear antigen (PCNA) ratios (%) of muscle fibers were measured on the immunohistochemical analysis.
Results:
The mean atrophic changes (%) in right medial and lateral GCM muscle thickness, right calf circumference, and amplitude of CMAP of the right tibial nerve in ACMT group and DCMT group were significantly lower than those in control group, respectively (p<0.05). The mean CSA (μm 2 ) of type I and type II and PCNA ratios (%) of medial and lateral GCM muscle fibers in ACMT group and DCMT group were significantly greater than those in control group, respectively (p<0.05). There were no significant differences between the ACMT group and DCMT group at all parameters.
Conclusion
This study demonstrated that ACMT and DCMT showed better regeneration effect than sham MT. Microcurrent may be effective in regeneration of atrophied muscle regardless of the type of current.
8.Postoperative Ultrasound Findings of the Rotator Cuff Tendon after Arthroscopic Repair of a Rotator Cuff Tear
Clinical Pain 2020;19(2):64-69
Ultrasound (US) imaging is an efficient, easy to use, rapid, dynamic, noninvasive, with rare side-effects and inexpensive tool allowing for facilitated diagnosis and management of the painful shoulder. It also has advantages over other imaging modalities in the evaluation of the postoperative shoulder for rotator cuff integrity and correct anchor and suture placement, as well as rotator cuff analysis following repair surgery. Early postoperative tendons frequently had a hypo- echoic echo texture and the absence of a fibrillar pattern, which might be misinterpreted as recurrent tears. however, these features often normalized into tendons with an increased echo texture and the reappearance of a fibrillar pattern at 6 months. Based on these sequential findings, the US findings within 3 months after surgery should be interpreted with caution to accurately understand and monitor the repaired tendon status.
9.Synergic Effects of Cranial Electrotherapy Stimulation with Sleep Hygiene in Patients with Chronic Insomnia
Dong Rak KWON ; Jung A PARK ; Young Soo LEE ; Jae Hyuk KWAK ; Jin Kuk DO ; Ji Eun KIM
Journal of Sleep Medicine 2019;16(1):36-40
OBJECTIVES: To investigate the therapeutic effect of cranial electrotherapy stimulation (CES) with sleep hygiene in patients with chronic insomnia. METHODS: This study was designed as a prospective, double-blinded, and randomized controlled trial. Twenty-seven patients with chronic insomnia were recruited and randomly allocated to two groups; cranial microcurrent therapy (MC) group and sham group. All patients received sleep hygiene education. Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI) were measured at baseline (pre-treatment), and 2 weeks and 4 weeks of treatment. RESULTS: In MC group, the PSQI and ISI showed a tendency to decrease consistently until 4 weeks of treatment. In sham group, PSQI and ISI initially decreased during the first 2 weeks, but it increased after 2 weeks of treatment. CONCLUSIONS: This study showed that combination treatment of CES and sleep hygiene is more effective in treating chronic insomnia than sleep hygiene only as demonstrated by improvement and maintenance of sleep score for 1 month.
Education
;
Electric Stimulation Therapy
;
Humans
;
Hygiene
;
Prospective Studies
;
Sleep Initiation and Maintenance Disorders
10.Thrombosed Fusiform Dilatation of Persistent Median Artery with Normal Median Nerve
Gi Young PARK ; Dong Rak KWON ; Dae Gil KWON ; Won Bin JUNG
Clinical Pain 2019;18(1):40-43
Carpal tunnel syndrome can be produced by abnormal mass effect due to trauma, ganglion cysts, various soft tissue tumors, musculotendinous variants, and aberrant vascular structures. Persistent median artery is one of the causes of the carpal tunnel syndrome. Thrombosed persistent median artery usually accompanies the anomaly of the median nerve and causes a sudden onset of severe pain and paresthesia. In contrast to previous literature, we report the rare case of gradual onset and mild symptom of a 53-year-old man with a thrombosed persistent median artery but without anomaly of the median nerve and abnormal finding of electrophysiologic study.
Arteries
;
Carpal Tunnel Syndrome
;
Dilatation
;
Ganglion Cysts
;
Humans
;
Median Nerve
;
Middle Aged
;
Paresthesia
;
Ultrasonography

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