Hyperthermia induced by microwave diathermy in the management of muscle and tendon injuries
Hyperthermia induced by microwave diathermy in the management of muscle and tendon injuries
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DOI：
10.1093/bmb/ldm020
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发表时间：
2007-01-01
影响因子：
6.7
通讯作者：
Maffulli, Nicola
中科院分区：
文献类型：
--
作者：
Giombini, A.;Giovannini, V.;Maffulli, Nicola
简介：由微波透热疗法引起的热疗使用电磁功率将深部组织的温度从41摄氏度升高到45摄氏度。微波透热是用于管理浅表肿瘤与传统的放疗和化疗，最近，它的使用已成功地扩展到物理医学和运动trafficology在中欧和南欧。方法：我们搜索相关研究的文献。在这些领域中，大多数已发表的研究使用434和915微波透热疗法，因为这些波长是最有效的。结果：微波透热疗法引起的高温进入组织可以刺激修复过程，增加药物活性，允许更有效地缓解疼痛，帮助清除有毒废物，增加肌腱的伸展性，减少肌肉和关节僵硬。此外，热疗诱导充血，改善局部组织引流，增加代谢率，并引起细胞膜的改变。结论：调节热剂量与低或高含水量或低或高血液灌注的软组织愈合过程之间的关系的生物学机制仍在研究中。434和915 MHz的微波透热疗法在肌肉骨骼损伤的短期管理中是有效的。
Introduction: Hyperthermia induced by microwave diathermy raises the temperature of deep tissues from 41 degrees C to 45 degrees C using electromagnetic power. Microwave diathermy is used in the management of superficial tumours with conventional radiotherapy and chemotherapy and, recently, its use has been successfully extended to physical medicine and sports traumatology in Central and Southern Europe.Methods: We searched the literature for relevant studies. Most of the published studies in these fields have used 434 and 915 microwave diathermy, as these wavelengths are most effective.Results: Hyperthermia induced by microwave diathermy into tissue can stimulate repair processes, increase drug activity, allow more efficient relief from pain, help in the removal of toxic wastes, increase tendon extensibility and reduce muscle and joint stiffness. Moreover, hyperthermia induces hyperaemia, improves local tissue drainage, increases metabolic rate and induces alterations in the cell membrane.Conclusions: The biological mechanism that regulates the relationship between the thermal dose and the healing process of soft tissues with low or high water content or with low or high blood perfusion is still under study. Microwave diathermy treatment at 434 and 915 MHz can be effective in the short-term management of musculo-skeletal injuries.