Hyperthermia induced by microwave diathermy in the management of muscle and tendon injuries
Identifieur interne : 007383 ( Main/Exploration ); précédent : 007382; suivant : 007384Hyperthermia induced by microwave diathermy in the management of muscle and tendon injuries
Auteurs : A. Giombini [Italie] ; V. Giovannini [Italie] ; A. Di Cesare [Italie] ; P. Pacetti [Italie] ; Noriko Ichinoseki-Sekine [Japon] ; M. Shiraishi [Japon] ; Hisashi Naito [Japon] ; Nicola Maffulli [Royaume-Uni]Source :
- British Medical Bulletin [ 0007-1420 ] ; 2007-09.
Abstract
Introduction Hyperthermia induced by microwave diathermy raises the temperature of deep tissues from 41C to 45C 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.
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DOI: 10.1093/bmb/ldm020
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Pacetti</name><affiliation wicri:level="3"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Physics, Tor Vergata University, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Ichinoseki Sekine, Noriko" sort="Ichinoseki Sekine, Noriko" uniqKey="Ichinoseki Sekine N" first="Noriko" last="Ichinoseki-Sekine">Noriko Ichinoseki-Sekine</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Juntendo University, Imba</wicri:regionArea><wicri:noRegion>Imba</wicri:noRegion></affiliation></author><author><name sortKey="Shiraishi, M" sort="Shiraishi, M" uniqKey="Shiraishi M" first="M." last="Shiraishi">M. Shiraishi</name><affiliation wicri:level="3"><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Sports Medicine, Jikei University School of Medicine, Nishi-Shinbashi, Minatoku, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Naito, Hisashi" sort="Naito, Hisashi" uniqKey="Naito H" first="Hisashi" last="Naito">Hisashi Naito</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Juntendo University, Imba</wicri:regionArea><wicri:noRegion>Imba</wicri:noRegion></affiliation></author><author><name sortKey="Maffulli, Nicola" sort="Maffulli, Nicola" uniqKey="Maffulli N" first="Nicola" last="Maffulli">Nicola Maffulli</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Trauma and Orthopaedic Surgery, Keele University School of Medicine, Stoke on Trent, Staffs</wicri:regionArea><wicri:noRegion>Staffs</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Royaume-Uni</country></affiliation></author></analytic><monogr></monogr><series><title level="j">British Medical Bulletin</title><idno type="ISSN">0007-1420</idno><idno type="eISSN">1471-8391</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2007-09">2007-09</date><biblScope unit="volume">83</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="379">379</biblScope><biblScope unit="page" to="396">396</biblScope></imprint><idno type="ISSN">0007-1420</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0007-1420</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Introduction Hyperthermia induced by microwave diathermy raises the temperature of deep tissues from 41C to 45C 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.</div></front></TEI><affiliations><list><country><li>Italie</li><li>Japon</li><li>Royaume-Uni</li></country><region><li>Latium</li><li>Région de Kantō</li></region><settlement><li>Rome</li><li>Tokyo</li></settlement></list><tree><country name="Italie"><region name="Latium"><name sortKey="Giombini, A" sort="Giombini, A" uniqKey="Giombini A" first="A." last="Giombini">A. Giombini</name></region><name sortKey="Cesare, A Di" sort="Cesare, A Di" uniqKey="Cesare A" first="A. Di" last="Cesare">A. Di Cesare</name><name sortKey="Giovannini, V" sort="Giovannini, V" uniqKey="Giovannini V" first="V." last="Giovannini">V. Giovannini</name><name sortKey="Pacetti, P" sort="Pacetti, P" uniqKey="Pacetti P" first="P." last="Pacetti">P. Pacetti</name></country><country name="Japon"><noRegion><name sortKey="Ichinoseki Sekine, Noriko" sort="Ichinoseki Sekine, Noriko" uniqKey="Ichinoseki Sekine N" first="Noriko" last="Ichinoseki-Sekine">Noriko Ichinoseki-Sekine</name></noRegion><name sortKey="Naito, Hisashi" sort="Naito, Hisashi" uniqKey="Naito H" first="Hisashi" last="Naito">Hisashi Naito</name><name sortKey="Shiraishi, M" sort="Shiraishi, M" uniqKey="Shiraishi M" first="M." last="Shiraishi">M. Shiraishi</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Maffulli, Nicola" sort="Maffulli, Nicola" uniqKey="Maffulli N" first="Nicola" last="Maffulli">Nicola Maffulli</name></noRegion><name sortKey="Maffulli, Nicola" sort="Maffulli, Nicola" uniqKey="Maffulli N" first="Nicola" last="Maffulli">Nicola Maffulli</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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