Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trial

Chronic nonspecific low back pain (CNLBP) is the most common musculoskeletal condition, which can be influenced by nociceptive, psychosocial, cognitive, and affective aspects, causing vulnerabilities and impairing the individual's ability to manage pain. The association of continuous shortwave diathermy (CSWD) with Pilates-based exercises may contribute to reduce pain, depression, and anxiety in patients with CNLBP. A single-blind randomized clinical trial was performed in which 36 patients with CNLBP were divided into a control group that received placebo CSWD and an intervention group that received active CSWD. Both groups received 12 sessions of Pilates-based exercises. Pain, depression, and anxiety variables were evaluated using the McGill questionnaire, the Beck Depression Inventory, and the Visual Analog Anxiety Scale. Assessments were performed at baseline, after three and six weeks of treatment, and at the three-month follow-up. The Shapiro-Wilk test, Student's t-test, Mann-Whitney U test, chi-squared test, and repeated measures ANOVA, with α=0.05, were used to compare the outcomes, and indicated that active CSWD did not present additional improvement in the assessed variables in CNLBP patients compared to the placebo group. Both groups improved pain and depression at follow-up and reduced anxiety only during Pilates-based exercises. Therefore, only Pilates-based exercises seemed sufficient to manage patients with CNLBP.

Dose-dependent Cardiac Dysfunction and Structural Damage in Rats after Shortwave Radiation / 生物医学与环境科学（英文）

Objective@#To detect the effects of shortwave radiation on dose-dependent cardiac structure and function in rats after radiation and to elucidate the mechanism of shortwave radiation induced cardiac injury to identify sensitive indicators and prophylactic treatment.@*Methods@#One hundred Wistar rats were either exposed to 27 MHz continuous shortwave at a power density of 5, 10, and 30 mW/cm for 6 min or undergone sham exposure for the control (the rats had to be placed in the exposure system with the same schedules as the exposed animals, but with an inactive antenna). The Ca , glutamic oxaloacetic transaminase (AST), creatine kinase (CK) and lactate dehydrogenase (LDH) content in the peripheral serum of the rats were detected by an automatic blood biochemical analyser. The electrocardiogram (ECG) of standard lead II was recorded by a multi-channel physiological recording and analysis system. The cardiac structure of rats was observed by light and electron microscopy.@*Results@#The results showed that the 5, 10, and 30 mW/cm shortwave radiation caused a significant increased in the levels of Ca , AST, CK, and LDH in the peripheral serum of rats. The cardiac structure was damaged by radiation and showed a disordered arrangement of myocardial fibres, the cavitation and swelling of myocardial mitochondria. These injuries were most significant 7 d after radiation and were not restored until 28 d after radiation.@*Conclusion@#Shortwave radiation of 5, 10, and 30 mW/cm can damage rat cardiac function, including damage to the tissue structure and ultrastructure, especially at the level of the myocardial fibres and mitochondria. Shortwave radiation at 5, 10, and 30 mW/cm induced damage to rat heart function and structure with a dose-effect relationship, i.e., the greater the radiation dose was, the more significant the damage was.

Behavioral Abnormality along with NMDAR-related CREB Suppression in Rat Hippocampus after Shortwave Exposure / 生物医学与环境科学（英文）

OBJECTIVE@#To estimate the detrimental effects of shortwave exposure on rat hippocampal structure and function and explore the underlying mechanisms.@*METHODS@#One hundred Wistar rats were randomly divided into four groups (25 rats per group) and exposed to 27 MHz continuous shortwave at a power density of 5, 10, or 30 mW/cm2 for 6 min once only or underwent sham exposure for the control. The spatial learning and memory, electroencephalogram (EEG), hippocampal structure and Nissl bodies were analysed. Furthermore, the expressions of N-methyl-D-aspartate receptor (NMDAR) subunits (NR1, NR2A, and NR2B), cAMP responsive element-binding protein (CREB) and phosphorylated CREB (p-CREB) in hippocampal tissue were analysed on 1, 7, and 14 days after exposure.@*RESULTS@#The rats in the 10 and 30 mW/cm2 groups had poor learning and memory, disrupted EEG oscillations, and injured hippocampal structures, including hippocampal neurons degeneration, mitochondria cavitation and blood capillaries swelling. The Nissl body content was also reduced in the exposure groups. Moreover, the hippocampal tissue in the 30 mW/cm2 group had increased expressions of NR2A and NR2B and decreased levels of CREB and p-CREB.@*CONCLUSION@#Shortwave exposure (27 MHz, with an average power density of 10 and 30 mW/cm2) impaired rats' spatial learning and memory and caused a series of dose-dependent pathophysiological changes. Moreover, NMDAR-related CREB pathway suppression might be involved in shortwave-induced structural and functional impairments in the rat hippocampus.

Therapeutic effect of K8 short wave therapeutic apparatus on facial sensitive skin / 中国医师杂志

Objective To explore the therapeutic effect of K8 short wave therapeutic apparatus on facial sensitive skin.Methods 130 patients with facial sensitive skin admitted in our hospital from November 2015 to September 2017 were selected as the subjects.According to the different surgical methods,65 cases in the control group were treated with intensive care cream.On the basis of the control group,65 cases in observation group were given K8 therapeutic apparatus.Then we compared the treatment effect between the two groups.Results K8 shortwave therapeutic apparatus to treat facial sensitive skin can achieve higher total effective rate,reduce the skin area score and and erythema parameters,reduce the skin water loss and improve skin stratum corneum moisture content.After two weeks of treatment,the total effective rate of the observation group (98.46％) was higher than that of the control group (86.15％),the skin area score [(2.28 ± 0.26) piont],the erythema parameter (180.28 ± 29.87) and the epidermis water loss [(9.85 ±2.25)g/(cm2 ×h)] were lower than that in the control group [(4.54 ± 1.14) point,223.87 ± 30.47,(13.02 ± 3.25) g/(cm2 × h)],while the water content of the skin cuticle [(88.75 ± 10.35) ％] was higher than that of the control group [(78.98 ± 9.58) ％] (all P ＜ 0.01).Conclusions K8 short-wave therapeutic apparatus combined with intensive care cream has a better clinical effect and certain advantage in the treatment of facial skin sensitive skin than the use of intensive care cream alone.

Ação das ondas curtas pulsada na dor aguda induzida pela hipotermia: um estudo piloto / Action of pulsed short wave on the acute pain induced by cold induced pain test: a pilot study

A terapia por campo eletromagnético é bastante utilizada pela fisioterapia no tratamento adjuvante dos sintomas álgicos associados às desordens articulares degenerativas e musculoesqueléticas. Esse estudo teve como objetivo avaliar a ação das ondas curtas pulsada de 100Hz e intensidade de campo elétrico de 25V/m, na latência do limiar de dor e na intensidade da dor em adultos saudáveis. Vinte e quatro voluntários foram recrutados e alocados em dois grupos experimentais, o grupo intervenção (GI), com 12 voluntários de média de idade 22±2,65 anos e o índice de massa corporal (IMC) de 23,72 ±3,07 e o grupo placebo (GP), também com 12 voluntários com 22,08±2,71 anos e IMC de 23,66 ±3,36. Os grupos foram submetidos a 3 ciclos com estimulação álgica através da hipotermia. No ciclo de intervenção o grupo GI contou com a aplicação da OCP (Ondas Curtas Pulsadas) na face anterior e posterior do antebraço ipsilateral submetido à hipotermia por 20 minutos, enquanto que no GP o aparelho foi ligado, mas sem emissão. Na análise intragrupo, a latência do limiar de dor obteve um aumento significativo nos momentos durante e após a intervenção em relação ao momento de pré-intervenção no GI, enquanto que no GP o momento durante a pós-intervenção foi significativamente maior que no pré- intervenção. Quando comparados, o GI apresentou uma latência significativamente maior durante o momento de intervenção e a pós-intervenção em relação aos mesmos momentos no GP. A intensidade dolorosa não apresentou resultados significativos em nenhum dos grupos. Observou-se que as ondas curtas no modo pulsada promove o aumento na latência do limiar doloroso durante a sua aplicação em processos agudos....(AU)

The electromagnetic field therapy is frequently used by physical therapy in the adjuvant treatment of pain symptoms associated with degenerative joint and musculoskeletal disorders. This study aimed to evaluate the effects of pulsed short-wave with 100Hz and intensity of the electric field 25V/m in latency threshold of pain and pain intensity in healthy adults. Twenty-four volunteers were recruited and divided into two experimental groups, the intervention group (GI), with average age of 12 volunteers 22 ± 2.65 years and body mass index (BMI) of 23.72 ± 3.07 and the placebo group (GP), also with 12 volunteers, with 22.08 ± 2.71 years and 23.66 ± 3.36 BMI. The groups were submitted to cycles with cold induced pain, in the intervention cycle the group GI included the application of OCP in the front and back of the ipsilateral forearm subjected to cold induced pain for 20 minutes while in the GP unit remained off. In the intra-group analysis, the latency pain threshold achieved a significant increase in the time during and after the intervention relative to the time of pre-intervention in GI, while in the GP time postintervention was significantly higher than the pre-intervention. When compared, the GI has a significantly higher latency during the intervention and post-intervention compared to the same time in the GP. Pain intensity did not show significant results. It was observed that the pulsed short wave promotes an increase in pain threshold during its application in acute processes....(AU)

Efficacy of Using a Semiconductor Laser Combined with Short-wave Ultraviolet Rays to Treat Herpes Zoster / 中国医科大学学报

Objective To observe the efficacy of using a semiconductor laser combined with short-wave ultraviolet rays(UV)to treat patients with herpes zoster. Methods Forty-two patients with herpes zoster in the Department of Dermatology of our hospital were randomly divided into two groups,with 21 patients per group. Patients in the control group were treated with conventional dermatology drugs and short-wave UV,whereas patients in the observation group were treated with conventional dermatology drugs and a semiconductor laser combined with short-wave UV. Re-sults After treatment for 7 days,the efficacy rate in the control group was 80.95%,whereas that in the observation group was 95.24%. The analge-sia time,scab time,and scab removal time were significantly shorter in the observation group than in the control group(P<0.05). The results of the pain assessment(visual analog scale )showed that the score of the observation group after treatment was significantly lower than that of the con-trol group(P<0.05). Conclusion Therapy involving a semiconductor laser combined with short-wave UV for patients with herpes zoster can be more effective than therapy with only a short-wave UV laser in promoting herpes healing,relieving neuralgia,and improving quality of life.

Curative effect of Uvb radiation treatment on inflammation of radioactive oral mucosa / 现代临床护理

Objective To explore the curative effect of Uvb radiation treatment on inflammation of radioactive oral mucosa and summarize nursing points. Methods Seventy patients with oral mucositis after radiotherapy for head and neck cancer were randomly divided into experiment group and control group, 35 in each group: The experiment group was treated by shortwave ultraviolet intracavitary irradiation and the control group, mouthwash by silver, 3 times a day, observing two groups of therapeutic effect after 3 d. Results The total effective rate of the observation group was statistically better higher than that of control group ( P < 0 . 05 ) . Conclusion Short-wave ultraviolet radiation is effective in the treatment of inflammation of radioactive oral cavity mucous membrane.

Experience of treatment in patients with penile defect after necrosis caused by shortwave diathermy / 中华泌尿外科杂志

Objective To explore the strategy of repairing penile defect after necrosis caused by shortwave diathermy.Methods Between January 2004 and June 2012,18 cases with penile defect after necrosis caused by shortwave diathermy were admitted in our hospital.The age of those patients ranged from 18 to 55 years old (mean 34 years old).Among them,15 cases have been married.All patients have the history of penile shortwave diathermy therapy after surgery.After debridement,penile complete defect was found in 6 cases,incomplete defect was found in 10 cases and corpus cavernosum and corpus spongiosum partly defect was found in 2 cases.Under general anesthesia,we applied penis extent in 10 cases with incomplete defect,forearm free flap in 2 cases with penile complete defect,abdominal artery perforators flap in other 4 cases with penile complete defect.In 2 cases with corpus cavernosum and corpus spongiosum partly defect,the scrotal septal skin flap and fascia pedicle flap was used for 1-stage urethral reconstruction and costicartilage was implanted for 2-stage cavernosum reconstruction.Results 18 patients were followed up for 0.5-10.0 years (mean 2.3 years).16 cases with penile complete defect or incomplete defect had normal length after operation,ranged from 6.3 to 9.2cm.During erectile phase,the length of their penis ranged from 8.7 to 11.5 cm.No feeling abnormality or erectile dysfunction was complained.All patients exhibited the excellent morphology and felling of penis with minor scar in donor site.Early (half a month) complications included distant flap necrosis in 1 case and disruption of the wound in 1 case,which were cured after debridement and conventional treatment.After one year,we did not see the flap atrophy.One case had tumid which influenced penile beautiful and sexual intercourse.It was improved by local liposuction.One month after surgery,two patients with corpora cavernosa and corpus spongiosum partial defect had normal voiding.No feeling and erectile dysfunction were complained during the following-up.Conclusions According to the characteristics of the penile defect due to the shortwave diathermy,selecting the optimal skin flap and individual repair strategy are the keys to successful treatment.

Effectiveness of combined shortwave ultraviolet and millimeter-wave irradiation in the treatment of pressure ulcers / 中华物理医学与康复杂志

Objective To evaluate the effect of short-wave ultraviolet combined with millimeter-wave irradiation on pressure ulcers.Methods Fifty-three patients with 87 pressure ulcer wounds were randomly divided into 3 groups.Group A consisted of 17 patients with 28 pressure ulcers,group B had 18 patients with 29 ulcers and group C had 18 patients with 29 pressure ulcers.All the patients in the 3 groups accepted routine care.Group B was treated with short-wave ultraviolet radiation in addition,and group C received millimeter-wave combined with short-wave ultraviolet radiation.Braden's scale was used to evaluate the integrity of the patients' skin before treatment,and the pressure sore status tool (PSST) was used to evaluate exudation and skin recovery before and after treatment.Results Before treatment the patients demographics and pressure sores of the three groups had no significant differences.In group A there was no significant difference in the average PSST-5 score between before and after treatment.Compared with the scores before therapy,the average scores of groups B and C decreased significantly.They were also significantly lower than in group A after treatment.The effect in group C was better than in group B.With regard to improvement rate,the improvement percentages of groups B and C were significantly higher than that of group A,while there was no statistically significant difference between groups B and C.The rate of excellent recovery of group C was better than that of group A or B,but there was no significant difference between groups A and B.Conclusions Combining short-wave ultraviolet irradiation with millimeter-wave irradiation has remarkable effects on exudation from and the recovery of pressure ulcers.

Curative effect analysis of ultrashort wave combined with dephlogisticate cholagogue table in treating patients with chronic cholecystitis / 中国医师进修杂志

Objective To evaluate the clinical effect of ultrashort wave combined with dephlogisticate cholagogue table in treating patients with chronic cholecystitis.Methods One hundred and forty-four patients with chronic cholecystitis treated from January 2009 to October 2011 were randomly divided into 2gtoupe by mechanical sampling method.Treatment group (76 cases) was treated with ultrashort wave and dephlogisticate cholagogue table.Control group (68 cases) was treated with dephlogisticate cholagogue table.The therapeutic effect and the incidence of ache and fever and B-type ultrasonography between two groups were compared.Results The total effective rates were 89.5％ (68/76) in treatment group and 67.6％(46/68) in control group.There was significant difference (P ＜0.01).The incidence of ache and fever,positive rate of B-type ultrasonography in tneatment group [10.5％(8/76),5.3％(4/76),10.5％(8/76)] were significantly lower than those in control group [32.4％ (22/68),14.7％ (10/68),33.8％(23/68)] (P ＜ 0.05).Conclusion Ultrashort wave combined with dephlogisticate cholagogue tabble is an effective method for treating chronic cholecystitis.

Exposição ocupacional de fisioterapeutas aos campos elétrico e magnético e a eficácia das gaiolas de Faraday / Occupational exposure of physical therapists to electric and magnetic fields and the efficacy of Faraday cages

OBJETIVO: Medir a exposição de fisioterapeutas aos campos elétrico e magnético produzidos por 17 equipamentos de diatermia de ondas curtas (DOC) de clínicas de fisioterapia da cidade de Presidente Prudente, São Paulo, Brasil. Comparar os valores medidos com os níveis de exposição recomendados pelo ICNIRP (International Commission on Non-Ionizing Radiation Protection). Observar a eficácia das gaiolas de Faraday como medida de proteção à exposição dos fisioterapeutas aos campos elétrico e magnético oscilantes. MÉTODOS: As medidas dos campos elétrico e magnético foram realizadas durante sessões reais de tratamento fisioterápico, em quatro pontos: nas proximidades da pelve e da cabeça do operador, dos cabos elétricos dos aparelhos e dos eletrodos de aplicação. O equipamento de medição utilizado foi o EMR-200 da Wandell & Goltermann. RESULTADOS: Os valores obtidos nas proximidades dos eletrodos e cabos estavam de 10 a 30 vezes acima dos níveis de referência ocupacionais recomendados pela ICNIRP. Nas salas de tratamento com DOC com gaiola de Faraday, os campos encontrados foram ainda mais altos que os das salas sem esse revestimento, principalmente o campo magnético, com valores superiores a 100 vezes o limite de exposição da ICNIRP. CONCLUSÕES: As intensidades dos campos elétrico e magnético obtidas neste trabalho estão, de modo geral, acima dos níveis de exposição recomendados pelas normas da ICNIRP. Além disso observou-se que a gaiola de Faraday não fornece proteção aos fisioterapeutas mas aumenta os níveis de exposição aos quais estão submetidos estes profissionais.

OBJECTIVE: Measure physical therapists' exposure to the electric and magnetic fields produced by 17 shortwave diathermy devices in physical therapy clinics in the city of Presidente Prudente, São Paulo State, Brazil. Compare the observed values with the exposure levels recommended by the International Commission on Non-ionizing Radiation Protection (ICNIRP). Observe the efficacy of Faraday cages as a means of protecting physical therapists from exposure to oscillating electric and magnetic fields. METHODS: Electric and magnetic field measurements were taken at four points during actual physical therapy sessions: in proximity to the operator's pelvis and head, the devices' electrical cables, and the electrodes. The measuring equipment was a Wandel & Goltermann EMR-200. RESULTS: The values obtained in proximity to the electrodes and cables were 10 to 30 times higher than ICNIRP's recommended occupational reference levels. In the shortwave diathermy treatment rooms with Faraday cages, the fields were even higher than in treatment rooms not so equipped-principally the magnetic field, where the values were more than 100 times higher than the ICNIRP exposure limit. CONCLUSIONS: The electric and magnetic field intensities obtained in this study are generally above the exposure levels recommend in ICNIRP standards. It was also observed that the Faraday cage offers physical therapists no protection, and instead, increases their level of exposure.

Comprehensive physical treatment on the postherpetic neuralgia / 中国康复理论与实践

@#ObjectiveTo perfect the comprehensive physics healing solution of the postherpetic neuralgia(PHN).MethodsHealthtron potential, pulsed shortwave and pulsed electromagnetism to the spinal cord with corresponding pathological change position or the body surface projective district of the neuromere were used to treated 60 PHNs patients. The short-form McGiLL pain questionnaire (MPQ) was used to evaluate the pain before and after treatment. ResultsThe score of MPQ before treatment was (22.05±3.20), and it was (1.50±1.46) after treatment (t=26.3261,P<0.001). ConclusionComprehensive physics healing is effective on the postherpetic neuralgia.