Transcutaneous Electrical Nerve Stimulation in Nerve Regeneration: A Systematic Review of In Vivo Animal Model Studies

Primer Autor
Dias, Fernando Jose
Co-autores
Belen Alarcon, Josefa
Belen Chuhuaicura, Priscila
Anne Sluka, Kathleen
Vance, Carol G. T.
Sasoli Fazan, Valeria Paula
Alejandra Godoy, Karina
Eduardo Fuentes, Ramon
Título
Transcutaneous Electrical Nerve Stimulation in Nerve Regeneration: A Systematic Review of In Vivo Animal Model Studies
Editorial
ELSEVIER
Revista
NEUROMODULATION
Lenguaje
en
Resumen
Objective: Transcutaneous electrical nerve stimulation (TENS) is a noninvasive electrical stimulation therapy indicated for pain control that has been applied for the regeneration of nerves. This systematic review aimed to analyze the evidence on TENS effectiveness on nerve regeneration. Materials and Methods: A systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria: PubMed/MEDLINE, Web of Science, ScienceDirect, and SciELO data bases. Primary research that evaluated TENS on nerve regeneration was considered. Results: Several studies have investigated the use of TENS for pain treatment. A total of six animal studies analyzed TENS for nerve regeneration. The selected articles showed high quality (Animal Research: Reporting of In Vivo Experiments guidelines), with many unclear points related to bias opportunities (Systematic Review Center for Laboratory Animal Experimentation Risk of Bias tool). In general, TENS accelerated functional and motor recovery and increased axon quantity and diameter. More specifically, the application of low-frequency TENS resulted in a continuous basal lamina, a higher density of fibers with normal diameters, indicating normal myelination, showed signs of deterioration and delayed nerve regeneration. In contrast, the high-frequency TENS application stimulated motor regeneration and increased the diameter of the regenerated axons but revealed a small number of axons, demyelination, dark axoplasm, and an increase in the predisposition of neuropathic pain. Conclusions: Although there is some heterogeneous evidence in animal research, TENS seems to be a promising treatment for nerve injury that should be better explored. It is still necessary to improve the analysis of its application parameters, which can lead to the most satisfactory regeneration results and improve the understanding of its mechanisms on peripheral nerve
Fecha Publicación
2022
Tipo de Recurso
artículo de revisión
doi
10.1016/j.neurom.2021.12.009
Formato Recurso
PDF
Palabras Claves
Electrical stimulation
nerve regeneration
physical therapy
rehabilitation
TENS
Ubicación del archivo
Categoría OCDE
Investigación y Medicina Experimental
Neurociencias y Neurología
Materias
Estimulación eléctrica
regeneración nerviosa
terapia física
rehabilitación
TENS
Página de inicio (Recomendado-único)
1248.0
Página final (Recomendado-único)
1258
Identificador del recurso (Mandatado-único)
artículo de revisión
Versión del recurso (Recomendado-único)
versión publicada
Derechos de acceso
metadata
Access Rights
metadata
Id de Web of Science
WOS:000904207800020
ISSN
1094-7159
Categoría WOS
Investigación y Medicina Experimental
Neurociencias y Neurología
Referencia del Financiador (Mandatado si es aplicable-repetible)
ANID FONDECYT 11190300
UFRO 19-0065
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