Efeito da estimulação elétrica na cicatrização de feridas cutâneas em Wistar: existe protocolo a ser seguido? (Revisão de estudos experimentais)
DOI:
https://doi.org/10.33448/rsd-v11i1.25295Palavras-chave:
Estimulação; Cicatrização de feridas; Wistar.Resumo
A Estimulação Elétrica tem mostrado ter efeitos benéficos no processo de cicatrização de feridas de pele em ratos Wistar. É importante avaliar os efeitos da eletroestimulação na reparação de feridas a fim de garantir a otimização de sua prática. Objetivo: Este artigo de revisão consiste em avaliar a resposta cicatricial em ratos Wistar, tratados com a microcorrente. Material e método: Realizou-se uma busca nas bases de dados eletrônicas PubMed no período entre 1966 e janeiro 2021, Lilacs entre 1982 e janeiro 2021 e SciELO, utilizando-se os descritores “Electric Stimulation”, “Wound Healing” e “Wistar”, os quais foram selecionados segundo os Descritores em Ciências da Saúde. Os critérios de inclusão consistiram em estudos com animais wistar, tratados com eletroestimulação e publicados nas línguas inglesa ou portuguesa. Resultados: Foram selecionados seis estudos, os quais sugeriram que a corrente elétrica pode estimular a cicatrização, crescimento e a regeneração. Observou-se uma pequena quantidade de artigos relacionados à estimulação elétrica no processo cicatricial de feridas, bem como falta de padronização nos parâmetros utilizados nesses artigos, o que ainda impossibilita uma revisão sistemática. Também é consensual a preocupação com a necessidade de uniformização das doses utilizadas, visto que cada autor defende a sua aplicabilidade. Conclusão: Apesar da falta de padronização dos parâmetros para o tratamento de feridas em geral com estimulação elétrica em ratos Wistar, as análises morfológica e histológica, mostram uma resposta eficaz no reparo tecidual nas feridas submetidas às aplicações das microcorrentes nos diferentes períodos de tratamento.
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http://www.ncbi.nlm.nih.gov/pubmed . Acesso em 21 de julho de 2015. PMID: 8115454 [PubMed - indexed for MEDLINE].
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- SANTOS VNS.; FERREIRA LM.; HORIBE EK.; DUARTE IS. Electric Microcurrent in the Restoration of the Skin Undergone a Trichloroacetic Acid Peeling in Rats. Acta Cirurgica Brasileira. v. 19: p. 466-470, 2004. Disponível em: http://www.scielo.br/pdf/acb/v19n5/a03v19n5.pdf. Acesso em maio. 2015. DOI: http://dx.doi.org/10.1590/S0102-86502004000500003.
– FREITAS RPA.; MACEDO AB.; OLIVEIRA AR.; RAMOS AMO.; VIEIRA WHB. Comparative study of Low-level laser therapy and icrocurrent on the healing of skin burns in rats. Acta Scientiarum. Health Sciences. v. 36: p. 5 - 10, 2014. Disponível em: http://www.uem.br/acta. Acesso em maio. 2015. Doi: 0.4025/actascihealthsci.v36i1.14668.
- ALVAREZ OM. A cura de feridas superficiais da pele é estimulada pela corrente elétrica externa. Journal of Investigative Dermatology. V: 81, p. 144 - 148, 1983.
- GUIRRO E. Fisioterapia Dermato-Funcional. Fundamentos, recursos, patologias. 3. ed. São Paulo: Manole, 2002.
– WATSON T. The bioelectric correlates of musculoskeletical injury and repair. 1995. 261f. Thesis (PhD)–University of Surrey, 1995.
– WOLF AA. Injury currents: their electrical and mathematical properties in wound healing. ANNUAL NORTHEAST BIOENGINEERING CONF, IEEE 12, 1., 1986, New York.
– AGNE JE. Eletrotermoterapia teoria e prática. Santa Maria: Pallotti, 2004.
– BORGES FS. Modalidades terapêuticas nas disfunções estéticas . São Paulo: Phorte, 2006.
– REGER IS.; HYODO A.; NEGAMI S.; KAMBIC HE.; SAHGAL V. Experimental wound healing with electrical stimulation. Blackwell Science. v. 23: p. 460-462, 1999. Disponível em: www.ncbi.nlm.nih.gov/pubmed PMID: 0378943 [PubMed - indexed for MEDLINE]. Acesso em 21 de julho. 2015.
- BALAKATOUNIS KC.; ANGOULES AG. Low-intensity electrical stimulation in wound healing: Review of the efficacy of externally applied currents resembling the current of injury. journal of plastic surgery. v. 8: p. 83-290, 2008. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/article/PMC2396465. Acesso em 21 de julho de 2015.
– DE CAMPOS CICCONE CC.; ZUZZI DC.; NEVES LMG.; MENDONÇA JS.; JOAZEIRO PP.; ESQUISATTO MAM. Effects of microcurrent stimulation on hyaline cartilage repair in immature male rats (Rattus novergicus). Complementary & alternative Medicine. v. 13: p. 1-9, 2013. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed. Acesso em 21 de julho de 2015. DOI: 10.1186/1472-6882-13-17.
- Byl NN, McKenzie AL, West JM, Whitney JD, Hunt TK, Hopf HW, Scheuenstuhl H. Pulsed microamperage stimulation: a controlled study of healing of surgically induced wounds in Yucatan pigs. Phsical therapy. v. 74: p. 201-213. Disponível em:
http://www.ncbi.nlm.nih.gov/pubmed . Acesso em 21 de julho de 2015. PMID: 8115454 [PubMed - indexed for MEDLINE].
- Zuzzi DC, Ciccone Cde C, Neves LM, Mendonça JS, Joazeiro PP, Esquisatto MA. Evaluation of the effects of electrical stimulation on cartilage repair in adult male rats. Elsevier. v. 45: p. 275-281, 2013. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed. Acesso em 21 de julho de 2015. DOI: 10.1016/j.tice.2013.02.003.
– KONIKOFF. Eletrical promotion of soft tissue repairs. Annals of biomedical engineering. v. 4: p. 1-5, 1976. Disónível em: http://www.ncbi.nlm.nih.gov/pubmed. Acesso em 21 de julho de 2015. PMID: 1084717 PubMed - indexed for MEDLINE.
Agne, J. E. (2004). Eletrotermoterapia teoria e prática. Pallotti.
Alvarez, O. M., Mertz, P.. M., Smerbeck, R. V., & Eaglstein, W. H. (1983). The healing of superficial skin wounds is stimulated by external electrical current.
Journal of Investigative Dermatology, 81(2), 144–148. doi: 10.1111/1523-1747.ep12543498. Retrieved July 22, 2015, from https://www.jidonline.org/article/S0022-202X(15)43152-5/pdf.
Balakatounis, K. C., & Angoules, A. G. (2008). Low-intensity electrical stimulation in wound healing: Review of the efficacy of externally applied currents resembling the current of injury. Eplasty, 8, 283-291. Retrieved July 22, 2015, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2396465/pdf/eplasty08e28.pdf.
Borges, F. S. (2006). Modalidades terapêuticas nas disfunções estéticas. Phorte.
Byl, N. N, McKenzie, A. L, West, J. M., Whitney, J. D., Hunt, T. K, Hopf, H. W., & Scheuenstuhl, H. (1994). Pulsed microamperage stimulation: a controlled study of healing of surgically induced wounds in Yucatan pigs. Phsical Therapy, 74(3), 201-213. doi: 10.1093/ptj/74.3.201. a Retrieved July 22, 2015, from https://pubmed.ncbi.nlm.nih.gov/8115454/. PMID: 8115454 [PubMed - indexed for MEDLINE].
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Cheng, N., Van Hoof, H., Bockx, E., Hoogmartens, M. J., Mulier, J. C., De Dijcker, F. J., Sansen, W. M., & De Loecker, W. (1982). The effects of electrical currents on ATP regeneration, protein synthesis, and membrane transport in rat skin. Clinical Orthopedics and Related Research, (171), 264-272, 1982. Retrieved May 23, 2015, from http://www.ncbi.nlm.nih.gov/pubmed. PMID: 7140077 [PubMed - indexed for MEDLINE.
Ciccone, Cde C., Zuzzi, D. C., Neves, L. M. G., Mendonça, J. S., Joazeiro, P. P., & Esquisatto, M. A. M. (2013). Effects of microcurrent stimulation on hyaline cartilage repair in immature male rats (Rattus novergicus). BMC Complementary and Alternative Medicine, 13, 1-9. doi: 10.1186/1472-6882-13-17. Retrieved July 21, 2015, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3554581/pdf/1472-6882-13-17.pdf.
Demir, H., Balay,, H. & Kirap, M. (2004). A comparative study of the effects of electrical stimulation and laser treatament on experimental wound healing in rats. Journal of Rehabilitation Research & Development, 41(2), 147–154. doi: 10.1682/jrrd.2004.02.0147. Retrieved May 27, 2015, from https://www.rehab.research.va.gov/jour/04/41/2/pdf/Demir.pdf. PMID: 15558369 [PubMed - indexed for MEDLINE].
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Guirro, E. (2002). Fisioterapia dermato-funcional. fundamentos, recursos, patologias (3rd. ed. ). Manole.
Konikoff, J. J. (1976). . Eletrical promotion of soft tissue repairs. Annals of Biomedical Engineering, 4(1), 1-5. doi: 10.1007/BF02363553. Retrieved July 21, 2015, from http://www.ncbi.nlm.nih.gov/pubmed. PubMed - indexed for MEDLINE.
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Santos, V. N., Ferreira, L. M., Horibe, E. K., Duarte. I. S. (2004). Electric Microcurrent in the Restoration of the Skin Undergone a Trichloroacetic Acid Peeling in Rats. Acta Cirurgica Brasileira, 19(5), 466-470. doi.org/10.1590/S0102-86502004000500003. Retrieved May 30, 2015, from http://www.scielo.br/pdf/acb/v19n5/a03v19n5.pdf.
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Zuzzi, D. C., Ciccone, Cde C., Neves, L. M., Mendonça, J. S,, Joazeiro, P. P., & Esquisatto, M. A.(2013). Evaluation of the effects of electrical stimulation on cartilage repair in adult male rats. Tissue and Cell, 45(4), 275-281. doi: 10.1016/j.tice.2013.02.003. Retrieved July 25, 2015, from http://www.ncbi.nlm.nih.gov/pubmed.
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