Effect of low intensity photobiomodulation associated with norbixin-based poly (hydroxybutyrate) membrane on post-tenotomy tendon repair. In vivo study.

PURPOSE: To evaluate the in vivo response of photobiomodulation therapy associated with norbixin-based poly(hydroxybutyrate) membrane (PHB) in tenotomized calcaneal tendon. METHODS: Thirty rats were randomly allocated to six groups (n=5 each): LED groups (L1, L2 and L3) and membrane + LED groups (ML1, ML2 and ML3). The right calcaneal tendons of all animals were sectioned transversely and were irradiated with LED daily, one hour after surgery every 24 hours, until the day of euthanasia. At the end of the experiments the tendons were removed for histological analysis. RESULTS: The histological analysis showed a significant reduction in inflammatory cells in the ML1, ML2 and ML3 groups (p=0.0056, p=0.0018 and p<0.0001, respectively) compared to those in the LED group. There was greater proliferation of fibroblasts in the ML1 (p<0.0001) and L3 (p<0.0001) groups. A higher concentration of type I collagen was also observed in the ML1 group (p=0.0043) replacing type III collagen. CONCLUSION: Photobiomodulation in association with norbixin-based PHB membrane led to control of the inflammatory process. However, it did not favor fibroblast proliferation and did not optimize type I collagen formation in the expected stage of the repair process.

Action of AlGaInP laser and high frequency generator in cutaneous wound healing. A comparative study

ABSTRACT PURPOSE: To evaluate in a macroscopic, histological and histomorphometric manner the healing process of cutaneous wounds in mice. METHODS: The sample consisted of 40 male mice and was divided in four groups: 1st group (control, n=10), 2nd group (High Frequency Generator - HF, the maximum amplitude range, 120s, n=10), 3rd group (AlGaInP Laser 660 nm, 30mW power, 5 J/cm2, applying scan mode, 120s, n=10) and 4thgroup (AlGaInP Laser 660 nm, 30 mW power, 8 J/cm2, applying scan mode, n=10). The surgical incision was made with an 8 mm diameter punch perpendicularly to the back of the animal. The statistical analysis was achieved by the statistical test One Way Anova post hoc Tukey Test and significance at p<0.05 in GraphPad Prism program. RESULTS: It was observed that in the acute phase the AlGaInP Laser at 5 J/cm2 provided a greater stimulus to healing, and both lasers were effective in the remodeling phase. CONCLUSION: The AlGaInP lasers from 5 J/cm2 to 8 J/cm2 showed better biomodulatory results in the acute and remodeling phases respectively, however, the HF was less effective than the laser, providing significant benefits only in the acute phase of tissue repair.

Estudo da resistência cicatricial cutânea de ratos tratados com óleo de pequi (Caryocar brasiliense) / Study of skin scarring resistance of rats treated with pequi oil (Caryocar brasiliense)

Introdução: Existem vários estudos sobre a utilização do pequi (Caryocar brasiliense) no processo cicatricial; contudo, em poucos trabalhos desenvolvidos, avaliou-se resistência dos tecidos à tensão pós-tratamento. Objetivo: Analisar a tensão cicatricial em incisões cutâneas de ratos, após terapia com Caryocar brasiliense. Método: Vinte ratos Wistar, divididos em dois grupos (placebo/tratado), sofreram incisão cutânea no dorso. O grupo tratado recebeu doses diárias de óleo de Caryocar brasiliense, e o placebo aplicação de óleo mineral. Após sacrifício, em sete e quatorze dias pós-cirurgia, amostras de pele foram submetidas à análise tênsil-histológica. Resultados: Observou-se diferença significante intergrupos na força máxima de tração, assim como uma elevação da síntese de colágeno na área das lesões no grupo tratado com óleo Caryocar brasiliense. Conclusão: A terapia com óleo de Caryocar brasiliense aumenta a resistência tênsil da pele, melhorando a resposta reparacional, reduzindo riscos de deiscência e complicações pós-cirúrgicas.

Introduction: There are several studies on the use of Caryocar brasiliense in the scarring process; however, few studies have evaluated posttreatment skin tissue resistance to tension. Objective: To analyze the scar tension in skin incisions of rats after therapy Caryocar brasiliense. Method: Twenty Wistar rats were divided into two groups (placebo / rough) and suffered skin incision in dorso. The treatment group received daily dose of Caryocar brasiliense oil and the placebo group with application of mineral oil. After sacrifice, in seven fourteen days after surgery, skin samples were subjected to tensile-histological analysis. Results: There was a significant intergroup difference in the maximum strength of traction, as well as an increase in collagen synthesis in the area of lesions in the treated group. Conclusion: Treatment with oil from Caryocar brasiliense increases the tensile strength of the skin, improving the healing response and reducing the risks of dehiscence and postoperative complications.

Análise da ação do gel da Bryophyllum calycinum Salisb (folha santa) associado ao ultrassom na cicatrização de feridas cutâneas / Analysis of the action of Bryophyllum calycinum Salisb (holy sheet) gel associated with ultrasound in skin wound healing

Introdução: A cicatrização é uma cascata de eventos celulares que interagem para que ocorra a reconstituição do tecido. Objetivo: Analisar a ação do gel da Bryophyllum calycinum Salisb, associado ao ultrassom pulsado, na cicatrização de feridas. Métodos: Vinte ratos foram feridos, divididos em quatro grupos, tratados e observados diariamente. O Grupo1 não recebeu nenhum tratamento; o 2 foi tratado com ultrassom (modo pulsado 10%, frequência de 1 MHz, intensidade de 0,5 W/cm2, método de acoplamento direto com movimentos oscilatórios numa ERA de 1 cm2, durante dois minutos) + gel da B. calycinum Salisb a 2%; o 3, com gel da B. calycinum Salisb a 2%; o 4, com ultrassom. Resultados: O Grupo 2 teve maior redução das áreas feridas, diminuição do colágeno tipo III e aumento do tipo I, quando comparado ao controle. Conclusões: O gel da folha santa associado ao ultrassom é capaz de acelerar o processo de cicatrização tecidual.

Introduction: Healing is a cascade of cellular events that interact to occur replenish the tissue. Objective: To analyze the action of the Bryophyllum calycinum Salisb gel associated with the pulsed ultrasound in wound healing. Methods: Twenty rats were wounded and divided into four groups. After this, they were treated and observed daily. Group 1 did not receive any treatment; Group 2 was treated with ultrasound (10% pulsed mode, frequency of 1 MHz intensity of 0.5 W / cm2, direct coupling method with an oscillatory motion was 1 cm2 for two minutes) + Gel B. calycinum Salisb 2%; Group 3, with B. calycinum Salisb gel 2%; and Group 4, with ultrasound. Results: Group 2 had a greater reduction in wound areas, a decrease of type III collagen and an increase of the type I when compared to the control group. Conclusions: The gel of the holy sheet associated with ultrasound is able to accelerate the wound healing process.

Action of AlGaInP laser and high frequency generator in cutaneous wound healing. A comparative study.

PURPOSE: To evaluate in a macroscopic, histological and histomorphometric manner the healing process of cutaneous wounds in mice. METHODS: The sample consisted of 40 male mice and was divided in four groups: 1st group (control, n=10), 2nd group (High Frequency Generator - HF, the maximum amplitude range, 120s, n=10), 3rd group (AlGaInP Laser 660 nm, 30mW power, 5 J/cm2, applying scan mode, 120s, n=10) and 4thgroup (AlGaInP Laser 660 nm, 30 mW power, 8 J/cm2, applying scan mode, n=10). The surgical incision was made with an 8 mm diameter punch perpendicularly to the back of the animal. The statistical analysis was achieved by the statistical test One Way Anova post hoc Tukey Test and significance at p<0.05 in GraphPad Prism program. RESULTS: It was observed that in the acute phase the AlGaInP Laser at 5 J/cm2 provided a greater stimulus to healing, and both lasers were effective in the remodeling phase. CONCLUSION: The AlGaInP lasers from 5 J/cm2 to 8 J/cm2 showed better biomodulatory results in the acute and remodeling phases respectively, however, the HF was less effective than the laser, providing significant benefits only in the acute phase of tissue repair.

Comparative study of the topical application of Aloe vera gel, therapeutic ultrasound and phonophoresis on the tissue repair in collagenase-induced rat tendinitis.

The aim of our study was to compare topical use of Aloe vera gel, pulsed mode ultrasound (US) and Aloe vera phonophoresis on rat paw with collagenase-induced tendinitis. Edema size, tensile tendon strength, tendon elasticity, number of inflammatory cells and tissue histology were studied at 7 and 14 days after tendinitis induction. Pulse mode US parameters were: 1 MHz frequency, 100 Hz repetition rate, 10% duty cycle, and 0.5 W/cm(2) intensity, applied for 2 min each session. A 0.5 mL of Aloe vera gel at 2% concentration was applied for 2 min per session, topically and by phonophoresis. Topical application of Aloe vera gel did not show any statistically significant improvement in the inflammatory process, whereas phonophoresis enhanced the gel action reducing edema and number of inflammatory cells, promoting the rearrangement of collagen fibers and promoting also the recovery of the tensile strength and elasticity of the inflamed tendon to recover their normal pre-injury status. Results seem to indicate that Aloe vera phonophoresis is a promising technique for tendinitis treatment, without the adverse effect provoked by systemic anti-inflammatory drugs.