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1.
Behav Brain Res ; 417: 113575, 2022 01 24.
Artículo en Inglés | MEDLINE | ID: mdl-34534596

RESUMEN

Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by gait dysfunction in later stages of the disease. PD hallmarks include a decrease in stride length, run speed, and swing time; an increase in stride time, stance time, and base of support; dopaminergic degeneration in the basal ganglia; and cholinergic degeneration in the pedunculopontine nucleus (PPN). A progressive animal model of PD is needed to identify treatments for gait dysfunction. The goal of this study was to quantify progressive gait degeneration in PTEN-induced putative kinase 1 knockout (P1KO) rats and investigate neurodegeneration as potential underlying mechanisms. Gait analysis was performed in male P1KO and wild-type rats at 5 and 8 months of age and immunohistochemical analysis at 8 months. Multiple parameters of volitional gait were measured using a runway system. P1KO rats exhibited significant gait deficits at 5 months, but not 8 months. Gait abnormalities improved over time suggesting compensation during behavioral testing. At 8 months a 15% loss of tyrosine hydroxylase (TH) in the striatum, a 27% loss of TH-positive cells in the substantia nigra pars compacta, and no significant loss of choline acetyltransferase-positive cells in the PPN was found. Dopaminergic cell loss may contribute to gait deficits in the P1KO model, but not cholinergic cell loss. The P1KO rat with the greatest dopamine loss exhibited the most pronounced PD-like gait deficits, highlighting variability within the model. Further analysis is required to determine the suitability of the P1KO rat as a progressive model of gait abnormalities in PD.


Asunto(s)
Neuronas Dopaminérgicas , Animales , Cuerpo Estriado/metabolismo , Modelos Animales de Enfermedad , Neuronas Dopaminérgicas/metabolismo , Neuronas Dopaminérgicas/patología , Trastornos Neurológicos de la Marcha , Masculino , Enfermedad de Parkinson/fisiopatología , Porción Compacta de la Sustancia Negra/metabolismo , Proteínas Quinasas , Ratas , Tirosina 3-Monooxigenasa/metabolismo
2.
Langmuir ; 34(49): 14766-14773, 2018 12 11.
Artículo en Inglés | MEDLINE | ID: mdl-30227713

RESUMEN

Organic semiconductor lasers are a sensitive biosensing platform that respond to specific biomolecule binding events. So far, such biosensors have utilized protein-based interactions for surface functionalization but a nucleic acid-based strategy would considerably widen their utility as a general biodiagnostic platform. This manuscript reports two important advances for DNA-based sensing using an organic semiconductor (OS) distributed feedback (DFB) laser. First, the immobilization of alkyne-tagged 12/18-mer oligodeoxyribonucleotide (ODN) probes by Cu-catalyzed azide alkyne cycloaddition (CuAAC) or "click-chemistry" onto an 80 nm thick OS laser film modified with an azide-presenting polyelectrolyte monolayer is presented. Second, sequence-selective binding to these immobilized probes with complementary ODN-functionalized silver nanoparticles, is detected. As binding occurs, the nanoparticles increase the optical losses of the laser mode through plasmonic scattering and absorption, and this causes a rise in the threshold pump energy required for laser action that is proportional to the analyte concentration. By monitoring this threshold, detection of the complementary ODN target down to 11.5 pM is achieved. This complementary binding on the laser surface is independently confirmed through surface-enhanced Raman spectroscopy (SERS).


Asunto(s)
Técnicas Biosensibles/métodos , ADN/análisis , Láseres de Semiconductores , Nanopartículas del Metal/química , Oligodesoxirribonucleótidos/análisis , Alquinos/química , Azidas/química , Técnicas Biosensibles/instrumentación , Química Clic , Reacción de Cicloadición , ADN/química , ADN/genética , Sondas de ADN , Ácidos Nucleicos Inmovilizados/química , Ácidos Nucleicos Inmovilizados/genética , Hibridación de Ácido Nucleico , Oligodesoxirribonucleótidos/química , Oligodesoxirribonucleótidos/genética , Plata/química , Espectrometría Raman/instrumentación , Espectrometría Raman/métodos
3.
J Microsc ; 270(2): 252-258, 2018 05.
Artículo en Inglés | MEDLINE | ID: mdl-29570774

RESUMEN

In a previous paper, we showed a new giant lens called the Mesolens and presented performance data and images from whole fixed and intact fluorescently-stained 12.5-day old mouse embryos. Here, we show that using the Mesolens we can image an entire Drosophila larva or adult fly in confocal epifluorescence and show subcellular detail in all tissues. By taking several hundreds of optical sections through the entire volume of the specimen, we show cells and nuclear details within the gut, brain, salivary glands and reproductive system that normally require dissection for study. Organs are imaged in situ in correct 3D arrangement. Imaginal discs are imaged in mature larvae and it proved possible to image pachytene chromosomes in cells within ovarian follicles in intact female flies. Methods for fixing, staining and clearing are given.


Asunto(s)
Drosophila/ultraestructura , Imagenología Tridimensional/métodos , Larva/ultraestructura , Microscopía Confocal/métodos , Microscopía Fluorescente/métodos , Estructuras Animales/ultraestructura , Animales
4.
J Microsc ; 269(3): 212-220, 2018 03.
Artículo en Inglés | MEDLINE | ID: mdl-28837217

RESUMEN

We report the first demonstration of a fast wavelength-switchable 340/380 nm light-emitting diode (LED) illuminator for Fura-2 ratiometric Ca2+ imaging of live cells. The LEDs closely match the excitation peaks of bound and free Fura-2 and enables the precise detection of cytosolic Ca2+ concentrations, which is only limited by the Ca2+ response of Fura-2. Using this illuminator, we have shown that Fura-2 acetoxymethyl ester (AM) concentrations as low as 250 nM can be used to detect induced Ca2+ events in tsA-201 cells and while utilising the 150 µs switching speeds available, it was possible to image spontaneous Ca2+ transients in hippocampal neurons at a rate of 24.39 Hz that were blunted or absent at typical 0.5 Hz acquisition rates. Overall, the sensitivity and acquisition speeds available using this LED illuminator significantly improves the temporal resolution that can be obtained in comparison to current systems and supports optical imaging of fast Ca2+ events using Fura-2.

5.
J Microsc ; 259(3): 210-8, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25946127

RESUMEN

We have studied the wavelength dependence of the two-photon excitation efficiency for a number of common UV excitable fluorescent dyes; the nuclear stains DAPI, Hoechst and SYTOX Green, chitin- and cellulose-staining dye Calcofluor White and Alexa Fluor 350, in the visible and near-infrared wavelength range (540-800 nm). For several of the dyes, we observe a substantial increase in the fluorescence emission intensity for shorter excitation wavelengths than the 680 nm which is the shortest wavelength usually available for two-photon microscopy. We also find that although the rate of photo-bleaching increases at shorter wavelengths, it is still possible to acquire many images with higher fluorescence intensity. This is particularly useful for applications where the aim is to image the structure, rather than monitoring changes in emission intensity over extended periods of time. We measure the excitation spectrum when the dyes are used to stain biological specimens to get a more accurate representation of the spectrum of the dye in a cell environment as compared to solution-based measurements.


Asunto(s)
Microscopía Fluorescente/métodos , Fotones , Óxido de Aluminio , Bencenosulfonatos/química , Fluorescencia , Colorantes Fluorescentes , Indoles/química , Rayos Láser , Compuestos Orgánicos/química , Espectrometría de Fluorescencia , Coloración y Etiquetado
6.
J Microsc ; 259(1): 66-73, 2015 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25864964

RESUMEN

We report a method for characterizing the focussing laser beam exiting the objective in a laser scanning microscope. This method provides the size of the optical focus, the divergence of the beam, the ellipticity and the astigmatism. We use a microscopic-scale knife edge in the form of a simple transmission electron microscopy grid attached to a glass microscope slide, and a light-collecting optical fibre and photodiode underneath the specimen. By scanning the laser spot from a reflective to a transmitting part of the grid, a beam profile in the form of an error function can be obtained and by repeating this with the knife edge at different axial positions relative to the beam waist, the divergence and astigmatism of the postobjective laser beam can be obtained. The measured divergence can be used to quantify how much of the full numerical aperture of the lens is used in practice. We present data of the beam radius, beam divergence, ellipticity and astigmatism obtained with low (0.15, 0.7) and high (1.3) numerical aperture lenses and lasers commonly used in confocal and multiphoton laser scanning microscopy. Our knife-edge method has several advantages over alternative knife-edge methods used in microscopy including that the knife edge is easy to prepare, that the beam can be characterized also directly under a cover slip, as necessary to reduce spherical aberrations for objectives designed to be used with a cover slip, and it is suitable for use with commercial laser scanning microscopes where access to the laser beam can be limited.

7.
Opt Express ; 21(20): 23459-70, 2013 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-24104260

RESUMEN

Self-focusing of intense laser beams and pulses of light in real nonlinear media is in general accompanied by material losses that require corrections to the conservative Nonlinear Schrödinger equations describing their propagation. Here we examine loss mechanisms that exist even in lossless media and are caused by shedding of energy away from the self-trapping beam making it to relax to an exact solution of lower energy. Using the conservative NLS equations with absorbing boundary conditions we show that energy shedding not only occurs during the initial reshaping process but also during oscillatory propagation induced by saturation of the nonlinear effect. For pulsed input we also show that, depending on the sign and magnitude of dispersion, pulse splitting, energy shedding, collapse or stable self-focusing may result.

8.
J Microsc ; 248(2): 200-7, 2012 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-23078118

RESUMEN

We report the use of an all-solid-state ultrashort pulsed source specifically for two-photon microscopy at wavelengths shorter than those of the conventional Ti:Sapphire laser. Our approach involves sum-frequency mixing of the output from an optical parametric oscillator (λ= 1400-1640 nm) synchronously pumped by a Yb-doped fibre laser (λ= 1064 nm), with the residual pump radiation. This generated an fs-pulsed output tunable in the red spectral region (λ= 620-636 nm, ~150 mW, 405 fs, 80 MHz, M(2) ~ 1.3). We demonstrate the performance of our ultrashort pulsed system using fluorescently labelled and autofluorescent tissue, and compare with conventional Ti:Sapphire excitation. We observe a more than 3-fold increase in fluorescence signal intensity using our visible laser source in comparison with the Ti:Sapphire laser for two-photon excitation at equal illumination peak powers of 1.16 kW or less.


Asunto(s)
Microscopía Fluorescente/métodos , Animales , Hosta/citología , Riñón/citología , Ratones , Epidermis de la Planta/citología , Hojas de la Planta/citología
9.
Rev Sci Instrum ; 83(8): 083705, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-22938301

RESUMEN

Biomedical imaging applications that involve nonlinear optical processes such as sum-frequency generation (SFG) and four-wave mixing require that the pulses are synchronized in time and the beams are coaxial to better than 400 µrad. For this reason, folding mirrors are normally used to extend the beam path over a few meters so that detectors can be put into the beams to check their overlap at the start of a long path and also at the end of it. We have made a portable instrument with a footprint of only 22 cm × 11 cm × 16 cm that uses a short focal length lens and a telephoto combination for viewing the near-field and far-field simultaneously. Our instrument is simple to build and use, and we show its application in coherent anti-Stokes Raman scattering microscopy and SFG-based two-photon fluorescence microscopy.


Asunto(s)
Rayos Láser , Imagen Molecular/instrumentación , Animales , Microscopía de Fluorescencia por Excitación Multifotónica , Caracoles/anatomía & histología , Espectrometría Raman
10.
Ir J Med Sci ; 181(1): 99-104, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21959951

RESUMEN

BACKGROUND: The practice of fasting from midnight prior to surgery is an outdated one. AIMS: The aim of this study was to assess the impact of an evidence-based protocol for reduced preoperative fasting on fasting times, patient safety, and comfort. METHODS: A non-randomised case-control study of preoperative fasting times among adult surgical patients undergoing elective procedures was conducted. Consecutive patients were allocated to a reduced preoperative fasting protocol allowing fluids and solids up to 2 and 6 h prior to anaesthesia, respectively (n = 21). These were compared to control patients identified from an historic study of preoperative fasting times who followed the traditional fast from midnight (n = 29). Fasting times and details of patients' subjective comfort were collected using an interview-assisted questionnaire. Incidence of intraoperative aspirations was obtained from anaesthetic records. RESULTS: Significant reductions in fasting times for fluids (p = 0.000) and solids (p = 0.000) were achieved following implementation of the fasting protocol. Less preoperative thirst (0.000), headache (0.012) and nausea (0.015) were reported by those who had a shorter fast. Intraoperative aspiration did not occur in either group. CONCLUSION: Implementation of this protocol for reduced preoperative fasting achieved an appreciable reduction in fasting times and enhanced patient comfort. Patient safety was not compromised. Further modifications of our protocols are necessary to meet the international best practice. We recommend its implementation across all surgical groups in our institution.


Asunto(s)
Procedimientos Quirúrgicos Electivos , Ayuno , Periodo Preoperatorio , Estudios de Casos y Controles , Medicina Basada en la Evidencia , Humanos , Factores de Tiempo
11.
Opt Express ; 18(5): 3993-9, 2010 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-20389413

RESUMEN

A novel bi-directional pump geometry that nonlinearly increases the nonlinear optical conversion efficiency of a synchronously pumped optical parametric oscillator (OPO) is reported. This bi-directional pumping method synchronizes the circulating signal pulse with two counter-propagating pump pulses within a linear OPO resonator. Through this pump scheme, an increase in nonlinear optical conversion efficiency of 22% was achieved at the signal wavelength, corresponding to a 95% overall increase in average power. Given an almost unchanged measured pulse duration of 260 fs under optimal performance conditions, this related to a signal wavelength peak power output of 18.8 kW, compared with 10 kW using the traditional single-pass geometry. In this study, a total effective peak intensity pump-field of 7.11 GW/cm(2) (corresponding to 3.55 GW/cm(2) from each pump beam) was applied to a 3 mm long periodically poled lithium niobate crystal, which had a damage threshold intensity of 4 GW/cm(2), without impairing crystal integrity. We therefore prove the application of this novel pump geometry provides opportunities for power-scaling of synchronously pumped OPO systems together with enhanced nonlinear conversion efficiency through relaxed damage threshold intensity conditions.


Asunto(s)
Dinámicas no Lineales , Fenómenos Ópticos , Óptica y Fotónica/instrumentación , Oscilometría/instrumentación , Electricidad
12.
J Neural Eng ; 6(5): 055005, 2009 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-19721187

RESUMEN

The widespread adoption of neural prosthetic devices is currently hindered by our inability to reliably record neural signals from chronically implanted electrodes. The extent to which the local tissue response to implanted electrodes influences recording failure is not well understood. To investigate this phenomenon, impedance spectroscopy has shown promise for use as a non-invasive tool to estimate the local tissue response to microelectrodes. Here, we model impedance spectra from chronically implanted rats using the well-established Cole model, and perform a correlation analysis of modeled parameters with histological markers of astroglial scar, including glial fibrillary acid protein (GFAP) and 4',6-diamidino-2- phenylindole (DAPI). Correlations between modeled parameters and GFAP were significant for three parameters studied: Py value, R(o) and |Z|(1 kHz), and in all cases were confined to the first 100 microm from the interface. Py value was the only parameter also correlated with DAPI in the first 100 microm. Our experimental results, along with computer simulations, suggest that astrocytes are a predominant cellular player affecting electrical impedance spectra. The results also suggest that the largest contribution from reactive astrocytes on impedance spectra occurs in the first 100 microm from the interface, where electrodes are most likely to record electrical signals. These results form the basis for future approaches where impedance spectroscopy can be used to evaluate neural implants, evaluate strategies to minimize scar and potentially develop closed-loop prosthetic devices.


Asunto(s)
Astrocitos/citología , Astrocitos/fisiología , Encéfalo/citología , Encéfalo/fisiología , Electrodos Implantados , Pletismografía de Impedancia/métodos , Animales , Células Cultivadas , Impedancia Eléctrica , Masculino , Ratas , Ratas Sprague-Dawley
13.
J Microsc ; 225(Pt 2): 126-36, 2007 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-17359247

RESUMEN

We report the demonstration of time-correlated single-photon counting (TCSPC) fluorescence lifetime imaging (FLIM) to ex vivo decayed and healthy dentinal tooth structures, using a white-light supercontinuum excitation source. By using a 100 fs-pulsed Ti:Sapphire laser with a low-frequency chirp to pump a 30-cm long section of photonic crystal fibre, a ps-pulsed white-light supercontinuum was created. Optical bandpass interference filters were then applied to this broad-bandwidth source to select the 488-nm excitation wavelength required to perform TCSPC FLIM of dental structures. Decayed dentine showed significantly shorter lifetimes, discriminating it from healthy tissue and hard, stained and thus affected but non-infected material. The white-light generation source provides a flexible method of producing variable-bandwidth visible and ps-pulsed light for TCSPC FLIM. The results from the dental tissue indicate a potential method of discriminating diseased tissue from sound, but stained tissue, which could be of crucial importance in limiting tissue resection during preparation for clinical restorations.


Asunto(s)
Caries Dental/patología , Microscopía Confocal/métodos , Microscopía Fluorescente/métodos , Diente/anatomía & histología , Diseño de Equipo , Humanos , Microscopía Confocal/instrumentación , Microscopía Fluorescente/instrumentación , Óptica y Fotónica/instrumentación
14.
Microsc Res Tech ; 70(5): 452-8, 2007 May.
Artículo en Inglés | MEDLINE | ID: mdl-17393494

RESUMEN

In the last decade, fluorescence resonance energy transfer (FRET) has become a useful technique for studying intermolecular interactions applied to the analysis of biological systems. Although FRET measurements may be very helpful in the comprehension of different cellular processes, it can be difficult to obtain quantitative results, hence the necessity of studying FRET on controllable systems. Here, a fuzzy nanostructured system called a nanocapsule is presented as a nanometric-device allowing distance modulation, thus preserving photophysical properties of fluorescent dyes and exhibiting good potential features for improving quantitative FRET analysis. We evaluated the behavior of such a sample using four FRET methods (three of them based on steady-state fluorescence and one using lifetime measurements). Within some limitations that can be overcome, these nanodevices have the potential to serve as a benchmark system for characterizing new FRET couples and to develop quantitative approaches for FRET analysis.

15.
Phys Med Biol ; 52(3): 717-24, 2007 Feb 07.
Artículo en Inglés | MEDLINE | ID: mdl-17228116

RESUMEN

A singly resonant femtosecond-pulsed synchronously pumped optical parametric oscillator (SPOPO) is reported that provides a wavelength-tunable alternative to the Cr:forsterite source for nonlinear microscopy applications. Periodically poled lithium niobate within an external resonator was synchronously pumped by a commercial fs-pulsed Nd:YLF laser source to provide fs-pulsed continuously tunable radiation from 1.45 to 1.63 microm. Third harmonic generation (THG) microscopy and three-photon laser scanning fluorescence microscopy (3PLSM) of a range of samples were subsequently performed using this long-wavelength SPOPO source. The ability to tune the excitation wavelength delivered to the sample significantly improved the efficiency of both the 3PLSM and THG imaging experiments.


Asunto(s)
Microscopía/instrumentación , Animales , Fenómenos Biofísicos , Biofisica , Colágeno/química , Colágeno/ultraestructura , Cobayas , Rayos Láser , Ratones , Microscopía/métodos , Microscopía de Fluorescencia por Excitación Multifotónica/instrumentación , Microscopía de Fluorescencia por Excitación Multifotónica/métodos , Músculo Liso/anatomía & histología , Óptica y Fotónica/instrumentación
16.
J Biomed Opt ; 11(5): 054020, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-17092169

RESUMEN

More than a threefold increase in multiphoton laser scanning microscopy depth penetration using a passive predispersion compensation system is reported. Using dispersion-controlled pulses to counteract the effects of positive group delay dispersion in the imaging platform, optical sectioning of fluorescent samples to depths in excess of 800 microm was observed, compared with only 240 microm using a noncompensated setup. Experimental results obtained from both the predispersion compensated and noncompensated systems are compared with theoretical values of pulse broadening in a laser scanning microscope. The observed improvement in depth profiling potentially widens the applications and user base of nonlinear microscopy techniques.


Asunto(s)
Anatomía Transversal/instrumentación , Aumento de la Imagen/métodos , Imagenología Tridimensional/métodos , Microscopía Confocal/métodos , Microscopía de Fluorescencia por Excitación Multifotónica/instrumentación , Anatomía Transversal/métodos , Microscopía Confocal/instrumentación , Microscopía de Fluorescencia por Excitación Multifotónica/métodos , Fantasmas de Imagen , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
17.
Microsc Res Tech ; 67(1): 8-14, 2005 May.
Artículo en Inglés | MEDLINE | ID: mdl-16025485

RESUMEN

The illumination source for all high-resolution, optical sectioning, scanning microscopes is crucially important to the overall performance of the system. We examine advances that have been made in laser sources for both confocal and multiphoton microscopy where the emphasis has been on the development of potentially low-cost, easy to use sources. Growing interest in temporally and spatially resolved techniques has directed laser research towards addressing these challenges. We present the most recent developments in sources for confocal and multiphoton microscopy along with the considerations that should be made when a new source is being considered.


Asunto(s)
Rayos Láser , Microscopía Confocal/instrumentación , Microscopía de Fluorescencia por Excitación Multifotónica/instrumentación , Animales , Humanos
18.
Microsc Res Tech ; 64(4): 293-6, 2004 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-15481047

RESUMEN

We report on the application of confocal and multiphoton microscopic techniques for the evaluation of the latest generation of micro optical components. The optical emitting characteristics of arrays of matrix addressable GaN micrometer-sized light emitting diodes (micro-LEDs) have been measured using a commercial confocal microscope utilising the LEDs' own emission along with reflection confocal microscopy to determine the surface structure. Multiphoton induced luminescence from the 10-20-micron diameter emitters has also been used to examine the structure of the device and we compare this with electrically induced emission. In related work, the optical properties of micro lens arrays (10-100-micron diameter) fabricated in SiC, Sapphire, and Diamond have been determined using transmission confocal microscopy. Such optical microscopy techniques offer a simple, non-destructive method to determine the structure and performance of such novel devices.

19.
Opt Lett ; 28(19): 1742-4, 2003 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-14514086

RESUMEN

We report a robust and reliable platform source for visible-wavelength multiphoton microscopy that is based on nonlinear optical methods. We demonstrate a synchronously pumped, singly resonant optical parametric oscillator with simultaneous intracavity third-order quasi-phase matching in a single crystal that generates continuously tunable, visible, and femtosecond-pulsed radiation. The application of the system is demonstrated by two-photon laser-scanning fluorescence microscopy of rabbit cardiac myocytes loaded with the fluorescent Ca2+ indicator fura-2.


Asunto(s)
Rayos Láser , Microscopía , Miocitos Cardíacos/ultraestructura , Fotones , Animales , Colorantes Fluorescentes , Fura-2 , Microscopía Fluorescente , Conejos , Factores de Tiempo
20.
J Altern Complement Med ; 7(1): 53-64, 2001 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11246937

RESUMEN

OBJECTIVE: To test effectiveness of static magnetic fields of two different configurations, produced by magnetic sleep pads, as adjunctive therapies in decreasing patient pain perception and improving functional status in individuals with fibromyalgia. DESIGN: Randomized, placebo-controlled, 6-month trial conducted from November 1997 through December 1998. SETTING AND SUBJECTS: Adults who met the 1990 American College of Rheumatology criteria for fibromyalgia were recruited through clinical referral and media announcements and evaluated at a university-based clinic. INTERVENTIONS: Subjects in Functional Pad A group used a pad for 6 months that provided whole-body exposure to a low, uniform static magnetic field of negative polarity. Subjects in the Functional Pad B group used a pad for 6 months that exposed them to a low static magnetic field that varied spatially and in polarity. Subjects in two Sham groups used pads that were identical in appearance and texture to the functional pads but contained inactive magnets; these groups were combined for analysis. Subjects in the Usual Care group continued with their established treatment regimens. OUTCOME MEASURES: Primary outcomes were the change scores at 6 months in the following measures: functional status (Fibromyalgia Impact Questionnaire), pain intensity ratings, tender point count, and a tender point pain intensity score. RESULTS: There was a significant difference among groups in pain intensity ratings (p = 0.03), with Functional Pad A group showing the greatest reduction from baseline at 6 months. All four groups showed a decline in number of tender points, but differences among the groups were not significant (p = 0.72). The functional pad groups showed the largest decline in total tender point pain intensity, but overall differences were not significant (p = 0.25). Improvement in functional status was greatest in the functional pad groups, but differences among groups were not significant (p = 0.23). CONCLUSIONS: Although the functional pad groups showed improvements in functional status, pain intensity level, tender point count, and tender point intensity after 6 months of treatment, with the exception of pain intensity level these improvements did not differ significantly from changes in the Sham group or in the Usual Care group.


Asunto(s)
Terapias Complementarias , Fibromialgia/terapia , Magnetismo , Manejo del Dolor , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Resultado del Tratamiento
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