Can we improve diabetic foot ulcer remission tissue quality with pulsed electromagnetic field stimulation (PEMF)?

Intriguing new data from our long-time SALSAAmigos Prof. Gladys Chen and coworkers from Hong Kong.

Perhaps using PEMF during and following healing may ultimately promote better tissue healing and more ulcer-free days in remission.

 

Harry M. C. Choi, Alex K. K. Cheing, Gabriel Y. F. Ng, Gladys L. Y. Cheing

Abstract
The present study investigated the effects of pulsed electromagnetic field (PEMF) on the tensile biomechanical properties of diabetic wounds at different phases of healing. Two intensities of PEMF were adopted for comparison.

We randomly assigned 111 10-week-old male streptozotocin-induced diabetic Sprague-Dawley rats to two PEMF groups and a sham control group. Six-millimetre biopsy punched full thickness wounds were made on the lateral side of their hindlimbs. The PEMF groups received active PEMF delivered at 25 Hz with intensity of either 2 mT or 10 mT daily, while the sham group was handled in a similar way except they were not exposed to PEMF. Wound tissues were harvested for tensile testing on post-wounding days 3, 5, 7, 10, 14 and 21. Maximum load, maximum stress, energy absorption capacity, Young’s modulus and thickness of wound tissue were measured.

On post-wounding day 5, the PEMF group that received 10-mT intensity had significantly increased energy absorption capacity and showed an apparent increase in the maximum load. However, the 10-mT PEMF group demonstrated a decrease in Young’s modulus on day 14. The 10-mT PEMF groups showed a significant increase in the overall thickness of wound tissue whereas the 2-mT group showed a significant decrease in the overall maximum stress of the wounds tissue.

The present findings demonstrated that the PEMF delivered at 10 mT can improve energy absorption capacity of diabetic wounds in the early healing phase. However, PEMF (both 2-mT and 10-mT) seemed to impair the material properties (maximum stress and Young’s modulus) in the remodelling phase. PEMF may be a useful treatment for promoting the recovery of structural properties (maximum load and energy absorption capacity), but it might not be applied at the remodelling phase to avoid impairing the recovery of material properties.journal.pone.0191074.g003

 

via Effects of pulsed electromagnetic field (PEMF) on the tensile biomechanical properties of diabetic wounds at different phases of healing

One thought on “Can we improve diabetic foot ulcer remission tissue quality with pulsed electromagnetic field stimulation (PEMF)?

  1. Thank you for the information .I have been using Pulsed Electro Magnetic Field exposure in Diabetic Foot Ulcer cases for past two years.
    Have presented case reports at National and International conferences(Italy ,San Diego).Will be presenting an e-poster at ATTD2018 at Vienna in February.

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