Posterior thigh thermal skin adaptations to radiofrequency treatment at 448 kHz applied with or without Indiba&lt;sup&gt;®&lt;/sup&gt; fascia treatment tools

Fousekis, Konstantinos; Chrysanthopoulos, Georgios; Τσεκούρα, Μαρία; Mandalidis, Dimitris; Mylonas, Konstantinos S.; Angelopoulos, Pavlos; Koumoundourou, Dimitra; Billis, Vicky; Tsepis, Εlias

doi:10.1589/jpts.32.292

Cited by 11 publications

(11 citation statements)

References 6 publications

(7 reference statements)

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“…In turn, Fousekis et al valued the thermal reaction of the skin of the posterior part of the thigh to the therapy based on a radio frequency of 448 kHz in a postmortem sample, which was applied in the form of a standard application (Indiba ® Activ) or combined soft tissue treatment (Indiba ® Fascia procedure) in a total of nine healthy men (age 22 ± 3 years, body weight 75.2 ± 4.9 kg, height 178.5 ± 4.7). In conclusion, these researchers found that the application of CRET at 448 kHz can induce and maintain significant thermal adaptations of the skin, reflecting increased blood circulation and the metabolism of underlying tissues, which seems to be in line with our results [ 50 ]. Moreover, López-de-Celis also assessed the effectiveness of CRET in a postmortem sample ( n = 10).…”

Section: Discussionsupporting

confidence: 92%

The Thermal Influence of an Electromagnetic Field with a Radio Frequency Depending on the Type of Electrode Used

Bryś

Grabarek

Król

et al. 2022

IJERPH

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Diathermy is a method used in physiotherapy based on obtaining an increase in temperature by supplying energy from the electromagnetic field to the tissues. The aim of this retrospective work, based on the data included in a medical documentation, was to assess the dynamics of temperature changes on the body surface after the application of a high-frequency electromagnetic field depending on the type of electrode used. In order to generate a radio frequency electromagnetic field, an INDIBA ACTIV® CT9 was used. In order to measure the temperature, an HT-17 thermovision camera was used, enabling measurements within the range of −20 to 300 °C, with an accuracy of ±2% or 2 °C. The participants consisted of 30 healthy subjects (15 women and 15 men) who were physiotherapy students in the Faculty of Public Health in the Silesian Medical University in Katowice, Poland; they were divided into two comparative groups (A and B). It was found that the differences between the groups were not significant in the measurements carried out before using the electrode (p = 0.84; Mann–Whitney U test). On the other hand, at 0, 5 and 15 min, statistically significant differences were noted in the tissue temperature between the groups, depending on the electrode used (p = 0.00; Mann–Whitney U test). Based on the obtained results, it can be concluded that with the extension of the observation time, the tissue temperature increased (for Group A, Me 30.40 °C vs. 34.90 °C; for Group B, Me 30.70 °C vs. 35.20 °C). Our study confirmed that the use of both a capacitive and resistive electrode during treatment with the use of a high-frequency electromagnetic field statistically significantly increased the surface temperature of the area to which the therapy was applied. The results of the study can be used in clinical practice by physiotherapists to optimize the conditions of therapy.

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Section: Discussionsupporting

confidence: 92%

The Thermal Influence of an Electromagnetic Field with a Radio Frequency Depending on the Type of Electrode Used

Bryś

Grabarek

Król

et al. 2022

IJERPH

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“…This temperature increase is not limited to the surface and has been recorded up to 20 mm deep [ 26 ]. In another test, these skin temperature changes were recorded up to 164 min later [ 28 ]. A higher oxyhaemoglobin concentration had been reported when applying heat through CRET than by surface heat, with a difference of up to 9% and higher ranges (56.3–77.9 vs. 48.2–74.0 µmol/L) [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Application of Capacitive-Resistive Electric Transfer in Physiotherapeutic Clinical Practice and Sports

Sousa

Sanchez

Maté-Muñoz

et al. 2021

IJERPH

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Diathermy techniques embody an oscillating electrical current passaging through the body tissues generating therapeutic heat; use of this technique in the physiotherapy field has been introduced recently, and because there is scarce information, the following review is proposed, aiming to explore the available evidence on applying CRET in physiotherapy clinical practice and sports. A systematic search was led through a keyword search on PubMed, MedLine, DialNet, Scopus, PEDro, Web of Science and Clinicaltrials databases. Including randomised controlled trials and quasi-experimental studies, which applied radiofrequency diathermy in sports and physiotherapy fields, without any restrictions on dates, published in Spanish, English, Portuguese or Italian. Data extraction was conducted through the Cochrane data extraction form and presented in tabular format; 30 articles were included for analysis, and assessment of methodological quality was made through the PEDro scale with a “Good/Fair” general quality score. The nature of existing articles does not allow a quantitative analysis. Conclusion: identified fields of applications were musculoskeletal physiotherapy, treatment of pelvic floor and sexual dysfunctions, as well as dermato-functional physiotherapy and sports, evidencing an increase of skin temperature, enhanced skin and muscle blood perfusion, as well as reporting an increase in oxyhaemoglobin. Further research is needed. Prospero registration number: CRD42020215592.

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“…Capacitive-resistive electrothermal therapy (CRET) is based on the non-invasive application of 0.45–0.60 MHz radiofrequency (RF) currents that, when circulating through the treated tissues, causes a temperature increase due to ion reorientation and friction ( 1 ). This therapy has been applied successfully for skin, muscle and osteoarticular tissue repair ( 2 , 3 ), as well as for the treatment of arthritis ( 4 ), Peyronie's disease ( 5 ) and ailments involving poor blood flow ( 6 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

Response of human cancer cells to simultaneous treatment with sorafenib and radiofrequency current

et al. 2021

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Due to their alleged analgesic, anti-inflammatory and tissue regenerative effects, capacitive-resistive electrothermal therapy (CRET), which is based on non-invasive exposure to radiofrequency (RF) currents, is often applied to chemotherapeutically treated patients with cancer. Our previous studies have demonstrated that subthermal CRET currents can elicit a number of cell responses, including anti-proliferative effects, in the human liver cancer cell line HepG2. Such effects involve significant changes in the regulation of proteins involved in MAPK signaling pathways, which are also implicated in the cancer cell response to standard anticancer drugs such as sorafenib. This overlap in response pathways may lead to competitive, neutralizing or blocking interactions between the electrical and chemical treatments, thus raising questions on the advisability of CRET treatment for their analgesic, anti-inflammatory or other purposes in patients undergoing chemotherapy. The present study analyzed the effects of simultaneous treatment with sorafenib and 448-kHz, subthermal CRET current on the proliferation and viability of HepG2 cell cultures. Cell viability was assessed through Trypan blue or XTT assays, while flow cytometry was applied for cell cycle and apoptosis analysis. The expression of proteins involved in cell proliferation were assessed by immunoblotting and immunofluorescence. The results revealed no evidence to suggest that the electrical treatment counteracted or neutralized the cellular response to sorafenib at the different conditions evaluated. Furthermore, at the standard pharmacological sorafenib concentration, 5 µM, the combined treatment elicited an anti-proliferative response significantly stronger than that induced by each of the treatments when applied separately in HepG2 cells. These data do not support the hypothesis that CRET exposure may inhibit or diminish the effects of a chemotherapeutic drug used in cancer treatment, and highlights the requirement for further investigation into the cell response to the combined action of electrical and chemical treatments.

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Posterior thigh thermal skin adaptations to radiofrequency treatment at 448 kHz applied with or without Indiba<sup>®</sup> fascia treatment tools

Cited by 11 publications

References 6 publications

The Thermal Influence of an Electromagnetic Field with a Radio Frequency Depending on the Type of Electrode Used

The Thermal Influence of an Electromagnetic Field with a Radio Frequency Depending on the Type of Electrode Used

Application of Capacitive-Resistive Electric Transfer in Physiotherapeutic Clinical Practice and Sports

Response of human cancer cells to simultaneous treatment with sorafenib and radiofrequency current

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