Pulsed LLLT improves tendon healing in rats: a biochemical, organizational, and functional evaluation

In the last decades, the tendon injuries have increased substantially. Previous results suggested that low-level laser treatment (LLLT) promotes synthesis of extracellular matrix and improves the functional properties of the tendon. The aim of this study was to evaluate the effects of different prot...

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Veröffentlicht in:Lasers in medical science 2014-03, Vol.29 (2), p.805-811
Hauptverfasser: Guerra, Flávia Da Ré, Vieira, Cristiano Pedrozo, dos Santos de Almeida, Marcos, Oliveira, Letícia Prado, Claro, Ana Carolina Ferreira, Simões, Gustavo Ferreira, de Oliveira, Alexandre Leite Rodrigues, Pimentel, Edson Rosa
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container_end_page 811
container_issue 2
container_start_page 805
container_title Lasers in medical science
container_volume 29
creator Guerra, Flávia Da Ré
Vieira, Cristiano Pedrozo
dos Santos de Almeida, Marcos
Oliveira, Letícia Prado
Claro, Ana Carolina Ferreira
Simões, Gustavo Ferreira
de Oliveira, Alexandre Leite Rodrigues
Pimentel, Edson Rosa
description In the last decades, the tendon injuries have increased substantially. Previous results suggested that low-level laser treatment (LLLT) promotes synthesis of extracellular matrix and improves the functional properties of the tendon. The aim of this study was to evaluate the effects of different protocols of LLLT on partially tenotomized tendons. Adult male rats were divided into the following: G1—intact, G2—injured, G3—injured + LLLT (4 J/cm 2 continuous), G4—injured + LLLT (4 J/cm 2 at 20 Hz). G2, G3, and G4 were euthanized 8 days after injury. G5—injured, G6—injured + LLLT (4 J/cm 2 continuous), and G7—injured + LLL (4 J/cm 2 at 20 Hz until the seventh day and 2 kHz from 8 to 14 days). G5, G6, and G7 were euthanized on the 15th day. Glycosaminoglycan (GAG) level was quantified by dimethylmethylene blue method and analyzed on agarose gel. Toluidine blue (TB) stain was used to observe metachromasy. CatWalk system was used to evaluate gait recovery. Collagen organization was analyzed by polarization microscopy. The GAG level increased in all transected groups, except G5. In G6 and G7, there was a significant increase in GAG in relation to G5. In G3 and G4, the presence of dermatan sulfate band was more prominent than G2. TB stains showed intense metachromasy in the treated groups. Birefringence analysis showed improvement in collagen organization in G7. The gait was significantly improved in G7. In conclusion, pulsed LLLT leads to increased organization of collagen bundles and improved gait recovery.
doi_str_mv 10.1007/s10103-013-1406-2
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Previous results suggested that low-level laser treatment (LLLT) promotes synthesis of extracellular matrix and improves the functional properties of the tendon. The aim of this study was to evaluate the effects of different protocols of LLLT on partially tenotomized tendons. Adult male rats were divided into the following: G1—intact, G2—injured, G3—injured + LLLT (4 J/cm 2 continuous), G4—injured + LLLT (4 J/cm 2 at 20 Hz). G2, G3, and G4 were euthanized 8 days after injury. G5—injured, G6—injured + LLLT (4 J/cm 2 continuous), and G7—injured + LLL (4 J/cm 2 at 20 Hz until the seventh day and 2 kHz from 8 to 14 days). G5, G6, and G7 were euthanized on the 15th day. Glycosaminoglycan (GAG) level was quantified by dimethylmethylene blue method and analyzed on agarose gel. Toluidine blue (TB) stain was used to observe metachromasy. CatWalk system was used to evaluate gait recovery. Collagen organization was analyzed by polarization microscopy. The GAG level increased in all transected groups, except G5. In G6 and G7, there was a significant increase in GAG in relation to G5. In G3 and G4, the presence of dermatan sulfate band was more prominent than G2. TB stains showed intense metachromasy in the treated groups. Birefringence analysis showed improvement in collagen organization in G7. The gait was significantly improved in G7. 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The GAG level increased in all transected groups, except G5. In G6 and G7, there was a significant increase in GAG in relation to G5. In G3 and G4, the presence of dermatan sulfate band was more prominent than G2. TB stains showed intense metachromasy in the treated groups. Birefringence analysis showed improvement in collagen organization in G7. The gait was significantly improved in G7. 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Previous results suggested that low-level laser treatment (LLLT) promotes synthesis of extracellular matrix and improves the functional properties of the tendon. The aim of this study was to evaluate the effects of different protocols of LLLT on partially tenotomized tendons. Adult male rats were divided into the following: G1—intact, G2—injured, G3—injured + LLLT (4 J/cm 2 continuous), G4—injured + LLLT (4 J/cm 2 at 20 Hz). G2, G3, and G4 were euthanized 8 days after injury. G5—injured, G6—injured + LLLT (4 J/cm 2 continuous), and G7—injured + LLL (4 J/cm 2 at 20 Hz until the seventh day and 2 kHz from 8 to 14 days). G5, G6, and G7 were euthanized on the 15th day. Glycosaminoglycan (GAG) level was quantified by dimethylmethylene blue method and analyzed on agarose gel. Toluidine blue (TB) stain was used to observe metachromasy. CatWalk system was used to evaluate gait recovery. Collagen organization was analyzed by polarization microscopy. The GAG level increased in all transected groups, except G5. In G6 and G7, there was a significant increase in GAG in relation to G5. In G3 and G4, the presence of dermatan sulfate band was more prominent than G2. TB stains showed intense metachromasy in the treated groups. Birefringence analysis showed improvement in collagen organization in G7. The gait was significantly improved in G7. In conclusion, pulsed LLLT leads to increased organization of collagen bundles and improved gait recovery.</abstract><cop>London</cop><pub>Springer London</pub><pmid>23982719</pmid><doi>10.1007/s10103-013-1406-2</doi><tpages>7</tpages></addata></record>
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subjects Achilles Tendon - injuries
Animals
Biochemistry
Collagen
Dentistry
Glycosaminoglycans - metabolism
Laser surgery
Lasers
Low-Level Light Therapy - instrumentation
Low-Level Light Therapy - methods
Male
Medicine
Medicine & Public Health
Microscopy, Polarization
Optical Devices
Optics
Original Article
Photonics
Quantum Optics
Rats, Wistar
Rehabilitation
Rodents
Tendon Injuries - metabolism
Tendon Injuries - physiopathology
Tendon Injuries - radiotherapy
Tendons
Wound Healing - radiation effects
title Pulsed LLLT improves tendon healing in rats: a biochemical, organizational, and functional evaluation
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