Evidence map›Paper›PMID 29174271›Full record

ArticleJournal of shoulder and elbow surgery2018

Effects of pulsed electromagnetic field therapy at different frequencies and durations on rotator cuff tendon-to-bone healing in a rat model.

Julianne Huegel, Daniel S Choi, Courtney A Nuss, Mary C C Minnig, Jennica J Tucker, Andrew F Kuntz, Erik I Waldorff, Nianli Zhang, James T Ryaby, Louis J Soslowsky

Abstract read
In one paragraph

Article in Journal of shoulder and elbow surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Pulsed electromagnetic field therapy alters early healing in a rat model of rotator cuff injury and repair: Potential mechanisms.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Effects of Pulsed Electromagnetic Field Therapy on Rat Achilles Tendon Healing.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2020
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Julianne HuegelMcKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, USA.
Daniel S ChoiMcKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, USA.
Courtney A NussMcKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, USA.
Mary C C MinnigMcKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, USA.
Jennica J TuckerMcKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, USA.
Andrew F KuntzMcKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, USA.
Erik I WaldorffDepartment of Research and Clinical Affairs, Orthofix, Lewisville, TX, USA.
Nianli ZhangDepartment of Research and Clinical Affairs, Orthofix, Lewisville, TX, USA.
James T RyabyDepartment of Research and Clinical Affairs, Orthofix, Lewisville, TX, USA.
Louis J SoslowskyMcKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: soslowsk@upenn.edu.

Funding

Training in Muscle Biology and Muscle DiseaseT32AR053461 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI OSTAP, E. MICHAEL · 2006 to 2025
$4.9M
NIAMS NIH HHS T32 AR053461
6 · The paper itself

Abstract

backgroundRotator cuff tears affect millions of individuals each year, often requiring surgical intervention. However, repair failure remains common. We have previously shown that pulsed electromagnetic field (PEMF) therapy improved tendon-to-bone healing in a rat rotator cuff model. The purpose of this study was to determine the influence of both PEMF frequency and exposure time on rotator cuff healing.

methodsTwo hundred ten Sprague-Dawley rats underwent acute bilateral supraspinatus injury and repair followed by either Physio-Stim PEMF or high-frequency PEMF therapy for 1, 3, or 6 hours daily. Control animals did not receive PEMF therapy. Mechanical and histologic properties were assessed at 4, 8, and 16 weeks.

resultsImprovements in different mechanical properties at various endpoints were identified for all treatment modalities when compared with untreated animals, regardless of PEMF frequency or duration. Of note, 1 hour of Physio-Stim treatment showed significant improvements in tendon mechanical properties across all time points, including increases in both modulus and stiffness as early as 4 weeks. Collagen organization improved for several of the treatment groups compared with controls. In addition, improvements in type I collagen and fibronectin expression were identified with PEMF treatment. An important finding was that no adverse effects were identified in any mechanical or histologic property.

conclusionsOverall, our results suggest that PEMF therapy has a positive effect on rat rotator cuff healing for each electromagnetic fundamental pulse frequency and treatment duration tested in this study.

Indexed as

Wound HealingAnimalsDisease Models, AnimalMagnetic Field TherapyMalePlastic Surgery ProceduresRatsRats, Sprague-DawleyRotator CuffRotator Cuff InjuriesTendonsanimal modelPEMFratrotator cuffsupraspinatus repairtendon healing

Identifiers

PMID29174271
PMCPMC5835831

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.