PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of jathtrainLink to Publisher's site
 
J Athl Train. 1993 Spring; 28(1): 63-64, 66-70, 72, 74.
PMCID: PMC1317894

New Perspectives in Edema Control via Electrical Stimulation

Frank C. Mendel, PhD
Frank C. Mendel is Associate Professor of Anatomy at Department of Anatomical Sciences, State University of New York, Buffalo, NY 14214.
Dale R. Fish, PhD, PT

Abstract

Clinicians commonly use electrical stimulation (ES) to control acute edema. But, except for anecdotal reports, there is little evidence to support that practice. We recently conducted a series of controlled, blinded studies on several nonhuman animal models to determine the efficacy of several forms of ES, but high-voltage pulsed current (HVPC) in particular, in controlling acute posttraumatic edema. We observed that acute posttraumatic edema is curbed by HVPC when certain protocols are used. Results of these studies suggest to us that wave form, polarity, treatment schedule, intensity and frequency of pulses all influence ES, and that clinical protocols need revision.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (4.3M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bettany JA, Fish DR, Mendel FC. High-voltage pulsed direct current: effect on edema formation after hyperflexion injury. Arch Phys Med Rehabil. 1990 Aug;71(9):677–681. [PubMed]
  • Bettany JA, Fish DR, Mendel FC. Influence of high voltage pulsed direct current on edema formation following impact injury. Phys Ther. 1990 Apr;70(4):219–224. [PubMed]
  • Cosgrove KA, Alon G, Bell SF, Fischer SR, Fowler NR, Jones TL, Myaing JC, Crouse TM, Seaman LJ. The electrical effect of two commonly used clinical stimulators on traumatic edema in rats. Phys Ther. 1992 Mar;72(3):227–233. [PubMed]
  • CRISLER GR. Sprains and strains treated with the ultrafaradic M-4 impulse generator. J Fla Med Assoc. 1953 Jul;40(1):32–34. [PubMed]
  • Fish DR, Mendel FC, Schultz AM, Gottstein-Yerke LM. Effect of anodal high voltage pulsed current on edema formation in frog hind limbs. Phys Ther. 1991 Oct;71(10):724–733. [PubMed]
  • Grega GJ, Adamski SW, Dobbins DE. Physiological and pharmacological evidence for the regulation of permeability. Fed Proc. 1986 Feb;45(2):96–100. [PubMed]
  • Griffin JW, Newsome LS, Stralka SW, Wright PE. Reduction of chronic posttraumatic hand edema: a comparison of high voltage pulsed current, intermittent pneumatic compression, and placebo treatments. Phys Ther. 1990 May;70(5):279–286. [PubMed]
  • Karnes JL, Mendel FC, Fish DR. Effects of low voltage pulsed current on edema formation in frog hind limbs following impact injury. Phys Ther. 1992 Apr;72(4):273–278. [PubMed]
  • Mendel FC, Wylegala JA, Fish DR. Influence of high voltage pulsed current on edema formation following impact injury in rats. Phys Ther. 1992 Sep;72(9):668–673. [PubMed]
  • Mohr TM, Akers TK, Landry RG. Effect of high voltage stimulation on edema reduction in the rat hind limb. Phys Ther. 1987 Nov;67(11):1703–1707. [PubMed]
  • Newton RA, Karselis TC. Skin pH following high voltage pulsed galvanic stimulation. Phys Ther. 1983 Oct;63(10):1593–1596. [PubMed]
  • Reed BV. Effect of high voltage pulsed electrical stimulation on microvascular permeability to plasma proteins. A possible mechanism in minimizing edema. Phys Ther. 1988 Apr;68(4):491–495. [PubMed]
  • Taylor K, Fish DR, Mendel FC, Burton HW. Effect of a single 30-minute treatment of high voltage pulsed current on edema formation in frog hind limbs. Phys Ther. 1992 Jan;72(1):63–68. [PubMed]
  • Taylor K, Fish DR, Mendel FC, Burton HW. Effect of electrically induced muscle contractions on posttraumatic edema formation in frog hind limbs. Phys Ther. 1992 Feb;72(2):127–132. [PubMed]

Articles from Journal of Athletic Training are provided here courtesy of National Athletic Trainers Association