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Suwankanit K, Shimizu M. Effects of Neuromuscular Electrical Stimulation and Therapeutic Ultrasound on Quadriceps Contracture of Immobilized Rats. Vet Sci 2024; 11:158. [PMID: 38668425 PMCID: PMC11054819 DOI: 10.3390/vetsci11040158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Revised: 03/27/2024] [Accepted: 03/27/2024] [Indexed: 04/29/2024] Open
Abstract
Quadriceps contracture is a condition where the muscle-tendon unit is abnormally shortened. The treatment prognosis is guarded to poor depending on the progress of the disease. To improve the prognosis, we investigated the effectiveness of therapeutic ultrasound and NMES in treating quadriceps contracture in an immobilized rat model. Thirty-six Wistar rats were randomized into control, immobilization alone, immobilization and spontaneous recovery, immobilization and therapeutic ultrasound, immobilization and NMES, and immobilization and therapeutic ultrasound and NMES combination groups. The continuous therapeutic ultrasound (frequency, 3 MHz, intensity 1 W/cm2) and NMES (TENS mode, frequency 50 Hz; intensity 5.0 ± 0.8 mA) were performed on the quadriceps muscle. On Day 15, immobilization-induced quadriceps contracture resulted in a decreased ROM of the stifle joint, reduction in the sarcomere length, muscle atrophy, and muscle fibrosis. On Day 43, therapeutic ultrasound, NMES, and combining both methods improved muscle atrophy and shortening and decreased collagen type I and III and α-SMA protein. The combination of therapeutic ultrasound and NMES significantly reduced the mRNA expression of IL-1β, TGF-β1, and HIF-1α and increased TGF-β3. Therefore, the combination of therapeutic ultrasound and NMES is the most potent rehabilitation program for treating quadriceps contracture.
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Affiliation(s)
- Kanokwan Suwankanit
- Department of Veterinary Diagnostic Imaging, Faculty of Agriculture, Tokyo University of Agriculture and Technology, 3-5-8 Saiwai-cho, Fuchu 183-0054, Tokyo, Japan;
- Department of Clinical Sciences and Public Health, Faculty of Veterinary Science, Mahidol University, Nakhon Pathom 73170, Thailand
| | - Miki Shimizu
- Department of Veterinary Diagnostic Imaging, Faculty of Agriculture, Tokyo University of Agriculture and Technology, 3-5-8 Saiwai-cho, Fuchu 183-0054, Tokyo, Japan;
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Tokuda K, Yamanaka Y, Kosugi K, Nishimura H, Okada Y, Tsukamoto M, Tajima T, Suzuki H, Kawasaki M, Uchida S, Nakamura E, Wang KY, Sakai A. Development of a novel knee contracture mouse model by immobilization using external fixation. Connect Tissue Res 2022; 63:169-182. [PMID: 33602048 DOI: 10.1080/03008207.2021.1892088] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
AIMS Several studies have used animal models to examine knee joint contracture; however, few reports detail the construction process of a knee joint contracture model in a mouse. The use of mouse models is beneficial, as genetically modified mice can be used to investigate the pathogenesis of joint contracture. Compared to others, mouse models are associated with a lower cost to evaluate therapeutic effects. Here, we describe a novel knee contracture mouse model by immobilization using external fixation. METHODS The knee joints of mice were immobilized by external fixation using a splint and tape. The passive extension range of motion (ROM), histological and immunohistochemical changes, and expression levels of fibrosis-related genes at 2 and 4 weeks were compared between the immobilized (Im group) and non-immobilized (Non-Im group) groups. RESULTS The extension ROM at 4 weeks was significantly lower in the Im group than in the Non-Im group (p < 0.01). At 2 and 4 weeks, the thickness and area of the joint capsule were significantly greater in the Im group than in the Non-Im group (p < 0.01 in all cases). At 2 weeks, the mRNA expression levels of the fibrosis-related genes, except for the transforming growth factor-β1, and the protein levels of cellular communication network factor 2 and vimentin in the joint capsule were significantly higher in the Im group (p < 0.01 in all cases). CONCLUSION This mouse model may serve as a useful tool to investigate the etiology of joint contracture and establish new treatment methods.
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Affiliation(s)
- Kotaro Tokuda
- Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Fukuoka, Japan
| | - Yoshiaki Yamanaka
- Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Fukuoka, Japan
| | - Kenji Kosugi
- Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Fukuoka, Japan
| | - Haruki Nishimura
- Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Fukuoka, Japan
| | - Yasuaki Okada
- Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Fukuoka, Japan
| | - Manabu Tsukamoto
- Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Fukuoka, Japan
| | - Takafumi Tajima
- Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Fukuoka, Japan
| | - Hitoshi Suzuki
- Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Fukuoka, Japan
| | - Makoto Kawasaki
- Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Fukuoka, Japan
| | - Soshi Uchida
- Department of Orthopaedic Surgery and Sports Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Fukuoka, Japan
| | - Eiichiro Nakamura
- Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Fukuoka, Japan
| | - Ke-Yong Wang
- Shared-Use Research Center, University of Occupational and Environmental Health, Fukuoka, Japan
| | - Akinori Sakai
- Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Fukuoka, Japan
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Effect of metformin treatment and its time of administration on joint capsular fibrosis induced by mouse knee immobilization. Sci Rep 2021; 11:17978. [PMID: 34504209 PMCID: PMC8429753 DOI: 10.1038/s41598-021-97445-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Accepted: 08/25/2021] [Indexed: 12/15/2022] Open
Abstract
Joint contracture leads to major patient discomfort. Metformin, one of the most extensively used oral drugs against type 2 diabetes has recently been found to suppress tissue fibrosis as well. However, its role in suppressing tissue fibrosis in joint contractures remains unknown. In this study, we examined the role of metformin treatment in suppressing joint capsular fibrosis and the most effective time of its administration. Joint capsular fibrosis was induced by immobilizing the knee joints of mice using splints and tapes. Metformin was administered intraperitoneally every alternate day after immobilization. Histological and immunohistochemical changes and expression of fibrosis-related genes were evaluated. Metformin treatment significantly suppressed fibrosis in joint capsules based on histological and immunohistochemical evaluation. Joint capsular tissue from metformin-treated mice also showed decreased expression of fibrosis-related genes. Early, but not late, metformin administration showed the same effect on fibrosis suppression in joint capsule as the whole treatment period. The expression of fibrosis-related genes was most suppressed in mice administered with metformin early. These studies demonstrated that metformin treatment can suppress joint capsular fibrosis and the most effective time to administer it is early after joint immobilization; a delay of more than 2 weeks of administration is less effective.
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Watanabe M, Kojima S, Hoso M. Effect of low-intensity pulsed ultrasound therapy on a rat knee joint contracture model. J Phys Ther Sci 2017; 29:1567-1572. [PMID: 28931989 PMCID: PMC5599822 DOI: 10.1589/jpts.29.1567] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2017] [Accepted: 06/05/2017] [Indexed: 11/26/2022] Open
Abstract
[Purpose] Histopathological investigation of the effects of low-intensity pulsed
ultrasound (LIPUS) on joint components using a rat knee joint contracture model. [Subjects
and Methods] Nineteen, 9-week-old Wistar male rats were divided into a control group (n=6)
and an experimental group. Rats in the experimental group underwent cast immobilization of
the right rear limb for 8 weeks. They were then randomly divided into a non-treatment
group (n=6), which was raised under normal conditions for 4 weeks, and a treatment group
(n=7), which underwent LIPUS for 4 weeks. LIPUS irradiation was performed at a frequency
of 3 MHz, an intensity of 30 mW/cm2, and a pulse rate of 20% duty cycle.
Irradiation was performed once daily for 10 min, 5 days per week. At the end of this
period, tissue specimens in which the knee sagittal plane could be observed were prepared
and observed using an optical microscope. [Results] The extension-limiting angle of the
knee joint was significantly less in the treatment group compared with the non-treatment
group. The posterior joint capsule was significantly thicker only in the non-treatment
group, and the density was 53.5 ± 7.5% for the control group, 77.2 ± 5.7% for the
non-treatment group, and 69.2 ± 2.9% for the treatment group, with significant differences
existing across all groups. [Conclusion] LIPUS may widen the space between collagen fiber
bundles of the joint capsule, thereby improving the range of motion.
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Affiliation(s)
- Masanori Watanabe
- Department of Physical Therapy, Faculty of Rehabilitation Science, Nagoya Gakuin University: 1350 Kamishinano-cho, Seto-city, Aichi 480-1298, Japan
| | - Satoshi Kojima
- Course of Rehabilitation, Graduate School of Rehabilitation, Kinjyo University, Japan
| | - Masahiro Hoso
- Division of Health Sciences, Graduate School of Medical Science, Kanazawa University, Japan
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Takahashi I, Matsuzaki T, Hoso M. Long-term histopathological developments in knee-joint components in a rat model of osteoarthritis induced by monosodium iodoacetate. J Phys Ther Sci 2017; 29:590-597. [PMID: 28533591 PMCID: PMC5430254 DOI: 10.1589/jpts.29.590] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Accepted: 12/15/2016] [Indexed: 01/08/2023] Open
Abstract
[Purpose] This study was performed to evaluate the long-term histopathological changes in
knee-joint components including synovial membrane and joint capsule in a rat model of
osteoarthritis (OA) induced by monosodium iodoacetate (MIA). [Subjects and Methods] Fifty
male rats were used. OA was induced through intra-articular injection of MIA, and ten rats
were randomly allocated to each of five groups induced with OA for 1, 2, 4, 6, or 8 weeks.
At the end of each period, the knee components were examined histopathologically.
[Results] After 1 and 2 weeks, chondrocytes were weakly stained. After 4 weeks,
fibrillation, fissuring, and eburnation were observed, whereas after 6 weeks, chondrocyte
clustering and osteophyte formation were detected. In the synovial membrane, the
proliferation of spindle-shaped cells and a multilayered structure of the surface cells
were observed at 1 and 2 weeks, but the degree of these changes decreased over time. In
the joint capsule, a narrowing of the space between collagen fiber bundles was observed at
4–8 weeks. [Conclusion] The long-term histopathological changes of the joint components
observed in a rat model of OA induced by MIA were similar to those detected in OA, but
differed at specific times and tissues.
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Affiliation(s)
- Ikufumi Takahashi
- Section of Rehabilitation, Kanazawa University Hospital: 13-1 Takaramachi, Kanazawa, Ishikawa 920-8641, Japan.,Department of Motor Function Analysis, Human Health Sciences, Graduate School of Medicine, Kyoto University, Japan
| | - Taro Matsuzaki
- Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Japan
| | - Masahiro Hoso
- Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Japan
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Gugliotti M, Futterman B, Ahrens T, Block D, Brown L, Dagro M, Falesto J, Lyon A. Impact of shoulder internal rotation on ulnar nerve excursion and strain in embalmed cadavers. A pilot study. J Man Manip Ther 2016; 24:111-6. [PMID: 27559280 DOI: 10.1179/2042618614y.0000000093] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
DESIGN Laboratory study, repeated-measures design. OBJECTIVE To determine if the substitution of shoulder internal rotation for external rotation during the upper limb neurodynamic test (ULNT3) evokes a comparable ulnar nerve excursion and strain in embalmed cadavers. Shoulder external rotation is a primary movement component of the ULNT3. It has been suggested that shoulder internal rotation may provide a similar load to the nervous system. There are no data to either support or negate this claim. METHODS Excursion and strain were measured in the ulnar nerve of six embalmed cadavers during the traditional ULNT3 and an experimental maneuver using shoulder internal rotation. RESULTS The total means±SD of excursion for the traditional and experimental maneuvers were 2·11±0·89 and 2·09±0·92 mm, respectively. The total means±SD of strain for the traditional and experimental maneuvers were 5·274±2·223 and 5·241±2·308%, respectively. A very strong correlation (r = 0·98) was shown to exist between maneuvers and this relationship was determined to be significant (P = 0·001). DISCUSSION The results of this study provide evidence that there is no appreciable difference in excursion or strain when substituting shoulder internal rotation for external rotation during the ULNT3. Patients who exhibit limitation of shoulder external rotation mobility may benefit from this substitution when presenting with signs of ulnar nerve pathodynamics. Further research involving patients will be needed to assess the validity of the experimental maneuver for clinical application.
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Matsuzaki T, Yoshida S, Kojima S, Watanabe M, Hoso M. Influence of ROM Exercise on the Joint Components during Immobilization. J Phys Ther Sci 2014; 25:1547-51. [PMID: 24409017 PMCID: PMC3885836 DOI: 10.1589/jpts.25.1547] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2013] [Accepted: 06/27/2013] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The aim of this study was to clarify the effects of the ROM exercise on joint
components according to histopathological analysis. [Subjects and Methods] In total,
twenty-six 9-week-old adult male Wistar rats were used in this study. The rats were
randomly divided into three groups, the immobilization group (n=10), exercise group
(n=10), and control group (n=6). The immobilization group and exercise group were
anaesthetized and operated on under sterile conditions. The right knee joints in the
immobilization group and exercise group were immobilized with external fixation at 120
degrees of flexion. Range of motion exercise was started from the day after
immobilization. ROM exercise was performed in the exercise group once a day for 3 minutes,
6 days a week, for 2 weeks. [Result] The joint capsule in the immobilization group and
exercise group showed narrowing of the collagen bundles in interstitial spaces but was
less dense in the control group. In the immobilized group, a hyperplastic reaction was
associated with infiltration into the articular cavity and adhesion to the surface of the
articular cartilage. Conversely, in the exercise group, hyperplasia of tissue was
localized to the synovial membrane. [Conclusion] This finding may suggest that ROM
exercise induces some changes within the joint components and tissue metabolism.
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Affiliation(s)
- Taro Matsuzaki
- Division of Health Science, Kanazawa University Graduate School of Medical Science, Japan
| | | | - Satoshi Kojima
- Department of Medical Health Science, Kinjo University, Japan
| | - Masanori Watanabe
- Department of Rehabilitation Science, Nagoya Gakuin University, Japan
| | - Masahiro Hoso
- Division of Health Science, Kanazawa University Graduate School of Medical Science, Japan
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Kitade I, Hoso M, Matsuzaki T, Yoshida S, Kamijyo A, Araki Y, Takahashi I. Histopathological Changes in Surrounding Tissue of the Sciatic Nerve after Spinal Cord Injury in Rats. J Phys Ther Sci 2012. [DOI: 10.1589/jpts.24.817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Ippei Kitade
- Division of Rehabilitation Medicine, University of Fukui Hospital
| | - Masahiro Hoso
- Division of Health Sciences, Kanazawa University Graduate School of Medical Science
| | - Taro Matsuzaki
- Division of Health Sciences, Kanazawa University Graduate School of Medical Science
| | - Shinya Yoshida
- Department of Rehabilitation Medicine, Kanazawa University Hospital
| | - Akio Kamijyo
- Department of Rehabilitation Medicine, Azumino Red Cross Hospital
| | - Yoshitaka Araki
- Department of Rehabilitation Medicine, Kanazawa Cranial Nerve Surgery Hospital
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Kitade I, Hoso M, Matsuzaki T, Inaoka PT, Kamijyo A, Araki Y, Takahashi I. Histopathological Changes in Knee Joint Components after Spinal Cord Injury in Rats. J Phys Ther Sci 2012. [DOI: 10.1589/jpts.24.31] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Ippei Kitade
- Division of Physical Therapy and Rehabilitation Medicine, University of Fukui Hospital
- Division of Health Sciences, Kanazawa University Graduate School of Medical Science
| | - Masahiro Hoso
- Division of Health Sciences, Kanazawa University Graduate School of Medical Science
| | - Taro Matsuzaki
- Division of Health Sciences, Kanazawa University Graduate School of Medical Science
| | | | - Akio Kamijyo
- Department of Rehabilitation Medicine, Azumino Red Cross Hospital
| | - Yoshitaka Araki
- Department of Rehabilitation Medicine, Kanazawa Cranial Nerve Surgery Hospital
| | - Ikufumi Takahashi
- Division of Health Sciences, Kanazawa University Graduate School of Medical Science
- Department of Rehabilitation Medicine, Houju Memorial Hospital
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Watanabe M, Hoso M, Kojima S, Matsuzaki T, Hibino I. Histopathological Changes in Joint Components in a Rat Knee Joint Contracture Model Following Mobilization. J Phys Ther Sci 2012. [DOI: 10.1589/jpts.24.1199] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Masanori Watanabe
- Department of Physical Therapy, Faculty of Rehabilitation Science, Nagoya Gakuin University
- Division of Health Sciences, Kanazawa University Graduate School of Medical Sciences
| | - Masahiro Hoso
- Division of Health Sciences, Kanazawa University Graduate School of Medical Sciences
| | - Satoshi Kojima
- Division of Health Sciences, Kanazawa University Graduate School of Medical Sciences
- Department of Medical Health Science, Kinjo University
| | - Taro Matsuzaki
- Division of Health Sciences, Kanazawa University Graduate School of Medical Sciences
| | - Itaru Hibino
- Department of Physical Therapy, Faculty of Rehabilitation Science, Nagoya Gakuin University
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