The Journal of Korean Physical Therapy

  • 제24권3호
  • /
  • Pages.202-207
  • /
  • 2012
  • /
  • 1229-0475(pISSN)
  • /
  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지

Blood Flow and Skin Temperature Increases by Monochromatic Infrared Energy Irradiation

  • Lee, Jae-Hyoung (Department of Physical Therapy, Electrotherapy Research Laboratory for Tissue Growth & Repair, Wonkwang Health Science University) ;
  • Kim, Gi Won (Department of Physical Therapy, Suwon Women's College)
  • 투고 : 2012.03.21
  • 심사 : 2012.06.07
  • 발행 : 2012.06.26
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to determine the effect of monochromatic infrared energy (MIRE) on the blood flow of the superficial radial artery and local skin temperature in healthy subjects. Methods: Forty healthy volunteers were recruited and randomly assigned to MIRE group (n=20) and placebo group (n=20). The MIRE group received a 890 nm MIRE irradiation on the forearm using two therapy pads for 30 minutes. The therapy pad was composed of an array of 60 diodes. MIRE unit was set at bar 8, that corresponds to a diode power of 10 mW and a power density of $63mW/cm^2$. The placebo group received sham MIRE. Peak blood flow velocity (PBFV), mean blood flow velocity (MBFV), and skin temperature (ST) were measured pre- and post-MIRE irradiation. Results: There was a significant difference in PBFV (p<0.001), MBFV (p<0.001), and ST (p<0.001) between the pre- and post-treated values in the MIRE group. In contrast, no significant difference was found between the pre- and post-treated values in the placebo group. There was significant difference in mean change values from baseline of PBFV (p<0.001), MBFV (p<0.001), and ST (p<0.001) between the MIRE group and the placebo group. There was a significant increase in PBFV (p<0.001), MBFV (p<0.001), and ST (p<0.001) following MIRE irradiation. Conclusion: The arterial blood flow and local skin temperature of the forearm in the healthy subjects were significantly increased following MIRE irradiation.

키워드

과제정보

연구 과제 주관 기관 : Wonkwang Health Science University

참고문헌

  1. Burke TJ. 5 Questions--and answers--about MIRE treatment. Adv Skin Wound Care. 2003;16(7):369-71. https://doi.org/10.1097/00129334-200312000-00016
  2. Samoilova KA, Zhevago NA, Menshutina MA et al. Role of nitric oxide in the visible light-induced rapid increase of human skin microcirculation at the local and systemic level: I. diabetic patients. Photomed Laser Surg. 2008;26(5):433-42. https://doi.org/10.1089/pho.2007.2197
  3. Samoilova KA, Zhevago NA, Petrishchev NN et al. Role of nitric oxide in the visible light-induced rapid increase of human skin microcirculation at the local and systemic levels: II. healthy volunteers. Photomed Laser Surg. 2008;26(5):443-9. https://doi.org/10.1089/pho.2007.2205
  4. Jin RC, Loscalzo J. Vascular nitric oxide: formation and function. J Blood Med. 2010;2010(1):147-62.
  5. Minson CT, Berry LT, Joyner MJ. Nitric oxide and neurally mediated regulation of skin blood flow during local heating. J Appl Physiol. 2001;91(4):1619-26. https://doi.org/10.1152/jappl.2001.91.4.1619
  6. Nather A, Sim YE, Chew LLj et al. Anodyne therapy for recalcitrant diabetic foot ulcers: a report of four cases. J Orthop Surg (Hong Kong). 2007;15(3):361-4. https://doi.org/10.1177/230949900701500324
  7. Hunter S, Langemo D, Hanson D et al. The use of monochromatic infrared energy in wound management. Adv Skin Wound Care. 2007;20(5):265-6. https://doi.org/10.1097/01.ASW.0000269312.45886.00
  8. Horwitz LR, Burke TJ, Carnegie D. Augmentation of wound healing using monochromatic infrared energy. Exploration of a new technology for wound management. Adv Wound Care. 1999;12(1):35-40.
  9. Powell MW, Carnegie DH, Burke TJ. Reversal of diabetic peripheral neuropathy with phototherapy (MIRE) decreases falls and the fear of falling and improves activities of daily living in seniors. Age Ageing. 2006;35(1):11-6. https://doi.org/10.1093/ageing/afi215
  10. Harkless LB, DeLellis S, Carnegie DH et al. Improved foot sensitivity and pain reduction in patients with peripheral neuropathy after treatment with monochromatic infrared photo energy--MIRE. J Diabetes Complications. 2006;20(2):81-7. https://doi.org/10.1016/j.jdiacomp.2005.06.002
  11. Leonard DR, Farooqi MH, Myers S. Restoration of sensation, reduced pain, and improved balance in subjects with diabetic peripheral neuropathy: a double-blind, randomized, placebocontrolled study with monochromatic near-infrared treatment. Diabetes Care. 2004;27(1):168-72. https://doi.org/10.2337/diacare.27.1.168
  12. DeLellis SL, Carnegie DH, Burke TJ. Improved sensitivity in patients with peripheral neuropathy: effects of monochromatic infrared photo energy. J Am Podiatr Med Assoc. 2005;95(2):143-7. https://doi.org/10.7547/0950143
  13. Powell MW, Carnegie DE, Burke TJ. Reversal of diabetic peripheral neuropathy and new wound incidence: the role of MIRE. Adv Skin Wound Care. 2004;17(6):295-300. https://doi.org/10.1097/00129334-200407000-00012
  14. Nawfar SA, Yacob NB. Effects of monochromatic infrared energy therapy on diabetic feet with peripheral sensory neuropathy: a randomised controlled trial. Singapore Med J. 2011;52(9):669-72.
  15. Lavery LA, Murdoch DP, Williams J et al. Does anodyne light therapy improve peripheral neuropathy in diabetes? A double-blind, sham-controlled, randomized trial to evaluate monochromatic infrared photoenergy. Diabetes Care. 2008;31(2):316-21. https://doi.org/10.2337/dc07-1794
  16. Clifft JK, Kasser RJ, Newton TS et al. The effect of monochromatic infrared energy on sensation in patients with diabetic peripheral neuropathy: a double-blind, placebo-controlled study. Diabetes Care. 2005;28(12):2896-900. https://doi.org/10.2337/diacare.28.12.2896
  17. Franzen-Korzendorfer H, Blackinton M, Rone-Adams S et al. The effect of monochromatic infrared energy on transcutaneous oxygen measurements and protective sensation: results of a controlled, double-blind, randomized clinical study. Ostomy Wound Manage. 2008 ;54(6):16-31.
  18. Mak MC, Cheing GL. Immediate effects of monochromatic infrared energy on microcirculation in healthy subjects. Photomed Laser Surg. 2012;30(4):193-9. https://doi.org/10.1089/pho.2011.3012
  19. Eicke BM, Milke K, Schlereth T et al. Comparison of continuous wave Doppler ultrasound of the radial artery and laser Doppler flowmetry of the fingertips with sympathetic stimulation. J Neurol. 2004;251(8):958-62.
  20. Noble JG, Lowe AS, Baxter GD. Monochromatic infrared irradiation (890 nm): effect of a multisource array upon conduction in the human median nerve. J Clin Laser Med Surg. 2001;19(6):291-5. https://doi.org/10.1089/104454701753342730
  21. Buerk DG, Barbee KA, Jaron D. Nitric oxide signaling in the microcirculation. Crit Rev Biomed Eng. 2011;39(5):397-433. https://doi.org/10.1615/CritRevBiomedEng.v39.i5.40
  22. Nicotra A, Asahina M, Mathias CJ. Skin vasodilator response to local heating in human chronic spinal cord injury. Eur J Neurol. 2004;11(12):835-7. https://doi.org/10.1111/j.1468-1331.2004.00889.x
  23. Hancock CM, Riegger-Krugh C. Modulation of pain in osteoarthritis: the role of nitric oxide. Clin J Pain. 2008;24(4):353-65. https://doi.org/10.1097/AJP.0b013e31815e5418