Estudo da emissão de luz por diodo infravermelho na dor neuropática em ratos
DOI:
https://doi.org/10.33233/fb.v14i4.404Abstract
Introdução: A lesão nervosa periférica pode causar alterações funcionais tanto sensitivas quanto motoras, podendo promover importantes comprometimentos, especialmente a dor neuropática. Dentre os vários tratamentos propostos está o emprego da luz monocromática de baixa intensidade, como o diodo de emissão de luz (LED). Objetivo: Avaliar o efeito analgésico do LED no espectro infravermelho em modelo experimental de dor neuropática por constrição do nervo ciático em ratos. Material e métodos: Foram utilizados 24 ratos machos Wistar, randomizados em 4 grupos (n = 6). Grupo I: animais neuropáticos e tratados com LED; grupo II: animais neuropáticos e tratados com o LED desligado (placebo); grupo III: animais Sham e tratados com LED; grupo IV: animais Sham e tratados com LED desligado (placebo). Para avaliar a eficácia do tratamento, foram empregados parâmetros de nocicepção como alodínia mecânica estática, dinâmica e térmica ao frio; hiperalgesia térmica ao calor e nocicepção espontânea. Resultados: Os animais neuropáticos desenvolveram alodínia e hiperalgesia ao estímulo mecânico, térmico e nocicepção espontânea em 7 dias (Tempo 0) contados a partir da indução da neuropatia, mantendo essas manifestações até o 14º dia. Conclusão: O tratamento contínuo com LED no espectro infravermelho promoveu efeito analgésico em um modelo experimental de dor neuropática em ratos. Os resultados obtidos neste estudo sugerem que esse recurso físico pode ser utilizado no tratamento de pacientes com dor neuropática.
Palavras-chave: dor, neuropatia, diodo de emissão de luz.
Â
References
Bouhassira D, Lanteri-Minet M, Attal N, Laurent B, Touboul C. Prevalence of chronic pain with neuropathic characteristics in the general population. Pain 2008;136:380-7.
Dieleman JP, Kerklaan J, Huygen FJ, Bouma PA, Sturkenboom MC. Incidence rates and treatment of neuropathic pain conditions in the general population. Pain 2008;137:681-8.
Huang J, Zhang X, McNaughton PA. Inflammatory pain: the cellular basis of heat hyperalgesia. Curr Neuropharmacol 2006;4:197-206.
Bourassira D, Attal N, Fermanian J, Alchaar H, Gautron, Masquelier E, et al. Development and validation of the neuropathic pain symptom inventory. Pain 2004; 108(3):248-57.
Dworkin RH, O’Connor AB, Backonja M, Farrar JT, Finnerup NB et al. Pharmacologic management of neuropathic pain: evidence-based recommendations. Pain 2007;132:237-51
Fare JC, Nicolau RA. Clinical analysis of the effect of laser photobimodulation (GaAs – 904nm) on temporomandibular joint dysfunction. Rev Bras Fisioter 2008;12(1):37-42.
Shin DH, Lee E, Hyun JK, Lee SJ, Chang YP, Kim JW et al. Growth-associated protein-43 is elevated in the injured rat sciatic nerve after low-power laser irradiation. Neurosci Lett 2003;344:71-4.
Endo C, Barbieri CH, Mazzer N, Fasan VS. Low-power laser therapy accelerates peripheral nerves regeneration. Acta Ortop Bras 2008;16(5):305-10.
Agne JE. Eu sei eletroterapia. Santa Maria: Pallotti; 2009.
Chow RT, Johson MI, Lopes-Martins RA, Bjodal JM. Efficacy of low-level laser therapy in the management of neck pin: a systematic review and meta-analysis of randomized placebo or active-treatment controlled trials. Lancet 2009;374(9705):1897-908.
Hagiwara S, Iwasaka H, Hasegawa A, Noguchi T. Pre-Irradiation of blood by gallium aluminum arsenide (830 nm) low-level laser enhances peripheral endogenous opioid analgesia in rats. Anesth Analg 2008;107:1058-63.
Bennett GJ, Xie YK. A peripheral mononeuropathy in rat that produces disorders of pain sensation like those seen in man. Pain 1988;33:87-107.
Fernandes KCBG, Polacow MLO, Guirro RRJ, Campos GER, Somazz, MC, Pinto VF, et al. Análise morfométrica dos tecidos muscular e conjuntivo após desnervação e estimulação elétrica de baixa freqüência. Rev Bras Fisioter 2005;9(2):235-41.
Loeser JD, Treede RD. The Kyoto protocol of IASP Basic Pain Terminology. Pain 2008;31:473-77.
Chaplan SR, Chaplan SR, Bach FW, Pogrel JW, Chung JM, Yaksh TL. Quantitative assessment of tactile allodynia in the rat paw. J Neurosci Meth 1994;53:55-63.
Dixon WJ. Efï¬cient analysis of experimental observations. Annu Rev Pharmacol Toxicol 1980;20:441-62.
Weissman-Fogel I, Dashkovsky A, Rogowski Z, Yarnitsky D. An animal model of chemotherapy-induced vagal neuropathy. Muscle Nerve 2008;38:1634-37.
Choi Y, Yoon YW, Na HS, Kom SH. Behavioral signs of ongoing pain and cold allodynia in a rat model of neuropathic pain. Pain 1994;59:369-76.
Hargreaves KM, Troullos ES, Dionne RA, Schmidt EA, Schafer SC, Joris JL. Bradykinin is increased during acute and chronic inflammation: therapeutic implications Clin Pharmacol Ther 1988;44:613-21.
Butler SH, Godefroy F, Besson JM, Weil-Fugazza J. A limited arthritic model for chronic pain studies in the rat. Pain 1992;48:73-81.
Cox JM. Dor lombar: mecanismo, diagnóstico e tratamento. São Paulo: Manole; 2002.
Bennett GJ. An animal model of neuropathic pain: a review. Muscle Nerve 1993;16:1040‑8.
Deleo JA. Basic science of pain. J Bone Joint Surg 2006;88:58-62.
Bennett GJ, Chung JM, Honore M, Seltzer Z. Models of neuropathic pain in the rat. Curr Protoc Pharmacol 2003;9(9)14.
Pisera D. Fisiologia da dor. In: Dor avaliação e tratamento em pequenos animais. Otero PE. São Paulo: Interbook; 2005. p. 30-74.
Schaible HG. Pathophysiology of pain. Orthopade 2006;36(1):8-16.
Dworkin RH, Backonja M, Rowbotham MC, Allen RR, Argoff CR et al. Advances in neuropathic pain: diagnosis, mechanisms, and treatment recommendations. Arch Neurol 2003;60:1524-34.
Woolf CJ, Ma Q. Nociceptors-noxious stimulus detectors. Neuron 2007;55:353-64.
Yueh-Ling H, Li-Wei C, Pei-Lin C, Chen-Chia Y, Mu-Jung K, Chang-Zern H. Low-level laser therapy alleviates neuropathic pain and promotes function recovery in rats with chronic constriction injuryï¼possible involvements in hypoxia-inducible factor 1α (HIF-1α). J Comp Neurol 2012;520(13):2903-16.
Volkert W, Hassan A, Hassan MA, Smock VL, Connor JP, Mcfee B, et al. Effectiveness of monochromatic infrared photo energy and physical therapy for peripheral neuropathy: Changes in sensation, pain, and balance – A preliminary, multi-center study. Phys Occup Ther Geriatr 2006;24(2).
Souza AMA. O uso do laser de baixa potência na recuperação neurossensorial de pacientes submetidos à cirurgia de lateralização do nervo alveolar inferior [Dissertação]. IPEN: São Paulo; 2009. 89p.
Kayser V, Christensen D. Antinociceptive effect of systemic gabapentin in mononeuropathic rats depends on stimulus characteristics and level of test integration. Pain 2000;88:53-60.
Frost SA, Raja SN, Campbell JN. Does hyperalgesia to cooling stimuli characterize patients with sympathetically maintained pain (reflex sympathetic dystrophy)? In: Dubner R, Gebhart GF, Bond MR. Pain Research and Clinical Management. Amsterdam: Elsevier; 1988:151-6.
Genovese WJ. Laser de baixa intensidade - Aplicações terapêuticas em odontologia. São Paulo: Lovise; 2000.
Honmura A, Ishii A , Yanase M, Obata J, Haruki E. Analgesic effect of Ga-Al-As diode laser irradiation on hyperalgesia in carrageenin-induced inflammation. Lasers Surg Med 1993;13(4):463-9.
Yeh NG, WU C, Cheng TC. Light-emitting diodes - their potential in biomedical applications. Renewable and Sustainable Energy Reviews 2010;14:2161-6.
Petersen-Felix S, Curatolo M. Neuroplasticity – an important factor in acute and chronic pain. Swiss Medical Weekly 2002;132(21-22):273-8.
Tranquilli WJ. Fisiologia da dor aguda. In: GREENE, S. A. Segredos em anestesia veterinária e manejo da dor. Porto Alegre: Artmed; 2004. p. 399-402.
Schaible HG. Pathophysiology of pain. Orthopade 2006;36(1):8-16.
Reis LM, Lopes JAM, Brisola ML, Santos MM, Bittencourt JC, Vasconcelos LAP. The influence of asalga laser on the neuropathic pain-like syndrome in rats submitted to a peripheral nerve constrictive lesion. Revista Dor 2007;8(2):1000-9.
Nicolau RA. Efeito do laser de baixa potência em diferentes biossistemas [Tese]. São José dos Campos: Univap; 2004.
Pogrel MA, Thamy S. Permanent nerve involvement resulting fron inferior alveolar nerve blocks. Jada 2000;131:901-7.
Rochkind S, Geuna S, Shainberg A. Phototherapy in peripheral nerve injury: effects on muscle preservation and nerve regeneration. Int Rev Neurobiol 2009;87:445-64.
Gigo-Benato D, Russo TL, Tanaka EH, Assis L, Salvini TF, Parizotto NA. Effects of 660 and 780 nm low-level laser therapy on neuromuscular recovery after crush injury in rat sciatic nerve. Lasers Surg Med 2010;42:673-82.
Ferreira DM, Zângaro RA, Villaverde AB, Cury Y, Frigo L, Picolo G. Analgesic effect of He-Ne (632.8 nm) low-level laser therapy on acute inflammatory pain. Photomed Laser Surg 2005;23:177-81.
Mizutani K, Musya Y, Wakae K, Kobayashi T, Tobe M, Taira K, Harada T. A clinical study on serum prostaglandin E2 with low-level laser therapy. Photomed Laser Surg 2004;22:537-9.
Ekim A, Armagan O, Tascioglu F, Oner C, Colak M. Effect of low level laser therapy in rheumatoid arthritis patients with carpal tunnel syndrome. Swiss Med Wkly 2007;137:347-52.
Noble J, Gareth LAS, 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.
Harkless LB, DeLellis S, Carnegie DH, Burke TJ. 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.
Bjordal JM, Lopes-Martins RA, Joensen J, Couppe C, Ljunggren AE, Stergioulos A. A systematic review with procedural assessments and meta-analysis of low level laser therapy in lateral elbow tendinopathy (tennis elbow). BMC Musculoskelet Disord 2008;29:9-75.
Downloads
Published
Issue
Section
License
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.