Estimulação Elétrica Transcutânea, Corrente Interferencial e Fotobiomodulação podem levar à Recorrência do Câncer de Mama em Ratas?
DOI:
https://doi.org/10.32635/2176-9745.RBC.2022v68n3.2383Palavras-chave:
estimulação elétrica nervosa transcutânea, terapia por estimulação elétrica, terapia com luz de baixa intensidade, modalidades de fisioterapia, neoplasias da mamaResumo
Introdução: Estimulação elétrica nervosa transcutânea (TENS), corrente interferencial (IFC) e fotobiomodulação (PBMT) são usadas no tratamento da dor relacionada ao câncer em adultos. No entanto, ainda existem algumas controvérsias sobre os efeitos dessa terapia nas células tumorais que podem permanecer após o tratamento do câncer. Objetivo: Avaliar o risco de recorrência de câncer de mama em ratos ao usar TENS, IFC ou PBMT. Método: Estudo experimental, randomizado, controlado e transversal. Com 90 dias de idade, 7,12-dimetilbenz(a)antraceno (7,12-DMBA) foi administrado em ratos por gavagem gástrica para induzir câncer mamário. Após 120 dias, as glândulas mamarias das ratas pertencentes ao grupo com câncer mamário foram retiradas. Resultados: Foram estudados 39 ratos-fêmeas Sprague-Dawley: nove ratos sem indução de carcinoma mamário; nove ratos com indução de carcinoma mamário e sem cirurgia; nove ratos com indução de carcinoma mamário com cirurgia e placebo, aplicação de TENS, IFC, PBMT; nove ratos com indução de carcinoma mamário, cirurgia e aplicação de TENS, IFC e PBMT. Conclusão: Este estudo demonstrou que houve recorrência local de tumores em ratos que foram estimulados com TENS ou IFC, no entanto, nenhuma evidencia de recorrência local com PBMT.
Downloads
Referências
Glare PA, Davies PS, Finlay E, et al. Pain in cancer survivors. J Clin Oncol. 2014;32(16):1739-47. doi: https://doi.org/10.1200/JCO.2013.52.4629 DOI: https://doi.org/10.1200/JCO.2013.52.4629
Loh J, Gulati A. Transcutaneous electrical nerve stimulation for treatment of sarcoma cancer pain. Pain Manag. 2013;3(3):189-99. doi: https://doi.org/10.2217/pmt.13.15 DOI: https://doi.org/10.2217/pmt.13.15
Sampaio LR, Moura CV, Resende MA. Recursos fisioterapêuticos no controle da dor oncológica: revisão da literatura. Rev Bras Cancerol. 2005;51(4):339-46. doi: https://doi.org/10.32635/2176-9745.RBC.2005v51n4.1940 DOI: https://doi.org/10.32635/2176-9745.RBC.2005v51n4.1940
Loh J, Gulati A. The use of Transcutaneous Electrical Nerve Stimulation (TENS) in a major cancer center for the treatment of severe cancer-related pain and associated disability. Pain Med. 2015;16(6):1204-10. doi: https://doi.org/10.1111/pme.12038 DOI: https://doi.org/10.1111/pme.12038
Fuentes JP, Olivo SA, Magee DJ, et al. Effectiveness of interferential current therapy in the management of musculoskeletal pain: a systematic review and meta-analysis. Phys Ther. 2010;90(9):1219-38. doi: https://doi.org/10.2522/ptj.20090335 DOI: https://doi.org/10.2522/ptj.20090335
Koca I, Boyaci A, Tutoglu A, et al. Assessment of the effectiveness of interferential current therapy and TENS in the management of carpal tunnel syndrome: a randomized controlled study. Rheumatol Int. 2014;34(12):1639-45. doi: https://doi.org/10.1007/s00296-014-3005-3 DOI: https://doi.org/10.1007/s00296-014-3005-3
Elnaggar RK, Elshafey MA. Effects of combined resistive underwater exercises and interferential current therapy in patients with juvenile idiopathic arthritis: a randomized controlled trial. Am J Phys Med Rehabil. 2016;95(2):96-102. doi: https://doi.org/10.1097/PHM.0000000000000347 DOI: https://doi.org/10.1097/PHM.0000000000000347
Albornoz-Cabello M, Maya-Martín J, Domínguez-Maldonado G, et al. Effect of interferential current therapy on pain perception and disability level in subjects with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2017;31(2):242-9. doi: https://doi.org/10.1177/0269215516639653 DOI: https://doi.org/10.1177/0269215516639653
Schalch TD, Fernandes KPS, Costa-Rodrigues J, et al. Photomodulation of the osteoclastogenic potential of oral squamous carcinoma cells. J Biophotonics. 2016;9(11-12):1136-47. doi: https://doi.org/10.1002/jbio.201500292 DOI: https://doi.org/10.1002/jbio.201500292
Hershman DL, Lacchetti C, Dworkin RH, et al. Prevention and management of chemotherapy-induced peripheral neuropathy in survivors of adult cancers: American Society of Clinical Oncology clinical practice guideline. J Clin Oncol. 2014;32(18):1941-67. doi: https://doi.org/10.1200/JCO.2013.54.0914 DOI: https://doi.org/10.1200/JCO.2013.54.0914
Carati CJ, Anderson SN, Gannon BJ, et al. Treatment of postmastectomy lymphedema with low-level laser therapy: a double blind, placebo-controlled trial. Cancer. 2003;98(6):1114-22. doi: https://doi.org/10.1002/cncr.11641 DOI: https://doi.org/10.1002/cncr.11641
Bensadoun RJ. Photobiomodulation or low-level laser therapy in the management of cancer therapy-induced mucositis, dermatitis and lymphedema. Curr Opin Oncol. 2018;30(4):226-32. doi: https://doi.org/10.1097/CCO.0000000000000452 DOI: https://doi.org/10.1097/CCO.0000000000000452
Ebid AA, El-Sodany AM. Long-term effect of pulsed high-intensity laser therapy in the treatment of post-mastectomy pain syndrome: a double blind, placebo-control, randomized study. Lasers Med Sci. 2015;30(6):1747-55. doi: https://doi.org/10.1007/s10103-015-1780-z DOI: https://doi.org/10.1007/s10103-015-1780-z
Posten W, Wrone DA, Dover JS, et al. Low-level laser therapy for wound healing: mechanism and efficacy. Dermatol Surg. 2005;31(3):334-40. doi: https://doi.org/10.1111/j.1524-4725.2005.31086 DOI: https://doi.org/10.1097/00042728-200503000-00016
Storz MA, Gronwald B, Gottschling S, et al. Photobiomodulation therapy in breast cancer-related lymphedema: a randomized placebo-controlled trial. Photodermatol Photoimmunol Photomed. 2017;33(1):32-40. doi: https://doi.org/10.1111/phpp.12284 DOI: https://doi.org/10.1111/phpp.12284
Russo J. Significance of rat mammary tumors for human risk assessment. Toxicol Pathol. 2015;43(2):145-170. doi: https://doi.org/10.1177/0192623314532036 DOI: https://doi.org/10.1177/0192623314532036
Zimmermann M. Ethical guidelines for investigations of experimental pain in conscious animals. Pain. 1983;16(2):109-10. doi: https://doi.org/10.1016/0304-3959(83)90201-4 DOI: https://doi.org/10.1016/0304-3959(83)90201-4
Vance CGT, Dailey DL, Rakel BA et al. Using TENS for pain control: the state of the evidence. Pain Manag. 2014;4(3):197-209.doi: https://doi.org/10.2217/pmt.14.13 DOI: https://doi.org/10.2217/pmt.14.13
Guimarães CSO, Gomes BBF, Oliveira RA, et al. Effects of transcutaneous electrical nerve stimulation on fetal and placental development in an experimental model of placental insufficiency. J Matern Fetal Neonatal Med. 2016;29(2):283-9. doi: https://doi.org/10.3109/14767058.2014.999034 DOI: https://doi.org/10.3109/14767058.2014.999034
Cameron MH. Physical agents in rehabilitation. 5th ed. St Louis (MO): Elsevier; 2018.
Salim NA, Nigim HÁ. Effect of Transcutaneous Electrical Nerve Stimulation (TENS) on pain among patients with cancer. Adv Practice Nurs. 2017;2(2):132. doi: https://doi.org/10.4172/2573-0347.1000132 DOI: https://doi.org/10.4172/2573-0347.1000132
Wilson CM, Stanczak JF. Palliative pain management using Transcutaneous Electrical Nerve Stimulation (TENS). Rehabil Oncol. 2020;38(1):E1-E6. doi: https://doi.org/10.1097/01.REO.0000000000000188 DOI: https://doi.org/10.1097/01.REO.0000000000000188
Pena R, Barbosa LA, Ishikawa NM. Estimulação Elétrica Transcutânea do Nervo (TENS) na dor oncológica - uma revisão da literatura. Rev Bras Cancerol. 2008;54(2):193-9. doi: https://doi.org/10.32635/2176-9745.RBC.2008v54n2.1750 DOI: https://doi.org/10.32635/2176-9745.RBC.2008v54n2.1750
Hurlow A, Bennett MI, Robb KA, et al. Transcutaneous Electric Nerve Stimulation (TENS) for cancer pain in adults. Cochrane Database Syst Rev. 2012;2012(3):CD006276. doi: https://doi.org/10.1002/14651858.CD006276.pub3 DOI: https://doi.org/10.1002/14651858.CD006276.pub3
Pan CX, Morrison RS, Ness J, et al. Complementary and alternative medicine in the management of pain, dyspnea, and nausea and vomiting near the end of life: a systematic review. J Pain Symptom Manage. 2000;20(5):374‐87. doi: https://doi.org/10.1016/S0885-3924(00)00190-1 DOI: https://doi.org/10.1016/S0885-3924(00)00190-1
Robb KA. Managing chronic pain in breast cancer survivors. PPA News. 2004;17:26‐7.
Franco OS, Paulitsch FS, Pereira APC, et al. Effects of different frequencies of transcutaneous electrical nerve stimulation on venous vascular reactivity. Braz J Med Biol Res. 2014;47(5):411-8. doi: https://doi.org/10.1590/1414-431X20143767 DOI: https://doi.org/10.1590/1414-431X20143767
Carmeliet P, Jain RK. Angiogenesis in cancer and other diseases. Nature. 2000;407(6801):249-57. doi: https://doi.org/10.1038/35025220 DOI: https://doi.org/10.1038/35025220
Linkov G, Branski RC, Amin M, et al. Murine model of neuromuscular electrical stimulation on squamous cell carcinoma: potential implications for dysphagia therapy. Head Neck. 2012;34(10):1428-33. doi: https://doi.org/10.1002/hed.21935 DOI: https://doi.org/10.1002/hed.21935
Houghton PE, Nussbaum EL, Hoens AM. Electrophysical agents: contraindications and Precautions: an evidence-based approach to clinical decision making in physical therapy. Physiother Can. 2010;62(5):1-80. doi: https://doi.org/10.3138/ptc.62.5 DOI: https://doi.org/10.3138/ptc.62.5
Franco KM, Franco YS, Oliveira NB, et al. Is interferential current before Pilates exercises more effective than placebo in patients with chronic nonspecific low back pain?: a randomized controlled trial. Arch Phys Med Rehabil. 2017;98(2):320-8. doi: https://doi.org/10.1016/j.apmr.2016.08.485 DOI: https://doi.org/10.1016/j.apmr.2016.08.485
Powell K, Low P, McDonnell PA, et al. The effect of laser irradiation on proliferation of human breast carcinoma, melanoma, and immortalized mammary epithelial cell. Photomed Laser Surg. 2010;28(1):115-23. doi: https://doi.org/10.1089/pho.2008.2445 DOI: https://doi.org/10.1089/pho.2008.2445
Freitas LF, Hamblin MR. Proposed mechanisms of photobiomodulation or low-level light therapy. IEEE J Sel Top Quantum Electron. 2016;22(3):7000417. doi: https://doi.org/10.1109/JSTQE.2016.2561201 DOI: https://doi.org/10.1109/JSTQE.2016.2561201
Omar MTA, Shaheen AAM, Zafar H. A systematic review of the effect of low-level laser therapy in the management of breast cancer-related lymphedema. Support Care Cancer. 2012;20(11):2977-84. doi: https://doi.org/10.1007/s00520-012-1546-0 DOI: https://doi.org/10.1007/s00520-012-1546-0
Sattayut S, Hughes F, Bradley P. 820 nm gallium aluminum arsenide laser modulation of prostaglandin E2 production in interleukin I stimulated myoblasts. Laser Ther. 1999;11(2):88-95. doi: https://doi.org/10.5978/islsm.11.88 DOI: https://doi.org/10.5978/islsm.11.88
Gigo‐Benato D, Geuna S, Rochkind S. Phototherapy for enhancing peripheral nerve repair: a review of the literature. Muscle Nerve. 2005;31(6):694-701. doi: https://doi.org/10.1002/mus.20305 DOI: https://doi.org/10.1002/mus.20305
Dirican A, Andacoglu O, Johnson R, et al. The short-term effects of low-level laser therapy in the management of breast-cancer-related lymphedema. Support Care Cancer. 2011;19(5):685-90. doi: https://doi.org/10.1007/s00520-010-0888-8 DOI: https://doi.org/10.1007/s00520-010-0888-8
Kiro NE, Hamblin MR, Abrahamse H. Photobiomodulation of breast and cervical cancer stem cells using low-intensity laser irradiation. Tumour Biol. 2017;39(6):1010428317706913. doi: https://doi.org/10.1177/1010428317706913 DOI: https://doi.org/10.1177/1010428317706913
Silva CR, Cabral FV, Camargo CFM, et al. Exploring the effects of low-level laser therapy on fibroblasts and tumor cells following gamma radiation exposure. J Biophotonics. 2016;9(11-12):1157-66. doi: https://doi.org/10.1002/jbio.201600107 DOI: https://doi.org/10.1002/jbio.201600107
Crous A, Abrahamse H. Low-intensity laser irradiation at 636 nm induces increased viability and proliferation in isolated lung cancer stem cells. Photomed Laser Surg. 2016;34(11):525-32. doi: https://doi.org/10.1089/pho.2015.3979 DOI: https://doi.org/10.1089/pho.2015.3979
Frigo L, Cordeiro JM, Favero GM, et al. High doses of laser phototherapy can increase proliferation in melanoma stromal connective tissue. Lasers Med Sci. 2018;33(6):1215-23. doi: https://doi.org/10.1007/s10103-018-2461-5 DOI: https://doi.org/10.1007/s10103-018-2461-5
Smoot B, Chiavola-Larson L, Lee J, et al. Effect of low-level laser therapy on pain and swelling in women with breast cancer-related lymphedema: a systematic review and meta-analysis. J Cancer Surviv. 2015;9(2):287-304. doi: https://doi.org/10.1007/s11764-014-0411-1 DOI: https://doi.org/10.1007/s11764-014-0411-1
Yoshida K. Current considerations for low-level laser therapy/photobiomodulation therapy in the management of side effects of chemoradiation therapy for cancer. Photomed Laser Surg. 2017;35(9):457-8. doi: https://doi.org/10.1089/pho.2017.4322 DOI: https://doi.org/10.1089/pho.2017.4322
Sonis ST, Hashemi S, Epstein JB, et al. Could the biological robustness of low level laser therapy (Photobiomodulation) impact its use in the management of mucositis in head and neck cancer patients. Oral Oncol. 2016;54:7-14. doi: https://doi.org/10.1016/j.oraloncology.2016.01.005 DOI: https://doi.org/10.1016/j.oraloncology.2016.01.005
Brandão TB, Morais-Faria K, Ribeiro ACP, et al. Locally advanced oral squamous cell carcinoma patients treated with photobiomodulation for prevention of oral mucositis: retrospective outcomes and safety analyses. Support Care Cancer. 2018;26(7):2417-23. doi: https://doi.org/10.1007/s00520-018-4046-z DOI: https://doi.org/10.1007/s00520-018-4046-z
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Os direitos morais e intelectuais dos artigos pertencem aos respectivos autores, que concedem à RBC o direito de publicação.
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.