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. 2023 Jan 27;11:1118468. doi: 10.3389/fbioe.2023.1118468

TABLE 6.

Preclinical studies of physical therapy used to promote tendon-bone healing.

Intervening measure Method of delivery Treatment outcomes Animal model References
LIPUS Local treatment LIPUS alters the differentiation pathway of multipotent mesenchymal cells into osteoblasts and/or chondroblasts, stimulates osteogenic differentiation of osteoblasts, and significantly increases the expression of BMP, which is involved in and improves tendon-bone healing. Sheep RC repair model Lovric et al. (2013)
ESW Local treatment ESW enhances fibrocartilage regeneration at the TBI healing interface by upregating the expression of fibrochondroscope-related manufacturers and cell factors through mechanical signaling. Rabbit patellar tendon repair model Chow et al. (2014)
LIPUS Local treatment The effect of LIPUS on tendon-bone healing from the 7th day after surgery was more significant Rabbit patellar tendon repair model Lu et al. (2016a)
LIPUS Local treatment LIPUS treatment starting at the second week after surgery can accelerate bone formation during the healing process of tendon-bone junction and significantly improve the healing quality of BTJ injury. Rabbit patellar tendon repair model Lu et al. (2016b)
Intermittent negative pressure Local treatment Intermittent negative pressure in the tendon to bone healing and creep replacement plays a positive role in rabbit ACL reconstruction. Rabbits ACL reconstruction Sun et al. (2017)
LIPUS Local treatment The healing effect of LIPUS stimulation twice a day is better than that of the treatment once a day. Rabbit patellar tendon repair model Lu et al. (2018b)
Pulsed electromagnetic field (PEMF) Local treatment PEMF downregulates genes associated with fibrotic healing responses and significantly increases the rate of osteodynamic formation and the number of osteoblasts in the humeral head directly adjacent to the tendon. Rats RC repair model Huegel et al. (2022)
LIPUS Local treatment LIPUS accelerates the accumulation of early inflammatory macrophages and promotes the polarization of late anti-inflammatory macrophages (M2). LIPUS showed a higher bone volume/total volume ratio and a better TBI maturity score after treatment. Rat RC repair model Xu et al. (2022b)