MICROCURRENT
THERAPY
By Kenneth R. Morareidge, Ph.D., Physiology Consultant
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Electrifier
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Dr. Bob Beck
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The potential of microcurrent therapy in health care has only
recently attracted serious attention. Like many biological
phenomena, knowledge of the very existence of small currents
in the body had to wait on the development of technology
sophisticated and sensitive enough to study them. The
application of microcurrents to human tissue is remarkably
effective in speeding the wound healing process. Numerous
clinical studies have confirmed the effectiveness of very
small currents in accelerating the healing process in
non-union bone fractures and bone transplants. The use of
microcurrent in such applications has become a standard
procedure among orthopedic surgeons and physical therapists.
However, the effects of microcurrent therapy on the other
types of injuries are just beginning to be explored on a
systematic basis. Several clinical studies have reported the
acceleration of healing of soft tissue injuries. Even more
recent is the use of microcurrent therapy by physical
therapists, athletic trainers, and other body workers. The
available technology now allows great freedom in
experimenting with microcurrent generators.
What is microcurrent? Normal household current is measured in
amperes (amps). Microcurrent is measured in MicroAmps,
millionths of an ampere. Current levels that seem to be most
effective in helping tissue heal range from 20 to 500
MicroAmps. But many questions remain about these currents.
How do they work in the body? Can they ever be dangerous?
what are the long term effects of their use? In addition,
there are questions of liability and licensing which
legislators have yet to deal with.
Most of the published research on soft tissue injury and the
effects of microcurrents have described the accelerated
healing of ulcers in the skin, and associated suppression of
bacterial growth (1,2,3,4). A skin ulcer is an injury that is
visible and easy to assess. One can follow the rate of
healing by measuring the size of the ulcer, and bacterial
samples are easy to obtain with a swab. Observations of this
type of injury can be at least provisionally extended to
deeper tissue. For example, if microcurrents increase the
rate of collagen formation in skin (3), there is a good
chance that they also do it in ligaments and tendons. Also
there is evidence of connective tissue cell multiplication,
the formation of new collagen, in injured tendons (5) and
increased strength in healed tendons of experimental animals
(6) as a result of the application of microcurrent.
One report describes the accelerated healing of ligament
injuries in members of a Canadian Olympic Team. The team
physician routinely used microcurrent therapy in treating the
athletes (7). Other studies have shown that microcurrents
reduce pain with far fewer treatments than would be expected
with conventional physical therapy (8,9).
There is even a study that indicates that microcurrents
helped weight lifters increase strength more rapidly, and
that these effects extended beyond the time treatment stopped
(10).
Much of what we know about electrical currents in the body
comes form the work of Robert Becker, who spent many years
studying regeneration in the salamander and other animals
(11). Microcurrents were first seen at amputation sites and
in conjunction with other injuries, and were called "currents
of injury," or "stump currents."
These electrical currents at injury sites were associated
with the animals' ability to regenerate damaged or lost
limbs. The greater the current density, the more complete the
regeneration. This helped explain the differences between
various types of animals in their regeneration abilities.
Many animals, especially young ones can regenerate lost limbs
or portions thereof. The champion of all land animals at this
do-it-yourself replacement is the salamander. It also turns
out that the salamander has the greatest injury current
density of any land animal.
Becker's most astonishing discovery was that under the
influence of an appropriately applied direct current certain
cells are capable of de-differentiation. He found that
mature, fully differentiated cells are able to retrogress to
an embryonic form, with the ability to redifferentiate into
whatever cell types are needed for complete regeneration. The
group of undifferentiated cells that forms thusly at the
stump of an amputated limb is called the bastema. The
currents of injury that have been measured at amputation
stumps in humans and animals appear to be related to the
nerves supplying the area, and to the formation of the
bastema.
The entire body is a low-level, direct current generator, a
battery whose positive pole is along the spine and whose
negative pole is the periphery. But how are these currents
conducted through the body? The most obvious possibility is
the nervous system and its support structure. Cells of the
nervous system are known to generate electrical energy. Nerve
signals are, after all, electrical or electrochemical events
that transmit signals over large distances in the body.
But these signals are just that-signals, not actual currents.
Furthermore, the voltages generated by the nervous system and
by muscle are much larger than those we see at injury sites.
The nervous system is not comprised solely of neurons. There
is a vastly greater network of cells that supports and
nurtures the neurons. Generally there are glial cells in the
central nervous system and Schwann cells in the peripheral
nerves. All neuron cells bodies reside in the brain and
spinal cord. Only their axons and dendrites extend outward,
forming the peripheral nerves that connect every part of the
body with the CNS. Becker has likened these neurons cell
bodies and glia support structure to "Hairy raisins embedded
in a pudding." These glia cells are electrical conductors
that do not transmit discrete signals like neurons, but
rather carry very small direct currents. These currents have
a profound effect, either directly or by the magnetic fields
they generate, not only on the neurons which they surround,
but also on other cells.
Another possible conductor of electricity is the circulatory
system, especially the capillaries. Nordenstrom (12) has
indicated that in an area of injury a positive charge builds
up, which would serve as a sing for the negative current
flowing from the core of the body to the periphery.
Concentration of the injury current is further enhanced by
the ability of the circulatory system (capillaries) to
conduct current. This happens when the normally
ion-impermeable walls of the capillaries become less so.
Forcing an increased current flow through the capillaries to
the point of injury. Nordenstrom has had some very positive
results in causing lung tumors to regress by using electrical
currents.
Then there is that biological will-o-the-wisp, the meridian.
The functional existence of meridians is a basic tenet of
Chinese medicine. Their physical existence has been
demonstrated by the use of radioactive tracers injected at
acupuncture points. The tracers indeed distributed along the
meridians (13, 14). However, the anatomical nature of the
meridians remains in dispute. The Korean investigative
results have not been reproduced. Such channels must be very
thin and delicate, scarcely distinguishable from the
surrounding connective tissue. It is quite possible that the
flow of fluid or electricity is necessary to keep these
channels open, and if collapsed, they become virtually
invisible. The actual function of meridians remains a subject
of speculation. They contain large amounts of DNA and a
number of hormones. including adrenaline. They apparently are
among the earliest structures to form in the embryo and may
act as guides for the formation and later maintenance of
other vessels and organs.
All of these mechanisms may be involved. This may explain why
chronically tight muscles and connective tissue suffer
damage. This might derive not just from ischemic loss of
nutrients, but an area of tightness might actually "squeeze
out" the electrolyte-containing water from an area, changing
and reducing its electrical conductivity. Body workers have
noticed that microcurrent treatment is much less effective
for those who are even moderately dehydrated or lacking in
electrolytes. Microcurrent therapy seems to depend upon
electrically conductive tissue in order to gently force
current into an area. This is also true of acupuncture. A
metal needle changes the course of the body's natural
electrical current. This is especially true if the needle is
connected by a wire to another needle more proximal to the
body core, allowing an alternate route for current to enter
the area.
How do cells respond to electrical currents in a way that
increases their healing activity? In order to deal with this
question we must enter the shadowy world of cell molecular
biology. The effects of small currents on the cell and on the
organism are equally profound by of a very different order of
magnitude. The primary organizing factor of the body now
appears to be electromagnetic. That is, electricity not only
influences the metabolism of the individual cell , by also
tells the cell where it fits into the larger scheme of thins,
i.e., in the organism. Electromagnetic fields form the
orienting "map" by which the body organizes and by which the
cells ------------
At the cellular level electricity is pervasive. A large
percentage of the cell's total energy budget goes to the
separation of ions (charged atoms and molecules). When
positively and negatively charged ions are separated, the
result is an electrical potential (voltage). Cells are
enormously active in creating ion separations across closed
membranes. These separations occur across the cell membrane
and across organelle membranes within the cell. Once an
electrical charge has been built up, it represents an
important source of stored energy for the cell, rather like
water stored behind a dam, or electricity store in a battery.
There are two forces at work here. One of them is electrical
- a positively charged ion would like to migrate across
membrane toward the more negative side. Unlike charges
attract and like charges repel each other. The other force is
concentration. Any highly concentrated ion would like to
diffuse into an area where it would be less concentrated. The
cell uses both of these forces.
Ion pumps in the cell membrane actively more sodium ion out
of the cell and potassium ions in. The large build up of
sodium ions outside the cell is then used to power other
forms of transport, just as forcing water flow through a
turbo-generator powers electricity production. For example,
sodium ions are allowed to flow down their concentration
gradient into the cell, powering the active transport of
glucose and amino acid molecules up their concentration
gradients in to the cell. But transport within the cell is
even more interesting and more relevant to our concerns. The
mitochondrion is an organelle within the cell and is made up
of a set of closed membranes. Mitochondria have been called
the "powerhouses" of the cell, because all the reactions of
aerobic metabolism take place within them.
Within the mitochondrion is a set of special enzymes called
cytochromes. These enzymes take the hydrogen ions released by
the metabolic degradation of glucose and fats and moves them
across the mitochondrion's internal ---
The ions are then allowed to flow back across the membrane,
but as they do so they power the creation of ATP (adenosine
triphosphate), the major source of chemical energy for the
cell. This process is called chemiosmosis (15). In a few
cases this "downhill" flow of hydrogen ions powers cell
processes directly. The fact is that the concentration of
hydrogen ions in the mitochondrion (electrochemical proton
gradient) and the chemical ATP are inter convertible and
equivalent storage forms of cell energy and are used to power
virtually all cell processes from synthesis of proteins to
ion pumps to muscle contractions.
The total energy of the cell can be estimated chemically by
the amount of ATP available, or electrically from the total
ionic charge separation (capacitance). We can now see that if
an electrical current of appropriate magnitude and direction
were to flow through a cell, hydrogen ions formed by
electrolysis of water at the anode (positive electrode) would
migrate through the cell. When they reached the mitochondria
membrane they would power the formation of ATP at an
increased rate.
Thus any cell activity for which energy availability was the
limiting factor would be accelerated by an electrical
current. This has been found experimentally to be true. Amino
acid uptake by the cell and subsequent of microcurrents to
both intact tissue and cells in culture (16, 17).
Of course, hydrogen ions are not the only ions whose movement
would be affected by electrical currents. Another very
important ion is cell physiology is calcium. Calcium ion has
long been recognized as one of the two important "internal
messengers" of the cell (the other being cyclic AMP). The
nerve impulse along an axon opens calcium gates in the axon
terminal. This allows an influx of calcium ions which signals
the membranes of the synaptic vesicles to merge with the
presynaptic membrane, releasing neurotransmitter into the
synaptic cleft. But this is only one example. The presence of
calcium in the form of a calcium protein complex helps in the
secretion, ATP recycling, and many other cell processes. In
biochemistry texts, the calmodulin molecule is shown as
having the shape of a four-leaf clover with a calcium ion
bound to each leaf.
Thus the entry of calcium into the cell can be implicated in
the control of cell growth and gene expression (i.e.,
differentiation and dedifferentiation). There are
electrically controlled calcium gates in the cell membranes
of human fibroblasts, and these gates can be opened by
appropriate electrical current applied experimentally (18).
Electrical stimulation of human fibroblasts also increases
the synthesis of protein and DNA (17). While evidence is not
yet totally conclusive, there is a strong case for the notion
that microcurrent triggers productive mechanisms involving
the calcium gates in cell membranes.
Another perspective, from a somewhat different direction, has
been offered by Cheng, et al (16). They have shown that cell
protein synthesis is increased by the application of
microcurrents but they did not observe any increase in the
synthesis of DNA. Most interesting, however, is their
demonstration of a large increase in the synthesis of ATP.
This molecule is the basic energy source for all cell
activities, including protein synthesis. It is essential to
booth contraction and relaxation of skeletal muscle. If ATP
supply is a limiting factor, then microcurrents will
significantly increase this supply and thereby enhance
energy-dependent activities of the cell.
from
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References
1. Assimacopoulos, D. 1968. Low Intensity Negative Electrical
Current in the Treatement of Ulcers of the Leg due to Chronic
Venous Insufficiency. Am J Surg 115::683-687
2. Carley, P.J., S.F. Wainapel. 1985. Electrotherapy for
Acceleration of Wound Healing: Low Intensity Direct Current.
Arch Phys Med Rehabilitation 66:4443-445
3. Alvarez, O.M., et al. 1983. The Healing of Superficial
Skin Wounds.
4. Barron, J.J., W.E. Jacobson, et al. 1985 Treatment of
Decubitus Ulcers: A New Approach. Minn Med 68:103-106
5. Nessler, J.P., D.P. Mass. 1985 Direct Current Electrical
Stimulation of Tendon Healing in Vitro. Clin Orthop
217:303-312
6. Owoeye, L., N. Speiholz, et al. 1987. Low-Intensity Pulsed
Galvanic Current and the Healing of Tenotomized Rat Achilles
Tendons: Preliminary Report Using Load-to-Breaking
Measurements. Arch Phys Med Rehabilitation 68:415-418
7. Stanish, W. Electrical Stimulation of Torn Ligaments Cuts
Rehab Time by two-thirds. Medical World News. Feb. 27, 1984,
p. 67.
8. Noto, K., P. Grant. 1985. Comparative Study of
Electro-Acuscope Neural Stimulation and Conventional Physical
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9. Meyer, F.P., A. Nebrenski. 1983. Micro Stimulation and
Placebo Effect Calif Health Review 2:1.
10. Scott, J., R. Picker. A Double Blind Study to Evaluate
Muscle Strength in Athletes Treated With Electro-Myopulse.
Intl Soc Electro-Acutherapy.Feb. 27, 1983.
11. Becker, R.O., G. Shelden. 1985 THE BODY ELECTRIC. William
Morrow & Co.: New York.
12. Taubes, G. An Electrifying Possibility. Discover. Apr.
1986, pp. 23-37.
13. Rose-Niel, S. The Work of Professor Kim Bong Han. The
acupuncturist. 1:15, 1967. !uoted in VIBRATIONAL MEDICINE
Richard Gerber.
14. DeVernejoul et al. Etude Des Meridiens D'Acupuncture Par
Les Traceurs Radioactifs. Bul Acad Natle. Med.
169:-1071-1075, 1985. Quoted in VIBRATIONAL MEDICINE
15. Mitchell, P. 1976. Vectoral Chemistry and the Molecular
Mechanism of Chemiosmotic Coupling: Power Transmission by
Proticity. Biochem Soc Trans 4;400.
16. Cheng, N. et al. 1982. The Effects of Electric Currents
on ATP Generation, Protein Synthesis and Membrane Transport
in Rat Skin. Clin Orthop Rel Res 171;264-272.
17.Bourguignon, G.J., L.Y.W. Bourguignon. 1987. Electrical
Stimulation of Protein and DNA Synthesis in Human
Fibroblasts. FASEB J 1(5): 398-402.
18. Chen, C.P. Hess. 1987. Calcium Channels in Mouse 3T3 and
Human Fiboblasts. Biophys J 51:226a.
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