In the 1830's, Carlos Matteucci, proved that an electrical current was
generated by injured tissue. Existence of wound currents was first
experimentally observed by Dubois-Reymond in 1843, where approximately 1
microampere of current was measured from a wound in human skin. Illingsworth and
Barker, (1980) some 120 years later measured the current generated by the
amputated stump of a child's finger tip. These stump currents were found to be
within the range of 10-30 microamps per square centimeter. Their findings were
repeated by several researchers (Borgens et al 1980; Barker, Jaffe, and Vanable
1982;) although only recently have we been able to understand the implications
of these findings and to therapeutically apply these microcurrents.
microcurrent first gained popularity in treatment of wounds, nonunion
fractures and bone implants, where it has become an accepted procedure with
orthopedic surgeons.
Most of the published research on the effects of microcurrents on soft-tissue
injury have described the accelerated healing of skin ulcers and associated
suppression of bacterial growth.
One of the first studies documenting the positive effects of microcurrent
stimulation on wound healing and bone fractures was the team of Wolcott, et al,
in 1969. These researchers applied stimulation in the range of 200 - 800
microamps to a wide variety of wounds. A control group was treated with ordinary
wound care methods. The treated group showed 200 - 350% faster healing rates
than controls, with stronger tensile strength of scar tissue and antibacterial
effects in infected wounds. Gault and Gatens used a similar procedure in 1975 -
1976 on patients with diagnosis including quadriplegia, CVA, brain tumor,
peripheral vascular disease, burns, diabetes, TB, fracture and amputation. Their
results demonstrated healing times in the treated group about half that of the
controls. Many other researchers followed variations of these models and
published similar results.
Microamp stimulation has also been called "bio-stimulation" or
"bio-electric therapy" because of its ability to stimulate cellular
physiology and growth. In a study with important implications for microcurrent
electrotherapy, Cheng et al (1982) studied the effects of electric currents of
various intensities on three variables critical to the healing process: At 500
microamps, ATP generation (or cellular energy production) increased about 500%
and amino acid transport was increased by 30 to 40 percent above control levels
using 100 to 500 microamps. When currents were increased to the milliampere
range, ATP generation was depleted, amino acid uptake was reduced by 20-73
percent and protein synthesis was inhibited by as much as 50%. These findings
suggest that the higher milliamp currents inhibit healing whereas the lower
microampere currents promote healing.
Additional studies with isolated tissue or cultured cells provide compelling
evidence that the intracellular rates of ATP re-synthesis, protein synthesis and
DNA replication are increased as a result of direct electrical stimulation of
human fibroblasts.
"Weak stimuli increase physiologic activity and very strong stimuli
inhibit or abolish activity." -Arnold-Shulz Law (Dorland 1985)
Other studies have demonstrated the effects of microcurrent in accelerating
healing of bone, tendon repairs, and collagen remodeling. A Nobel prize went to
two German scientists in 1991 for their work in detecting subtle electrical
currents in all types of cell membranes throughout the body. This study opened
the way for greater understanding of the mechanisms through which externally
applied currents can affect organic functions.
William Stanish, M.D., physician for the Canadian Olympic team, found that
implanted electrodes delivering 10-20 microamps of electrical current hastened
recovery from ruptured ligaments and tendons. Using microcurrent stimulation,
Stanish shortened the normal 18-month recovery period to only 6 months. (Stanish
1984).
The first commercial device outputting microcurrent stimulation was the
Dermatron, developed in the 1960's by Dr. Reinhold Voll of Germany. Although
this device was primarily used for electro-diagnostic testing, it was also used
to apply therapeutic microcurrent stimulation to the body. Through the research
of Dr. Voll and his colleagues, the following effects of microcurrent on the
body were documented: 1) Spasmolysis of smooth muscles of the circulatory,
lymphatic and hollow organ systems. 2) Tonification of elastic fibers, for
example, increasing lung capacity in emphysema patients. 3) Reduction of
inflammatory processes through reducing infiltrative, proliferative, and
exudative processes. 4) Reduction of degenerative process by restoring
diffusion-osmotic equilibrium. 5) Restoration of polarization to the nerves. 6)
Stimulus of ATP function in freshly injured striated muscle.
To obtain these effects, microcurrents in the 0.5 - 1.0 Hz range were applied
to whole limbs or selected acupuncture points. Voll and his colleagues were able
to chart specific frequencies in that range that had pronounced effects on
different tissue systems. This very low frequency range, which is resonant with
the normal electrical activity of the human body and the frequency of the earth,
is the main domain of modern microcurrent therapy.
Another explanation of the efficacy of microcurrent is through comparison to
acupuncture. Many of the effects of acupuncture have been documented in the
Journal of the American Medical Association. A "meridian", or energy
communication system connecting all parts of the body, has been described by
traditional Chinese and Japanese acupuncture. The work of Becker and Nordenstrom
in particular recognize the action of subtle electrical currents, via the
perineural cells and circulatory system, respectively, in explaining at least
part of the meridian phenomenon.
Needle acupuncture is the original microcurrent therapy, as traditional
acupuncture needles generate measurable electrical charges when twirled in the
skin by a doctor's fingers, and needles left "in situ" tend to drain
of excess electric charge from tense or inflamed tissue. Modern microcurrent
therapy offers a simplified and non-hazardous method for practitioners to offer
the benefits of acupuncture stimulation to their patients.
Neil
Primack, P.T.
75-5706 Hanama Place, Suite 208A
Kailua-Kona, HI 96740
Tel.: (808) 334-0177 Fax: (808) 334-0482
NPrimack@aol.com