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Drug delivery is conducted through various methods such as injection, phonophoresis, and iontophoresis. Iontophoresis is defined as the noninvasive delivery of active ions through epidermis using direct current. The direct current has some disadvantages such as skin burning and limited time of application. Interferential current is a kind of alternating currents without limitations of direct current; so the purpose of this study was to investigate and compare the effects of Lidocaine, interferential current and Lidocaine iontophoresis using interferential current.
Pressure, tactile, and pain thresholds were evaluated before and after the application of Lidocaine, interferential current and Lidocaine iontophoresis using interferential current. Pressure threshold was investigated with a Pesula. Pesula is a pen-like scaled mechanical device that measures the skin pressure threshold. Pesula was pressed to the skin and pressure threshold was measured in mm. Pain and tactile thresholds were investigated using an electrical stimulator.The intensity was gradually increased to the extent that the participant reported a tingling sensation. The displayed intensity was considered as the tactile sense threshold. Then, the intensity was increased to the extent to be intolerable for the participant and this intensity was considered as the maximum pain threshold. The thresholds were recorded in milliampere.
Lidocaine iontophoresis using interferential current can increase perception threshold of pain, and pressure sense more significantly in comparison to the application of Lidocaine and interferential current alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| lidocaine iontophoresis using interferential current | Active Comparator | the threshold of pressure, tactile,and pain thresholds were evaluated after the iontophoresis of Lidocaine using interferential current. |
|
| interferential current | Active Comparator | the threshold of pressure, tactile,and pain thresholds were evaluated after the application of interferential current. |
|
| lidocaine | Active Comparator | the threshold of pressure, tactile,and pain thresholds were evaluated after the application of topical Lidocaine. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| iontophoresis of Lidocaine 10% with interferential current (Dynatron 438) | Device | drug delivery through interferential current. |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain threshold- evaluated by increasing intensity of interferential current. | pain threshold to increasing intensity of interferential current. | up to one week |
| Measure | Description | Time Frame |
|---|---|---|
| tactile threshold- evaluated by exact perception of the lowest level of interferential current | exact perception of the lowest level of interferential current | up to one week |
| pressure threshold- evaluated by Pesula |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| alireza motealleh, PhD, PT | Shiraz University of Medical Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| School of Rehabilitation | Shiraz | Fars | 33669-71947 | Iran |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
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| 22265386 | Background | Ebrahimi S, Abbasnia K, Motealleh A, Kooroshfard N, Kamali F, Ghaffarinezhad F. Effect of lidocaine phonophoresis on sensory blockade: pulsed or continuous mode of therapeutic ultrasound? Physiotherapy. 2012 Mar;98(1):57-63. doi: 10.1016/j.physio.2011.01.009. |
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| Lidocaine 10% was sprayed at the identified region | Drug |
|
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| interferential current | Device |
|
|
Pesula was used to evaluate tactile threshold.
| up to one week |
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| 17703345 | Background | Yan G, Xu Q, Anissimov YG, Hao J, Higuchi WI, Li SK. Alternating current (AC) iontophoretic transport across human epidermal membrane: effects of AC frequency and amplitude. Pharm Res. 2008 Mar;25(3):616-24. doi: 10.1007/s11095-007-9405-2. Epub 2007 Aug 17. |
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| Background | Kandell ER, Schwartz JH, Jessell TM. Principles of neural science 2000. 4th edition. |
| 15898033 | Result | Viscusi ER, Witkowski TA. Iontophoresis: the process behind noninvasive drug delivery. Reg Anesth Pain Med. 2005 May-Jun;30(3):292-4. doi: 10.1016/j.rapm.2004.12.002. No abstract available. |
| ID | Term |
|---|---|
| D008012 | Lidocaine |
| D004599 | Electric Stimulation Therapy |
| ID | Term |
|---|---|
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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