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Pulsed Electromagnetic Fields in Bone Healing: Molecular Pathways and Clinical Applications

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MDPI
DOI: 10.3390/ijms22147403

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pulsed electromagnetic fields (PEMFs); biophysical stimulation; osteogenic differentiation; fracture repair; fracture healing; bone regeneration

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This article reviews the signaling pathways modulated by PEMFs and their clinical applications, based on studies from PubMed and Embase. While identifying cell membrane receptors and pathways involved in bone healing, further research and clinical trials are needed to understand the dose-response relationship and practical applications of PEMFs.
In this article, we provide an extensive review of the recent literature of the signaling pathways modulated by Pulsed Electromagnetic Fields (PEMFs) and PEMFs clinical application. A review of the literature was performed on two medical electronic databases (PubMed and Embase) from 3 to 5 March 2021. Three authors performed the evaluation of the studies and the data extraction. All studies for this review were selected following these inclusion criteria: studies written in English, studies available in full text and studies published in peer-reviewed journal. Molecular biology, identifying cell membrane receptors and pathways involved in bone healing, and studying PEMFs target of action are giving a solid basis for clinical applications of PEMFs. However, further biology studies and clinical trials with clear and standardized parameters (intensity, frequency, dose, duration, type of coil) are required to clarify the precise dose-response relationship and to understand the real applications in clinical practice of PEMFs.

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