Efficacy and safety of new TAMMEF (therapeutic application of musically modulated electromagnetic fields) system in the treatment of chronic low back pain

Numerous studies have demonstrated the utility of extremely low frequencies (ELF) electromagnetic fields in the treatment of pain. Moreover, the effects of these fields seems to depend on their respective codes. In our study we want to value the effects and the safety of the TAMMEF (Therapeutic Application of a Musically Modulated Electromagnetic Field) system, which field is piloted by a musical signal and its parameters are modified in time, randomly varying within the respective ranges, so that all possible codes can occur during a single application. Ninety subjects, affected by chronic low back pain, were enrolled in the study and randomly divided into three groups of 30 patients each: A exposed to TAMMEF, B exposed to ELF, C exposed to a simulated field. All subjects underwent a cycle of 15 daily sessions of 30 minutes each and a clinical examination upon enrolment, after 7 days of therapy, at the end of the cycle and at a follow-up 30 days later. All the patients of groups A and B completed the therapy without the appearance of side effects: they presented a significant improvement of the subjective pain and the functional limitation, which remained stable at the follow-up examination. In group C, there was no improvement of the pain symptoms or articular functionality. This study suggests that the TAMMEF system is efficacious and safe in the treatment of patients with chronic low back pain.     

Preliminary studies about effects of ELF and TAMMEF electromagnetic fields on human lymphomonocytes

In our paper we studied the effects of exposure to ELF (extremely low frequency) or musically generated TAMMEF (therapeutic application of musically modulated electromagnetic fields) electromagnetic fields on the tumor necrosis factor alpha (TNF-α) release induced by a lipopolysaccharide (LPS) from cultured human lymphomonocytes of peripheral blood. Lymphomonocytes, isolated from blood donors buffy-coat, were prepared using standard techniques in cell culture flasks, kept in CO₂ incubator, with controlled temperature and humidity for 5 days. Flasks were subjected to an ELF electromagnetic field (100 Hz sinusoidal) or to TAMMEF electromagnetic fields (with intensity, frequency, and wave shape randomly modified in time, so that all possible codes can occur during a single application). The TNF-α release was determined by ELISA test every 24 h for 92 h and the results were evaluated by a non-parametric test. LPS induces a stronger TNF-α release in cultures that were subjected to ELF when compared with cultures subjected to TAMMEF, at each time period of the experimental protocol. These results seem to indicate that TAMMEF is able to induce a complex modulation of LPS-induced TNF-α release, a cytokine with pro inflammatory property whose release during chronic or neoplastic inflammatory diseases has strong negative effects on several organ systems.     

The role of TAMMEF therapy on the antioxidant status in osteoarthritis

Osteoarthritis (OA) is the most common joint disorder, associated with loss of articular cartilage, osteophyte formation, subchodral bone change, synovitis and characterized by chronic and often disabling pain and stiffness of one or more joints. The pathogenesis of the disease is complex and still debated, even if recent studies have shown that reactive oxygen species may participate in the initiation and progression of OA. Moreover, it is known that pulsed electromagnetic fields are useful in the OA treatment, owing to their analgesic and anti-inflammatory properties. This work evaluated lipid peroxidation, glutathione, and ascorbic acid levels in patients with OA of spine, before and after the application of a new electromagnetic system, the TAMMEF (Therapeutic Application of a Musically Modulated Electromagnetic Field) system. In TAMMEF system, the extremely low frequencies electromagnetic field is piloted by a musical signal and its parameters (frequency, intensity, waveform) are modified in time, randomly varying within the respective ranges: so all possible codes can occur during a single application. Twenty patients affected by OA of spine and 20 healthy subjects were enrolled in this study. Plasma levels of ascorbic acid (AA), glutathione (GSH) and malondialdehyde (MDA) (as index of lipid peroxidation) were determined in patients and controls, before the beginning of treatment (first day of therapy) and at the end of cycle. All patients underwent a cycle of 10 daily sessions of 30 min each. Our study showed a significant increase of MDA level and a significant decrease of both AA and GSH levels in patients with OA compared to control group. These findings support the role of oxidative stress in the pathogenesis of OA. After TAMMEF treatment in the OA group, analysis revealed a significant decrease in plasma MDA and AA levels (P < 0.05 and P < 0.01, respectively), no significant difference in GSH levels. Reduction in MDA level could be due to the decreased generation of reactive oxygen species and/or to the increased detoxification activity mediated by GSH. No significant difference in GSH levels, evidenced in OA patients after TAMMEF treatment, could be due to effect sparing of AA on GSH. Furthermore, a beneficial symptomatic effect was observed in all patients.     

Biological evidences than human osteoarthritic chondrocytes could be affected by electromagnetic fields with extremely low-frequency or new TAMMEF system

Osteoarthritis (OA) is a chronic degenerative condition involving the joints caused by metabolic changes in chondrocytes metabolism. Treatment with magnetic fields (EMFs) produces benefits to patients affected by this pathology. The present research has the aim to investigate, by a proteomic approach, the effect of magnetic fields on cultured chondrocytes, because EMFs interferes greatly with OA chondrocytes metabolism. Human osteoarthritic chondrocytes were obtained from the femur head of osteoarthritis adult patients and were cultured under standard conditions and exposed for precise times both to extremely low-frequency (ELF; 100-Hz) electromagnetic fields and to the Therapeutic Application of Musically Modulated Electromagnetic Fields (TAMMEF), which are characterized by variable frequencies, intensities, and wave shapes. We tested the effects of the different exposure by 2-DE analysis and demonstrated that chondrocytes metabolism was highly influenced by the treatment with EMFs; in fact many proteins change their expression after the stimulation, but differently, depending on whether we use ELF or TAMMEF system.     

The EMF-induced changes in aqua medium’s properties depend on background ionizing radiation, illumination and temperature

The effects of extremely low-frequency electromagnetic field (ELF EMF) and ELF-modulated millimeter waves (MMW) on physicochemical properties of physiological solution (PS) at different environmental medium were studied. The existence of frequency “windows” at 4 Hz and 8 Hz frequencies of ELF EMF and ELF-modulated MMW which have different effects on heat fusion period (HFP), hydrogen peroxide (H₂O₂) formation and oxygen (O₂) content of water solution and different dependency on temperature, background radiation (BGR) and illumination was shown. The obtained data allow us to suggest that cell bathing medium serving as a target through which the biological effects of ELF EMF and ELF-modulated MMW on cells are realized is extra sensitive to environmental factors. Therefore, the variability of experimental data on EMF biological effects, obtained in different laboratories can be explained by different environmental conditions of experiments, which very often are not considered adequately.     

Comparative study of non-ionizing and ionizing radiation effect on hydration of winter wheat seeds in metabolic active and inactive states

Although the biological effect of non-ionizing (NIR) and ionizing radiation (IR) on plant seed potential is well documented, the mechanism of this impact is not clear yet. Since cell hydration, a fundamental parameter for determining cell function, is magneto-sensitive, in present work, a comparative study of extremely low frequencies (ELF) electromagnetic field (EMF), ELF EMF-modulated millimeter waves, and radiation exposure effects on winter wheat seeds water absorption and dry mass changes was performed. The seeds were incubated in physiological solutions (PS) for 2 and 72 h. In case of 2-h incubation, the water absorption determined by osmotic gradients between seeds and bathing medium, PS treated by all these factors leads to changes of water absorption. While in case of 72-h incubation (when germination processes are in active state) these impact had reversed character. The obtained data strongly suggest seeds bathing medium as a target through which the biological effects of NIR and IR are realized.     

Nonthermal GSM RF and ELF EMF effects upon rat BBB permeability

Since the late 1980s, our group has examined the effects of radiofrequency electromagnetic fields (RF-EMF), including pulse-modulated waves of the type emitted by mobile phones, upon the blood?Cbrain barrier. In more than 2,000 rats, we have repeatedly demonstrated a passage of the rats?? own albumin from the blood through the brain capillaries into the surrounding brain parenchyma at SAR values down to 0.1mW/kg. In most of these experiments, the animals were exposed in TEM-cells, ventilated by an external electrical fan at 50 Hz. In the present study, we examined whether the extremely low frequency (ELF) magnetic fields from the fan (50 Hz, 0.3?C1.5 ??T) might add to the RF effect. Sixty-four rats were divided into 4 groups: RF only, ELF only and RF + ELF exposure plus a sham group. The GSM-900 MHz RF exposure was at the very low, nonthermal, average whole-body SAR level 0.4 mW/kg. Demonstration of the normally occurring albumin extravasation in the basal hypothalamus is our inbuilt control proving that the staining is reliable. Two full series of staining of the whole material gave negative results for hypothalamus. Not until we changed to avidin, biotin, and antibodies from a third supplier, we received an acceptable staining. Twenty-five percent of the RF animals had a pathological albumin leakage, while the ELF and RF + ELF groups with three and two pathological findings, respectively, were not significantly different from the control group. We conclude that the use of external fans has had no major influence upon the result.     

50 Hz alternating extremely low frequency magnetic fields affect excitability,firing and action potential shape through interaction with ionic channels in snail neurones

In spite of growing concern about the influence of magnetic fields on biological systems, the interaction between extremely low frequency magnetic field (ELF magnetic fields) and biological structures at the cellular level remains obscure. The aim of this study was to investigate if 50 Hz magnetic fields could have an effect on the neuronal excitability and firing responses. Under Current-Clamp condition, exposure to 50 Hz ELF magnetic fields at 2 mT or 0.8 mT intensities resulted in an increase in the peak amplitude of action potential and after hyperpolaization potential in a time dependent manner. Both magnetic field intensities decreased also the firing frequency and the duration of action potential. Taken together, these data suggest that 50 Hz ELF magnetic fields at 2 mT or 0.8 mT intensities may change the electrophysiological behavior of neuronal cells and underlying ion channel currents.     

Exposure to radiation from global system for mobile communications at 1,800 MHz significantly changes gene expression in rat hippocampus and cortex

We have earlier shown that radio frequency electromagnetic fields can cause significant leakage of albumin through the blood–brain barrier of exposed rats as compared to non-exposed rats, and also significant neuronal damage in rat brains several weeks after a 2 h exposure to a mobile phone, at 915 MHz with a global system for mobile communications (GSM) frequency modulation, at whole-body specific absorption rate values (SAR) of 200, 20, 2, and 0.2 mW/kg. We have now studied whether 6 h of exposure to the radiation from a GSM mobile test phone at 1,800 MHz (at a whole-body SAR-value of 13 mW/kg, corresponding to a brain SAR-value of 30 mW/kg) has an effect upon the gene expression pattern in rat brain cortex and hippocampus—areas where we have observed albumin leakage from capillaries into neurons and neuronal damage. Microarray analysis of 31,099 rat genes, including splicing variants, was performed in cortex and hippocampus of 8 Fischer 344 rats, 4 animals exposed to global system for mobile communications electromagnetic fields for 6 h in an anechoic chamber, one rat at a time, and 4 controls kept as long in the same anechoic chamber without exposure, also in this case one rat at a time. Gene ontology analysis (using the gene ontology categories biological processes, molecular functions, and cell components) of the differentially expressed genes of the exposed animals versus the control group revealed the following highly significant altered gene categories in both cortex and hippocampus: extracellular region, signal transducer activity, intrinsic to membrane, and integral to membrane. The fact that most of these categories are connected with membrane functions may have a relation to our earlier observation of albumin transport through brain capillaries.     

Pulsed electromagnetic field therapy history,state of the art and future

Magnetic and electromagnetic fields are now recognized by the 21st century medicine as real physical entities that promise the healing of various health problems, even when conventional medicine has failed. Today magnetotherapy provides a non-invasive, safe, and easy method to directly treat the site of injury, the source of pain and inflammation, and other types of diseases and pathologies. Millions of people worldwide have received help in treatment of musculoskeletal system, as well as pain relief. Pulsed electromagnetic fields are one important modality in magnetotherapy and recent technological innovations, such as Curatron pulsed electromagnetic field devices, offer excellent, state of the art computer controlled therapy system. In this article the development, state of the art and future of pulsed electromagnetic field therapy are discussed.     

Therapeutic application of static magnetic fields

The interest toward clinical application of magnetic and electromagnetic stimulation increases worldwide. Numerous publications discussed the possibility exogenous magnetic and electromagnetic fields to initiate effects on various biological processes, which are of critical importance for healing of different injuries and pathologies. Today, magnetic and electromagnetic fields are increasingly utilized for treatment of various musculoskeletal injuries and pathologies. For musculoskeletal injuries and post-surgical, post traumatic and chronic wounds, reduction of edema is a major therapeutic factor in the acceleration of pain and stress relief, and thus contribute to healing processes. Electromagnetic and magnetic fields appear to be unique in their safety during clinical use. The application of this new modality will be facilitated by searching for biophysical mechanisms of action as well as by establishing exact dosimetry of application. In that respect basic science research needs to be developed in parallel with clinical applications. Magnetotherapy provides a non-invasive, safe, and easy method to directly treat the site of injury, the source of pain and inflammation, and other types of injury. Unfortunately, there are many obstacles that magnetotherapy has to overcome—both from the mainstream medicine as well as from the manufacturers and distributors of magnetic devices. The physical principle of magnetism as well as the physiological bases for the use of magnetic field for tissue repair are subjects of this review.     

Graphical Presentation of 50/60 Hz Magnetic Field Contours as an Engineering Tool for Minimizing ELF Fields

Summary Since IARC classified ELF magnetic field as Possibly Carcinogenic to Human the fear from 50/60 Hz magnetic field exposure had been increased to the state of public “panic”. Subsequently, environment quality preservation organizations increased their pressure on their government to adopt the “precautionary principle” and to reduce the allowable ELF Magnetic Field exposure to much lower values than are recommended by ICNIRP-1998. As an example the present Environmental Ministry in Israel recommendation is to lower the ELF Field exposure to 10 mG averaged over 24 h. As a result of this stringent exposure guideline imposed by the government, electrical engineers who are involved in the deployment and installation of large and medium electrical utilities, such as overhead power lines, transformers, UPS systems, electrical public transportation, switching stations, etc., are much more aware to the need to employ special measures and methods for reducing the magnetic fields that might be emitted from such utilities. There are few computer codes that are capable of analyzing with great accuracy magnetic and electric fields surrounding single phase and three phase electrical utilities in a 3-D system. The best presentations of the analysis results are by equi-value contours depicting electric and magnetic fields. This graphical presentation is a powerful design tool that enables better deployment and installation design aided to reduce the magnetic field emissions from high-power electrical utilities. This paper describes the various types of graphical presentations available for ELF field contours, the dependent and independent variants and parameters, magnetic field animation for optimization of power line installation and routing, and finally an example that demonstrates the usefulness of the graphical presentation tools.     

In Vitro Evaluation of Biological Effects on Human Keratinocytes Exposed to 900 MHz Electromagnetic Field

Summary The biological effects of electromagnetic radiation at ultra high frequency on human keratinocytes were investigated. HaCaT cell system, a spontaneously immortalized human keratinocytes cell line, was chosen as model since skin is usually exposed to electromagnetic radiation at considered frequency more than inner tissues. HaCaT cells were exposed to a pure sinusoidal field at a frequency of 900 MHz (average SAR levels ranging from 0.04 to 0.08 W/kg) in plane wave condition inside a GTEM chamber for time intervals of 18 hours at a controlled temperature of 37^∘C. Growth curves were obtained for exposed and control cells, and a reduction in the number of exposed cells in comparison to unexposed ones was found; however the number of dead cells was not significantly different in exposed and unexposed samples. In order to investigate whether the reduction in cell proliferation of exposed cells was due to the activation of a differentiative process, the expression of two hallmarks of differentiation was examined. Both keratin 1 and involucrin expression was increased in exposed in comparison to unexposed cells. These results suggest that this protocol of exposure to 900 MHz electromagnetic field can trigger a differentiation program in HaCaT cells.     

Systemic Effect: A New Approach to Magnetic Field Therapy

Summary Despite of decades of successful worldwide use of magnetic/electromagnetic field therapy, the answer to the question of possible mechanisms of action is still lacking. Scientific reports of successful therapeutic use of magnetic/electromagnetic fields are worldwide; however, our understanding of the underlying mechanism is limited. This paper presents a new hypothesis that therapeutic benefit of magnetic fields might result from effects that originated on the level of important systems in human body. It is known now that the life is an electromagnetic event in aqueous medium. Therefore, an appropriate choice of magnetic and/or electromagnetic field may be expected to initiate systemic changes that result in efficacious effects distant from the point of application. Observations of this phenomenon have been reported in at least two forms: (1) neutralization of the pain experience distant to the point of magnetic field exposure; and, (2) various alterations of T-lymphocytes in response to pain and to magnetic fields. Extrapolating these observations to the level of blood-vessel system, one might hypothesize that a “healthy” cell does not respond as readily to the applied fields as do abnormal cells (which are in a disease or injury state).     

A novel view of biologically active electromagnetic fields

Over the past decades, strong evidence has accumulated that low-frequency electromagnetic fields (EMFs) can be useful in treating human pathologies, such as bone fractures, soft tissue illnesses, and pain. Common strategies for the design of commercial therapeutic devices are to generate EMFs that simulate body endogenous EMFs, or EMFs that resonate with a particular biological process, such as the natural motions of ions. We recently came across a biologically active commercial EMF signal that seems to be different. The signal is generated by summing the fundamental frequencies and harmonics of several periodic base signals which remain proprietary to the company. When first examined in the time domain, the signal resembled electronic noise; however, when critically analyzed, the signal is not identical with noise. Rather, it is a highly complex waveform exhibiting a very wide range of values for the time derivative of the magnetic field density (dB/dt) and a beat frequency in the Extremely Low-Frequency range. In this paper, we speculate on the mechanism of action of this and similar signals. We consider it less likely that cells, or cell components, act like filters to extract and couple with individual signals that make up the complex EMF signal. Consequently, we favor the possibility that with the signal discussed here cells respond to the very complex signal and that the biological response can be modified by the presence of a beat in the signal, in this case a low-frequency beat. More generally, this would suggest the hypothesis that biological processes can be regulated by noise-like signals and that the effects of a noisy signal can be modified by the presence of signal repetition patterns, such as beats. Given the very small energy that signals like these can transduce into a biological system, biological effects can be expected only when the molecular processes involved are poised so that the available energy leads to molecular reactions that achieve the activation state for the reaction.     

How living systems recognize applied electromagnetic fields

Natural and man-made magnetic and electromagnetic fields are important factors in the contemporary life. The paper discusses the role of environmental magnetic and electromagnetic fields in origin and evolution of life. A brief review of the characteristics of Earth magnetic field, Earth magnetosphere, and their role as a shield for cosmic radiation follows. The role of endogenous and exogenous magnetic fields is discussed in respect of the clarification of the potential hazard and benefit of electromagnetic fields. The second part of the paper discusses the mechanisms of detection and response to exogenous electromagnetic fields, as well as threshold versus window hypothesis for mechanisms of interactions. Finally, the necessity of accurate dosimetry at the target site and the importance of relevant research and clinical protocols in studying biological responses are pointed out.     

Simulations of ELF magnetic shields

This paper describes a multistage algorithm for efficient calculation of magnetic flux contours, for optimizing the design of structural magnetic shielding. It is part II of the article presented in Pekar and Netzer (2006). The Environmentalist. The multi-stage algorithm enables albeit medium-power computer system to calculate the effect of shielding materials with a given geometry, in a reasonable timeframe without compromising precision. The outcome results are a large number of electrical utility models and the best cost-effective shielding materials and geometries for ELF magnetic flux reduction per Authority regulations and requirements. This article reviews methods and principles for calculation of an extremely low frequency (50/60 Hz) electromagnetic field originating from power utilities and power lines, for the purpose of constructing efficient magnetic shielding. The paper points out difficulties in existing methods and proposes a new algorithm for analysis and construction of magnetic shielding.     

What need to be known about the therapy with static magnetic fields

During the last three decades the interest toward clinical application of magnetic and electromagnetic stimulation increased worldwide. Numerous publications have discussed the possibility of exogenous magnetic fields to initiate beneficial effects on various biological processes, which are of critical importance for healing of different injuries and pathologies. Today, magnetic and electromagnetic fields are increasingly utilized for the treatment of numerous musculoskeletal injuries and pathologies. For example, selected magnetic fields were reported to be beneficial in the treatment of musculoskeletal injuries and post-surgical, post traumatic and chronic wounds, reduction of edema, in the acceleration of pain and stress relief, and thus contribute to healing processes. The application of this modality could be facilitated by establishing the exact dosimetry of application and by searching for biophysical mechanisms of action, as well. It should be remembered that “not all magnets are equal”, therefore the specific medical problem requires a proper diagnostics, a selection of the magnetic field to be applied and a design of the appropriate protocol for treatment. The paper advised that every study and report should carefully explain both the medical problem and the parameters of the applied magnetic field and cautions against generalized statements like “Magnetic field does/does not cause biological response”.     

Environmental and social impacts of electricity utilization: broadening the debate

Exposure of small laboratory animals to power-frequency high-voltage electric fields was reported to have endocrinological effects, including changes in pineal melatonin levels. It has been assumed that these results are directly attributable to electric-field effects, but this article suggests that air ionization, produced by corona activity at the animals’ body surfaces, may have been biologically active and could be relevant to the interpretation of some epidemiological and other studies. Although presently a matter of dispute, there is evidence that atmospheric ionization may be biologically active and could provide an alternative explanation for at least some apparent electromagnetic field interactions with biological subjects. Consideration of the electricity utilization environment as a whole, rather than one selected component, could allow the introduction of lower-cost, precautionary and putative hazard remediation measures.     

Static magnetic field action on some markers of inflammation in animal model system—in vivo

Experimentally induced acute inflammation in rats is a good model system which includes the complexity and dynamics of the processes; moreover there are many defined markers for following and estimating changes in an observed system. In this paper, we discuss an in vivo model of acute inflammation induced by carrageenan. Carrageenan-induced paw edema is a model of non-infectious acute inflammatory reaction to assess the contribution of mediators involved in vascular changes associated with acute inflammation and potential treatments. A complex approach into the investigation of possible effects of static magnetic fields (SMF) action on experimentally induced acute inflammation in rats (by measurements of the levels of specific stress markers) is very important in understanding the possible inflammatory mitigation effects, pain relief, and oxidative stress state of an organism. This approach could help for better understanding of the possible mechanisms of interaction of dynamic processes such as inflammation healing and pain relief with external SMF (25 mT at 10, 20 and 30 min exposure time). Results indicate that SMF with B = 25 mT for 30 min diminished the inflammatory process and decreased the levels of inflammatory markers (fibrinogen) and stress markers (ACTH, Cor) into the blood plasma in rats as when compared with sham exposed animals. The exact mechanism by which SMF contributes to the acceleration of inflammatory healing and decrease of inflammation markers in blood plasma in rats still remains unclear. We assume that two possible mechanisms exist. One is the direct interaction of SMF with free active oxygen forms (free radicals) affected by their membrane processes and related with the physiological functions. Another possible mechanism might be related to dynamic regulation of inflammation healing process.