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10.1016@j.explore.2017.06.006 (1)

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  Author’s Accepted Manuscript EFFECTS OF THERAPEUTIC TOUCH ONHEALING OF THE SKIN IN RATSAndré Luiz Thomaz de Souza, David Patrick Carvalho Rosa, Bruno Anjos Blanco, PatríciaPassaglia, Angelita Maria StabilePII:S1550-8307(17)30240-9DOI: appear in:  Explore: The Journal of Science and Healing  Cite this article as: André Luiz Thomaz de Souza, David Patrick Carvalho Rosa,Bruno Anjos Blanco, Patrícia Passaglia and Angelita Maria Stabile, EFFECTSOF THERAPEUTIC TOUCH ON HEALING OF THE SKIN IN RATS,  Explore: The Journal of Science and Healing, is a PDF file of an unedited manuscript that has been accepted for  publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, andreview of the resulting galley proof before it is published in its final citable form.Please note that during the production process errors may be discovered whichcould affect the content, and all legal disclaimers that apply to the journal pertain.  EFFECTS OF THERAPEUTIC TOUCH ON HEALING OF THE SKIN IN RATS André Luiz Thomaz de Souza 1* , David Patrick Carvalho Rosa 2 , Bruno Anjos Blanco 3 , Patrícia Passaglia 4 , Angelita Maria Stabile 5 . 1 Department of Nursing, School of Nursing, Integrated College of the Ribeira Valley, Registro, SP, Brazil. E-mail: 2 School of Nursing of the Integrated College of the Ribeira Valley, Registro, SP, Brazil. E-mail: 3 Department of Nursing, School of Nursing, Integrated College of the Ribeira Valley, Registro, SP, Brazil. E-mail: 4 Department of Medicine, School of Medicine, University of São Paulo. Ribeirão Preto, SP, Brazil. E-mail: 5 Departmentt of Nursing, School of Nursing, University of São Paulo, Ribeirão Preto, SP, Brazil. E-mail: *Correspondence to: André Luiz Thomaz de Souza, Integrated College of the Ribeira Valley Street: Oscar Yoshiaki Magário, 185, Jardim das Palmeiras Registro-SP, Brazil. E-mail: Contact: (16) 98137-3251    Abstract Context: Therapeutic touch is a complementary treatment directed toward the balance of the energy field surrounding living beings. Objective:  This study ’s aim  was to investigate the effect of therapeutic touch on wound area contraction and fibroblast proliferation in rat skin. Design:  This study was conducted using 24 male Wistar   rats with dorsal wounds of diameter 8 mm. The rats were divided into two groups: a control group: in this, the wounds were sanitized with filtered water and neutral-pH soap; a treatment group: in this, the wounds were sanitized as in the control group but the rats also underwent to daily sessions of therapeutic touch. Wound area was measured on days 1, 4, and 7 using imagelab software, version 2.4 R.C. On days 4 and 7, six animals in each group were euthanized so that the lesioned tissue could be collected for fibroblast counts and histological evaluations. Results:  On days 1 and 4, wound areas were similar in both groups. Moreover, no significant differences in fibroblast counts were observed on day 4. On day 7, however, fibroblast counts were significantly higher in the treated group than in the control group, with a subsequent wound shrinkage Conclusion:  These data indicate that therapeutic touch may accelerate wound repair, possibly  by increasing fibroblast activity. Key words: Therapeutic Touch; Fibroblasts; Healing.    INTRODUCTION Wound healing is a complex process in which injured tissues are replaced with healthy tissues 1  by means of a continuous sequence of events divided into three phases: inflammatory, proliferative, and maturation. 2,3 The initial inflammatory phase develops within 24 h of injury, and it lasts for an average of 2  –  3 days 1,4 ; it is characterized by hemostasis and inflammation. 2  The proliferative phase sets in following the inflammatory phase and it lasts for an average of 2  –  3 weeks. 5,6  The features of this phase are epithelialization, angiogenesis, granulation tissue formation, and collagen-fiber deposition. 2  The final phase is maturation, which lasts the entire lifetime of the wound, considering that in approximately 1 year, 70%  –  80% of the skin will be intact. 6  The primary feature of this process is the transition from granulation tissue to scar formation, with increased collagen deposition and wound contraction. 2  Different therapeutic alternatives can be used in clinical practice to treat acute and chronic tissue wounds, such as topical medication, dressings, and debridement. 7,8  In addition to traditional methods, the use of complementary therapies, specifically energy therapies, appears as a potential alternative to accelerate skin healing; however, such methods require further studies to confirm their effectiveness. One of the earliest studies on energy therapies, also called curative energies, was conducted in the 1960s by Dr. Bernard Grad of McGill University in Montreal, Canada. After recognizing the therapeutic influences of the so-called spiritual and psychic healers, Dr. Grad investigated the effects of laying on of hands on cellular physiology, and conducted studies in animals and plants. 9  During his studies, Dr. Grad had the assistance of one healer named Oscar Estebany, a Hungarian colonel known to have healing powers with his hand touch. While investigating
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