medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2025-23-99-102medalphabet-4668Research ArticleСтатьиПерспективы применения физиотерапевтических методов в терапии телогеновой алопецииProspects for the use of physiotherapy methods in the treatment of telogen alopeciahttps://orcid.org/0009-0007-6213-9496БезбородоваА. В.BezborodovaA. V.

Безбородова Анна Владимировна, аспирант кафедры дерматовенерологии и косметологии E‑mail: 

Москва

Bezborodova Anna V., postgraduate student at Dept of Dermatovenereology and Cosmetology

Moscow 

bezborodova98@yandex.ruhttps://orcid.org/0000-0002-0238-6563ШатохинаЕ. А.ShatokhinaE. A.

Шатохина Евгения Афанасьевна, д.м.н., профессор кафедры дерматовенерологии и  косметологии; ведущий научный сотрудник отдела внутренних болезней

Москва

Shatokhina Evgeniya A., DM Sci (habil.), professor at Dept of Dermatovenereology and Cosmetology; leading researcher at Dept of Internal Medicine

Moscow

e.a.shatokhina@gmail.comhttps://orcid.org/0000-0001-8562-1778ТерентьеваЛ. В.TerentievaL. V.

Терентьева Лада Владимировна, к.м.н., доцент кафедры 

Москва 

Terentieva Lada V., PhD Med, associate professor at Dept

Moscow

t.lada@inbox.ruФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента Российской ФедерацииРоссияCentral State Medical Academy of the Administrative Department of the President of the Russian FederationRussian FederationФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента Российской Федерации; ФГБОУ ВО «Московский государственный университет имени М.В. Ломоносова»РоссияCentral State Medical Academy of the Administrative Department of the President of the Russian Federation; Lomonosov Moscow State UniversityRussian FederationКафедра дерматовенерологии имени академика Ю.К. Скрипкина Института клинической медицины ФГАОУ ВО «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Минздрава России (Пироговский университет)РоссияDepartment of Dermatovenerology named after Academician Yu.K. Skripkin of Institute of Clinical Medicine at N.I. Pirogov Russian National Research Medical University (Pirogov University)Russian Federation202511112025123Дерматология (2)99102Copyright © Безбородова А.В., Шатохина Е.А., Терентьева Л.В., 20252025Безбородова А.В., Шатохина Е.А., Терентьева Л.В.Bezborodova A.V., Shatokhina E.A., Terentieva L.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/4668

Телогеновая алопеция (ТА) – это одно из наиболее распространенных заболеваний, сопровождающихся потерей волос. Основной патогенетический механизм ТА заключается в преждевременном переходе волосяных фолликулов из фазы анагена в фазу телогена. В условиях отсутствия единого стандарта лечения особый интерес представляют физиотерапевтические методы, направленные на активацию роста волос за счёт стимуляции клеточной активности и энергетического метаболизма. Одним из наиболее перспективных методов признана низкоинтенсивная лазерная терапия, которая способствует увеличению синтеза АТФ и активации сигнальных путей, регулирующих рост и дифференцировку клеток волосяных фолликулов. Высокоинтенсивные абляционные и неабляционные лазеры не только стимулируют рост волос, но и улучшают трансдермальную доставку препаратов. Наряду с этим, методы с применением радиочастотного и электрического воздействия усиливают клеточную пролиферацию, экспрессию факторов роста и процессы тканевой регенерации. Научные исследования подтверждают эффективность этих методов и демонстрируют перспективность их применения как в монотерапии, так и в комбинированных протоколах. Таким образом, физиотерапевтические технологии открывают возможности для создания патогенетически обоснованных методов лечения телогеновой алопеции.

Telogen effluvium (TE) is one of the most common diseases accompanied by hair loss. The main pathogenetic mechanism of TE is the premature transition of hair follicles from the anagen phase to the telogen phase. In the absence of a single standard treatment, physiotherapeutic methods aimed at activating hair growth by stimulating cell activity and energy metabolism are of particular interest. One of the most promising methods is low-intensity laser therapy, which promotes increased ATP synthesis and activation of signalling pathways that regulate the growth and differentiation of hair follicle cells. High‑intensity ablative and non‑ablative lasers not only stimulate hair growth but also improve transdermal drug delivery. In addition, methods using radiofrequency and electrical stimulation enhance cell proliferation, growth factor expression and tissue regeneration processes. Scientific studies confirm the effectiveness of these methods and demonstrate their potential for use in both monotherapy and combined protocols. Thus, physiotherapeutic technologies open up opportunities for the creation of pathogenetically sound methods for the treatment of telogen alopecia.

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The authors declare that there are no conflicts of interest present.