a chilles tendon ruptures are common in athletes and the middle-aged, and there have been increasing reports of Achilles tendon ruptures in recent decades. 25,28 Despite the intrinsic capacity of spontaneous recovery in injured tendons, 26,27 the process often takes a long time and the qualities of the repaired tendons are inferior to those of intact tendons. 16,20,19,31,32 To restore the optimal function of injured tendons it is important to develop therapeutic interventions that facilitate the process of healing. Low-voltage microamperage stimulation (LVMAS), characterized as an electrical stimulation with very low current, is advocated to promote tissue healing. It is theorized that healthy tissue is the result of the direct flow of electrical current throughout the body. 6,40,39 It is the opinion of Becker and Sheldon 7 that when the body is injured, the electrical balance is disrupted in that particular region, causing the electrical current to change course. The use of LVMAS over the injured site is thought to realign this t STuDy DeSign: Randomized controlled prospective experimental study. t ObjeCTiveS: To examine the effects of trans-cutaneous low-voltage microamperage stimulation (LVMAS) on the mechanical strength of Achilles tendon repair in rats at 4 weeks after injury. t baCKgrOunD: Understanding the effect of LVMAS on the healing of injured tendons is hampered by the lack of related experimental studies , especially from the aspect of biomechanical outcome measures. t MeTHODS anD MeaSureS: Fourteen 3-month-old male Sprague-Dawley rats received surgical transection to the medial portion of their right Achilles tendon. The rats were divided into a LVMAS group (n = 7) and control group (n = 7). From day 6 postsurgery onwards, the LVMAS group received daily treatment of transcutaneous LVMAS (2.5 V, 100 μA/cm 2 , 10 pulses per second, positive current) for a total of 22 sessions, while the control group received placebo LVMAS by the same investigator during that period. On day 31, the Achilles tendons were harvested for biomechanical testing for load relaxation, stiffness, and ultimate tensile strength along the longitudinal direction. t reSulTS: The normalized Achilles tendon ultimate tensile strength of the LVMAS group (mean 6 SD, 110.5% 6 25.0%) was higher than that of the control group (75.3% 6 20.8%) (P = .014), but no significant difference was found in normalized stiffness and load relaxation between the 2 groups (P = .239 and .350, respectively). t COnCluSiOn: The results of this study suggest that the administration of transcutane-ous LVMAS could improve healing and consequently the tensile strength of partially transected Achilles tendons of rats at 4 weeks after injury.