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de Menezes AB, Silva RS, Adala JF, Guidi RM, Liebano RE. Shockwave therapy associated with progressive exercises in rotator cuff tendinopathy: a clinical trial protocol. Pain Manag 2021; 11:639-646. [PMID: 34102868 DOI: 10.2217/pmt-2020-0103] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
The aim of the present study is to determine whether adding shockwave therapy (SWT) to a progressive exercise program improves shoulder pain and function in individuals with rotator cuff tendinopathy (RC tendinopathy). Ninety patients diagnosed with rotator cuff tendinopathy will be randomly allocated into two groups: active SWT plus a progressive exercise program or placebo SWT plus a progressive exercise program. Primary outcomes will be measured using the Constant-Murley Score function questionnaire and by assessing patient-reported pain intensity with the numerical pain rating scale. The secondary outcomes will be measured using the Global Perceived Effects Scale and Shoulder Pain and Disability Index. All the outcomes will be measured immediately after the end of treatment and at 3-month follow-up.
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Affiliation(s)
- Athilas Braga de Menezes
- Physioterapeutics Resources Laboratory, Department of Physical Therapy, Federal University of Sao Carlos (UFSCar), Rod. "Washington Luis, km 235, Sao Carlos", São Paulo, Brazil
| | - Rodrigo Scattone Silva
- Graduate Rehabilitation Sciences Program, Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Brazil
| | | | - Renata Michelini Guidi
- Study Group on Applied Technologies for Health, Research, Development & Innovation Department, Ibramed, Amparo, São Paulo, Brazil
| | - Richard Eloin Liebano
- Physioterapeutics Resources Laboratory, Department of Physical Therapy, Federal University of Sao Carlos (UFSCar), Rod. "Washington Luis, km 235, Sao Carlos", São Paulo, Brazil
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Modena DAO, Miranda ACG, Grecco C, Liebano RE, Cordeiro RCT, Guidi RM. Efficacy and safety of ND:YAG 1064 nm lasers for photoepilation: a systematic review. Lasers Med Sci 2020; 35:797-806. [PMID: 31919681 DOI: 10.1007/s10103-019-02939-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Accepted: 12/22/2019] [Indexed: 10/25/2022]
Abstract
Using light sources in phototherapy has presented promising results regarding several types of facial and body skin affections for centuries. The neodymium-doped yttrium aluminum garnet (ND:YAG) 1064 nm laser has become a standard treatment in dermatology for dermatological disturbances related to the pilous follicle and the structures surrounding it. Despite the reports of its clinical benefits, few scientific studies show its actual safety and efficacy. To substantiate the effects, benefits, and safety of applying an ND:YAG 1064 laser in the epilation process during esthetic treatment, a systematic review was carried out between October 2018 and January 2019, on studies published in the last 20 years. Randomized clinical trials in humans were considered that evaluated the efficacy, safety, and benefits of ND:YAG laser application at 1064 nm wavelengths for hair removal. A total of 198 articles were identified; 58 articles remained after their titles and abstracts were read; and 21 articles were selected after the removal of duplicates. After the integral reading, 13 of these articles were included in the systematic review (734 patients). The ND:YAG 1064 nm laser presents safety and promising, beneficial effects in epilation. However, further scientific studies with better methodologic quality are necessary to better standardize ND:YAG laser therapy and clarify its parameters for photoepilation.
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Affiliation(s)
- Débora Aparecida Oliveira Modena
- Department of Surgery, Medical Sciences Institute, University of Campinas (Unicamp), Campinas, São Paulo, Brazil. .,Department of Research, Development and Innovation of Ibramed, Study Group in Applied Technologies for Health, Amparo, São Paulo, Brazil. .,Center for Advanced Studies Ibramed (CEFAI), Amparo, São Paulo, Brazil. .,Department of Physiotherapy, Federal University of São Carlos (UFSCar), São Carlos, Brazil.
| | - Ana Carolina Godoy Miranda
- Department of Research, Development and Innovation of Ibramed, Study Group in Applied Technologies for Health, Amparo, São Paulo, Brazil.,Center for Advanced Studies Ibramed (CEFAI), Amparo, São Paulo, Brazil.,Department of Tocogynecology, Medical Sciences Institute, University of Campinas (Unicamp), Campinas, São Paulo, Brazil
| | - Clovis Grecco
- Department of Research, Development and Innovation of Ibramed, Study Group in Applied Technologies for Health, Amparo, São Paulo, Brazil.,Center for Advanced Studies Ibramed (CEFAI), Amparo, São Paulo, Brazil
| | - Richard Eloin Liebano
- Department of Research, Development and Innovation of Ibramed, Study Group in Applied Technologies for Health, Amparo, São Paulo, Brazil.,Department of Physiotherapy, Federal University of São Carlos (UFSCar), São Carlos, Brazil
| | | | - Renata Michelini Guidi
- Department of Research, Development and Innovation of Ibramed, Study Group in Applied Technologies for Health, Amparo, São Paulo, Brazil.,Center for Advanced Studies Ibramed (CEFAI), Amparo, São Paulo, Brazil.,Department of Biomedical Engineering, Electrical and Computing Engineering Institute, University of Campinas (Unicamp), Campinas, São Paulo, Brazil
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Modena DAO, Guidi RM, Soares CD, Cazzo E, Chaim EA. Electromagnetic shock wave therapy in dermatology: Microscopic analysis of its interaction with the possible reduction of adipose tissue in obese individuals. S&CD 2020. [DOI: 10.5935/scd1984-8773.20201243742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Savacini MB, Bueno DT, Molina ACS, Lopes ACA, Silva CN, Moreira RG, Almeida S, Guidi RM, Sant'Ana E, Liebano RE. Effectiveness and Safety of Contrast Cryolipolysis for Subcutaneous-Fat Reduction. Dermatol Res Pract 2018; 2018:5276528. [PMID: 30631345 PMCID: PMC6304526 DOI: 10.1155/2018/5276528] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Accepted: 10/22/2018] [Indexed: 11/17/2022] Open
Abstract
Cryolipolysis is the noninvasive treatment of localized fat through cold-induced panniculitis. The purpose of the present study was to evaluate the safety and efficacy of contrast cryolipolysis for subcutaneous-fat reduction. Contrast cryolipolysis mixes the principles of conventional cryolipolysis and periods of heating in accordance with the contrast lipocryolysis process. Twenty-one subjects aged 34 ± 9 years were treated with contrast cryolipolysis in the regions of abdomen and flanks through the Polarys® device. Anthropometry, standardized photographs, measurements with a skinfold caliper, and diagnostic ultrasounds were performed at the baseline and during follow-ups at 30, 60, and 90 days after the treatment. The safety assessments included laboratory testing and monitoring of the adverse events. The level of significance for all tests was set at P < 0.05. No significant differences in weight and body mass index were found. The waist measurements at the baseline and 30-day follow-up had significant differences, as did the measurements at the 30-day and 60-day follow-ups. The skinfold and ultrasound measurements were significantly reduced in the treated areas in all the time points compared to the baseline. The laboratory results showed no significant changes from baseline. Temporary adverse effects were resolved spontaneously. This study confirmed that contrast cryolipolysis is safe and effective in reducing the fat layer and improving body contouring.
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Affiliation(s)
| | | | | | | | - Caroline Nogueira Silva
- Clinical Laboratory of the Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
- Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
- Human Development and Technologies. Universidade Estadual Paulista (UNESP), Brazil
| | - Renata Gomes Moreira
- Clinical Laboratory of the Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
- Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
| | - Stephani Almeida
- Clinical Laboratory of the Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
- Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
| | - Renata Michelini Guidi
- Clinical Laboratory of the Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
- Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
- Electrical Engineering Department, Faculty of Medical Sciences, University of Campinas (Unicamp), Brazil
| | - Estela Sant'Ana
- Clinical Laboratory of the Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
- Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
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Fonseca VM, Campos PS, Certo TF, de-Faria LT, Juliano PB, Cintra DE, Liebano RE, da Silva C, Guidi RM, Sant’Ana E. Efficacy and safety of noninvasive focused ultrasound for treatment of subcutaneous adiposity in healthy women. J COSMET LASER THER 2018; 20:341-350. [DOI: 10.1080/14764172.2018.1511907] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Affiliation(s)
- Viviane Mancinelli Fonseca
- Dermatofunctional Aesthetics and Cosmetic Department, Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
| | - Priscila Soares Campos
- Dermatofunctional Aesthetics and Cosmetic Department, Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
| | - Thays Fernanda Certo
- Dermatofunctional Aesthetics and Cosmetic Department, Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
| | - Luana Taís de-Faria
- Dermatofunctional Aesthetics and Cosmetic Department, Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
| | | | - Dennys Esper Cintra
- Laboratory of Nutritional Genomics, School of Applied Sciences, University of Campinas (UNICAMP), Campinas, Brazil
| | - Richard Eloin Liebano
- Physiotherapy Department, Federal University of São Carlos (UFSCar), São Carlos-SP, Brazil
| | - Caroline da Silva
- Researchers at Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
- Clinical Laboratory, Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
- Department of Physical Education, Institute of Biosciences, São Paulo State University (UNESP), Rio Claro, Brazil
| | - Renata Michelini Guidi
- Researchers at Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
- Clinical Laboratory, Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
- Biomedical Engineering Department, Faculty of Electrical Engineering and Computing, University of Campinas (UNICAMP), Campinas, Brazil
| | - Estela Sant’Ana
- Researchers at Research, Development & Innovation Department IBRAMED, Ibramed Research Group (IRG), Amparo, Brazil
- Clinical Laboratory, Ibramed Center for Education and Advanced Training (CEFAI), Amparo, Brazil
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Canela VC, Crivelaro CN, Ferla LZ, Pelozo GM, Azevedo J, Liebano RE, Nogueira C, Guidi RM, Grecco C, Sant’Ana E. Synergistic effects of Combined Therapy: nonfocused ultrasound plus Aussie current for noninvasive body contouring. Clin Cosmet Investig Dermatol 2018; 11:203-212. [PMID: 29731654 PMCID: PMC5927144 DOI: 10.2147/ccid.s157782] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND OBJECTIVES Nowadays, there are several noninvasive technologies being used for improving of body contouring. The objectives of this pilot study were to verify the effectiveness of the Heccus® device, emphasizing the synergism between nonfocused ultrasound plus Aussie current in the improvement of body contour, and to determine if the association of this therapy with whole-body vibration exercises can have additional positive effects in the results of the treatments. SUBJECTS AND METHODS Twenty healthy women aged 20-40 years participated in the study. Ten patients received Combined Therapy treatment (G1) and the other 10 participants received Combined Therapy with additional vibratory platform treatment (G2). Anthropometric and standardized photography analysis, ultrasonography, cutometry and self-adminestered questionnaires of tolerance and satisfaction levels with the treatment were used. RESULTS Compared with baseline values, reduction of fat thickness was observed by ultrasonography in the posterior thigh area in the G1 group (P<0.05) and in the buttocks (P<0.05) and the posterior thigh areas (P<0.05) in the G2. All the treated areas in both groups showed reduction in cellulite degree in the buttocks, G1 (P<0.05) and G2 (P<0.05), and in posterior thigh areas, G1 (P<0.05) and G2 (P<0.05). Optimal improvement of skin firmness (G1, P<0.0001; G2, P=0.0034) in the treated areas was observed in both groups. CONCLUSION We conclude that the synergistic effects of the Combined Therapy (nonfocused ultrasound plus Aussie current) might be a good option with noninvasive body contouring treatment for improving the aspect of the cellulite, skin firmness and localized fat. If used in association with the whole-body vibratory platform, the results can be better, especially in the treatment of localized fat. Further studies with larger sample size should be performed to confirm these results.
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Affiliation(s)
| | | | | | | | - Juliana Azevedo
- CDE Medical Imaging Department, Brazilian College of Radiology (CBR), Amparo, SP, Brazil
| | - Richard Eloin Liebano
- Department of Physiotherapy, Federal University of São Carlos (UFSCar), São Carlos, SP, Brazil
| | - Caroline Nogueira
- Research, Development and Innovation Department, Ibramed Research Group (IRG), IBRAMED, Amparo, SP, Brazil
- Biomedical Engineering Department, Faculty of Electrical Engineering and Computing, University of Campinas (UNICAMP), Campinas, SP, Brazil
| | - Renata Michelini Guidi
- Research, Development and Innovation Department, Ibramed Research Group (IRG), IBRAMED, Amparo, SP, Brazil
- Biomedical Engineering Department, Faculty of Electrical Engineering and Computing, University of Campinas (UNICAMP), Campinas, SP, Brazil
| | - Clóvis Grecco
- Research, Development and Innovation Department, Ibramed Research Group (IRG), IBRAMED, Amparo, SP, Brazil
| | - Estela Sant’Ana
- Research, Development and Innovation Department, Ibramed Research Group (IRG), IBRAMED, Amparo, SP, Brazil
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Modena DAO, da Silva CN, Grecco C, Guidi RM, Moreira RG, Coelho AA, Sant’Ana E, de Souza JR. Extracorporeal shockwave: mechanisms of action and physiological aspects for cellulite, body shaping, and localized fat—Systematic review. J COSMET LASER THER 2017; 19:314-319. [DOI: 10.1080/14764172.2017.1334928] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
- Débora A. Oliveira Modena
- Department of Surgery, Faculty of Medical Sciences, University of Campinas (Unicamp), Campinas, Brazil
- Ibramed Research Institute: Study Group in Technology Applied to Health, Amparo, Brazil
| | - Caroline Nogueira da Silva
- Human Development and Technologies, Universidade Estadual Paulista (UNESP), São Paulo, Brazil
- Ibramed Research Institute: Study Group in Technology Applied to Health, Amparo, Brazil
| | - Clovis Grecco
- Ibramed Research Institute: Study Group in Technology Applied to Health, Amparo, Brazil
| | - Renata Michelini Guidi
- Ibramed Research Institute: Study Group in Technology Applied to Health, Amparo, Brazil
- Biomedical Engineering Department, Faculty of Electrical Engineering and Computing, University of Campinas (Unicamp), Campinas, Brazil
- Centro de Estudos e Formação Avançada Ibramed (CEFAI), Amparo, Brazil
| | - Renata Gomes Moreira
- Ibramed Research Institute: Study Group in Technology Applied to Health, Amparo, Brazil
| | - Andresa A. Coelho
- Ibramed Research Institute: Study Group in Technology Applied to Health, Amparo, Brazil
| | - Estela Sant’Ana
- Ibramed Research Institute: Study Group in Technology Applied to Health, Amparo, Brazil
| | - José Ricardo de Souza
- Ibramed Research Institute: Study Group in Technology Applied to Health, Amparo, Brazil
- Centro de Estudos e Formação Avançada Ibramed (CEFAI), Amparo, Brazil
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Pianez LR, Custódio FS, Guidi RM, de Freitas JN, Sant'Ana E. Effectiveness of carboxytherapy in the treatment of cellulite in healthy women: a pilot study. Clin Cosmet Investig Dermatol 2016; 9:183-90. [PMID: 27578994 PMCID: PMC5001663 DOI: 10.2147/ccid.s102503] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background Carbon dioxide therapy, better known as carboxytherapy, relates to percutaneous infusion of medical carbon dioxide with therapeutic approaches, and its use in the treatment of localized fat has demonstrated good results. Gynoid lipodystrophy, also known as cellulite, affects 80%–90% of women after puberty, especially in the buttocks and thighs. Its etiology is complex and involves multifactorial aspects. Its treatment and evaluation require the use of new technologies (more effective and low-cost approaches). The objective was to investigate the effectiveness of carboxytherapy in the treatment of cellulite in the areas of buttocks and posterior thigh. Patients and methods Ten women, 29±6.1 years, were selected and all of them received eight treatment sessions, with an interval of 7 days between sessions. Standardized digital photographs were used to assess the severity of cellulite, and panoramic images were collected by ultrasound diagnosis. The evaluations were performed before the first treatment (baseline) and 7 days after the last treatment session of carboxytherapy. Results After the treatment, there was a significant reduction (P=0.0025) of the cellulite from degree III to degree II, and this improvement had correlation with the improvement in the organization of the fibrous lines and the disposal of adipose tissue lines of the treated regions observed through the panoramic ultrasound images diagnosis. Conclusion Carboxytherapy is an effective technique of treatment of cellulite in the buttocks region and posterior thighs of healthy women.
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Affiliation(s)
| | | | - Renata Michelini Guidi
- Ibramed Center for Education and Advanced Training (CEFAI), Amparo; Irmandade Santa Casa de Misericórdia, São Paulo; University of Campinas, Campinas; Ibramed Research and Development Department, Amparo, São Paulo, Brazil
| | - Jauru Nunes de Freitas
- Universitá Tor Vergata, Rome, Italy; Centro de Medicina Pesquisa e Ensino (CEMEPE), Belo Horizonte; Advanced Dermatology Studies Group (GDA), Rio de Janeiro
| | - Estela Sant'Ana
- Federal University of São Carlos (UFSCAR); University of São Paulo (USP), São Carlos; Indústria Brasileira de Equipamentos Médicos (IBRAMED), Amparo, São Paulo, Brazil
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