ABSTRACT
Objetivo: Identificar e analisar as produções científicas disponíveis na literatura em que cenário o enfermeiro vem atuando dentro da laserterapia,e os desafios encontrados para se obter parâmetros terapêuticos utilizados na TLBP para a prática clínica segura. Método: Trata-se de uma Revisão Integrativa, realizada de busca online realizada entre os meses de julho a agosto de 2023 incluindoartigos científicos, selecionados e publicados de 2018 a 2023, em português, inglêse espanhol nas bases da Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), ScientificElectronicLibrary (SciELO), e no Banco de Dados de Enfermagem (BDENF). Resultados: Foram incluídos 9 artigos entre os anos de 2018 a 2022, sendo todos publicados e realizados no Brasil. Referente aos tipos de estudos, cada autor utilizou uma metodologia sendo estes estudos clínicos randomizados, revisão integrativa, revisão de casos relatados, relato de experiência, revisão sistemática. Com ênfase na utilização pelo enfermeiro do laser cenário de atuação e qual protocolo de dosimetria estão usando nos atendimentos. Conclusão: O estudo possibilitou através dessa revisão que o enfermeiro permanece focado na utilização desta proposta terapêutica para os tratamentos voltados para lesões de pele, como por exemplo as lesões por pressão, úlceras venosas e pé diabético. Demostrou a necessidade de mais estudos prospectivos a respeito da dosimetria do laser no cenário de atuação do enfermeiro na terapia voltada para lesões de pele.
Subject(s)
Nursing CareABSTRACT
The objective of this study is to clarify whether PBM for measures reduction can cause significant changes in the lipid profile. This is an integrative review and only original articles, both in vivo and clinical trials, that were published between 2010 and 2022 were selected. The article references were also analyzed to identify additional studies. A total of 15 articles were critically analyzed. The wavelength used ranged from 532 nm (green) to 956 nm (near infrared), and many authors failed to describe dosimetric parameters properly, as well as other important characteristics for the reproducibility of those found. Although it is not fully clear about the PBM interference level on the lipid profile, in general, there was no significant difference in lipid parameters when PBM was used alone, and when associated with techniques that promote beta-oxidation, there was an improvement in these biochemical variables. PBM use for localized fat reduction do not affect lipid serum levels. Clinical trials using standardized parameters are crucial to obtain more reliable results.
Subject(s)
Low-Level Light Therapy , Reproducibility of Results , Low-Level Light Therapy/methods , LipidsABSTRACT
INTRODUCTION: The search for non-invasive procedures to reduce localised adiposity in aesthetics clinics has recently been increasing. In this context, procedures, such as cryolipolysis, ultracavitation, photobiomodulation (PBM) and other techniques have been proposed. Some studies have shown that PBM can be used in body contouring. However, there is no standardisation of the protocol. More than that, as in other techniques for reducing adipose tissue, the availability of triacylglycerol may affect the lipid profile in the blood, bringing consequences to the general health of an individual. This work will aim to compare the light wavelengths when using PBM as a technique for reducing the abdominal waist circumference, while also evaluating the efficacy of the method. Changes in the lipid profile in the blood, with a long-term follow-up, will also be appraised. METHODS AND ANALYSIS: This will be a controlled, randomised, double-blind, single-centred clinical trial. 174 patients will be recruited at the Nove de Julho University, Brazil, and then divided into three groups: Group A-RED PBM; Group B-INFRARED PBM; Group C-PLACEBO (Sham) treatment. The treatments will consist of eight sessions, two times a week, for 4 weeks. At each session, the participants will receive 30 minutes PBM (using a radiant exposure of 127 J/cm2), with an abdominal strap containing 4 LED clusters, with 72 devices each, following the indication of randomisation. All of the groups will receive 30 min of Aussie Current, at 4 kHz, modulated at 10 Hz, 40-60 mA. The main outcome of this study will be waist circumference reduction. The secondary variables will be anthropometric data, lipid profile, liver function and adipose tissue thickness, changes in the local microcirculation, and the quality of life and self-esteem. The analyses will be performed at four stages of the research, D0, end of the eighth session (D30), 15 days after the last session (FU15), 90 days after the last session (FU90) and 180 days after the last session (FU180). ETHICS AND DISSEMINATION: The Ethics Committee of the Nove de Julho University, Brazil, approved the modified version of this project under No. 3414146 on 26 June 2019. This study is not yet recruiting. The results obtained will be published in a peer-reviewed journal in the related field. TRIAL REGISTRATION NUMBER: Brazilian Registry of Clinical Trials-ReBec (RBR-9bwxcx).