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1.
Adv Wound Care (New Rochelle) ; 7(5): 165-170, 2018 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-29755852

RESUMO

Marjolin's ulcers (MU) are skin malignancies that form over burn injuries. These very aggressive ulcers can result in functional and wound healing impairment, and require a well thought out treatment plan. Physiotherapy offers resources to help promote recovery of these patients, as described in this case report, in which the patient with a history of burn in the lower limbs evolved to malignancy 32 years later. This patient underwent tumor resection of the left foot, with recurrence and lymphadenectomy. Physical therapy included the application of high-frequency generator (HFG) for wound healing and exercises for functional recovery. The treatment lasted for many months and resulted in the improvement of the surgical wound areas, pain, swelling, sensitivity, strength muscle, and gait. It was observed that the use of HFG can be a tool in the tissue repair of surgical wound after the resection of MU; however, further studies need to be carried out to suit parameters and ensure safety of cancer patients.

2.
Adv Wound Care (New Rochelle) ; 7(4): 114-120, 2018 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-29696098

RESUMO

Objective: The aim of this study was to evaluate the organization of collagen fibers in the healing process of rat Achilles tendon rupture using different times of ultrasound therapy (TUS). Approach: Forty Wistar rats were selected. Among these, 32 were submitted to total tenotomy of the calcaneous tendon and divided into 5 groups: control group (CG, n = 8), without tenotomy or any treatment; tenotomy group (n = 8), with tenotomy and without treatment; TUS groups-TUS3 (n = 8), TUS4 (n = 8), and TUS5 (n = 8)-submitted to tenotomy and treated with TUS for 3, 4, and 5 min per effective radiating area (ERA), respectively. The animals were sacrificed on the 12th postoperative day. The tendons were surgically removed for analysis of the collagen fiber organization using the birefringence technique (OR, optical retardation). Results: The collagen fibers exhibited better aggregation and organization in the UST3, TUS4, and TUS5 groups compared with CG (p < 0.05). The TUS5 group had better response rates in intergroup comparison. Innovation: The dose response of therapeutic TUS is influenced by many variables. The scientific evidence to support the dosimetry is insufficient. The application time is an important variable to be considered in TUS. In this study, the longer the application time, the better for organization and aggregation of collagen fibers in the rat tendon. Conclusion: TUS applied for 5 min per ERA presented higher dose response to the organization of collagen fibers in the healing process of rat Achilles tendon rupture.

3.
Fisioter. Mov. (Online) ; 30(4): 671-680, Oct.-Dec. 2017. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-892031

RESUMO

Abstract Introduction: Transcutaneous electrical nerve stimulation (TENS) can alter the local temperature, increase skin blood flow and induce the release of vasodilator neuropeptides and growth factors. These changes may be related to the effects of TENS on the tissue repair process. Objective: To assess the effect of high- and low-frequency TENS on angiogenesis and the contraction of acute excisional wounds in rat skin. Methods: Fifty-four young adult male EPM1-Wistar rats were used in the study. An excisional wound was performed on the back of each animal using an 8mm punch. The animals were randomly assigned to three groups: the High-frequency Group (HG: 80 Hz), Low-frequency Group (LG: 5 Hz), and Sham Group (SG: TENS turned off). TENS was delivered on three days consecutives. Pulse duration and current intensity were 200 µs and 15 mA. The length of each TENS session was 60 minutes. Microscopic and macroscopic assessments were performed on 3, 7 and 14 postoperative (PO) days. Hematoxylin-eosin staining was utilized to quantify the neoformed blood vessels. Photographs were taken to determine the percentage of wound contraction. After assessment, the animals were painlessly sacrificed. Results: There were increases in angiogenesis in the HG on the 3 PO day, and in the LG on the 14 PO day. No significant differences in wound contraction were found between the groups on the different PO days. Conclusion: High frequency TENS improved angiogenesis, and neither frequency of TENS had any influence on the contraction of acute excisional wounds in rat skin.


Resumo Introdução: A TENS pode promover alteração da temperatura local, aumento do fluxo sanguíneo cutâneo, liberação de neuropeptídeos vasodilatadores e de fatores de crescimento. Tais eventos podem estar relacionados aos efeitos da TENS no processo de reparo tecidual. Objetivo: Avaliar o efeito da TENS de alta e de baixa frequências na angiogênese e na contração da ferida excisional aguda em pele de ratos. Materiais e Métodos: Foram utilizados 54 ratos (Wistar-EPM1), machos e adultos jovens. Realizou-se uma ferida excisional na região dorsal do animal com um punch medindo 8 milímetros. Os animais foram randomizados em três grupos: Grupo Alta frequência (HG:80 Hz), Grupo Baixa frequência (LG:5 Hz) e Grupo Simulado (SG, TENS desligada). A TENS foi aplicada por 3 dias consecutivos. A duração do pulso e intensidade da corrente foram 200 µs e 15 mA. O tempo de cada aplicação foi de 60 minutos. As análises microscópicas e macroscópicas foram feitas nos POI, 3, 7 e 14 dias de pós-operatório (PO). Utilizou-se a hematoxilina-eosina para quantificação dos vasos neoformados. Foram feitas imagens fotográficas para determinação da porcentagem de contração da ferida. Após as avaliações, os animais foram sacrificados. Resultados: Observou-se aumento na quantidade de vasos sanguíneos no HG, aos 3 dias de PO; e no LG, aos 14 dias de PO. Não houve alterações na contração da ferida entre os grupos. Conclusão: A TENS de alta frequência estimulou a angiogênese e ambas as frequências não influenciaram na contração da ferida excisional aguda em pele de ratos.

4.
Head Neck ; 38(2): 301-8, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25332118

RESUMO

BACKGROUND: Secondary lymphedema after head and neck cancer treatment is a serious complication and its management can be a challenge. The purpose of this study was to verify which physical therapy modalities were applied in the treatment of head and neck lymphedema through a retrospective analysis. METHODS: A retrospective study was developed, based on the analysis of medical records of 32 patients treated in the physiotherapy outpatient department of the Brazilian Institute of Cancer Control (IBCC). RESULTS: The physiotherapy included manual lymphatic drainage, massage, exercises, patient education, and compression therapy with an average of 23.9 ± 14.8 sessions. Measurement results showed a significant reduction of face and neck lymphedema (p < .05) and pain (from 7.8 ± 2.2 to 3.6 ± 1.6; p < .001). CONCLUSION: The physical therapy modalities based on strategic manual lymphatic drainage, shoulder girdle massage, facial, tongue and neck exercises, compressive therapy at home, and patient education showed reduction of the lymphedema and pain, both of them secondary to head and neck cancer treatment.


Assuntos
Neoplasias de Cabeça e Pescoço/complicações , Linfedema/etiologia , Linfedema/terapia , Bandagens Compressivas , Drenagem , Terapia por Exercício , Músculos Faciais , Feminino , Humanos , Masculino , Massagem , Pessoa de Meia-Idade , Manejo da Dor , Educação de Pacientes como Assunto , Estudos Retrospectivos , Autocuidado , Língua , Escala Visual Analógica
6.
Acta Cir Bras ; 30(7): 509-16, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26270144

RESUMO

PURPOSE: To determine the limitations of the photographs used to obtain the anthropometric measurements of the breast region. METHODS: Five women, between the ages of 18 to 60 years, were evaluated. Photographs of the frontal and left and right profile views of their breasts were taken. Based on the current literature, the most commonly used anthropometric and anatomic landmarks for breast measurement were marked in their different positions. The different points were used to evaluate if the direct anthropometry was possible in a standardized way and determine how the points and the positions can to be used in any breast measurements. RESULTS: There were some limitations to the use of defining points of the breast fold, as well as of its lower portion and lateral extension positions in both profiles. CONCLUSION: The defining points of the breast fold and the profile photographs have some limitations and we suggested how the points and positions can be used for breasts measurements.


Assuntos
Pontos de Referência Anatômicos/anatomia & histologia , Antropometria/métodos , Mama/anatomia & histologia , Fotogrametria/métodos , Adolescente , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Padrões de Referência , Reprodutibilidade dos Testes , Adulto Jovem
7.
Acta cir. bras ; 30(7): 509-516, 07/2015. tab, graf
Artigo em Inglês | LILACS | ID: lil-754982

RESUMO

PURPOSE: To determine the limitations of the photographs used to obtain the anthropometric measurements of the breast region. METHODS: Five women, between the ages of 18 to 60 years, were evaluated. Photographs of the frontal and left and right profile views of their breasts were taken. Based on the current literature, the most commonly used anthropometric and anatomic landmarks for breast measurement were marked in their different positions. The different points were used to evaluate if the direct anthropometry was possible in a standardized way and determine how the points and the positions can to be used in any breast measurements. RESULTS: There were some limitations to the use of defining points of the breast fold, as well as of its lower portion and lateral extension positions in both profiles. CONCLUSION: The defining points of the breast fold and the profile photographs have some limitations and we suggested how the points and positions can be used for breasts measurements. .


Assuntos
Adolescente , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Adulto Jovem , Pontos de Referência Anatômicos/anatomia & histologia , Antropometria/métodos , Mama/anatomia & histologia , Fotogrametria/métodos , Padrões de Referência , Reprodutibilidade dos Testes
8.
Int J Womens Health ; 7: 297-303, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25792857

RESUMO

BACKGROUND: Premenstrual syndrome is a group of symptoms linked to the menstrual cycle, and edema is among these symptoms. Physiotherapy is often sought by many patients for the treatment of edema; however, for an adequate prescription of physiotherapeutic procedures, the distribution of edema throughout the body has yet to be characterized. OBJECTIVE: To determine the most frequent symptoms and body regions that present with edema in women during the premenstrual period. SUBJECTS AND METHODS: Sixty women with a mean age of 24.6±4.7 years were evaluated during their premenstrual (between days 21 and 28) and menstrual period (between days 1 and 3), and the collected data included body mass, height, biotype (body-fat distribution), face, breast, limb-circumference measurements, and limb-volume estimate, and an adapted version of the Premenstrual Symptoms Screening Tool was used. Statistical analysis was performed using Student's t-test and the test for equality of two proportions (P≤0.05). RESULTS: Premenstrual syndrome was identified in 91.7% of the women, and the most frequent symptoms were irritability (73.33%) and physical symptoms, including swelling (65%), and anxiety (58.3%). Edema was detected in the following areas: facial, epigastric, mammary, umbilical, and pubic, the mid-third of the arms, distal forearm, in both thighs and in the mid-third of the legs determined by circumference measurements, and in both upper and lower limbs, according to the estimated volume. CONCLUSION: In this study population, the most frequent symptoms were irritability, physical symptoms, and anxiety, with distribution of edema in the face, breast, abdomen, pubic area, distal upper limb, and proximal lower limb.

9.
Acta Cir Bras ; 29(10): 688-95, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25318002

RESUMO

PURPOSE: To compare breast measurements performed using the software packages ImageTool(r), AutoCAD(r) and Adobe Photoshop(r) with direct anthropometric measurements. METHODS: Points were marked on the breasts and arms of 40 volunteer women aged between 18 and 60 years. When connecting the points, seven linear segments and one angular measurement on each half of the body, and one medial segment common to both body halves were defined. The volunteers were photographed in a standardized manner. Photogrammetric measurements were performed by three independent observers using the three software packages and compared to direct anthropometric measurements made with calipers and a protractor. RESULTS: Measurements obtained with AutoCAD(r) were the most reproducible and those made with ImageTool(r) were the most similar to direct anthropometry, while measurements with Adobe Photoshop(r) showed the largest differences. Except for angular measurements, significant differences were found between measurements of line segments made using the three software packages and those obtained by direct anthropometry. CONCLUSION: AutoCAD(r) provided the highest precision and intermediate accuracy; ImageTool(r) had the highest accuracy and lowest precision; and Adobe Photoshop(r) showed intermediate precision and the worst accuracy among the three software packages.


Assuntos
Antropometria/métodos , Mama/anatomia & histologia , Processamento de Imagem Assistida por Computador/métodos , Adolescente , Adulto , Pontos de Referência Anatômicos , Feminino , Humanos , Pessoa de Meia-Idade , Valores de Referência , Reprodutibilidade dos Testes , Software , Adulto Jovem
10.
Acta cir. bras ; 29(10): 688-695, 10/2014. tab, graf
Artigo em Inglês | LILACS | ID: lil-725292

RESUMO

PURPOSE: To compare breast measurements performed using the software packages ImageTool(r), AutoCAD(r) and Adobe Photoshop(r) with direct anthropometric measurements. METHODS: Points were marked on the breasts and arms of 40 volunteer women aged between 18 and 60 years. When connecting the points, seven linear segments and one angular measurement on each half of the body, and one medial segment common to both body halves were defined. The volunteers were photographed in a standardized manner. Photogrammetric measurements were performed by three independent observers using the three software packages and compared to direct anthropometric measurements made with calipers and a protractor. RESULTS: Measurements obtained with AutoCAD(r) were the most reproducible and those made with ImageTool(r) were the most similar to direct anthropometry, while measurements with Adobe Photoshop(r) showed the largest differences. Except for angular measurements, significant differences were found between measurements of line segments made using the three software packages and those obtained by direct anthropometry. CONCLUSION: AutoCAD(r) provided the highest precision and intermediate accuracy; ImageTool(r) had the highest accuracy and lowest precision; and Adobe Photoshop(r) showed intermediate precision and the worst accuracy among the three software packages. .


Assuntos
Adolescente , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Adulto Jovem , Antropometria/métodos , Mama/anatomia & histologia , Processamento de Imagem Assistida por Computador/métodos , Pontos de Referência Anatômicos , Valores de Referência , Reprodutibilidade dos Testes , Software
11.
Indian J Plast Surg ; 47(1): 70-6, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24987208

RESUMO

BACKGROUND: Physiotherapy in the plastic surgery post-operative (PO) is essential to provide means for an adequate and fast recovery as it restores function through the use of physiotherapeutic procedures. AIM: The aim of the following study is to verify the effects of the association between the manual lymphatic drainage and the therapeutic ultrasound on pain, oedema and the tissue fibrosis in liposuction and lipoabdominoplasty PO. DESIGN: This is a clinical trial prospective. MATERIALS AND METHODS: Eighteen women aged between 18 and 60 years participated in this study, in the late PO period following lipoabdominoplasty or liposuction in the abdomen, flanks and lower trunk, which showed tissue fibrosis of the flanks and abdomen regions. They were divided into two groups: Liposuction group and lipoabdominoplasty group. A total of twelve sessions of therapeutic ultrasound followed by the manual lymphatic drainage were performed. The patients were assessed with regard to pain, oedema and tissue fibrosis in different moments: Initial assessment, during assessment and final assessment through the application of the protocol of evaluation of cysts fibrosis levels. STATISTICAL ANALYSIS: The test of equality for two proportions and the confidence interval test for mean to evaluate the distribution of variables. The significance level adopted for statistical tests was 5% (P < 0.05). RESULTS: There was a statistically significant reduction of pain, swelling and tissue fibrosis in both groups. CONCLUSION: the association between manual lymphatic drainage and the therapeutic ultrasound reduced the swelling and the tissue fibrosis and made pain disappear in liposuction and lipoabdominoplasty PO period.

12.
Adv Wound Care (New Rochelle) ; 3(2): 98-103, 2014 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-24761350

RESUMO

Significance: Angiogenesis is an important phenomenon involved in the healing of chronic wounds, and it is mainly mediated by the release of vascular endothelial growth factor (VEGF) from endothelial cells. Electrical stimulation (ES) is a well-documented treatment used to assist the healing of chronic wounds. Due to the importance of VEGF in the healing process, and the need to know the mechanisms of action of ES involved in the process, this report aimed to determine by a literature review whether the VEGF release occurs following ES in human subjects. Recent Advances: The findings of this literature review suggest that ES releases VEGF, and this effect may be responsible for promoting angiogenesis after ES. Critical Issues: Despite the findings of this literature review on the release of VEGF by ES on wound healing are promising, a large number of studies are needed to confirm such effects. Future Directions: Further studies should be conducted to identify the best parameters and treatment schedule of ES to be used for the VEGF release.

13.
Fisioter. Bras ; 14(5): 351-356, Set-Out.2013.
Artigo em Português | LILACS | ID: lil-789665

RESUMO

Por ser uma das áreas mais recentes da fisioterapia,muitos serviços públicos ainda não dispõem da especialidadedermatofuncional, dificultando traçar o seu perfil populacional.Objetivo: Identificar o perfil dos pacientes atendidos em fisioterapiadermatofuncional, no âmbito hospitalar e ambulatorial, emSão Paulo – SP, Brasil. Métodos: Estudo retrospectivo por análisede 421 prontuários dos pacientes atendidos no estágio do CentroUniversitário São Camilo. As variáveis foram analisadas pelo testede Igualdade de Duas Proporções ou Mann-Whitney. Resultados:O gênero feminino prevaleceu (73,1%), com idade de 51,1 ± 16anos, IMC de 27,5 ± 5,7 kg/m2 e escolaridade entre ensino médiocompleto e fundamental incompleto (p = 0,616). Neoplasiada mama (60,8%), tempo de evolução de 2 a 5 anos (20,2%) etratamento cirúrgico (80,1%) foram os mais encontrados. Assimcomo as queixas de dor (44%) e edema nos membros (39,1%)juntamente com diagnóstico fisioterapêutico de alteração vascular(75,1%). Conclusão: A população estudada foi caracterizada pelaprevalência de mulheres, por volta dos 50 anos, com sobrepeso,grau de escolaridade entre médio e fundamental, com diagnóstico decâncer de mama, tempo de evolução de 2 a 5 anos, com predomíniode tratamento cirúrgico, diagnóstico fisioterapêutico de alteraçõesvasculares e queixas de dor e edema...


As one of the newest areas of physical therapy,many public services do not yet have the integumentary specialty,making it difficult to trace their population profile. Objective: Toidentify the profile of patients treated in integumentary physicaltherapy at the Hospital and outpatient units, in Sao Paulo/SP.Methods: Retrospective study through the analysis of 421 medicalrecords of patients treated at São Camilo University Centre. Thevariables were analyzed using the Test for Equality of Two proportionsor Mann-Whitney. Results: Female gender was the mostprevalent (73.1%), mean age 51.1 ± 16 years, BMI 27.5 ± 5.7 kg/m2 and schooling level between complete high school and incompleteelementary school (p = 0.616). Breast cancer (60.8%), time ofdisease progression from 2-5 years (20.2%) and surgical treatment(80.1%) were the most prevalent information, as complaint ofpain (44%), swelling in the limbs (39.1%) and physiotherapeuticdiagnosis of vascular dysfunction (75.1%). Conclusion: The studypopulation was characterized by the prevalence of women aged ≥50, overweighted, with elementary and high school schooling levels,with a diagnosis of breast cancer, time of disease progression 2-5years, prevalence of surgical treatment, physiotherapeutic diagnosisassociated with vascular dysfunction and complaints of pain andswelling in the limbs...


Assuntos
Humanos , Neoplasias da Mama , Perfil de Saúde , Serviço Hospitalar de Fisioterapia , Cirurgia Plástica
15.
Arq. bras. ciênc. saúde ; 37(3)set.-dez. 2012.
Artigo em Português | LILACS | ID: lil-663342

RESUMO

Este estudo teve como objetivo realizar uma revisão da literatura sobre os parâmetros de aplicação do ultrassom terapêutico no reparo tecidual do sistema musculoesquelético. Foi realizado um levantamento de dados sobre essa temática nas seguintes bases de dados: MEDLINE, LILACS e SciELO, em línguas portuguesa, inglesa e espanhola, sendo considerados apenas ensaios experimentais realizados em animais, publicados a partir de 2.000 e pesquisados até janeiro de 2.012. Foram encontrados 16 artigos sobre a utilização do ultrassom terapêutico no reparo tecidual, dos quais nove abordaram a lesão tendínea, quatro sobre reparo ósseo, dois verificaram o efeito na lesão muscular e um na lesão nervosa. Os achados desta revisão de literatura sobre as evidências científicas dos efeitos do ultrassom terapêutico no sistema musculoesquelético sugerem que não há padronização quanto à dosimetria adequada para o reparo tecidual deste, pois os artigos disponíveis são insuficientes para comprovar os seus reais efeitos e determinar os parâmetros indicados para este tipo de tratamento.


This study aimed to conduct a literature review on the parameters of therapeutic ultrasound application in tissue repair of the musculoskeletal system. It was carried out a survey of data on this subject in the following databases: MEDLINE, LILACS and SciELO, in Portuguese, Spanish and English, considering only experimental studies done with animals, published since 2000, surveyed by January 2012. It was found a total of 16 articles on the use of therapeutic ultrasound in tissue repair, nine of which addressed the tendinous lesion, four about bone repair, two verified the effect on muscle damage and in a nerve injury. The findings of this review about the scientific evidence on the effects oftherapeutic ultrasound in the musculoskeletal system suggest that there is no standardization regarding the most appropriate dosimetry for tissue repair of the musculoskeletal system, because the articles are insufficient to prove their real effects and determine the appropriate parameters in this type of treatment.


Assuntos
Humanos , Masculino , Feminino , Dosimetria , Sistema Musculoesquelético , Modalidades de Fisioterapia , Regeneração , Terapia por Ultrassom
17.
Fisioter. mov ; 25(3): 561-570, jul.-set. 2012. graf, tab
Artigo em Português | LILACS | ID: lil-651719

RESUMO

INTRODUÇÃO: O linfedema é um acúmulo de proteína no interstício em virtude de deficiência do sistema linfático, sendo recomendada a utilização da Terapia Física Complexa como forma de tratamento. OBJETIVO: Verificar os efeitos da Terapia Física Complexa no tratamento e na manutenção do linfedema bilateral de membros inferiores. MÉTODOS: Participaram deste estudo sete pacientes com linfedema bilateral nos membros inferiores, de faixa etária entre 59 e 85 anos, os quais foram submetidos a: 1ª avaliação fisioterapêutica, quando permaneceram sem tratamento (período controle); 2ª avaliação, quando receberam o tratamento fisioterapêutico (período tratamento - terapia física complexa - fase de redução); 3ª avaliação, quando receberam alta (período manutenção - terapia física complexa - fase de manutenção); e 4ª avaliação, para acompanhamento desse último período. O intervalo entre cada avaliação foi de 10 a 12 semanas. Os dados da perimetria foram transformados em volume do membro, por meio da fórmula do cone truncado, e a região do tornozelo foi avaliada pelo método da Figura Oito. RESULTADOS: A média da Figura Oito e do volume dos membros foi de 62,32 cm e 6233 ml, 62,57 cm e 6308 ml, 56,75 cm e 5505 ml, 57 cm e 5566 ml, respectivamente para 1ª, 2ª, 3ª e 4ª avaliações. Pelos testes de Friedman e Wilcoxon, observou-se diferença significativa entre a 3ª e a 4ª avaliações, quando comparadas à 1ª e à 2ª (p < 0,001), para ambas as variáveis, mostrando redução significante do linfedema e sua estabilização durante o período de manutenção. CONCLUSÃO: A terapia física complexa foi eficaz no tratamento e na manutenção do linfedema bilateral de membros inferiores.


INTRODUCTION: Lymphedema is the accumulation of protein interstitial fluid as a result of impaired lymphatic function, recommended the use of Complex Physical Therapy as a treatment. OBJECTIVE: To determine the effects of Complex Physical Therapy on the treatment and maintenance of bilateral lower limb lymphedema. METHODS: Seven patients, aged between 59 and 85 years, with bilateral lower limb lymphedema participated in this study. The study consisted of four periods: (1) Control period - first physiotherapeutic evaluation (the patients did not receive any treatment at this stage); (2) Treatment period (reduction stage) - second evaluation and physiotherapeutic treatment (complex physical therapy); (3) Maintenance period - third evaluation, patient discharge, and complex physical therapy; and (4) follow-up period - evaluation of the last stage. The time interval bewteen evaluations was 10-12 weeks. The leg volume was calculated using leg perimeter data and the formula for the volume of a truncated cone, and ankle swelling was measured using the figure-of-eight method. RESULTS: The mean ankle measurement and leg volume at the first, second, third and fourth evaluations were 62.32 cm and 6233 ml, 62.57 cm and 6308 ml, 56.75 cm and 5505 ml, and 57 cm and 5566 ml, respectively. Figure Eight measurements and leg volumes were significantly lower at the third and fourth evaluations than at the first and second evaluations (p < 0.001), showing a significant reduction in volume and stabilization of the lymphedema during the maintenace period. CONCLUSION: The complex physical therapy was efficient in the treatment and maintenance of bilateral lower limb lymphedema.


Assuntos
Humanos , Masculino , Feminino , Adulto , Idoso , Terapia por Exercício , Extremidade Inferior , Sistema Linfático , Linfedema , Modalidades de Fisioterapia
18.
J. Health Sci. Inst ; 30(1): 74-78, jan.-mar. 2012. ilus, tab
Artigo em Inglês | LILACS | ID: lil-644800

RESUMO

Objective - The aim of this study was to verify the effects of cryotherapy with a camphor and menthol gel, used isolatedly, on the body composition, fat percentage and body self-image in young women. Methods - Third six women, with mean age: 21 years old, with mean body mass index: 22,92 kg/m2 and having localized android and/or gynecoid adiposities, were selected. Volunteers were randomly divided into two groups: the one which went through treatment (Treatment Group = 20) and the one that did not (Control Group = 16). Several procedures, such as anamnesis, physical exam and body composition evaluation through the tetrapolar bioelectric impedance and the anthropometric technique, body self-image scale applied. Results - According to the results achieved, cryotherapy was ineffective, as the body mass and the body mass index kept unchanged and the body perimeter measures (except the arm measure) and the cutaneous folds (except the axillary fold) did not decrease. Conclusions - This study conclusion was that cryotherapy with a camphor and menthol gel, used isolatedly, decreased medial axillary, pectoral and abdominal skinfold and arm body perimeter measure, but did not change significantly the others body perimeter measures, fat percentage and body self-image in young women.


Objetivo - Verificar o efeito da crioterapia com gel à base de cânfora e mentol, usada isoladamente, na composição corporal, porcentagem de gordura e autoimagem corporal em mulheres jovens. Métodos - Foram selecionadas 36 mulheres, com média de idade de 21 anos, média do índice de massa corporal de 22,92 kg/m2, portadoras de adiposidades localizadas de características andróide e/ou ginóide. As voluntárias foram divididas randomicamente entre dois grupos: o que realizou o tratamento (Grupo Tratamento = 20) e o que não realizou o tratamento (Grupo Controle = 16). Foram realizados anamnese, exame físico e avaliação da composição corporal por meio da impedância bioelétrica tetrapolar e da técnica antropométrica, e assim pode-se obter a porcentagem de gordura e foi aplicada uma escala de autoimagem corporal. Resultados - De acordo com os resultados obtidos, observou-se que a aplicação de gel crioterápico foi ineficaz na modificação da massa e índice de massa corporal, na diminuição das perimetrias (exceto a de braço); e na redução das dobras cutâneas (exceto a dobra cutânea axilar). Conclusões - Conclui-se que a crioterapia à base de cânfora e mentol, utilizada isoladamente, diminuiu as dobras cutâneas axilar média, peitoral e abdominal e a perimetria de braço, porém não modificou os valores das outras perimetrias, porcentagem de gordura e escala de autoimagem corporal.


Assuntos
Humanos , Feminino , Adulto , Adiposidade , Índice de Massa Corporal , Crioterapia
19.
Can J Plast Surg ; 20(4): 237-40, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-24294017

RESUMO

BACKGROUND: Transcutaneous electrical nerve stimulation (TENS) consists of a generic application of low-frequency, pulsed electrical currents transmitted by electrodes through the skin surface. It is a therapeutic modality that is nonpharmacological, noninvasive, inexpensive, easy to use and widely applied in clinical practice. OBJECTIVE: To narratively review the scientific evidence of the effects of TENS on tissue repair with respect to wound healing, skin flap viability and tendinous repair. METHODS: The study was conducted using the MEDLINE, Lilacs and Scielo databases, without limit to the period of publication, and was completed in November 2011. Inclusion criteria were randomized or nonrandomized, controlled or noncontrolled clinical trials, and experimental trials involving rats subjected to TENS for tissue repair. RESULTS: Thirty articles on tissue repair were found and, among these, 14 reported on wound healing, 14 reported on skin flaps and two analyzed tedinous repair. DISCUSSION: It was suggested that TENS stimulates skin wound healing and tendon repair, as well as the viability of random skin flaps. Such effects may be due to the release of substance P and calcitonin gene-related peptide, which would increase blood flow and, consequently, hasten the events leading to tissue repair. CONCLUSIONS: Based on the scientific evidence regarding the effects of TENS on tissue repair, the findings of the present literature review were inconclusive because data from the randomized controlled clinical trials were insufficient to confirm such effects.

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