Efeitos das ondas de choque piezoelétrica na adiposidade localizada

Rodrigo Marcel Valentim da Silva; Fábio dos Santos Borges; Júlio Davi Costa e Silva; Jéssica Carrie Silva de Oliveira Lira; Maria Paula Marques de Oliveira; Louhanne Christine Berto Bezerra; Bruna Nobrega Bezerra; Patrícia Froes Meyer

doi:10.5585/conssaude.v18n1.10485

Authors

Rodrigo Marcel Valentim da Silva Universidade Federal do Rio Grande do Norte
Fábio dos Santos Borges
Júlio Davi Costa e Silva
Jéssica Carrie Silva de Oliveira Lira
Maria Paula Marques de Oliveira
Louhanne Christine Berto Bezerra
Bruna Nobrega Bezerra
Patrícia Froes Meyer

DOI:

https://doi.org/10.5585/conssaude.v18n1.10485

Keywords:

Fats. Physical therapy. Transducers. Physical therapy modalities.

Abstract

Introduction: Piezoelectric shock wave therapy (PSWT) is a noninvasive technique that aims to reduce localized subcutaneous adipose tissue. Objectives: To investigate the effects of piezoelectric shock wave therapy on the reduction of localized subcutaneous adiposity. Methods: An experimental study, with 31 female participants, aged between 25 and 45 years, was conducted. Four treatment sessions were performed once a week with different parameters of the piezoelectric SW. They were applied dynamically in the infraumbilical area, and stationarily in the supraumbilical area, both on the left side. The right side did not receive therapy, becoming the control side. Results: In the application of piezoelectric SWs in stationarily, there was a greater reduction of adipose tissue than in dynamic mode. Conclusion: The therapy by piezoelectric SWs promoted a reduction of the localized adiposity, with the model of equipment chosen and at the dose proposed in this study, verified through the analysis of plicometry and ultrasonography data.

Downloads

Download data is not yet available.

References

Császár NB, Angstman NB, Milz S, Sprecher CM, Kobel P, Farhat M et al. Radial shock wave devices generate cavitation. Plos One. 2015;10(10).

Dymarek R, Bidzińska G, Zwierzchowski K, Słupska L, Ptaszkowski K, Halski T. Evaluation of the effectiveness of extracorporeal shock wave therapy in selected musculoskeletal system disorders of the inflammatory etiology-a critical review of the literature. WiadLek. 2015;68(2):183-92.

Hatanaka K, Ito K, Shindo T, Kagaya Y, Ogata T, Eguchi K et al. Molecular mechanisms of the angiogenic effects of low-energy shock wave therapy: roles of mechanotransduction. Am J Physiol Cell Physiol. 2016 Sep 1;311(3):C378-85.

Romeo P, Lavanga V, Pagani D, Sansone V. Extracorporeal shock wave therapy in musculoskeletal disorders: a review. Med Princ Pract. 2014;23(1):7-13.

Zhang L, Fu XB, Chen S, Zhao ZB, Schmitz C, Weng CS. Efficacy and safety of extracorporeal shock wave therapy for acute and chronic soft tissue wounds: A systematic review and meta-analysis. Int Wound J. 2018 Aug;15(4):590-9.

Liao CD, Xie GM, Tsauo JY, Chen HC, Liou TH. Efficacy of extracorporeal shock wave therapy for knee tendinopathies and other soft tissue disorders: a meta-analysis of randomized controlled trials. BMC Musculoskelet Disord. 2018 Aug 2;19(1):278.

Siems W, Grune T, Voss P, Brenke R. Anti-fibrosclerotic effects of shock wave therapy in lipedema and cellulite. Biofactors. 2005;24: 275-82.

Zhang Q, Liu L, Sun W, Gao F, Cheng L, Li Z. Extracorporeal shockwave therapy in osteonecrosis of femoral head: a systematic review of now available clinical evidences. Medicine (Baltimore). 2017 Jan;96(4):e5897.

Segot-Chicq E, Compan-Zaouati D, Wolkenstein P, Consoli S, Rodary C, Delvigne V et al. Development and validation of a questionnaire to evaluate how a cosmetic product for oily skin is able to improve well-being in women. J Eur Acad Dermatol Venereol. 2007 Oct;21(9):1181-6.

Adatto MA, Adatto-Neilson R, Novak P, Krotz A, Haller G.. Body shaping with acoustic wave therapy AWT®/EPAT®: randomized, controlled study on 14 subjects. J Cosmet Laser Ther. 2011 Dec;13(6):291-6.

Braun MT, Daser A, Wroblewska KK. Effects of shock wave therapy on pathological changes in subcutaneous adipose tissue. A pilot study. Aesthet Dermatol. 2005;4:11-7.

Koshiyama K1, Kodama T, Yano T, Fujikawa S. Structural change in lipid bilayers and water penetration induced by shock waves: molecular dynamics simulations. Biophys J. 2006 Sep 15;91(6):2198-205.

Rinella L, Marano F, Paletto L, Fraccalvieri M, Annaratone L, Castellano I et al. Extracorporeal shock waves trigger tenogenic differentiation of human adipose-derived stem cells. Connect Tissue Res. 2018 Nov; 59(6):561-73.

Reznik JE, Biros E, Lamont AC, Sacher Y, Kibrik O, Milanese S et al. A preliminary investigation on the effect of extracorporeal shock wave therapy as a treatment for neurogenic heterotopic ossification following traumatic brain injury. Part I: Effects on pain. Brain Inj. 2017;31(4):526-32.

Liang SM, Yeh C-N, Yan J-J, Wan L-R, Lee J-W. In vitro experiment on lysing adipose tissue by shock waves. Journal of Medical and Biological Engineering. 2008;28(4):203-209.

Mabrouk MIAI, Badr NM, Taha MM, El Shiwi AMF, Abdelaal AAM, Ali SM, et al. Effect of extracorporeal shock wave therapy on skin blood perfusion in patients with diabetic foot: Randomized controlled trial. Int J Adv Res. 2015;3(3):689-96.

Klonschinski T, Ament SJ, Schlereth T, Rompe JD, Birklein F. Application of local anesthesia inhibits effects of low-energy extracorporeal shock wave treatment (ESWT) on nociceptors. Pain Med. 2011 Oct;12(10):1532-7.

Skov-Jeppesen SM, Lundrup RN, Ladegaard PBJ, Mortensen J, Sørensen MD, Lund L. Indications and application of extracorporeal shockwave therapy. Ugeskr Laeger. 2019 Feb18;181(8). pii: V07180514.

Tang HY, Yu T, Wei W, Zhao Y. Effect of extracorporeal shock wave for tennis elbow: a protocol for systematic review of randomized controlled trial. Medicine (Baltimore). 2019 Feb;98(7):e14517.

Wei W, Tang HY, Li YZ, Wang TS. Effectiveness of extracorporeal shock wave for low back pain: a protocol of systematic review. Medicine (Baltimore). 2019 Feb;98(7):e14511.