Physical therapy in the treatment of body aesthetics dysfunctions - literature review
Fisioterapia no tratamento das disfunções estéticas corporais – revisão de literatura
Silva, Jane Guiname M.; Filoni, Eduardo; Fitz, Fatima Fani
http://dx.doi.org/10.17784/mtprehabjournal.2014.12.194
Man. Ther., Posturology Rehabil. J., vol.12, nx, p.220-230, 2014
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Abstract
Introduction: The aesthetic disorders, such as skin laxity, localized fat and cellulite, are common complaints among the population in general. The physiotherapy provides techniques for treatment of these dysfunctions noninvasively. Objective: To review the physical therapy techniques used to treat the body dysfunction aesthetic through a literature review. Method: It was performed a literature review of studies published between September/1997 and October/ 2013, in Portuguese or English, in the Scielo, PEDro, Pubmed, Lilacs e Medline database. Results: A total of 1.165 articles were found. Of these, 37 were potentially eligible after reading the title and summary, and a total of 11 studies were included. The studies addressed some techniques like radiofrequency, combination of bipolar radiofrequency, infrared, vacuum and mechanical massage (Velashape), ultrasound of high intensity focused, cellulite cream, mechanical massage, lymphatic drainage and tissue manipulation, ultrasound of low intensity, and cryolipolysis. Conclusion: We conclude that the physical therapy techniques are effectives, safe and well tolerated by patients in the treatment of localized fat. They help to sculpt the body and to reduce cellulite. However, it is necessary to perform randomized controlled trials, with larger sample size, since the majority of the included studies are prospective and retrospective clinical trials.
Keywords
Localized Fat. Skin Laxity. Body Contouring. Cellulite. Physical Therapy.
Resumo
Introdução: As disfunções estéticas, como a frouxidão tecidual, a gordura localizada e o Fibro Edema Gelóide (FEG), são queixas comuns entre a população de forma geral. A fisioterapia disponibiliza técnicas para tratamento destas disfunções de maneira não invasiva. Objetivo: Revisar as técnicas fisioterapêuticas utilizadas para o tratamento das disfunções estéticas corporais por meio de uma revisão de literatura. Método: Foi realizada uma revisão bibliográfica de estudos publicados entre setembro/1997 e outubro/2013, em português ou inglês, nas bases de dados Scielo, PEDro, Pubmed, Lilacs e Medline. Resultados: Um total de 1.165 artigos foram encontrados. Destes, 37 foram potencialmente elegíveis após a leitura do título e resumo, e um total de 11 estudos foram incluídos. Os estudos abordavam as técnicas de radiofrequência, a combinação de radiofrequência bipolar, infravermelho, vácuo e massagem mecânica (Velashape), ultrassom de alta intensidade focalizado, creme anticelulite, massagem mecânica, drenagem linfática e manipulação de tecidos, ultrassom de baixa intensidade e criolipolise. Conclusão: Conclui-se que as técnicas fisioterapêuticas abordadas nos estudos incluídos são eficazes, seguras e bem toleradas pelos pacientes para o tratamento da gordura localizada, auxiliando a esculpir o corpo, além de ajudar na redução do FEG. Entretanto, existe a necessidade da realização de ensaios clínicos randomizados e controlados e com tamanho amostral maior, visto que a maioria dos estudos incluídos são ensaios clínicos prospectivos não controlados e estudos retrospectivos.
Palavras-chave
Gordura Localizada. Flacidez de Pele. Contorno Corporal. Celulite. Fisioterapia.
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