Modena Débora Apª O, Nogueira da Silva Caroline, Delinocente Talita C P, Bianca de Araújo Tatiane, de Carvalho Tania Maria, Grecco Clovis, Moreira Renata Gomes, Campos Gisele, de Souza José Ricardo, Michelini Guidi Renata
State University of Campinas (Unicamp), Campinas, SP, Brazil.
Ibramed Research Group: Study Group of Technology Applications in Health, IBRAMED, Amparo, SP, Brazil.
Dermatol Res Pract. 2019 Jun 20;2019:8246815. doi: 10.1155/2019/8246815. eCollection 2019.
In the past centuries, the human body was undervalued; nowadays, however, it is overvalued, and thus the manifestation of the dissatisfactions regarding the body has been increasing. Most of the time, these dissatisfactions are related to cellulite, which is most common in women. Its treatment is one of the challenges which encourage the development of new therapeutic modalities, among them the shockwave therapy. . To evaluate the efficacy of ESWT in the treatment of cellulite in gluteus and posterior of thigh. . This is a prospective and comparative study, in which volunteer women who attended the criteria of inclusion were selected and who were subjected to 10 sessions of ESWT. The following were performed as an evaluation method: anthropometry, perimetry, skin viscoelasticity with the Cutometer®, thickness of hypodermis with diagnostic ultrasound, analysis of the scale of severity of cellulite (CSS), and quality of life by the Celluqol® questionnaire. The evaluations occurred before the first session (baseline), after 6 and 10 sessions, and during a follow-up of 3 months after the last session. The statistical test applied was the ANOVA one-way with post hoc of Tukey (P-value < 0.05). . There was significant improvement (P<0.05) for CSS, for the variable referring to gross elasticity and skin deformation ability evaluated in the Cutometer® and improvement of quality of life represented by Celluqol®. The result was maintained particularly in the follow-up of 3 months after the end of the treatment. . The results presented demonstrated the effectiveness and safety of ESWT in the treatment of cellulite and in the decrease of the degrees, improvement of the aspect of the skin, and reestablishment of quality of life. This trial is registered with ClinicalTrials: NCT03275259.
在过去几个世纪里，人体被低估；然而如今，它却被高估了，因此对身体不满的表现一直在增加。大多数时候，这些不满与脂肪团有关，脂肪团在女性中最为常见。其治疗是鼓励新治疗方式发展的挑战之一，其中包括冲击波疗法。评估体外冲击波疗法（ESWT）治疗臀部和大腿后部脂肪团的疗效。这是一项前瞻性对比研究，选取符合纳入标准的志愿女性，对她们进行10次ESWT治疗。采用以下方法进行评估：人体测量、视野测量、使用Cutometer®测量皮肤粘弹性、用诊断超声测量皮下组织厚度、分析脂肪团严重程度量表（CSS）以及通过Celluqol®问卷评估生活质量。评估在第一次治疗前（基线）、6次和10次治疗后以及最后一次治疗后3个月的随访期间进行。应用的统计检验是单因素方差分析及Tukey事后检验（P值<0.05）。CSS、Cutometer®评估的总弹性和皮肤变形能力变量以及Celluqol®代表的生活质量均有显著改善（P<0.05）。尤其在治疗结束后的3个月随访中结果得以维持。所呈现的结果证明了ESWT治疗脂肪团、降低程度、改善皮肤外观以及恢复生活质量的有效性和安全性。该试验已在ClinicalTrials注册：NCT03275259。
