Engenharia Biomédica

URI permanente para esta coleçãohttps://repositorioacademico.universidadebrasil.edu.br/handle/123456789/915

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Resultados da Pesquisa

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    Avaliação e comparação de diferentes comprimentos de onda (660 e 808 nm) da terapia por fotobiomodulação a laser na atrofia muscular em modelo de imobilização em ratos
    (Universidade Brasil, 2021) Gonçalves, Silma Rodrigues; Garcia, Lívia Assis; Tim, Carla Roberta
    Atrophy of skeletal striated muscle tissue is a complex process caused by an imbalance between the degradation and synthesis of myofibrillar proteins, leading to a reduction in muscle strength and the quality of life individuals. Considerable efforts have been devoted to establish new treatments for an effective and safe clinical for treatment of muscle atrophy. Among the available therapeutic resources, photobiomodulation therapy (PBMT) has great potential, as it is often used as a promising therapeutic strategy for the rehabilitation of skeletal striated muscle tissue, however, there is no consensus on the best parameters in the treatment of muscle atrophy. Thus, the aim of the present study was to evaluate the in vivo response of PBMT to laser at red and infrared wavelengths in muscle atrophy in an immobilization model in rats. 32 male Wistar rats were used, divided into 4 groups (n = 8): control group (C); Immobilized group (ImC); Immobilized group submitted to PBMT laser at red wavelength (ImR); Immobilized group submitted to laser PBMT at the infrared wavelength (ImIR). The left hind limb was immobilized in extension for 5 days. For laser PBMT, equipment was used (λ = 660 and 808 nm; P = 30 mW; t = 47 s; D = 50 J/cm²) applied at two points in the gastrocnemius muscle (cranial and caudal). Treatments started immediately after removal of the immobilization, with 24-hour intervals, totaling 9 sessions. To evaluate and compare the treatments, histological analysis were performed, as well as the profile area, cell density and ATPase histochemistry. Histological results showed fibers of varied shape, infiltration of inflammatory cells, and thickening of the connective tissue, reduced profile and increased density of muscle fibers in all immobilized animals. Furthermore, it was possible to verify a modulation of the inflammatory process and a lesser thickening of the intramuscular connective tissue in both ImR and ImIR groups, however, these results were more pronounced in the ImIR group, associated with morphological findings of regenerating fibers and an increase in the number of fibers oxidative (type I fibers). Thus, we can conclude that laser PBMT at both wavelengths were effective in changing the morphology of the gastrocnemius muscle subjected to atrophy in an experimental immobilization model, reducing the inflammatory infiltrate and the formation of intramuscular connective tissue. However, RI promoted a more evident positive effect by increasing regenerating muscle fibers and the number of oxidative fibers, which may be a promising resource in the clinical treatment of muscle atrophy.
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    Fotobiomodulação como coadjuvante no tratamento da lesão pulmonar aguda decorrente de sepse
    (Universidade Brasil, 2020) Dantas, Emanuelle; Garcia, Lívia Assis; Tim, Carla Roberta
    Sepsis is a common condition associated with high mortality and, for many who survive, long-term morbidity. It is defined as infection with organ dysfunction, with the lung being one of Organs most affected organs. Acute lung injury (ALI) is a serious and serious disease, characterized by infiltrations of pulmonary inflammatory cells, diffuse alveolar damage, in addition to loss of the alveolar epithelium, together with edema and changes in gas exchange. During the rehabilitation period, there is a growing concern to modulate these processes in order to prevent complications and favor the patient's functional recovery. The therapeutic verification of the applications of photobiomodulation therapies (PBM) through lasers and LEDs) in the clinical treatment of inflammatory diseases is currently well known, however the mechanisms of action triggered by these resources and their use in clinical practice for the treatment of APL due to sepsis still remains incipient. Thus, this thesis aimed to provide an understanding of the current evidence on the importance of PBM in the treatment of respiratory disorders and its possible applicability in APL due to sepsis, as well as to evaluate and compare in vivo the PBM response through laser and LEDs on the LPA in rats. A qualitative, descriptive and exploratory narrative literature review was carried out and an experimental study using male Wistar rats, allocated in 3 (three) experimental groups: Sepsis control (CS); laser treatment (LASER); LED treatment (LED). Irradiations in the red wavelength (630 nm) were applied at three points (anterior region of the trachea and in the ventral regions of the chest, bilaterally) 1 and 24 hours after surgery. Based on all verified evidence and results observed in this study, it is inferred that PBM through laser and LED can be proposed as a support for conventional medical therapy in the treatment of APL arising from sepsis, due to the potential to mitigate the inflammatory condition, prevent the progression of the lung parenchyma lesion and, consequently, reduce the recovery time of the patient with ALI due to sepsis.