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Resultados da Pesquisa

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    Terapia por fotobiomodulação em pontos de acupuntura associada ao exercício físico: implicações no tratamento de osteoartrite de joelho
    (Universidade Brasil, 2021) Silva, Yuri Victor Barbosa; Garcia, Lívia Assis; Tim, Carla Roberta
    Knee osteoarthritis (OA) is one of the most common progressive degenerative joint diseases worldwide and also a major cause of disability and damage to quality of life. Photobiomodulation therapy (PBMT) through low-level laser, isolated or in association with physical exercise has shown to be a promising treatment and with good results for several chronic diseases, including changes that affect the articular system. The aim of this study was to evaluate the effects of laser PBMT applied to acupuncture points associated with a resistance exercise protocol on the level of pain in women with OA. 23 volunteers were randomized into 2 groups: Control group (Ex): volunteers were submitted to a resistance exercise protocol; Photobiomodulation Group (ExP): volunteers were submitted to a resistance exercise protocol associated with PBMT applied in acupuncture points. The interventions were performed twice a week for a period of 6 weeks, totaling 12 sessions. The exercise program consisted of warming up, muscle strengthening (hip and knee flexors and extensors, hip adductors and adductors) and stretching of the main muscle groups of the lower limbs (lower limbs). PBMT (808 nm, 100 mW, 4 J in) was applied to 5 acupuncture points of the affected knee right after each exercise session. For assessment and reassessment, the numerical rating scale for pain (NRS) was applied; functionality and quality of life questionnaires (Western Ontario and MacMaster Universities Osteoarthritis Index [WOMAC]); functionality (Lequesne); physical performance tests (Timed Up and Go [TUG], Short Physical Performance Battery [SPPB]), lower limb strength and endurance (30-second sit-up test). The results show that both Ex and ExP showed a lower rate of pain, higher scores in the tests of strength and endurance, in functionality, in physical performance, mobility and balance and in WOMAC to its initial rates when compared to the final ones. However, no difference was observed between the experimental groups. Thus, it can be concluded that both PBMT in specific acupuncture points in association with physical exercise, as well as applied exercise in isolated way, show analgesic effects and have positive effects on physical capacity and quality of life in patients with OA.
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    Avaliação dos efeitos da auriculoterapia e auriculoterapia a laser no tratamento das alterações de olfato e paladar pós Covid-19 - estudo clínico
    (Universidade Brasil, 2023) Oliveira, Andreia de; Navarro, Ricardo Scarparo; Baptista, Alessandra
    COVID-19 is an infectious disease caused by the new coronavirus, also known as severe acute respiratory syndrome virus 2 (SARS-CoV-2). There are characteristic systemic changes during the disease process, and post-COVID-19, called long COVID, we can highlight the sensory changes in smell and taste that directly interfere with individuals' quality of life. The objective of the study was to evaluate the effects of auriculotherapy (AT) and laser auriculotherapy (LAT) in the treatment of post-COVID- 19 changes in smell and taste. After approval by the CEP (5,357,603), acceptance and signing of the TCLE by the participants, with a positive PCR exam or self-test for COVID-19, treated, aged over 18 years, of both sexes, were randomly divided into groups : G1 (AT) (n=12) AT with mustard seeds; G2 (LAT) (n= 12) AT with low power laser (Laser Duo, MMOptics, São Carlos, Brazil) (808 nm, 3 J, 100 mW, 30 s, tip area 0.03 cm2, 3.33 W/cm2, 100 J/cm2); G3 (LAT placebo) (n= 12) LAT as in group 2, with a barrier at the exit of the laser beam emission; G4 (LAT tip) (n= 12) as in group 2, using acupuncture tip (808 nm, 3 J, 100 mW, 30 s, tip area 0.07 cm2, 1.43 W/cm2, 42.9 J/cm2) (MMOptics, São Carlos, Brazil). In all groups, AT was performed in contact with the skin on the ear at different acupoints (Shen Men, Kidney, Sympathetic, Tongue, Mouth, External Nose, Internal Nose/Pharynx, Heart, Lung), once a week, totaling 10 sessions. Participants were evaluated by anamnesis, Sensory Assessment Tests (SAT) of Smell and Taste before and after each session. The results showed for SAT smell and taste in the intragroup analysis in G1-AT, G2-LAT and G4-LAT tip there was a significant difference before and after treatments (p<0.05), in G3-LAT placebo smell there was no difference for sweet and salty (p>0.05) and there was a difference for bitter, sour, spicy (p>0.05); in G3-LAT placebo taste there was no significant difference (p>0.05) for all variables. For the intergroup analysis for SAT smell and taste: between the auriculotherapy groups (G1 AT, G2 LAT, G4 LAT tip) and G3 LAT placebo there were significant differences (p<0.05), between the auriculotherapy groups they were no differences (p>0.05) and the treatments promoted an effective increase in smell and taste values (p<0.05), the G3 LAT placebo group presented lower results than the treatments groups. It can be concluded that auriculotherapy and laser auriculotherapy were effective in treating changes in smell and taste after COVID-19; the different modalities of auriculotherapy - AT, LAT, LAT tip promoted recovery of smell and taste, with no differences between treatments; there were no placebo effects, the study proposes new therapeutic protocols of auriculotherapy and laser auriculotherapy in the treatment of changes in smell and taste after COVID-19; no side effects, non- pharmacological, non-invasive, painless, with greater patient acceptability.
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    Terapia por fotobiomodulação em pontos de acupuntura associada ao exercício físico: implicações no tratamento de osteoartrite de joelho
    (Universidade Brasil, 2021) Silva, Yuri Victor Barbosa; Tim, Carla Roberta; Garcia, Lívia Assis
    Knee osteoarthritis (OA) is one of the most common progressive degenerative joint diseases worldwide and also a major cause of disability and damage to quality of life. Photobiomodulation therapy (PBMT) through low-level laser, isolated or in association with physical exercise has shown to be a promising treatment and with good results for several chronic diseases, including changes that affect the articular system. The aim of this study was to evaluate the effects of laser PBMT applied to acupuncture points associated with a resistance exercise protocol on the level of pain in women with OA. 23 volunteers were randomized into 2 groups: Control group (Ex): volunteers were submitted to a resistance exercise protocol; Photobiomodulation Group (ExP): volunteers were submitted to a resistance exercise protocol associated with PBMT applied in acupuncture points. The interventions were performed twice a week for a period of 6 weeks, totaling 12 sessions. The exercise program consisted of warming up, muscle strengthening (hip and knee flexors and extensors, hip adductors and adductors) and stretching of the main muscle groups of the lower limbs (lower limbs). PBMT (808 nm, 100 mW, 4 J in) was applied to 5 acupuncture points of the affected knee right after each exercise session. For assessment and reassessment, the numerical rating scale for pain (NRS) was applied; functionality and quality of life questionnaires (Western Ontario and MacMaster Universities Osteoarthritis Index [WOMAC]); functionality (Lequesne); physical performance tests (Timed Up and Go [TUG], Short Physical Performance Battery [SPPB]), lower limb strength and endurance (30-second sit-up test). The results show that both Ex and ExP showed a lower rate of pain, higher scores in the tests of strength and endurance, in functionality, in physical performance, mobility and balance and in WOMAC to its initial rates when compared to the final ones. However, no difference was observed between the experimental groups. Thus, it can be concluded that both PBMT in specific acupuncture points in association with physical exercise, as well as applied exercise in isolated way, show analgesic effects and have positive effects on physical capacity and quality of life in patients with OA.
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    Influência da Terapia por Fotobiomodulação no tratamento de condições inflamatórias pulmonares e seu impacto sobre o Covid-19
    (Universidade Brasil, 2021) Macedo, Daniela Bezerra; Tim, Carla Roberta; Garcia, Lívia Assis
    Today we are facing a pandemic that continually causes high rates of deaths and catastrophic and countless economic and psychosocial consequences. Thus, this period requires a rapid search for viable procedures that can allow us to use safe and noninvasive clinical tools as prophylactic or even adjuvant methods in the treatment of COVID-19, thus constituting an important challenge to the medical clinic. Evidence shows that photobiomodulation therapy (PBMT) is shown to attenuate the inflammatory process and reduce respiratory disorders similar to acute lung injury (ALI), complications associated with infections, such as that caused by the new Coronavirus (SARS-CoV-2). Thus, the aim of this study was to evaluate the influence of laser PBMT on infrared length in the treatment of ALI, one of the main critical complications of COVID-19 infection, in an experimental model of rats. Twenty-four male Wistar rats were randomly allocated into three experimental groups (n = 8): Control (CG); LPA (LPA); LASER-treated LPA (LPAL). For the treatment, a laser equipment (808 nm; 30 mw; 1.8 J) was applied at three points (anterior region of the trachea and in the venereal regions of the thorax bilaterally) in the period of 1 and 24 hours after lpa induction. Descriptive histopathological analysis, lung injury score, analysis of the number of inflammatory cells, interleukin 1 β (IL-1β) and interleukin 10 levels (IL-10) were performed for treatment evaluation. In the results, it was possible to observe that the treatment reduced inflammatory infiltrates, there was thickening of the alveolar septum and the pulmonary injury score when compared to the LPA group. In addition, laser PBMT showed lower immunoexpression of IL-1β, however, it did not alter the levels of pulmonary IL-10. Thus, it can be concluded with this experimental study that infrared laser PBMT was efficient in attenuating ALI, one of the main complications of COVID-19, since it was able to reduce the inflammatory process, as well as increase the production of anti-inflammatory cytokines.