Monografias, Dissertações e Teses
URI permanente desta comunidadehttps://repositorioacademico.universidadebrasil.edu.br/handle/123456789/1
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Resultados da Pesquisa
Item Efeito da fotobiomodulação e da cinesioterapia na expressão de índices hematológicos em pacientes com osteoartrose de joelho(Universidade Brasil, 2020) Rebelato, Fabio Luiz; Baptista, AlessandraPhotobiomodulation (PBM: English-photobiomodulation) is a treatment that involves the use of a monochromatic light source, non-thermal effect, which has been proposed in the treatment of patients with knee osteoarthrosis (OAJ), due to these analog, action effects anti-inflammatory and regenerative. However, the systemic effects of PBM, especially those referring to monomorphonuclear blood cells, are still unclear. The aim of this study was to evaluate the number of white series cells and the number of patients diagnosed with OAJ published through PBM and kinesiotherapy, associated or not. The number of cells in the white and platelet series of 28 patients, between 45 and 80 years old, were randomly divided into 4 groups: Kinesiotherapy Group (CG); PBM Group (GL); Cinesioterapia + PBM Group (GCL); and PBM + Cinesioterapia Group (GLC). All groups receive treatment 3 times a week on alternate days for 4 weeks. Groups using treatment with physical activity (CG, GLC and GCL) perform supervised exercises and groups using treatment with PBM (GL, GCL and GLC) receive 9 irradiation points (Therapy XT-DMC, São Carlos, Brazil - 808nm P = 100mW - 3J / point). The evaluations were performed before the start of treatment (AV0) and 48 h after the end of the 10th session (AV1). Our results show that the initial and final count is not the number of neutrophils, lymphocytes, monocytes and platelets, the GC, GCL and GLC do not significantly alter cell counts (p0.05). The GL showed a significant increase only in the monocyte count (p0.05) after 4 weeks of treatment. The comparison between cell relationships between lymphocytic neoplasms (RNL), monocyte lymphocytes (RML) and coated lymphocytes (RPL), did not significantly affect the use of any method used. However, an RML in the intergroup evaluation showed an increasing trend only in the group treated with PBM. Therefore, we can conclude that PBM alone, without OAJ treatment, was the only treatment capable of promoting white cell and platelet count, mainly in monocytes. And an RML relationship was also a single cellular relationship capable of differentiating the proposed procedures, suggesting that PBM alone can increase the inflammatory response, in the tests tested.Item Avaliação do conhecimento sobre fotobiomodulação dos fisioterapeutas no Brasil(Universidade Brasil, 2021) Arruda Neto, Euler; Nunez, Silvia CristinaPhysiotherapy is the profession that assesses, rehabilitates, prevents, recovers, as well as restores, develops, and conserves the individual's capacity through physical resources such as ultrasound, heat and light. Electrophysical resources are described and recommended in undergraduate courses and among these we find the use of low power lasers. Brazil is one of the countries with the most publications in the world in the area known as Photobiomodulation (PBM), however, it is not clear the access that physiotherapy clinicians have to the advances obtained in scientific research. The purpose of this study is to verify, through an electronic form, the knowledge of physical therapists enrolled in class councils about PBM in daily practice. An electronic questionnaire Google Form was developed, and it was sent by email, WhatsApp social networks, SMS, and printed forms were also distributed. The distribution started in the region of Goiás and the Federal District with the support of CREFITO 11 and then expanded to other regions. In total 106 physiotherapists answered the questionnaire. Of these 50% used lasers in the clinic, while 10.4% had never used lasers. After obtaining the data and according to the responses obtained, we observed 50% that physiotherapy professionals. 81.4% said they did not use it because they did not have the equipment and 10.2% indicated the cost as a reason for not using it. Among the participants, 62.3% said they had not made any updates in the area in the last 3 years and of those who said they had updated the courses up to 1 hour in duration were the majority. 76.5% also never calibrated their equipment and 45.7% said they used the protocols they learned at graduation. Based on the results, we conclude that there is a need for greater dissemination of the scientific knowledge obtained in the field of PBM in physical therapy so that the advances are effectively passed on to professionals who work clinically in the area.Item Avaliação do conhecimento sobre fotobiomodulação dos fisioterapeutas no Brasil(Universidade Brasil, 2021) Arruda Neto, Euler; Nuñez, Silvia CristinaPhysiotherapy is the profession that assesses, rehabilitates, prevents, recovers, as well as restores, develops, and conserves the individual's capacity through physical resources such as ultrasound, heat and light. Electrophysical resources are described and recommended in undergraduate courses and among these we find the use of low power lasers. Brazil is one of the countries with the most publications in the world in the area known as Photobiomodulation (PBM), however, it is not clear the access that physiotherapy clinicians have to the advances obtained in scientific research. The purpose of this study is to verify, through an electronic form, the knowledge of physical therapists enrolled in class councils about PBM in daily practice. An electronic questionnaire Google Form was developed, and it was sent by email, WhatsApp social networks, SMS, and printed forms were also distributed. The distribution started in the region of Goiás and the Federal District with the support of CREFITO 11 and then expanded to other regions. In total 106 physiotherapists answered the questionnaire. Of these 50% used lasers in the clinic, while 10.4% had never used lasers. After obtaining the data and according to the responses obtained, we observed 50% that physiotherapy professionals. 81.4% said they did not use it because they did not have the equipment and 10.2% indicated the cost as a reason for not using it. Among the participants, 62.3% said they had not made any updates in the area in the last 3 years and of those who said they had updated the courses up to 1 hour in duration were the majority. 76.5% also never calibrated their equipment and 45.7% said they used the protocols they learned at graduation. Based on the results, we conclude that there is a need for greater dissemination of the scientific knowledge obtained in the field of PBM in physical therapy so that the advances are effectively passed on to professionals who work clinically in the area.Item Estudo clínico cego e randomizado sobre o efeito da fotobiomodulação e da terapia fotodinâmica na cicatrização de lesões crônicas(Universidade Brasil, 2021) Moreira, Isabel Cristina Cavalcante Carvalho; Nuñez, Silvia CristinaChronic wounds can be defined as those that do not advance in relation to the orderly tissue repair process and compromise anatomical integrity and tissue repair time. Neuropathic ulcers are chronic lesions and one of the most stigmatizing sequelae of diabetic foot and leprosy-associated wounds, their presence is quite impairing for the individual and can lead to deformation and/or amputation of the affected limb. For the treatment of these wounds, there are a variety of existing topical products, including hydrogel. Besides, treatment through the use of photobiomodulation therapy (PBM) and photodynamic therapy (PDT) has shown positive results in the repair process. Objective: To evaluate the effects of PBM and PDT with methylene blue, associated or not with urea, on the healing of chronic wounds caused by diabetes and leprosy. Methodology: This is a blind randomized clinical trial. There were 17 volunteers with chronic diabetes wounds that were divided into 4 groups: Group I hydrogel with alginate (n=3), Group II PBM with diode laser λ= 660 nm, power of 100 mW, with 4J applied every 1 cm (n=6), Group III PDT with methylene blue at 100 µM associated with red emission diode laser λ = 660 nm, power of 100 mW with 9 J every 1 cm (n=5), and Group IV methylene blue 100 µM PDT associated with 2M urea (n=4) and the same irradiation parameters as G III. And 13 volunteers with chronic leprosy lesions divided into 4 groups: Group I hydrogel with alginate (n=3); Group II PBM with diode laser λ= 660 nm, power of 100 mW, with 4J applied every 1 cm (n=4) ; Group III PDT with methylene blue at 100 µM associated with red emission diode laser λ = 660 nm, power of 100 mW with 9 J every 1 cm (n=3) and Group IV PDT with methylene blue at 100 µM associated with 2M urea and the same irradiation parameters as G III. For the intervention protocol, the volunteers underwent 8 sessions, comprising 2 sessions a week, on alternate days. Photographic records were used for the macroscopic evaluation throughout the sessions and the measurement of the wound was related to the greatest length versus the greatest width. For all groups, the Pressure Ulcer Scale for Healing (PUSH), was applied to assess the healing process. Results: This study found that diabetic individuals undergoing hydrogel therapy (G I) did not present a reduction in chronic wound size. As measured by the PUSH score, it was not statistically significant (p value = 0.317). However, it was observed that there was a significant reduction in the size of the 9 chronic lesion measured by the PUSH Score between days 1 and 8 in individuals with diabetes for groups G II (p<0.001), G III (p=0.004) and G IV (p=0.001). It was found that in individuals with leprosy undergoing hydrogel therapy, the reduction of chronic wound, measured by the PUSH score, was not statistically significant (p value = 0.096). However, it was observed that there was a significant reduction in the size of the chronic lesion measured by the PUSH score between days 1 and 5 in individuals with leprosy for G II (p value = 0.021), G III (p value = 0.005 ) and G IV PDT+AM 100 µM associated with 2M urea (p value = 0.034). Conclusion: The therapies with PBM and PDT with methylene blue, and PDT with methylene blue associated with urea reduce the size of the chronic wound in diabetic patients, requiring 3 applications. All light therapies evaluated in the study reduced the size of chronic wounds in leprosy patients after five applications.