Introdução: O contorno corporal preocupa muitas mulheres e o ultrassom focalizado (HIFU) atua no tecido adiposo reduzindo-o. Objetivo: Comparar os efeitos do ultrassom focalizado sobre o tecido adiposo abdominal de mulheres praticantes e não praticantes de atividade física. Materiais e Métodos: A amostra foi composta por 22 mulheres voluntárias com sobrepeso, divididas igualmente em dois grupos (G1não praticantes de atividade física e G2 praticantes), e subdivididas de acordo com a faixa etária em A de 20-29 anos e B de 30-39 anos. Foram avaliadas pré e pós o protocolo de tratamento através da bioimpedância, pregas cutâneas, perimetria, escala de satisfação da imagem corporal e lipidograma completo. Foram realizadas cinco sessões, sendo uma por semana, utilizando ultrassom focalizado durante 40 minutos, após aprovação do comitê de ética, sob o número 388.929/2013. Resultados: Todos os grupos apresentaram diminuição estatisticamente significativa na perimetria da região tratada, cintura e abdome, res-pectivamente, sendo G1A (p= 0,0052/ 0,0051), G1B (p= 0,0081/ 0,0090), G2A (p= 0,0197/ 0,0032) e G2B (p= 0,0132/ 0,0400), e somente o G1A (p= 0,0211) reduziu quadril. Na bioimpedância apenas em massa gorda (MG) o G1B apresentou redução (p= 0,0493). Nas pregas cutâneas houve redução significativa nas pregas biciptal em G1B (p= 0,0326) e G2A (p= 0,0218), e em G1A nas pregas escapular (p= 0,0395) e abdominal (p= 0,0408). Apenas o item "como se vê" da imagem corporal apresentou redução no G2A (p= 0,0041). No perfil lipídico, somente o G2B reduziu significativamente os valores de colesterol total e LDL. Conclusão: Conclui-se que o protocolo utilizado com HIFU reduziu a perimetria em praticantes e não praticantes de atividade física.
Introduction:Fibromyalgia is a rheumatic syndrome that mainly affects women, being more common in the age group between 30 and 55 years of age, with reports of diffuse and chronic pain for more than three months. Despite the presence of hyperalgic points called "tender points" there Alves et al.; JAMMR, 31(10): 1-14, 2019; Article no.JAMMR.53660 2 is no evidence of deformities to organs and joints. Its confirmation is clinical after the exclusion of other pathologies. Objective: The objective of this research aims to analyze the clinical picture and sleep quality in patients with fibromyalgia, coming from the School of Physiotherapy Clinic of Gurupi University. Materials and Methods: The research has a qualiquantitative character, consisting of 22 female participants, divided into 2 groups: Experimental Group (EG -11 participants) and Control Group (CG -11 participants), all of whom came from the School of Physiotherapy Clinic of Gurupi University. For the collection of information, questions were used semi-structured, which were: 1) Identification form (preparedby academics to register participants and identify information about the previous history of the disease); 2) Questionnaire of perception of the disease (collected through an interview directed and recorded by undergraduates and later transcribed) and, 3) Pittsburgh's sleep qua-dealing index. The entire protocol was performed after 20 treatment sessions, both for the experimental group and for the control group, according to inclusion and exclusion criteria. The results were descriptively analyzed according to the tabulation in Microsoft Office ® (2010) and inferential with significance p<0.05, through the Program SPSS 18.0. Results: The results show a decrease in the perception of the quality of life, through sleep quality. Discursive findings show the binding of fibromyalgia with depression, chronic pain and discouragement. The statistical results show a picture of little quality of restorative sleep because more than half of the interviewees say they take to sleep, have bad dreams and raise several times during the night. It is noteworthy that most volunteers said they could sleep more than 6 hours a night with sleep efficiency greater than 85%, only half of the sample confirmed eating, between 3 or more times, sleeping medications. Conclusion: The reports analyzed showed the relevance in improving the quality of life of the participants undergoing treatment. However, the statistical data alone did not present a significant differentiation between the participants of the control group and the experimental group. Only when observing, sleep quality tends to be better for participants who are having a physiotherapeutic follow-up. Original Research Article
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