IJPR.2017.127

Type of Article:  Original Research

Volume 5; Issue 3 (May 2017)

Page No.: 2019-2025

DOI: https://dx.doi.org/10.16965/ijpr.2017.127

EFFICACY OF ULTRASOUND CAVITATION, TRIPOLLAR RADIOFREQUENCY LIPOLYSIS AND COMBINATION THERAPY ON ABDOMINAL ADIPOSITY

Mohamed H. El Gendy 1, Rabab A. Mohamed *2, Omar M. Ali 3.

1 Professor of Physical Therapy, Department of Basic Science, Faculty of Physical Therapy, Cairo University, Egypt.

*2 Lecturer, Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo University, Egypt.

3 Physical Therapist, El minya, Egypt.

Address for the Correspondence: Dr. Rabab A. Mohamed, Lecturer, Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo University, Egypt. E-Mail: rabab_ali1978@hotmail.com

ABSTRACT

Background: Central obesity or increased intra-abdominal fat is associated with a statistically higher risk of heart disease, hypertension, insulin resistance, and diabetes mellitus type 2.

Objective: This study was conducted to investigate and compare the effectiveness of tripollar radiofrequency lipolysis (RF), ultrasound (US) cavitation and their combination on abdominal subcutaneous fat thickness and waist circumference (WC) in patients with abdominal adiposity.

Subjects: Thirty subjects suffering from localized fat deposits at the abdominal area with age ranged from 25-50 years old, BMI more than 30 kg/m2 assigned randomly into three equal groups: Group (A) consisted of 10 subjects with mean age and BMI were 38.7±6.63 years and 33.55±1.31 kg/m2 respectively. Group (B) consisted of 10 subjects with mean age and BMI were 34.3±7.76 years and 33.57±1.57kg/m2 respectively. Group (C) consisted of 10 subjects with mean age and BMI were 34.3±7.76 years and 32.99±3.73 kg/m2 respectively.

Methods: Group (A) received US cavitation (AC 220 Volt. 40 KHz) twice weekly for 10 sessions. Group (B) received tripollar RF (AC 220 Volt .1MHZ. 50 Watts) twice weekly for 10 sessions. Group (C) received combination therapy (both tripollar RF and US cavitation) twice weekly for 10 sessions. Subjects in all groups were assessed using ultrasonography and tape measurement before treatment then after treatment after 10 sessions to measure subcutaneous fat thickness and WC.

Results: Showed that there was statistical significant difference between pre and post treatment within each group (A, B and C) for abdominal subcutaneous fat thickness and WC. But there was a non-statistical significant difference between group A and group C; also, there was no statistical significant difference between group A and group B, while, there was a statistical significant difference between group B and group C in management of abdominal adiposity.

Conclusion: Ultrasound cavitation, tripollar RF and their combination were effective methods for management of abdominal adiposity, but combination therapy were the most effective.

Key words: Abdominal Adiposity, Ultrasound Cavitation, Tripollar Radiofrequency, Combination therapy, Waist Circumference.

REFERENCES

  1. Teitelbaum S, Burns J, Kubota J. Noninvasive body contouring by focused ultrasound: safety and efficacy of the contour I device in multicenter ,controlled, clinical study .plast reconstr surg 2007;120:779-789.
  2. World Health Organization. The problem of overweight and obesity 2000;1.
  3. Wen-Yuan L, Xavier P, Chiu L, Chia L, Lance E, Davidson. Central Obesity and Albuminuria: Both Cross-Sectional and Longitudinal Studies in Chinese .2013;12(7):94-102.
  4. Avram M, Avram A, James W. Subcutaneous fat in normal and diseased states. J Am Acad Dermatol. 2005;53(4):663-70.
  5. Zampronio F, Dreher D. Actuation of dermato-functional physiotherapy on dysfunctional resulting from pregnancy, regional university northwest state of Rio Granddo Sul-UNIJUI.2012;8:122-5.
  6. Cooter R, Babidge W, Mutimer K. Ultrasound-assisted lipoplasty.anz j surg 2011;7:309-17.
  7. Kyle M, Coleman D, William P. Coleman I, Arie B. Non-invasive external ultrasonic lipolysis,   Seminars in Cutaneous Medicine and Surgery. 2009;28(4):263-7.
  8. Alster T, Lupton J. Non-ablative cutaneous remodeling using radiofrequency devices. Clinical in Dermatology. 2007;25:487-91.
  9. Després, Jean P, Isabelle L. Review Article Abdominal Obesity and Metabolic Syndrome. J.Inter sci. 2012; 444:881-7.
  10. Rallandand, Harland C. Ultrasound in dermatology–basic principles and applications.ClinExpDermatol. 2003;28(6):632-8.
  11. Querleux B, Cornillon C, Jolivet O, Bittoun J. Anatomy and physiology of subcutaneous adipose tissue by in vivo magnetic resonance imaging and spectroscopy: relationships with sex and presence of cellulite. Skin Res Technol 2002;8:118-24.
  12. Jensen M. Is visceral fat involved in the pathogenesis of   the metabolic syndrome Human model? Obesity (Silver Spring) .2006;14(1):20-4.
  13. Khan M, Victor F, Rao B, Sadick N. Treatment of cellulite: Part II. Advances and controversies [review]. J Am Acad Dermatol. 2010;62(3):373-386.
  14. Scorza A, Figueiredo M, Liao O, Borges S. Comparative study of the side effect of electrolipolysis with of TENS brust mode and normal mode in treatment of located abnormal adiposity, Essays and science: Biological, agricultural and health science. 2008;12(2):49-62.
  15. Saber M., shalaby S., kharbotly A., Taher N, saber L, Medhat A. effect of ultra sound cavitation therapy as a non invasive approach on adipose tissue thickness in egyption women. J. AppI. Sci.Res.2013;9(11):5964-9.
  16. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, McQueen M, Budaj A, Pais P, Varigos J, Lisheng L. Interheart Study Investigators. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the Interheart study): case-control study. American J.heart.Lancet 2004;364(9438): 937-52.
  17. Coleman M, Coleman W, Benchetrit A. Non-invasive, external ultrasonic lipolysis.  Semin  Cutan  Med  2009;28(4):263-7.
  18. Christ C, Brenke R, Sattler G, Siems W, Novak P, Daser A. Improvement in skin elasticity in the treatment on cellulite and connective tissue weakness by means of extracorporeal pulse activation therapy. Aesthet Surg J. 2008;28(5):538-44.
  19. Fatemi A, Kane M. High-intensity focused ultrasound effectively reduces waist circumference by ablating adipose tissue from the abdomen and fanks: a retrospective case series. Aesthetic Plast Surg. 2010;34(5):577-82.
  20. New non-invasive fat removal technologies offer alternative to liposuction for removing stubborn fat. Academy of Dermatology (AAD).2012;6:45-49.
  21. [20].         Goldberg D, Fazeli A, Berlin A. Clinical, laboratory, and MRI analysis of cellulite treatment with a unipolar radio- frequency device. Dermatol Surg.2008;34:204-9.
  22. Coldiron B, Healy C, Bene N. Office surgery incidents: what seven years of Florida data show us? Dermatol Surg.2008;34(3):91-285.

Cite this article: Mohamed H. El Gendy, Rabab A. Mohamed, Omar M. Ali. EFFICACY OF ULTRASOUND CAVITATION, TRIPOLLAR RADIOFREQUENCY LIPOLYSIS AND COMBINATION THERAPY ON ABDOMINAL ADIPOSITY. Int J Physiother Res 2017;5(3):2019-2025. DOI: 10.16965/ijpr.2017.127
Share this Research
Share on FacebookShare on Google+Tweet about this on TwitterShare on LinkedInEmail this to someonePrint this pagePin on Pinterest