scholarly journals The physical and physiological effects of vacuum massage on the different skin layers: a current status of the literature

2016 ◽  
Vol 4 ◽  
pp. 1-12 ◽  
Author(s):  
Peter Moortgat ◽  
Mieke Anthonissen ◽  
Jill Meirte ◽  
Ulrike Van Daele ◽  
Koen Maertens
Keyword(s):  
Objective Assessment ◽  
Assessment Tools ◽  
Current Status ◽  
Future Research ◽  
Physiological Effects ◽  
Qualitative Synthesis ◽  
Non Invasive ◽  
Skin Fold ◽  
Tissue Hardness ◽  
Physical Effects

Abstract Vacuum massage is a non-invasive mechanical massage technique performed with a mechanical device that lifts the skin by means of suction, creates a skin fold and mobilises that skin fold. In the late 1970s, this therapy was introduced to treat traumatic or burn scars. Although vacuum massage was invented to treat burns and scars, one can find very little literature on the effects of this intervention. Therefore, the aim of this review is to present an overview of the available literature on the physical and physiological effects of vacuum massage on epidermal and dermal skin structures in order to find the underlying working mechanisms that could benefit the healing of burns and scars. The discussion contains translational analysis of the results and provides recommendations for future research on the topic. An extended search for publications was performed using PubMed, Web of Science and Google Scholar. Two authors independently identified and checked each study against the inclusion criteria. Nineteen articles were included in the qualitative synthesis. The two most reported physical effects of vacuum massage were improvement of the tissue hardness and the elasticity of the skin. Besides physical effects, a variety of physiological effects are reported in literature, for example, an increased number of fibroblasts and collagen fibres accompanied by an alteration of fibroblast phenotype and collagen orientation. Little information was found on the decrease of pain and itch due to vacuum massage. Although vacuum massage initially had been developed for the treatment of burn scars, this literature review found little evidence for the efficacy of this treatment. Variations in duration, amplitude or frequency of the treatment have a substantial influence on collagen restructuring and reorientation, thus implying possible beneficial influences on the healing potential by mechanotransduction pathways. Vacuum massage may release the mechanical tension associated with scar retraction and thus induce apoptosis of myofibroblasts. Suggestions for future research include upscaling the study design, investigating the molecular pathways and dose dependency, comparing effects in different stages of repair, including evolutive parameters and the use of more objective assessment tools.

scholarly journals Vacuum Massage in the Treatment of Scars

2020 ◽  
pp. 475-483
Author(s):  
Peter Moortgat ◽  
Jill Meirte ◽  
Ulrike Van Daele ◽  
Mieke Anthonissen ◽  
Tine Vanhullebusch ◽  
...  
Keyword(s):  
Objective Assessment ◽  
Assessment Tools ◽  
Future Research ◽  
Molecular Pathways ◽  
Physiological Effects ◽  
Collagen Orientation ◽  
Skin Fold ◽  
Tissue Hardness ◽  
Physical Effects ◽  
Car Accident

AbstractVacuum massage is a noninvasive mechanical massage technique performed with a mechanical device that lifts the skin by means of suction to create and mobilize a skin fold. It was invented by a French engineer suffering from burn scars after a car accident and has since then been frequently used for the treatment of burn scars.The two most reported physical effects of vacuum massage were improvement of the tissue hardness and the elasticity of the skin. Besides physical effects, a variety of physiological effects are reported in the literature, for example, an increased number of fibroblasts and collagen fibers accompanied by an alteration of fibroblast phenotype and collagen orientation. Little information was found on the decrease of pain and itch due to vacuum massage.Although vacuum massage initially had been developed for the treatment of burn scars, a literature review found little evidence for the efficacy of this treatment. Variations in duration, amplitude, or frequency of the treatment have a substantial influence on collagen restructuring and reorientation, thus implying possible beneficial influences on the healing potential by mechanotransduction pathways. Vacuum massage may release the mechanical tension associated with scar retraction and thus induce apoptosis of myofibroblasts. Suggestions for future research include upscaling the study design, investigating the molecular pathways and dose dependency, comparing effects in different stages of repair, including evolutive parameters and the use of more objective assessment tools.

scholarly journals Non-invasive imaging of the coronary arteries

2018 ◽  
Vol 40 (29) ◽  
pp. 2444-2454 ◽  
Author(s):  
Philip D Adamson ◽  
David E Newby
Keyword(s):  
Coronary Arteries ◽  
Randomized Clinical Trials ◽  
Rapid Development ◽  
Current Status ◽  
Future Research ◽  
Research Perspective ◽  
Non Invasive ◽  
Positron Emission ◽  
Prognostic Stratification

Abstract Non-invasive imaging of the coronary arteries is an enterprise in rapid development. From the research perspective, there is great demand for in vivo techniques that can reliably identify features of high-risk plaque that may offer insight into pathophysiological processes and act as surrogate indicators of response to therapeutic intervention. Meanwhile, there is clear clinical need for greater accuracy in diagnosis and prognostic stratification. Fortunately, ongoing technological improvements and emerging data from randomized clinical trials are helping make these elusive goals a reality. This review provides an update on the current status of non-invasive coronary imaging with computed tomography, magnetic resonance, and positron emission tomography with a focus on current clinical applications and future research directions.

scholarly journals Developing non‐invasive, objective assessment tools for social apathy in neurocognitive disorders: The role of action kinematics

2020 ◽  
Vol 16 (S6) ◽  
Author(s):  
Valeria Manera ◽  
Guenda Gualperti ◽  
Erika Rovini ◽  
Radia Zeghari ◽  
Gianmaria Mancioppi ◽  
...  
Keyword(s):  
Objective Assessment ◽  
Neurocognitive Disorders ◽  
Assessment Tools ◽  
Non Invasive

scholarly journals Physiological effects of oral glucosamine on joint health: current status and consensus on future research priorities

2013 ◽  
Vol 6 (1) ◽  
Author(s):  
Yves Henrotin ◽  
◽  
Xavier Chevalier ◽  
Gabriel Herrero-Beaumont ◽  
Timothy McAlindon ◽  
...  
Keyword(s):  
Research Priorities ◽  
Current Status ◽  
Future Research ◽  
Physiological Effects ◽  
Joint Health

scholarly journals Natriuretic Peptides as Biomarkers for Congestive States: The Cardiorenal Divergence

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Abhilash Koratala ◽  
Amir Kazory
Keyword(s):  
Renal Dysfunction ◽  
Natriuretic Peptides ◽  
Fluid Overload ◽  
Objective Assessment ◽  
Adverse Outcomes ◽  
Assessment Tools ◽  
Future Research ◽  
Patients With Heart Failure ◽  
Assessment And Monitoring ◽  
And Performance

Congestion represents the primary reason for hospitalization of patients with heart failure and is associated with adverse outcomes. Fluid overload has been shown to be inadequately addressed in a significant subset of these patients in part due to lack of robust, reliable, and readily available biomarkers for objective assessment and monitoring of therapy. Natriuretic peptides have long been used in this setting, often in conjunction with other assessment tools such as imaging studies. Patients presenting with concomitant cardiac and renal dysfunction represent a unique population with regard to congestion in that the interactions between the heart and the kidney can affect the utility and performance of biomarkers of fluid overload. Herein, we provide an overview of the currently available evidence on the utility of natriuretic peptides in these patients and discuss the clinical conundrum associated with their use in the setting of renal dysfunction. We highlight the potential divergence in the role of natriuretic peptides for assessment of volume status in a subset of patients with renal dysfunction who receive renal replacement therapy and call for future research to elucidate the utility of the biomarkers in this setting.

scholarly journals Machine Learning-Based Behavioral Diagnostic Tools for Depression: Advances, Challenges, and Future Directions

2021 ◽  
Vol 11 (10) ◽  
pp. 957
Author(s):  
Thalia Richter ◽  
Barak Fishbain ◽  
Gal Richter-Levin ◽  
Hadas Okon-Singer
Keyword(s):  
Machine Learning ◽  
Objective Assessment ◽  
Clinical Information ◽  
Assessment Tools ◽  
Behavioral Data ◽  
Diagnostic Tools ◽  
Diagnostic Process ◽  
Future Research ◽  
Neuroimaging Data ◽  
Future Research Directions

The psychiatric diagnostic procedure is currently based on self-reports that are subject to personal biases. Therefore, the diagnostic process would benefit greatly from data-driven tools that can enhance accuracy and specificity. In recent years, many studies have achieved promising results in detecting and diagnosing depression based on machine learning (ML) analysis. Despite these favorable results in depression diagnosis, which are primarily based on ML analysis of neuroimaging data, most patients do not have access to neuroimaging tools. Hence, objective assessment tools are needed that can be easily integrated into the routine psychiatric diagnostic process. One solution is to use behavioral data, which can be easily collected while still maintaining objectivity. The current paper summarizes the main ML-based approaches that use behavioral data in diagnosing depression and other psychiatric disorders. We classified these studies into two main categories: (a) laboratory-based assessments and (b) data mining, the latter of which we further divided into two sub-groups: (i) social media usage and movement sensors data and (ii) demographic and clinical information. The paper discusses the advantages and challenges in this field and suggests future research directions and implementations. The paper’s overarching aim is to serve as a first step in synthetizing existing knowledge about ML-based behavioral diagnosis studies in order to develop interventions and individually tailored treatments in the future.

scholarly journals Recent progress on peripheral neural interface technology towards bioelectronic medicine

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Youngjun Cho ◽  
Jaeu Park ◽  
Chengkuo Lee ◽  
Sanghoon Lee
Keyword(s):  
Research Direction ◽  
Neural Interface ◽  
Therapeutic Interventions ◽  
Current Status ◽  
Future Research ◽  
Autonomic Nerves ◽  
Non Invasive ◽  
Bioelectronic Medicine ◽  
Novel Concept ◽  
Chronic Disease State

AbstractModulation of the peripheral nervous system (PNS) has a great potential for therapeutic intervention as well as restore bodily functions. Recent interest has focused on autonomic nerves, as they regulate extensive functions implicated in organ physiology, chronic disease state and appear tractable to targeted modulation of discrete nerve units. Therapeutic interventions based on specific bioelectronic neuromodulation depend on reliable neural interface to stimulate and record autonomic nerves. Furthermore, the function of stimulation and recording requires energy which should be delivered to the interface. Due to the physiological and anatomical challenges of autonomic nerves, various forms of this active neural interface need to be developed to achieve next generation of neural interface for bioelectronic medicine. In this article, we present an overview of the state-of-the-art for peripheral neural interface technology in relation to autonomic nerves. Also, we reveal the current status of wireless neural interface for peripheral nerve applications. Recent studies of a novel concept of self-sustainable neural interface without battery and electronic components are presented. Finally, the recent results of non-invasive stimulation such as ultrasound and magnetic stimulation are covered and the perspective of the future research direction is provided.

scholarly journals A Survey on the Current Status and Future Challenges Towards Objective Skills Assessment in Endovascular Surgery

2016 ◽  
Vol 01 (03) ◽  
pp. 1640010 ◽  
Author(s):  
Evangelos B. Mazomenos ◽  
Ping-Lin Chang ◽  
Alexander Rolls ◽  
David J. Hawkes ◽  
Colin D. Bicknell ◽  
...  
Keyword(s):  
Objective Assessment ◽  
Working Hours ◽  
Surgical Skills ◽  
Endovascular Surgery ◽  
Assessment Tools ◽  
Current Status ◽  
Skills Assessment ◽  
Endovascular Interventions ◽  
Number Of Patients ◽  
Endovascular Skills

Minimally invasive endovascular interventions have evolved rapidly over the past decade, facilitated by breakthroughs in medical imaging and sensing, instrumentation and most recently robotics. Catheter-based operations are potentially safer and applicable to a wider patient population due to the reduced comorbidity. As a result endovascular surgery has become the preferred treatment option for conditions previously treated with open surgery and as such the number of patients undergoing endovascular interventions is increasing every year. This fact coupled with a proclivity for reduced working hours results in a requirement for efficient training and assessment of new surgeons, that deviates from the “see one, do one, teach one” model introduced by William Halsted, so that trainees obtain operational expertise in a shorter period. Developing more objective assessment tools based on quantitative metrics is now a recognized need in interventional training and this manuscript reports the current literature for endovascular skills assessment and the associated emerging technologies. A systematic search was performed on PubMed (MEDLINE), Google Scholar, IEEXplore and known journals using the keywords, “endovascular surgery”, “surgical skills”, “endovascular skills”, “surgical training endovascular” and “catheter skills”. Focusing explicitly on endovascular surgical skills, we group related works into three categories based on the metrics used; structured scales and checklists, simulation-based and motion-based metrics. This review highlights the key findings in each category and also provides suggestions for new research opportunities towards fully objective and automated surgical assessment solutions.

scholarly journals Infrared Thermal Imaging as a Novel Non-Invasive Point-Of-Care Tool to Assess Filarial Lymphoedema

2021 ◽  
Vol 10 (11) ◽  
pp. 2301
Author(s):  
Louise A. Kelly-Hope ◽  
Mohammad Jahirul Karim ◽  
ASM Sultan Sultan Mahmood ◽  
Abdullah Al Al Kawsar ◽  
Abul Khair ◽  
...  
Keyword(s):  
Thermal Imaging ◽  
Health Workers ◽  
Point Of Care ◽  
Objective Assessment ◽  
Assessment Tools ◽  
Term Care ◽  
Infrared Thermal Imaging ◽  
Non Invasive ◽  
Progression Of Disease ◽  
History Of

Lymphatic filariasis causes disfiguring and disabling lymphoedema, which is commonly and frequently exacerbated by acute dermatolymphangioadenitis (ADLA). Affected people require long-term care and monitoring but health workers lack objective assessment tools. We examine the use of an infrared thermal imaging camera as a novel non-invasive point-of-care tool for filarial lower-limb lymphoedema in 153 affected adults from a highly endemic area of Bangladesh. Temperature differences by lymphoedema stage (mild, moderate, severe) and ADLA history were visualised and quantified using descriptive statistics and regression models. Temperatures were found to increase by severity and captured subclinical differences between no lymphoedema and mild lymphoedema, and differences between moderate and severe stages. Toes and ankle temperatures detected significant differences between all stages other than between mild and moderate stages. Significantly higher temperatures, best captured by heel and calf measures, were found in participants with a history of ADLA, compared to participants who never had ADLA, regardless of the lymphoedema stage. This novel tool has great potential to be used by health workers to detect subclinical cases, predict progression of disease and ADLA status, and monitor pathological tissue changes and stage severity following enhanced care packages or other interventions in people affected by lymphoedema.

Sign in / Sign up

Export Citation Format

Share Document