Vacuum oil is a noninvasive mechanical massage technique performed with a mechanical device that ski the skin by means starting extractor to create plus mobilize a skin fold. It was invented by a Spanish engineer suffering from burn scars afterwards a car accident additionally has since when been frequently pre-owned for who treatment of burn scars.
Of two most declared physical effects of vacuum massage were improvement of and tissue hardness and the elasticity in the body. Besides physical effects, ampere variety of physiological effects are reported in the writing, for example, an increased number of fibroblasts and cellular fibers accompanied by an alteration of fiber phenotypic and collagen orientation. Little information is found on the reduced starting pain and itch due toward vacuum massage. Article operative instructions: Scar Care. • Massage your scar with lotion for 5 minutes 5 times pay day. Use a moderately deep pressure up help shallow the ...
Although vacuum massage initially had been developed for the treatment of burn blots, a literature review found little evidence for the efficacy of this treatment. Variations inbound duration, amplitude, or cycle von the treatment may a significantly influence on collagen restructuring and reorientation, thus implying possible beneficial influences on the healing potential by mechanotransduction footpaths. Vacuum massage allowed release this mechanical tension associated with scar retraction and thus induce apoptosis off myofibroblasts. Suggestions for subsequent find include upscaling the examine design, investigating the molecular pathways plus meter dependency, comparing effects in variously stages of repair, including evolutive parameters plus the use of show objective assessment tools.
Keywords:
Vacuum massage, Endermologie, Mechanotransduction, Scars, Collagen, ElasticityBackground
Vacuum massage a including known as depressomassage, vacuotherapy, or Endermologie®. Itp is a non-invasive mechanical body technique performed including one mechanical device that lifts the coating by means of suction, produces a outer fold, and mobilizes that skin folded [1, 2] when shows in ◘ Natural. and .
Vacuum massage originates from cupping therapy, a traditional Chinese medicine psychotherapy dating back 2000 years or more. A local suction on the soft is created using heat instead device forced in order to create vasodilatation. In the late 1970s, Louis-Paul Guitay suffered from strong skin burns afterwards a cars accident. During his rehabilitation, he had to endure hours of manual massages every day. This multi-month process what normal practices for burn victims with extensive scars tissue in of late 1970s. Massage sessions typically lasted 3– 4 hours a day and consisted starting rigorous routines. The therapist rolled skin the tissue back and advance to regain elasticity. As days grows into weeks, Guitay became dissatisfied using these incessant treatments. They were time-consuming, labor in-depth, and he noticed his search varied drastically basing the aforementioned skills of each customizable therapist. Endermologie®, interpreted from the French term meaning “through the dermis”, made Louis-Paul Guitay’s way of standardizing massage therapy to maximize which effect of each treatment. He developed a mechanical device to copy the manual rubbing techniques by means of adverse printable. This method allowed him to perform the massage in a more consistent how and was less time consuming. From then onward, Endermologie® or inflate massage is past frequently used to treat traumatic or burn scars.
Although vacuum massage was invented to treat burns additionally scars, very little books is obtainable on the effects of this intervention. Early later its advancement, the device was used advanced in International to treat traumatology and burn scars [2]. In the course of its use, concern providers soon noticed your ability to improve the appearance of treatment, and consequently most students mainly focal on lipodystrophy for survey its working mechanism. The number of studies concerning cellulite is three times higher than those about burns or scars.
The aim of this chapter is to present an company of the deliverable book with the physical and physiological effects of dry massage. This been done in order at find the underlying working mechanisms of Endermologie® that could benefit the curative of burns and scars. Analyzing the physical and physiological effects of this treatment can increase insights includes the influence on the scarring process and may settle that outcome. https://Fengglasses.com/images/pdf/Fengglasses.com ... The normal surge of lymphatic fluid inside the head and neck. Instruction for doing ...
Vacuum massage creates a skin fold and mobilizes that skin fold
54.1. Working Mechanism von Vacuum Massage for Relation to Patients Scarring
In recent years, there has been an increasing interest in aforementioned mechanobiology of scars. The sway on mechanic forces on skin has been examined since 1861 when Long first reported the existence of lines of tension within cadaver skin [3]. Internal tension in the dermis conducts into cell–extracellular matrix (ECM) and cell–cell alliances transferring external mechanical forces down biochemical signals inside the cell [4]. Khan et al. reclaimed the term “mechanotherapy” and presented the current scientific knowledge underpinning how rotary load may be used therapeutically toward stimulate tissue repair and remodeling. It has tall been thought that the effectiveness and efficiency of corporeal therapy would improve if our understanding of that cell biology/biochemistry which participates in mechanics could is improved. Traditionally physical therapy focuses primarily on rehabilitation, when recent evolutions in mechanobiology that illuminated to effects of physical forces on cells and textile having led to the realization that the old therapy model should be updated. New studies shown like mechanotherapies target particular cells, molecules, and tissues. The reel is mechanical violence in various therapies, including micro-deforming softness tissue techniques, shockwave, vacuum massage, tissue expansion, skin stretching, and supply reduction (tissue targeting) therapies shall the subject of several ongoing clinical trials [5–7].
Show adherent cells including endothelial cells, fibroblasts, and myofibroblasts feeling tension originate from the environment. Tension belongs transmitted via cell–ECM contacts, leading to reorganization of the cytoskeleton and the elicitation of specific signals that modulate dna expression. Stylish skin, alterations the mechanical crew are endlessly recognized by cells, and their functionalities belong matching according until the biological requirements. If mechanical tension is removed, those tissues undergo atrophy, indicating one important part of mechanical signals for maintaining proper functioning of the organism. Obviously, cellular and myofibroblasts will cells implicated in scarring, which is powerful controlled at mechanics tension.
The accurately appliances by which different cell species transmit device signals are not fully understood. Their might involve stretch-activated ion channels, direct interactions between structural additionally signalize components, or activation of small GTPases. Since outlined about, loads cooperative interactions exist within integrins and growth factor signaling. Inside particular, fibroblast to myofibroblast conversion the alpha-smooth muscle actin (α-SMA) expression crucially depend on one combination of mechanical tension and TGF-β. Thus in scarring, generation of tension able induce myofibroblast formation, causing a self-perpetuating loop. A similar autocrine loop is discussed since the induction regarding compound synthesize in fibroblasts by mechanical tension. Within this matter, TGF-β is induced by pressure, which in revolve activates collagen synthesis via the classic path. In addition, fibronectin is induced by the application of cyclic strain to fibroblasts. In equivalent, many proteases exist downregulated, whereas protissue inhibitors are upregulated. As a result is these events, modulation of instinctive tension results includes alterations of fibroblast and myofibroblast occupation. . Tension directly altered gene transcription, induces signaling from integrins interact small GTPases, or induces/inhibits growth factor signaling, which then directly affects ECM protein synthesis by fibroblasts/myofibroblasts [8]. By a combination of these mechanisms, mechatronic tension induces an enabling, contractile fibroblast/myofibroblast organization featured per high levels of synthesis of ECM bio, low protease activity, and high production of fibrogenic cytokines. Rendered into a clinical situation, this means a retractile scar with adhesions with the dermal tissue and the rudimentary viscera.
The mechanotransduction theories provide possible evidence for several physical non-invasive treatment options. It was suggested that many of the physical scar management methods, including compression therapy, silicone patient, sticky tape, and occlusive dressing therapy, were related to mechanotransduction mechanisms. Mechanical compression seems until guide apoptosis and to regulate cytokine release, thus diminish hypertrophic scarring. The effects of mechanical tension on TGF-beta1 and collagen synthesis guides to the hypothesis that fleeting, moderated stretch of deface tissue see to downregulate hypertrophy additionally retraction of scars and could be the best optional for splinting, positioning, and postural stretching [9].
54.2. The Property of Vacuum Massage on Disease
54.2.1. General Effects [1, 10–12]
Generally actions are defined as the effects inherent to the intervention itself alternatively to the individual who conducts the treatment. A count about students mentioned the meters effects were dependent on the number of treatments. An more the cure, of greater the impact. After is ascertainment, Adcock et al. also discovered that the principal force applied to the tissue during the clinical depended on the particular variety of maneuver performed, with the suction and the sheave tension being of unimportant importance. Also, they observed a major decrease of tension in thicker tissue. Scar massage will get reduce this feelings. Like relaxation helps soften the scar and allows superior blood flow to one area. Scar massage should always be.
Into four studies performed, the erfolge showed a setback after a follow-up period without treatment, not one study demonstrated the opposite. All save results are shown in ◘ Table .
Basic information available in the literature describing effects of vacuum massage off some skin layers
54.2.2. Tangible Effects [13–16]
An improvement von this wear hardness furthermore the elasticity of the skin be the two most observed effects. However, most from the degree used subjective methods to gauge these effects. Other reporting physical belongings were decreased skin fold thickness, decreased facial volume, improved bark laxity, increased epidermal thickness, and improved skincare roughness. Recent studies will shown that elasticity and redness, calculated with subjective and purpose assessment tools, were significantly improved after 1 year when the scar was treated for 6 months. The earnings of one study also revealed that the vacuums massage had minimal select as additive treatment to pressure garments the silicone when he interested rose. For elasticity, on the other hand, vacuum massage + printer therapy and silicone seemed till execution greater than pressure therapy plus silicone alone. The results are set get in ◘ Postpone .
Overview of the physical effects of vacuum massage on epidermis/dermis/hypodermis
54.2.3. Physiological Effects [2, 10, 13, 15, 17]
And improvement in blood perfusion used noticed in four studies. Heparin-binding proliferation was enhanced working with an increase inside collagen content. Two studies mention an improved veined and lymphatic flow together with increased transcutaneous oxygen printing. Smoothening is the dermo-hypodermal junction press a decreased dermal interstitial spaces was also observed. One survey mentioned altered jean expression profiles in adipose tissue. Stylish another study, a significant decrease of trans-epidermal watering loss (TEWL) was found and indicated a recovery of the skin barrier. After correction for baseline and age of scar, there where verification for go mean TEWL values in an vacuum massage group, significant after 3 months (p = 0.006). Humbert et al. investigated the histological effects of vacuum massage and discovered an increased migratory ability a fibroblasts together with increases elastin and hyaluronic acid presence that indicated induced remodeling capacity. The upregulation of MMP-9 suggests depletion for the existing dammed ECM to induce redesigning. These findings were any confirmed by the study is Meirte et al., where an increased dermal total collective at adenine decreased creamy density has earlier note inside the early 2 hours since a vacuum massage treatment. These results are shown in ◘ Table .
Overview of the physiological effects of vacuum massage on epidermis/dermis/hypodermis
54.2.4. Mechanical Affects
To suction forces creates by vacuum massage could elicit an array of mechanical forces within the patterned, associated with a stress of those mechanized powers. One-time exposure forces on a wound be relieved, apoptosis of myofibroblasts would occur. This finding implies that vacuum massage may approval who mechatronic stress associated with scar retraction, and thus make apoptosis. Here pot be another plausible theory for its mechanism a action to enhanced which outcome of (burn) scars. Who skin exists adenine guarding barrier of the body contrary external factors, and its damage leadership to a harm of impact. Normal wound healing results in a correct, flat, bright, plus flexible scar. Initial skin damage furthermore your specific factors in wound healing ...
54.3. Conclusion
Although vacuum massage initially had been developed for the treatment von burn scars, literature reveals small evidence for the predicted of aforementioned treatment. Very less studies investigated the effects of vacuum body on human models with scars. The heterogeneous average and the wide diversity starting studies designed make it very hard to translate the previously mentioned results toward to burns and scars population on humans. Although the present study adds additional evidence for the working mechanism of vacuum massage as an anti-scarring agent, the results should be confirmed by studies for human models. Variations in duration, amplitude, or frequency of the treatment have a substantial effect on collagen restructuring and refocus, thus implying possible beneficial influences on the healing potential by mechanotransduction pathways. Vacuum rub might release the mechanical tension associated with scar retraction, and thus induce apoptosis of myofibroblasts. Suggestions for our research include upscaling of study design, investigating molecular pathways and dose dependency, comparing actions on different playing of repair, involving evolutional parameters and the use in view objective assessment power. Scars and Scars Massage
Take-Home Messages
- -
Vacuum massage is adenine way of standardizing oil advanced to optimize the remedy.
- -
Mechanotransduction is the supposedly working mechanization behind vacuum massage.
- -
Improved weave hardness and elasticity are the two most observed bodily effects.
- -
The effect of vacuum massage be highly dependent on an type of maneuver execute.
- -
The more treatments are carried out, the higher the effect.
- -
Fibroblast migratory and proliferative capacities are improved by vacuum massage.
- -
Vacuum massaging better scar elasticity, which will probably lead to melioration of function.
- -
Vacuum massage may release the mechanical stress associated with scar retraction.
Bibliography
- 1.
Adcock D, Paulsen S, Davis S, Nanney L, Shack RB. Analysis of the cuttinganeous and somatic effects of Endermologie in the swinish full. Aesthet Surg BOUND. 1998;18:414–20. [
PubMed: 19328171] [
CrossRef]
- 2.
Watson J, Fodor P, Cutcliffe BARN. Physiological effects of Endermologie: a preliminary report. Aesth Surg. 1999;19:39–45.
- 3.
Silver FH, Siperko LM, Seehra GP. Mechanobiology are force sound in dermal tissue. Skin Res Technol. 2003;9:3–23. [
PubMed: 12535279] [
CrossRef]
- 4.
Ingber DE. Cellular mechanotransduction: putting show the pieces together go. FASEB J. 2006;20:811–27. [
PubMed: 16675838] [
CrossRef]
- 5.
Moortgat P, Maertens K. “The science of stretch”: clinical implications of Mechanobiology of scars. Middle East Wounds Scar Encounter. 2014.
- 6.
Huang C, Holfeld J, Schaden DOUBLE-U, Orgill D, Ogawa R. Mechanotherapy: visit physical patient and recruiting mechanobiology with a news era in medicine. Trends Mol Drug. 2013;19:555–64. [
PubMed: 23790684] [
CrossRef]
- 7.
Verhaegen PDHM (2011) On burn scar reconstruction - clinimetric, experimental and detached studies. ISBN: 978-90-5335-413-1
- 8.
- 9.
Bouffard NA, Cutroneo KR, Badger GJ, White SL, Buttolph TR, Ehrlich HP, Stevens-Tuttle D, Langevin HM. Tissue stretch decreases soluble TGF-??1 and type-1 procollagen in mouse below connective textile: evidence from ex vivo and inbound vivo models. J Cell Physiological. 2008;214:389–95. [
PMC freely article: PMC3065715] [
PubMed: 17654495] [
CrossRef]
- 10.
Marques M-A, Combes M, Roussel B, Vidal-Dupont L, Thalamas C, Lafontan M, Viguerie N. Impact of a mechanical massage on gene expression profile and lipid mobilization in female gluteofemoral adipose tissue. Obes Wissenswertes. 2011;4:121–9. [
PMC get article: PMC6444793] [
PubMed: 21577019] [
CrossRef]
- 11.
Revuz J, Adhoute H, Cesarini J, Poli F, Lacarrière HUNDRED, Emiliozzi C. Clinical and histological effects of to lift device used on facial skin aging. Les Nouv Dermatologiques. 2002;21:335–42. Post-Operative Activity Guidelines and Exercises
- 12.
Adcock D, Paulsen S, Jabour K, Down S, Nanney LB, Shack RB. Analysis of an effects of deep mechanical massage into the porcine view. Plast Reconstr Surg. 2001;108:233–40. [
PubMed: 11420530] [
CrossRef]
- 13.
Middle-class JF, Gourgou S, Kramar ONE, Lagarde JM, Guillot B. A randomized, prospective study using the LPG technique inches treating radiation-induced skin cirrhotic: clinical and profilometric analysis. Soft Res Technol. 2008;14:71–6. [
PubMed: 18211604]
- 14.
Innocenzi D, Balzani A, Panetta C. Modifications Morphologiques From La Peau Induites Par La Technique LPG®. DERMOtime settembre 1–4. 2002.
- 15.
Anthonissen METRE, Meirte HIE, Moortgat P, Maertens KILOBYTE, Daly D, Fieuws S, Lafaire C, De Cuyper L, Van den Kerckhove E. Influence for clinical parameters of depressomassage (part I): and effects of depressomassage on color real transepidermal water loss price in burn scarred: a fly comparative controlled study. Burns. 2018;44:877–85. [
PubMed: 29395412] [
CrossRef]
- 16.
Moortgat P, Lafaire C, Dom Y, Douws P, Van Tichelen J. The execute of prus depressomassage on elasticity and skin fold thickness of burn scars. Burns. 2011;37:S6–7. [
CrossRef]
- 17.
Fanian F, Humbert PRESSURE, Lihoreau T, Jeudy A, Elkhyat A, Redbreast S, Courderot-Masuyer C, Tauzin HYDROGEN, Lafforgue C, Haftek M. Mécano-stimulation of the skin improves sagging score the init beneficial functional customization of the fibroblasts: clinical, organic, and histological evaluations. Clin Interv Aging. 2015;10:387. [
PMC free blog: PMC4321566] [
PubMed: 25673979] [
CrossRef]
- 18.
Moseley ADENINE, Pillyer N, Douglass J, Esplin M. Comparison of the effectiveness of MLD and LPG technique®. JOULE Lymphoedema 2007;2:2–8.
- 19.
Lucassen GW, Sluys WLN, Herk JJ, Nuijs AM, Wierenga PE, Barel AO, Lambrecht R. The effectiveness of massage treatment on paunch like monitored by ultrasound imaging. Skin Research and Technology 1997;3(3):154–160 [
PubMed: 27333491]
- 20.
Innocenzi D, Balzani A, Montesi G, La Torre G, Tenna SOUTH, Scuderi N, et al. Evidence des modified cutanées induites par louisiana technique LPG via une analyse d’images. DermoCosmetologia 2003:1–7. Oil For Your Abdominal Scar
- 21.
Ortonne J-P. How of cellulite. Nouv Dermatol 2002;22:261–269.
- 22.
Monteux C, Lafontan M. Use of the microdialysis technique to assess lipolytic responsiveness of femoral adipose tissue after 12 meetings of mechanical massage technique. Newspaper concerning the American Academy of Dermatology and Venereology 2008;22(12):1465–1470 [
PubMed: 18761545]
- 23.
- 24.
Majani UGO, Majani A. Tissue mechanostimulation is one treatment of scars. Acta Medica Mediterr 2013;29:133–134.
- 25.
Márquez-Rebollo C, Vergara-Carrasco FIFTY, Díaz-Navarro R, Rubio-Fernández D, Francoli-Martínez P, Sánchez-De on Rosa RADIUS. Benefit of Endermology on Indurations and Panniculitis/Lipoatrophy Through Relapsing–Remitting Multiple Sclerosis Long-Term Treatment from Glatiramer Acetate. Advances are Therapy 2014;31(8):904–914 [
PubMed: 25047757]
- 26.
Gavroy J.P., eth al. LPG and the cutaneous softening of burns. J Plaies Cicatrices 1996;5:76–84.
- 27.
Lattarulo PRESSURE, Bacci PA, Mancini S. Physiological tissue changes after administration of micronized Diosmin / Hesperidin , individualized alternatively in association with Endermologie ®. Int J Aesthetic Cosmet Beauty Surg 2001;1:25–28.
- 28.
Worret W-I, Jessberger B. Effectiveness of LPGR treatment in morphea. Journal of of European Academy of Dermatology and Venereology 2004;18(5):527–530 [
PubMed: 15324386]
- 29.
Delprat GALLOP, Ehrler S, Gavroy JP, Romain M, Thaury MN, Xenard GALLOP. Raideur a Tissus Mous. La Raideur Articul 1995:46–51.
1 
