IntroductionTo evaluate the effects of shock wave therapy on the fibrous septa of cellulite in Brazilian womenMethodsThe sample consisted of 20 women with gluteal cellulite (grade III) evaluated through protocols and ultrasound examinations before and after treatment. The volunteers were randomly distributed into treatment group (TG) and control group (CG). TG received shock wave therapy, while CG volunteers received vibratory massage. The shock wave parameters were: intensity of 3.5 bar, frequency of 21 Hz, and 1500 pulses per application. Both groups underwent 6 treatment sessions, 1 per week, of 30 minutes each.ResultsData were analysed by the SPSS software, with a significance level of 5% and a 95% confidence interval. TG presented a significant reduction of septa in the right gluteus (<i>p</i> = 0.001) and left gluteus (<i>p</i> = 0.000). Only the right gluteus revealed fat layer reduction (<i>p</i> = 0.043). There was no reduction in CG for these variables (<i>p</i> > 0.05). In the intergroup comparison, only the septum thickness measurement of the left gluteus showed some reduction, generating a significant value (<i>p</i> = 0.008). Although no change in the other variables was observed in any of the groups (<i>p</i> > 0.05), the participants reported improvement in quality of life.ConclusionsThe shock wave protocol applied in this study significantly reduced the fat layer and cellulite septa.

This study describes the results of four children with hemiparetic cerebral palsy, age between four and eleven years (6.50± 3.32) who had performed a Constraint-induced Movement Therapy (CIMT) protocol. The purpose was to analyze qualitatively the effects of the CIMT protocol on the use of the affected upper limb. The protocol was performed for three weeks, with restriction of the nonaffected upper limb and functional activities were performed with the transfer of gains during treatment to the real environment. A qualitativeanalysis of the upper limb movement was performed through the Quality of Upper Skills Test (QUEST) scale and the assessment of distal adjustments. Improvements on the QUEST scale score and on the distal adjustments were observed in all four participants after the training protocol. The constraint-induced movement therapy may be an effective intervention aiming to improve the quality of the upper limb movement in children with hemiparetic cerebral palsy.