Non-surgical liposuction techniques use laser energy, radiofrequency, ultrasound or cold (cryolipolysis) to reduce fat. Devices are applied directly to the skin of the treatment area and do not employ injections (as in injection lipolysis) or incisions (as in laser assisted liposuction). Although fat loss is more subtle with non-surgical lipolysis techniques compared to surgical liposuction, non-surgical lipolysis techniques have several advantages including reduced risk, reduced cost, and reduced healing time. Laser, radiofrequency, and ultrasound techniques provide additional advantages of tissue tightening. Because there is no suction involved, terms such as laser lipolysis, cryolipolysis or body contouring are preferred to non-surgical liposuction.
Electrical muscle stimulation (EMS) is the elicitation of muscle contraction using electric impulses. EMS has received an increasing amount of attention in the last few years for many reasons: it can be utilized as a strength training tool for healthy subjects and athletes; it could be used as a rehabilitation and preventive tool for partially or totally immobilized patients; it could be utilized as a testing tool for evaluating the neural and/or muscular function in vivo; it could be used as a post-exercise recovery tool for athletes. The impulses are generated by a device and are delivered through electrodes on the skin near to the muscles being stimulated. The electrodes are generally pads that adhere to the skin.
Ultrasound is a method of stimulating the tissue beneath the skin’s surface using very high frequency sound waves, between 800,000 Hz and 2,000,000 Hz, which cannot be heard by humans. Ultrasound is applied using a transducer or applicator that is in direct contact with the patient’s skin. Gel is used on all surfaces of the head to reduce friction and assist transmission of the ultrasonic waves. Therapeutic ultra sound in physicaltherapy is alternating compression and rarefaction of sound waves with a frequency of 0.7 to 3.3 MHz. Maximum energy absorption in soft tissue occurs from 2 to 5 cm. Intensity decreases as the waves penetrate deeper. They are absorbed primarily by connective tissue: ligaments, tendons, and fascia.
Body contouring is a procedure that alters the shape of the human body. It includes procedures that eliminate or reduce excess skin and fat that remains after previously obese individuals have lost a significant amount of weight, in a variety of places including the torso, upper arms, chest, and thighs.
Indoor cycling, as an organized activity, is a form of exercise with classes focusing on endurance, strength, intervals, high intensity (race days) and recovery, and involves using a special stationary exercise bicycle with a weighted flywheel in a classroom setting. It is commonly called spinning. Features include a mechanical device to modify the difficulty of pedaling, specially shaped handlebars, and multiple adjustment points to fit the bicycle to a range of riders. Many have a weighted flywheel, which simulates the effects of inertia and momentum when riding a real bicycle. The pedals are equipped with toe clips as on sports bicycles to allow one foot to pull up when the other is pushing down. They may alternatively have clip-less receptacles for use with cleaned cycling shoes.
Whole body vibration (WBV) is a generic term used where any vibration of any frequency is transferred to the human body. Vibration training on the other hand is a discipline where varying frequencies/amplitudes/forces will be transferred into separate body parts using precise joint angles for any limited time (approximately 1 minute sets). This is done to create a purely eccentric muscle reaction and enable anaerobic activity (burning energy without oxygen – the opposite of cardio). WBV can be split into two categories; WBV physiotherapy and WBV training. WBV physiotherapy includes stretches and massages in light contact with the machine or with minimal body weight behind the position.
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