Terapia funcional despigmentante associada ao Home care versus terapia isolada no tratamento do melasma

Abstract

Introduction: Melasma is a dermatological condition that has a significant negative impact on quality of life. There are numerous treatments, however, many of them have adverse effects like burns and peeling. As a topical and less aggressive treatment option is the use of dermocosmetics. Objective: To analyze the depigmenting functional therapy associated with home care versus isolated therapy in the treatment of melasma. Methodology: This was an experimental, prospective, simple-blind and randomized study conducted at the Dermatofunctional Laboratory of the Physical Therapy Course of the Federal University of Ceará in twenty patients from June to September 2019 and underwent Vulcan Ice max Premium treatment for four appointments for ten days. The patients underwent clinical evaluation through mMASI, and quality of life evaluation through HRQ-Melasma. For statistical analysis, mean and variability measurements of the sample (standard deviation and confidence interval) were calculated. The paired t-test was used to compare the two instruments used. Results: The largest age group was between 30 and 39 years, the most prevalent skin phototypes were III and IV. About sunscreen 75% confirmed to use sunscreen daily. There was a statistically significant difference (p-value <0.05) when comparing the beginning and end of treatment values for the HRQ-Melasma and mMASI scales. The mean difference in the mMASI scale for group 2 was statistically higher (p <0.05) than in group 1, but there was no difference between the groups when analyzing the HRQ-Melasma scale. Conclusion: There was a decrease in melasma and an improvement in the quality of life of the evaluated patients. From a clinical point of view, Vulcan Ice therapy plus home care had better results, but from the participants' perception this difference was not significant.