Efeito agudo do agulhamento a seco e eletropuntura no músculo trapézio superior: ensaio controlado aleatorizado
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Data
2022-03-24
Autores
Soares, Isabela Cristina
Silva, Maria Vitória Gonçalves da
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Universidade Estadual Paulista (Unesp)
Resumo
A dor em região cervical (ou cervicalgia) pode levar ao desenvolvimento de síndrome da dor miofascial, que se caracteriza pela presença de um ou mais pontos-gatilho miofasciais (PGM), e dentre as técnicas de tratamento para PMG, podemos citar o agulhamento a seco (AS) e eletropuntura (EP). Sendo assim, o objetivo do presente estudo foi analisar os efeitos agudos do uso do AS e EP em PGM do músculo trapézio superior. Foram coletados 42 voluntários, de ambos os sexos, com idade entre 18 e 35 anos, com presença de PGM ativo ou latente no músculo trapézio superior, sendo divididos em 2 grupos de intervenção: Grupo Agulhamento a Seco (GAS) (n=21) e Grupo Eletropuntura (GEP) (n=21). Para a comparação pré e pós-intervenção, foram utilizados os seguintes instrumentos: algômetro para quantificar o limiar de dor por pressão, escala visual analógica para nível de intensidade da dor, índice de incapacidade cervical, amplitude de movimento (ADM) por meio da goniometria cervical e de ombro, dinamômetro de força para membros superiores e eletromiografia (EMG) de superfície. Para análise estatística, foram usadas medidas descritivas e os testes de Mann Whitney e ANOVA mista de medidas repetidas, com o nível de significância de 5%. Concluiu-se, portanto, que ambos os grupos mostraram melhora nos níveis de intensidade de dor (p=0,000), ADM ombro (flexão p=0,002, extensão p=0,022 e abdução p=0,018), ADM cervical (extensão p=0,002 e inclinação p=0,042) e algometria (p=0,032), não havendo superioridade entre as técnicas aplicadas.
Pain in the cervical region (or neck pain) can lead to the development of myofascial pain syndrome, which is characterized by the presence of one or more myofascial trigger points (MTP), and among the treatment techniques for MTP, we can mention dry needling (DN) and electropuncture (EP). Therefore, the objective of the present study was to analyze the acute effects of the use of DN and EP in MTP of the upper trapezius muscle. We collected 42 volunteers, of both sexes, aged between 18 and 35 years, with presence of active or latent MTP in the upper trapezius muscle, being divided into 2 intervention groups: Dry Needling Group (DNG) (n=21) and Electropuncture Group (EPG) (n=21). For the pre- and post-intervention comparison, the following instruments were used: algometer to quantify the pressure pain threshold, visual analogue scale for pain intensity level, cervical disability index, range of motion (ROM) through goniometry neck and shoulder, strength dynamometer for upper limbs and surface electromyographic (EMG). For statistical analysis, descriptive measures and the Mann Whitney tests and mixed repeated measures ANOVA were used, with a significance level of 5%. It was therefore concluded that both groups showed improvement in pain intensity levels (p=0.000), shoulder ROM (flexion p=0.002, extension p=0.022 and abduction p=0.018), cervical ROM (extension p=0.002 and inclination p= 0.042) and algometry (p=0.032), with no superiority between the techniques applied.
Pain in the cervical region (or neck pain) can lead to the development of myofascial pain syndrome, which is characterized by the presence of one or more myofascial trigger points (MTP), and among the treatment techniques for MTP, we can mention dry needling (DN) and electropuncture (EP). Therefore, the objective of the present study was to analyze the acute effects of the use of DN and EP in MTP of the upper trapezius muscle. We collected 42 volunteers, of both sexes, aged between 18 and 35 years, with presence of active or latent MTP in the upper trapezius muscle, being divided into 2 intervention groups: Dry Needling Group (DNG) (n=21) and Electropuncture Group (EPG) (n=21). For the pre- and post-intervention comparison, the following instruments were used: algometer to quantify the pressure pain threshold, visual analogue scale for pain intensity level, cervical disability index, range of motion (ROM) through goniometry neck and shoulder, strength dynamometer for upper limbs and surface electromyographic (EMG). For statistical analysis, descriptive measures and the Mann Whitney tests and mixed repeated measures ANOVA were used, with a significance level of 5%. It was therefore concluded that both groups showed improvement in pain intensity levels (p=0.000), shoulder ROM (flexion p=0.002, extension p=0.022 and abduction p=0.018), cervical ROM (extension p=0.002 and inclination p= 0.042) and algometry (p=0.032), with no superiority between the techniques applied.
Descrição
Palavras-chave
Cervicalgia, Pontos-gatilho, Síndrome da dor miofascial, Neck pain, Myofascial pain syndrome, Trigger points
Como citar
SOARES, Isabela Cristina; SILVA; Maria Vitória Gonçalves da. Efeito agudo do agulhamento a seco e eletropuntura no músculo trapézio superior: ensaio controlado aleatorizado. 2022. Trabalho de Conclusão de Curso (Graduação em Fisioterapia)
– Faculdade de Filosofia e Ciências, Universidade Estadual Paulista, 2022.