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Fisiopatologia da coifa dos rotadores e o seu tratamento fisioterapêutico
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 18090 | 661.12 KB | Adobe PDF |
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Abstract(s)
Objectivo: Efectuar uma revisão bibliográfica sobre a fisiopatologia da coifa dos rotadores e o seu tratamento fisioterapêutico.
Métodologia: A pesquisa foi realizada nas bases de dados da Pubmed, Science Direct e Google Académico, no período de 1983 a 2010, indexados em língua inglesa e portuguesa, tendo sido utilizados estudos de revisão, longitudinal prospectivo, retrospectivos, randomizados, de revisão sistemática e experimentais.
Resultados: Foram utilizados 5 artigos de revisão, 3 retrospectivos, 6 randomizados, 11 de estudo experimental, 3 de revisão sistemática, 2 de estudo longitudinal prospectivo e 1 estudo laboratorial controlado. Os estudos randomizados referem-se a diferentes tratamentos como terapia manual e exercícios, injecções de corticosteróides, técnicas de mobilização articular e de tecidos moles, de alongamento e flexibilidade.
Conclusão: Pode-se referir que o tratamento fisioterapêutico com intervenção em exercícios com terapia manual apresenta melhorias significativas na maioria dos casos, entre 4 a 12 semanas. O uso de injecções sub-acromiais de corticosteróides combinada com o exercício e a terapia manual apresenta melhorias significativas mais rápidas (de 1 a 6 semanas). O uso de electroterapia apresenta algumas melhorias embora não sejam muito significativas.
Objective: Make a bibliographic review of physiopathology of the rotator cuff and his physiotherapy. Methodology: The study was conducted in the databases of PubMed, Science Direct and Scholar Google, between 1983 and 2010. For that were consulted review, prospective, retrospective, randomized, systematic review and experimental studies, indexed in English and Portuguese. Results: The articles used were: 5 review, 3 retrospective, 6 randomized, 11 experimental studies, 3 systematic reviews, 2 longitudinal prospective studies and 1 controlled laboratory study. Randomized studies refer to treatments such as manual therapy and exercise, corticosteroid injections, joint and soft tissue mobilization techniques, stretching and flexibility. Conclusion: It may be noticed that treatment mainly with physical therapy intervention in exercises with manual therapy provides significant improvements in most cases, from 4-12 weeks. The use of sub-acromial injections of corticosteroids combined with exercise and manual therapy presents significant improvements earlier (1-6 weeks), although no one knows its long-term action. The use of electrotherapy shows some improvement although it´s not very significant.
Objective: Make a bibliographic review of physiopathology of the rotator cuff and his physiotherapy. Methodology: The study was conducted in the databases of PubMed, Science Direct and Scholar Google, between 1983 and 2010. For that were consulted review, prospective, retrospective, randomized, systematic review and experimental studies, indexed in English and Portuguese. Results: The articles used were: 5 review, 3 retrospective, 6 randomized, 11 experimental studies, 3 systematic reviews, 2 longitudinal prospective studies and 1 controlled laboratory study. Randomized studies refer to treatments such as manual therapy and exercise, corticosteroid injections, joint and soft tissue mobilization techniques, stretching and flexibility. Conclusion: It may be noticed that treatment mainly with physical therapy intervention in exercises with manual therapy provides significant improvements in most cases, from 4-12 weeks. The use of sub-acromial injections of corticosteroids combined with exercise and manual therapy presents significant improvements earlier (1-6 weeks), although no one knows its long-term action. The use of electrotherapy shows some improvement although it´s not very significant.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Lesão da coifa dos rotadores Exercícios terapêuticos Síndrome de impacto do ombro Fisioterapia The rotator cuff injury Therapeutic exercises Shoulder impingement syndrome Physiotherapy