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Eficácia do ultrassom e terapia combinada na dor do ponto gatilho miofascial latente do trapézio superior
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Abstract(s)
Objetivo: Verificar qual dos métodos aplicados Ultrassom (US) ou Terapia Combinada (TC) tem eficácia na dor do Ponto Gatilho (PG) miofascial latente do músculo trapézio superior.
Metodologia: É um estudo quasi-experimental randomizado com 48 indivíduos de ambos os sexos com uma mediana de idades de 23±3 anos, divididos aleatoriamente em dois grupos: Grupo US (24) que realizou tratamento com US em modo pulsátil, com frequência de 1 MHz, e intensidade de 1,5 W/cm2, durante 3 minutos e, Grupo TC (24), onde foi utilizada a TC por corrente interferencial, com uma frequência de 4000 Hz, modulada a 100 Hz combinada com US pulsátil, de forma dinâmica, com frequência de 1 MHz, com intensidade de 2,5 W/cm2 durante 3 minutos. Ambos os grupos foram submetidos a duas sessões por semana por 6 semanas. A dor foi avaliada através da escala numérica da dor e o limiar da dor através do algómetro. Resultados: Após a aplicação do protocolo verificou-se que tanto o grupo US o grupo TC diminuíram a dor e aumentaram o limiar da dor mas, comparando os grupos, não houve diferenças significativas. Conclusão: Após a análise dos resultados concluiu-se que, ambas as técnicas foram eficazes na redução da dor no PG latente do músculo trapézio superior.
Aim: To analyse which of the applied methods, Ultrasound (US) or Combined Therapy (CT) has efficacy in pain of myofascial latent Trigger Point (TP) of the upper trapezius muscle. Methods: This is a randomized, quasi-experimental study with 48 individuals of both genders with a median age of 23±3 years, randomly assigned into two groups: US group (24) who underwent US treatment in pulsatile mode, with a frequency of 1 MHz, and an intensity of 1.5 W/cm2 during 3 minutes and, Group CT (24), where the CT was used by interferential current with a frequency of 4000 Hz, modulated at 100 Hz combined with pulsatile US, in a dynamic way, with a frequency of 1 MHz, with an intensity of 2.5 W/cm2 during 3 minutes. Both groups underwent two sessions per week for 6 weeks. Pain was measured through numeric pain scale and its threshold through algometer. Results: After the application of the protocol, it was verified that both US group and CT group diminished pain and increase its threshold but, comparing the groups, there were no significant differences. Conclusion: After analysing the results, we conclude that, both techniques were effective on reducing pain of the latent PG of the upper trapezius muscle.
Aim: To analyse which of the applied methods, Ultrasound (US) or Combined Therapy (CT) has efficacy in pain of myofascial latent Trigger Point (TP) of the upper trapezius muscle. Methods: This is a randomized, quasi-experimental study with 48 individuals of both genders with a median age of 23±3 years, randomly assigned into two groups: US group (24) who underwent US treatment in pulsatile mode, with a frequency of 1 MHz, and an intensity of 1.5 W/cm2 during 3 minutes and, Group CT (24), where the CT was used by interferential current with a frequency of 4000 Hz, modulated at 100 Hz combined with pulsatile US, in a dynamic way, with a frequency of 1 MHz, with an intensity of 2.5 W/cm2 during 3 minutes. Both groups underwent two sessions per week for 6 weeks. Pain was measured through numeric pain scale and its threshold through algometer. Results: After the application of the protocol, it was verified that both US group and CT group diminished pain and increase its threshold but, comparing the groups, there were no significant differences. Conclusion: After analysing the results, we conclude that, both techniques were effective on reducing pain of the latent PG of the upper trapezius muscle.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Ponto gatilho miofascial Ultrassom Terapia combinada Dor Trapézio superior Myofascial trigger point Ultrasound Combination therapy Pain Upper trapezius pain