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Abstract(s)
Introdução: Os trigger points miofasciais são caracterizados como pontos locais hipersensíveis que normalmente formam uma banda tensa palpável dentro das fibras musculares esqueléticas, podendo ser de 2 tipos: ativos ou latentes. Uma das formas descritas de tratamento é a técnica de dry needling. Objetivo: Analisar os efeitos de duas técnicas de dry needling (com e sem manipulação) no padrão de ativação eletromiográfico e na dor do trigger point latente do músculo trapézio superior, comparativamente a uma técnica de impostura ou placebo. Metodologia: Participaram no estudo 26 indivíduos, tendo sido distribuídos de forma aleatória em 3 grupos de tratamento: placebo, puntura simples e técnica de dry needling com manipulação. Todos os grupos foram submetidos a avaliação da dor e do padrão de activação electromiográfico antes e após a técnica de puntura, assim como 24 horas após dor. Resultados: Não se obteve diferenças significativas em termos de dor e padrão eletromiográfico (sEMG) antes e após cada uma das técnicas de dry needling e 24h após. Conclusão: A aplicação da técnica de dry needling, com manipulação ou sem manipulação, em trigger points latentes não induziu alterações no limiar de dor e no padrão electromiográfico da amostra em estudo.
Introduction: The myofascial trigger points are characterized as hypersensitive local spots that are usually formed within a palpable taut band of skeletal muscle fibers, and they may be described as active or latent. One of the described forms of treatment is the dry needling technique. Objective: To analyze the effect of two dry needling techniques (with and without manipulation) on upper trapezius muscle latent trigger points with comparison to a sham technique. Methods: 26 subjects took part in the study, who was randomly assigned to 3 different groups: sham or placebo, dry needling technique with and without manipulation. All the groups have been assessed for pain and electromyographic pattern before and after treatment and 24 hours later. Results: The present study did not find statistical differences in terms of pain and electromyographic pattern (sEMG) before and after each technique of dry needling and 24h later (pain). Conclusion: The dry needling application, with and without manipulation, did not induce changes on electromyographic pattern and pain threshold, on latent trigger points, in the sample under study.
Introduction: The myofascial trigger points are characterized as hypersensitive local spots that are usually formed within a palpable taut band of skeletal muscle fibers, and they may be described as active or latent. One of the described forms of treatment is the dry needling technique. Objective: To analyze the effect of two dry needling techniques (with and without manipulation) on upper trapezius muscle latent trigger points with comparison to a sham technique. Methods: 26 subjects took part in the study, who was randomly assigned to 3 different groups: sham or placebo, dry needling technique with and without manipulation. All the groups have been assessed for pain and electromyographic pattern before and after treatment and 24 hours later. Results: The present study did not find statistical differences in terms of pain and electromyographic pattern (sEMG) before and after each technique of dry needling and 24h later (pain). Conclusion: The dry needling application, with and without manipulation, did not induce changes on electromyographic pattern and pain threshold, on latent trigger points, in the sample under study.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Trigger points miofasciais Trapézio superior Dry needling Electromiografia de superfície Myofascial trigger points Upper trapezius Dry needling Surface electromyography