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Efeitos da compressão isquémica nos pontos gatilho miofasciais do trapézio superior: uma revisão da literatura
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Abstract(s)
Objetivo: Determinar os efeitos da compressão isquémica (CI) no tratamento dos pontos de gatilhos miofasciais (PGM), no trapézio superior (PGM). Metodologia: Pesquisa computorizada realizada nas bases de dados PubMed/Medline, ScienceDirect, PEDro, Lilacs e SciELO foi efetuada usando a combinação de palavras-chave: (Myofascial pain syndrome OR Trigger point AND Ischemic compression OR Ischaemic compression AND Upper trapezius muscle) de acordo com guias de PRISMA. Apenas estudos randomizados controlados foram incluídos no estudo. O estudos foram analisados usando a Physiotherapy Evidence Database scoring scale (PEDro) Resultados: Nesta revisão foram encontrados 8 artigos randomizados com um total de 590 elementos nas amostras e com uma pontuação de 7,12 na escala de PEDro, sendo que estudos selecionados incluíram diferentes formas de utilizar a técnica e métodos de avaliação. Foram encontrados resultados estatisticamente significativos principalmente, no aumento do limiar de dor à pressão e na amplitude de movimento cervical, nos grupos que utilizaram a CI. Conclusões: Os estudos inseridos nesta revisão sugerem que a CI tem um papel fundamental no tratamento dos PGMs presentes no Trapézio superior.
To determine the effectiveness of ischemic compression (IC) in the treatment of upper trapezius trigger points (TP). Methodology: Research on computerized databases PubMed/Medline, ScienceDirect, PEDro, Lilacs e SciELO was performed using the keywords combination: (Myofascial pain syndrome OR Trigger point AND Ischemic compression OR Ischaemic compression AND Upper trapezius muscle) according to PRISMA guidelines. Only randomized controlled trials (RCTs) were included in the review. Studies were analyzed using the physiotherapy evidence database (PEDro) scale. Results: In this review 8 randomized articles with a total of 590 elements were found in the samples and with a score of 7,12 on the PEDro scale, and selected studies included different ways of using the technique and assessment methods. Statistically significant results were found mainly in the increase of pressure pain threshold and cervical range of motion in the groups that used IC. Conclusions: The studies included in this review suggest that IC plays a fundamental role in the treatment of the TP presented in upper Trapezius.
To determine the effectiveness of ischemic compression (IC) in the treatment of upper trapezius trigger points (TP). Methodology: Research on computerized databases PubMed/Medline, ScienceDirect, PEDro, Lilacs e SciELO was performed using the keywords combination: (Myofascial pain syndrome OR Trigger point AND Ischemic compression OR Ischaemic compression AND Upper trapezius muscle) according to PRISMA guidelines. Only randomized controlled trials (RCTs) were included in the review. Studies were analyzed using the physiotherapy evidence database (PEDro) scale. Results: In this review 8 randomized articles with a total of 590 elements were found in the samples and with a score of 7,12 on the PEDro scale, and selected studies included different ways of using the technique and assessment methods. Statistically significant results were found mainly in the increase of pressure pain threshold and cervical range of motion in the groups that used IC. Conclusions: The studies included in this review suggest that IC plays a fundamental role in the treatment of the TP presented in upper Trapezius.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Fisioterapia Ponto gatilho miofascial Compressão isquémica Estudos randomizados controlados Physiotherapy Myofascial trigger point Ischemic compression Randomized controlled trials