{"title":"Editorial do 1� volume em formato digital da revista DOR","authors":"A. Almeida","doi":"10.24875/dor.m20000009","DOIUrl":"https://doi.org/10.24875/dor.m20000009","url":null,"abstract":"","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47822156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-01DOI: 10.5935/2595-0118.20180018
R. Vilella
BACKGROUND AND OBJECTIVES: There are few studies that address non-surgical treatment in cases of syringomyelia, which reduces the possibilities of treatment for the patient. The objective of this study was to analyze the efficacy of the physiotherapeutic treatment for the symptoms of the pathology. CASE REPORT: Idiopathic syringomyelia is a condition in which a cystic-shaped cavity appears within the spinal cord. After the diagnosis of syringomyelia in C3-C6, 3 years ago, the patient, a former volleyball athlete, remained stable with no anesthetic dissociation, muscle atrophy or limb paresthesia. However, she began to have constant back and neck pain to the extent of limiting her functioning in jogging, volleyball, and difficulties of movement in daily routine. The physiotherapeutic treatment in 6 sessions, worked in the muscle and fascial release with dry needling and manual myofascial release associated with specific vertebral adjustments with chiropractic techniques, and after the cessation of the pain, specific muscle strengthening exercises. CONCLUSION: Physiotherapy showed to be an effective treatment for patient with syringomyelia that presented symptoms to myofascial pain syndrome.
{"title":"Pain treatment and recovery of functionality in a former athlete diagnosed with myofascial pain syndrome in the course of syringomyelia. Case report","authors":"R. Vilella","doi":"10.5935/2595-0118.20180018","DOIUrl":"https://doi.org/10.5935/2595-0118.20180018","url":null,"abstract":"BACKGROUND AND OBJECTIVES: There are few studies that address non-surgical treatment in cases of syringomyelia, which reduces the possibilities of treatment for the patient. The objective of this study was to analyze the efficacy of the physiotherapeutic treatment for the symptoms of the pathology. CASE REPORT: Idiopathic syringomyelia is a condition in which a cystic-shaped cavity appears within the spinal cord. After the diagnosis of syringomyelia in C3-C6, 3 years ago, the patient, a former volleyball athlete, remained stable with no anesthetic dissociation, muscle atrophy or limb paresthesia. However, she began to have constant back and neck pain to the extent of limiting her functioning in jogging, volleyball, and difficulties of movement in daily routine. The physiotherapeutic treatment in 6 sessions, worked in the muscle and fascial release with dry needling and manual myofascial release associated with specific vertebral adjustments with chiropractic techniques, and after the cessation of the pain, specific muscle strengthening exercises. CONCLUSION: Physiotherapy showed to be an effective treatment for patient with syringomyelia that presented symptoms to myofascial pain syndrome.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"1 1","pages":"87-89"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/2595-0118.20180018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42616990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-01DOI: 10.5935/2595-0118.20180003
Felipe Azevedo Moretti, Sandra dos Santos Silva, C. Novoa
BACKGROUND AND OBJECTIVES: Analyze the interactive behavior, characteristics, perception of social support, and interests of patients with fibromyalgia on online discussion groups. METHODS: A participatory netnography has been conducted for 6 months on Facebook in order to keep track of a fibromyalgia community with more than 8,000 members. An electronic survey composed by a validated social support scale was sent to the members of the group. Another online survey was applied by the group coordinator in order to build the users’ profile. RESULTS: The online environment has often been indicated as the only place to get something off one’s chest. Regular testimonials on social discrimination due to Fibromyalgia were recorded, coming from the family itself, from friends and even from health professionals. Patients’ rights and new treatments are among the topics of greatest interest. The target group seemed to have a social echo, but it has difficulties to generate engagement among its members. Low social support was reported by most of the 444 respondents. However, many also criticized the group positively. There were 3,217 people who responded the survey applied by the coordinator: 97.5% female respondents, 86.2% were between 31 and 60 years old, 60.1% were diagnosed by a rheumatologist, 16.5% by an orthopedist, and 6.8% by a general practitioner. The five most unpleasant symptoms informed were: pain, anxiety, memory problem, irritability, and tingling. CONCLUSION: New forms of online education and social support for fibromyalgia on online groups are relevant resources to be considered in patient care programs.
{"title":"Characteristics and perception of social support by patients with fibromyalgia in Facebook","authors":"Felipe Azevedo Moretti, Sandra dos Santos Silva, C. Novoa","doi":"10.5935/2595-0118.20180003","DOIUrl":"https://doi.org/10.5935/2595-0118.20180003","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Analyze the interactive behavior, characteristics, perception of social support, and interests of patients with fibromyalgia on online discussion groups. METHODS: A participatory netnography has been conducted for 6 months on Facebook in order to keep track of a fibromyalgia community with more than 8,000 members. An electronic survey composed by a validated social support scale was sent to the members of the group. Another online survey was applied by the group coordinator in order to build the users’ profile. RESULTS: The online environment has often been indicated as the only place to get something off one’s chest. Regular testimonials on social discrimination due to Fibromyalgia were recorded, coming from the family itself, from friends and even from health professionals. Patients’ rights and new treatments are among the topics of greatest interest. The target group seemed to have a social echo, but it has difficulties to generate engagement among its members. Low social support was reported by most of the 444 respondents. However, many also criticized the group positively. There were 3,217 people who responded the survey applied by the coordinator: 97.5% female respondents, 86.2% were between 31 and 60 years old, 60.1% were diagnosed by a rheumatologist, 16.5% by an orthopedist, and 6.8% by a general practitioner. The five most unpleasant symptoms informed were: pain, anxiety, memory problem, irritability, and tingling. CONCLUSION: New forms of online education and social support for fibromyalgia on online groups are relevant resources to be considered in patient care programs.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"1 1","pages":"4-8"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48804504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-01DOI: 10.5935/2595-0118.20180002
R. L. Freitas, José Aparecido da Silva
{"title":"The challenge of measuring pain","authors":"R. L. Freitas, José Aparecido da Silva","doi":"10.5935/2595-0118.20180002","DOIUrl":"https://doi.org/10.5935/2595-0118.20180002","url":null,"abstract":"","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"1 1","pages":"2-3"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46937917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-01DOI: 10.5935/2595-0118.20180008
F. Bonafé, J. Marôco, J. Campos
BACKGROUND AND OBJECTIVES: The pain self-efficacy questionnaire has been frequently used in several languages, but its use is limited to chronic pain. This study aimed to i) evaluate the properties of the pain self-efficacy questionnaire among Brazilians with different durations of pain occurrence; ii) present a new proposal for estimation of the overall self-efficacy belief score; and iii) compare such score among different pain duration time. METHODS: A total of 1,155 adults (79.0% women; 38.6±10.8 years) participated, 337 had no pain, 386 reported pain for less than 3 months, 253 reported pain for more than 3 months with a recurrent pattern, and 179 reported continuous pain for more than 3 months. The confirmatory factor analysis was performed to check the pain self-efficacy questionnaire unifactorial model good-fit. The pain self-efficacy questionnaire invariance was tested in independent samples using multigroup analysis. We proposed the calculation of the self-efficacy belief score from the factor score obtained in the confirmatory factor analysis. The score was compared among groups (ANOVA, alpha=5%). RESULTS: After inserting four correlations between errors of items, the pain self-efficacy questionnaire model shows to be fit to the sample (X2/df=7.059; CFI=0.978; GFI=0.964; RMSEA=0.072). The model was invariant between independent samples. Lower self-efficacy belief was found among participants with pain for less than three months (p<0.05). Pain self-efficacy questionnaire and its use in samples with different pain duration time
{"title":"Pain self-efficacy questionnaire and its use in samples with different pain duration time","authors":"F. Bonafé, J. Marôco, J. Campos","doi":"10.5935/2595-0118.20180008","DOIUrl":"https://doi.org/10.5935/2595-0118.20180008","url":null,"abstract":"BACKGROUND AND OBJECTIVES: The pain self-efficacy questionnaire has been frequently used in several languages, but its use is limited to chronic pain. This study aimed to i) evaluate the properties of the pain self-efficacy questionnaire among Brazilians with different durations of pain occurrence; ii) present a new proposal for estimation of the overall self-efficacy belief score; and iii) compare such score among different pain duration time. METHODS: A total of 1,155 adults (79.0% women; 38.6±10.8 years) participated, 337 had no pain, 386 reported pain for less than 3 months, 253 reported pain for more than 3 months with a recurrent pattern, and 179 reported continuous pain for more than 3 months. The confirmatory factor analysis was performed to check the pain self-efficacy questionnaire unifactorial model good-fit. The pain self-efficacy questionnaire invariance was tested in independent samples using multigroup analysis. We proposed the calculation of the self-efficacy belief score from the factor score obtained in the confirmatory factor analysis. The score was compared among groups (ANOVA, alpha=5%). RESULTS: After inserting four correlations between errors of items, the pain self-efficacy questionnaire model shows to be fit to the sample (X2/df=7.059; CFI=0.978; GFI=0.964; RMSEA=0.072). The model was invariant between independent samples. Lower self-efficacy belief was found among participants with pain for less than three months (p<0.05). Pain self-efficacy questionnaire and its use in samples with different pain duration time","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"1 1","pages":"33-39"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47281244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-01DOI: 10.5935/2595-0118.20180009
V. D. Oliveira, H. A. Silva, A. Pitangui, M. H. P. Passos, R. C. Araújo
BACKGROUND AND OBJECTIVES: Scapular dyskinesis has been associated to shoulder injuries and pain. However, this relationship with adolescent athletes is not well established. The objective of this study was to evaluate scapular dyskinesis in young athletes and its association with pain or shoulder function. METHODS: 178 male adolescent athletes (14.58±2.16 years) were evaluated. The subjects completed the Quick Disability Arm Shoulder Hand questionnaire. Body mass, height, shoulder internal rotation and Closed Kinetic Chain Upper Extremity Stability test were measured. A dynamic visual method was applied to assess dyskinesis. Binary logistic regression was applied to analyze the association between dyskinesis and other variables. The comparison between groups with and without dyskinesis was made by the Mann-Whitney and t-test, accepting a statistical significance of p<0.05. RESULTS: The dyskinesis prevalence was 56.7% and this condition was not associated with shoulder pain. Younger athletes are 159% more likely to have dyskinesis, while those who practice more than one hour a day for three times a week are 77% more likely to have the same outcome. No difference in shoulder function was found. CONCLUSION: Scapular dyskinesis is not associated with pain and does not affect shoulder function in adolescent athletes. Sports modality, age and training volume seem to induce changes in scapula movement.
{"title":"Scapular dyskinesis was not associated with pain and function in male adolescent athletes","authors":"V. D. Oliveira, H. A. Silva, A. Pitangui, M. H. P. Passos, R. C. Araújo","doi":"10.5935/2595-0118.20180009","DOIUrl":"https://doi.org/10.5935/2595-0118.20180009","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Scapular dyskinesis has been associated to shoulder injuries and pain. However, this relationship with adolescent athletes is not well established. The objective of this study was to evaluate scapular dyskinesis in young athletes and its association with pain or shoulder function. METHODS: 178 male adolescent athletes (14.58±2.16 years) were evaluated. The subjects completed the Quick Disability Arm Shoulder Hand questionnaire. Body mass, height, shoulder internal rotation and Closed Kinetic Chain Upper Extremity Stability test were measured. A dynamic visual method was applied to assess dyskinesis. Binary logistic regression was applied to analyze the association between dyskinesis and other variables. The comparison between groups with and without dyskinesis was made by the Mann-Whitney and t-test, accepting a statistical significance of p<0.05. RESULTS: The dyskinesis prevalence was 56.7% and this condition was not associated with shoulder pain. Younger athletes are 159% more likely to have dyskinesis, while those who practice more than one hour a day for three times a week are 77% more likely to have the same outcome. No difference in shoulder function was found. CONCLUSION: Scapular dyskinesis is not associated with pain and does not affect shoulder function in adolescent athletes. Sports modality, age and training volume seem to induce changes in scapula movement.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"1 1","pages":"40-45"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44654018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-01DOI: 10.5935/2595-0118.20180006
Pedro Henrique Brito da Silva, D. Silva, J. Oliveira, Franassis B. Oliveira
BACKGROUND AND OBJECTIVES: Low back pain is defined as a painful disorder located between the first and the fifth lumbar vertebra, and it is considered to be an important public health problem. In Brazil, approximately 10 million people are disabled as a result of this condition. The objective this study was to assess the effects of the Pilates method on the treatment of chronic low back pain. METHODS: The present study is based on a randomized, controlled clinical trial involving 16 individuals, aged 30-60 years, of both gender, with chronic low back pain, divided into control group and experimental group, with eight individuals each. Twelve sessions of 40 minutes were performed, in which nine positions of the Pilates method were applied within the experimental group. The control group performed kinesiotherapeutic conventional exercises. The visual analog scale and the Oswestry Disability Questionnaire were used before and after the study period in both groups. RESULTS: The assessment of pain and disability in the preand post-evaluation periods showed no statistically significant difference. The control group also showed no statistical difference for the visual analog scale and Oswestry scores between the preand post-evaluation periods, whereas the experimental group showed a significant difference between the scores obtained in these two different periods for the Oswestry and visual analog scores. CONCLUSION: It is suggested that the method was effective for the group studied and proved to be suitable for the treatment of low back pain, but it did not prove superior to conventional physical therapy.
{"title":"The effect of the Pilates method on the treatment of chronic low back pain: a clinical, randomized, controlled study","authors":"Pedro Henrique Brito da Silva, D. Silva, J. Oliveira, Franassis B. Oliveira","doi":"10.5935/2595-0118.20180006","DOIUrl":"https://doi.org/10.5935/2595-0118.20180006","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Low back pain is defined as a painful disorder located between the first and the fifth lumbar vertebra, and it is considered to be an important public health problem. In Brazil, approximately 10 million people are disabled as a result of this condition. The objective this study was to assess the effects of the Pilates method on the treatment of chronic low back pain. METHODS: The present study is based on a randomized, controlled clinical trial involving 16 individuals, aged 30-60 years, of both gender, with chronic low back pain, divided into control group and experimental group, with eight individuals each. Twelve sessions of 40 minutes were performed, in which nine positions of the Pilates method were applied within the experimental group. The control group performed kinesiotherapeutic conventional exercises. The visual analog scale and the Oswestry Disability Questionnaire were used before and after the study period in both groups. RESULTS: The assessment of pain and disability in the preand post-evaluation periods showed no statistically significant difference. The control group also showed no statistical difference for the visual analog scale and Oswestry scores between the preand post-evaluation periods, whereas the experimental group showed a significant difference between the scores obtained in these two different periods for the Oswestry and visual analog scores. CONCLUSION: It is suggested that the method was effective for the group studied and proved to be suitable for the treatment of low back pain, but it did not prove superior to conventional physical therapy.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"1 1","pages":"21-28"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/2595-0118.20180006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41500874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-01DOI: 10.5935/2595-0118.20180004
L. Almeida, S. Dumith
BACKGROUND AND OBJECTIVES: In view of the high prevalence of pain complaints among workers in the country and their consequences in the quality of life and work, the objective of this study was to investigate the association between the perceived stress and the presence of musculoskeletal symptoms among public servants of the Federal University of Rio Grande. METHODS: Observational, transversal and quantitative study. The survey population comprised all active servants in the second semester of 2016 in any campuses of the Federal University of Rio Grande. Participants received a digital invitation to participate in the survey containing a link that would lead to the questionnaire generated by Google Docs. The questionnaire was composed of questions on demographic data, and two standardized instruments: the Nordic Musculoskeletal Questionnaire and the Perceived Stress Scale. The descriptive analysis was done by absolute and relative frequency. For the bivariate analysis, it was used the Fisher’s Exact test. P values were reported for the linear trend test on associations between stress and pain. RESULTS: Of the total number of eligible servants (n=717), 36.6% participated in the study. The spine was the most reported area of the body with pain symptoms in the last 12 months, and in the last seven days. The least prevalent region of pain was hips / thighs. It was observed that the greater the perceived stress, the greater was the prevalence of musculoskeletal symptoms. It was observed a statistically significant linear trend in almost all assessed anatomic regions. CONCLUSION: There was a high prevalence of musculoskeletal symptoms in the analyzed population, as well as a strong association between the perceived stress and the presence of these symptoms.
{"title":"Association between musculoskeletal symptoms and perceived stress in public servants of a Federal University in the South of Brazil","authors":"L. Almeida, S. Dumith","doi":"10.5935/2595-0118.20180004","DOIUrl":"https://doi.org/10.5935/2595-0118.20180004","url":null,"abstract":"BACKGROUND AND OBJECTIVES: In view of the high prevalence of pain complaints among workers in the country and their consequences in the quality of life and work, the objective of this study was to investigate the association between the perceived stress and the presence of musculoskeletal symptoms among public servants of the Federal University of Rio Grande. METHODS: Observational, transversal and quantitative study. The survey population comprised all active servants in the second semester of 2016 in any campuses of the Federal University of Rio Grande. Participants received a digital invitation to participate in the survey containing a link that would lead to the questionnaire generated by Google Docs. The questionnaire was composed of questions on demographic data, and two standardized instruments: the Nordic Musculoskeletal Questionnaire and the Perceived Stress Scale. The descriptive analysis was done by absolute and relative frequency. For the bivariate analysis, it was used the Fisher’s Exact test. P values were reported for the linear trend test on associations between stress and pain. RESULTS: Of the total number of eligible servants (n=717), 36.6% participated in the study. The spine was the most reported area of the body with pain symptoms in the last 12 months, and in the last seven days. The least prevalent region of pain was hips / thighs. It was observed that the greater the perceived stress, the greater was the prevalence of musculoskeletal symptoms. It was observed a statistically significant linear trend in almost all assessed anatomic regions. CONCLUSION: There was a high prevalence of musculoskeletal symptoms in the analyzed population, as well as a strong association between the perceived stress and the presence of these symptoms.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"1 1","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46663470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-01DOI: 10.5935/2595-0118.20180011
Bárbara Caroline Royer, C. Albuquerque, Cecília Felix da Silva, Gabriela Walker Zancanaro, Gustavo Kiyosen Nakayama, G. Bertolini
BACKGROUND AND OBJECTIVES: Although used in the therapeutic field, there is a shortage of studies that evaluate combined therapy or the association of electrical currents with therapeutic ultrasound, the present study aimed to compare the two forms in healthy individuals, analyzing the pain, number of accommodations and current intensity. METHODS: Thirty healthy volunteers took turns for three weeks in three groups. Nociception was evaluated by means of pressure and thermal stimuli in the lumbar spine and respective dermatomes. Then, the volunteer’s dominant foot was submerged in cold water to evaluate the threshold of pain and its intensity. Shortly after, electroanalgesia (combined therapy, only current association with ultrasound, or placebo) was applied for 15 minutes. The application of the bipolar interferential current used a frequency of 4kHz, and amplitude modulation frequency of 100Hz, with one electrode on L3 and the other on S1. When combined therapy was used, the ultrasound head (1MHz) played the role of the electrode positioned over the L5-S1 region, in continuous form, at a dose of 0.4W/cm2. The intensity of the initial and final current was evaluated, as well as the number of accommodations. RESULTS: There was no significant difference between the pain thresholds of pressure and cold, but the combined therapy required more current intensity despite having a smaller number of accommodations. CONCLUSION: None of the therapies produced a difference in pain thresholds, but the combined therapy had fewer accommodations.
{"title":"Comparison of combined therapy with ultrasound-associated interferential current in healthy subjects","authors":"Bárbara Caroline Royer, C. Albuquerque, Cecília Felix da Silva, Gabriela Walker Zancanaro, Gustavo Kiyosen Nakayama, G. Bertolini","doi":"10.5935/2595-0118.20180011","DOIUrl":"https://doi.org/10.5935/2595-0118.20180011","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Although used in the therapeutic field, there is a shortage of studies that evaluate combined therapy or the association of electrical currents with therapeutic ultrasound, the present study aimed to compare the two forms in healthy individuals, analyzing the pain, number of accommodations and current intensity. METHODS: Thirty healthy volunteers took turns for three weeks in three groups. Nociception was evaluated by means of pressure and thermal stimuli in the lumbar spine and respective dermatomes. Then, the volunteer’s dominant foot was submerged in cold water to evaluate the threshold of pain and its intensity. Shortly after, electroanalgesia (combined therapy, only current association with ultrasound, or placebo) was applied for 15 minutes. The application of the bipolar interferential current used a frequency of 4kHz, and amplitude modulation frequency of 100Hz, with one electrode on L3 and the other on S1. When combined therapy was used, the ultrasound head (1MHz) played the role of the electrode positioned over the L5-S1 region, in continuous form, at a dose of 0.4W/cm2. The intensity of the initial and final current was evaluated, as well as the number of accommodations. RESULTS: There was no significant difference between the pain thresholds of pressure and cold, but the combined therapy required more current intensity despite having a smaller number of accommodations. CONCLUSION: None of the therapies produced a difference in pain thresholds, but the combined therapy had fewer accommodations.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"1 1","pages":"51-54"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/2595-0118.20180011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42489464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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