Eficácia da técnica de energia muscular com alongamento versus técnica de energia muscular com liberação miofascial na síndrome da cruz superior
DOI:
https://doi.org/10.17267/2238-2704rpf.2024.e5943Palavras-chave:
Postura, Reabilitação, Exercícios de Alongamento Muscular, Dor, Fisioterapia, InabilidadeResumo
INTRODUÇÃO: A dor cervical representa um dos distúrbios musculoesqueléticos mais prevalentes, com potencial para complicações secundárias se não tratada. As principais causas de dor no pescoço são distúrbios da coluna cervical e dos tecidos moles, enquanto a dor no pescoço devido a anormalidades posturais é conhecida como síndrome cruzada superior (SCU). Estudos epidemiológicos indicam que a dor cervical é prevalente na população em geral, mas é significativamente mais comum entre trabalhadores de escritório. Estratégias de manejo ideais requerem investigação adicional para melhorar os resultados do tratamento. Este estudo tem como objetivo avaliar e comparar duas abordagens terapêuticas para o manejo da Síndrome da Cruz Superior (SCU): Técnica de Energia Muscular (ATINGIDA) combinada com Liberação Miofascial (LMF) e ATINGIDA combinada com Alongamento. MATERIAL E MÉTODOS: Este estudo não-randômico e com controle ativo envolveu 40 pacientes com dor cervical, distribuídos aleatoriamente em dois grupos de intervenção de 20 participantes cada: Técnica de Energia Muscular (ATINGIDA) com Liberação Miofascial (LMF) e ATINGIDA com Alongamento. O estudo avaliou a intensidade da dor usando a Escala Visual Analógica (EVA) e a postura anterior da cabeça usando o Ângulo Craniovertebral (AVC) no início do estudo e três semanas após o tratamento. RESULTADOS: A pontuação VAS para dor mostrou uma alteração média de 1,7 e 1,8 no grupo ATINGIDA com LMF e ATINGIDA com o grupo Exercícios de Alongamento Muscular após 11 sessões. O AVE aumentou 2,08° no grupo ATINGIDA com LMF e 1,78° no grupo ATINGIDA com Exercícios de Alongamento Muscular. Ambos os grupos apresentaram melhoras significativas na dor e na postura anterior da cabeça (p<0,001), sem diferença significativa entre as intervenções. CONCLUSÃO: Tanto o ATINGIDA combinado com o LMF quanto o ATINGIDA com exercícios de alongamento muscular demonstram melhora da dor e do AVE.
Downloads
Referências
(1) Ali S, Ahmad S, Jalal Y, Shah B. Effectiveness of Stretching Exercises Versus Muscle Energy Techniques in the Management of Upper Cross Syndrome [Internet]. JRCRS. 2017;5(1):12-6. Available from: https://journals.riphah.edu.pk/index.php/jrcrs/article/view/455
(2) Shahid S, Tanveer F, Dustgir A. Prevalence and Risk Factors for the Development of Upper-Crossed Syndrome (UCS) among DPT Students of University of Lahore. International Journal of Science and Research (IJSR). 2016;5(5):768-771. https://doi.org/10.21275/v5i5.nov163371 DOI: https://doi.org/10.21275/v5i5.NOV163371
(3) Hoy DG, March L, Woolf A, Blyth F, Brooks P, Smith E et al. The global burden of neck pain: estimates from the global burden of disease 2010 study. Annals of the Rheumatic Diseases. 2014;73(7):1309-1315. https://doi.org/10.1136/annrheumdis-2013-204431 DOI: https://doi.org/10.1136/annrheumdis-2013-204431
(4) Monika, Rana P, Joshi S. Prevalence Of Neck Pain And Laptop Using Behaviour Among Post Graduate Students. International Journal of Physiotherapy and Research. 2017;5(4):2271-2275. https://doi.org/10.16965/ijpr.2017.185 DOI: https://doi.org/10.16965/ijpr.2017.185
(5) Bishop MD, Alappattu MJ, Rana P, Staud R, Boissoneault J, Blaes S, Joffe Y, Robinson ME. Delayed Recovery After Exercise-Induced Pain in People with Chronic Widespread Muscle Pain Related to Cortical Connectivity. Brain Sciences. 2024; 14(11):1102. https://doi.org/10.3390/brainsci14111102 DOI: https://doi.org/10.3390/brainsci14111102
(6) Chang MC, Choo YJ, Hong K, Boudier-Revéret M, Yang S. Treatment of Upper Crossed Syndrome: A Narrative Systematic Review. Healthcare (Basel). 2023;11(16):2328. https://doi.org/10.3390/healthcare11162328 DOI: https://doi.org/10.3390/healthcare11162328
(7) Chaudhuri S, Chawla JK, Phadke V. Physiotherapeutic Interventions for Upper Cross Syndrome: A Systematic Review and Meta-Analysis. Cureus. 2023;15(9):e45471. https://doi.org/10.7759/cureus.45471. DOI: https://doi.org/10.7759/cureus.45471
(8) Kim EK, Kim JS. Correlation between rounded shoulder posture, neck disability indices, and degree of forward head posture. J Phys Ther Sci. 2016;28(10):2929-2932. https://doi.org/10.1589/jpts.28.2929 DOI: https://doi.org/10.1589/jpts.28.2929
(9) Mahmoud NF, Hassan KA, Abdelmajeed SF, Moustafa IM, Silva AG. The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis. Curr Rev Musculoskelet Med. 2019;12:562-577. https://doi.org/10.1007/s12178-019-09594-y DOI: https://doi.org/10.1007/s12178-019-09594-y
(10) Amjad F, Azeem MT, Daula A, Ijaz B. Effectiveness of Mckenzie Traction and Exercises on Neck Pain Secondary to Upper Crossed Syndrome. Journal of Health, Medicine and Nursing. 2020;74. https://doi.org/10.7176/JHMN/74-07 DOI: https://doi.org/10.7176/JHMN/74-07
(11) Izraelski J. Assessment and Treatment of Muscle Imbalance: The Janda Approach [Internet]. J Can Chiropr Assoc. 2012;56(2):158. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3364069/
(12) Fryer G. Muscle energy technique: An evidence-informed approach. International Journal of Osteopathic Medicine. 2011;14(1):3-9. https://doi.org/10.1016/j.ijosm.2010.04.004 DOI: https://doi.org/10.1016/j.ijosm.2010.04.004
(13) Herrington L. Chaitow, Muscle Energy Techniques (third ed.), Elsevier, Churchill-Livingstone, New York, NY (2006) 346pp., CD included, Price £42.99, 2008; ISBN: 10 0443101140. Manual Therapy - MAN THER. 13(1). https://doi.org/10.1016/j.math.2007.05.006 DOI: https://doi.org/10.1016/j.math.2007.05.006
(14) Aneis YM, El-Badrawy NM, El-Ganainy AA, Atta HK. The effectiveness of a multimodal approach in the treatment of patients with upper crossed syndrome: A randomized controlled trial. J Bodyw Mov Ther. 2022;32:130-136. https://doi.org/10.1016/j.jbmt.2022.05.011 DOI: https://doi.org/10.1016/j.jbmt.2022.05.011
(15) Iqbal ZA, Rajan R, Khan SA, Alghadir AH. Effect of deep cervical flexor muscles training using pressure biofeedback on pain and disability of school teachers with neck pain. J Phys Ther Sci. 2013;25(6):657-61. https://doi.org/10.1589/jpts.25.657 DOI: https://doi.org/10.1589/jpts.25.657
(16) Bahreini M, Safaie A, Mirfazaelian H, Jalili M. How much change in pain score does really matter to patients? Am J Emerg Med. 2020;38(8):1641-1646. https://doi.org/10.1016/j.ajem.2019.158489 DOI: https://doi.org/10.1016/j.ajem.2019.158489
(17) Seidi F, Bayattork M, Minoonejad H, Andersen LL, Page P. Comprehensive corrective exercise program improves alignment, muscle activation and movement pattern of men with upper crossed syndrome: randomized controlled trial. Sci Rep. 2020;10(1):20688. https://doi.org/10.1038/s41598-020-77571-4 DOI: https://doi.org/10.1038/s41598-020-77571-4
(18) Liem T, Tozzi P, Chila A. Fascia in the osteopathic field. Jessica Kingsley Publishers; 2017.
(19) Mishra D, Prakash RH, Jigar M, Dhaduk A. Comparative Study of Active Release Technique and Myofascial Release Technique in Treatment of Patients with Upper Trapezius Spasm. Journal of Clinical and Diagnostic Research. 2018;12(11). https://doi.org/10.7860/JCDR/2018/37558.12218 DOI: https://doi.org/10.7860/JCDR/2018/37558.12218
(20) Park JH, Lee YJ, Ryu HM, Lee SJ, Park EJ, Song CH, et al. Effects of Muscle Energy Technique of Upper Trapezius and Sternocleidomastoid Muscles on Bell’s Palsy. J Acupunct Res 2017;34(4):190-196. https://doi.org/10.13045/jar.2017.02131 DOI: https://doi.org/10.13045/jar.2017.02131
(21) Hemant PN, Suhas MB, Anil MA. Restoration of Normal Length of Upper Trapezius and Levator Scapulae in Subjects with Adhesive Capsulitis [Internet]. Indian Journal of Physiotherapy and Occupational Therapy. 2013;7(1):141-147. Available from: https://www.i-scholar.in/index.php/ijpot/article/view/41976
(22) Ray M, Desai R. Immediate effect of muscle energy technique versus passive stretching for upper trapezius muscle on neck pain. International Journal of Research in Orthopaedics. 2021;7(1). https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20205566 DOI: https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20205566
(23) Kotteeswaran K, Rekha K, Anandh V. Effect of stretching and strengthening shoulder muscles in protracted shoulder in healthy individuals [Internet]. International journal of computer application. 2012; 2(2):111-8. Available from: https://rspublication.com/ijca/april%2012%20pdf/16.pdf
(24) Kisner C, Colby LA. Therapeutic exercise: foundations and techniques. F.A. Davis Company; 2012.
(25) Sui M, Jiang N, Yan L, Liu J, Luo B, Zhang C, et al. Effect of Electroacupuncture on Shoulder Subluxation in Poststroke Patients with Hemiplegic Shoulder Pain: A Sham-Controlled Study Using Multidimensional Musculoskeletal Ultrasound Assessment. Pain Res Manag. 2021:5329881. https://doi.org/10.1155/2021/5329881. DOI: https://doi.org/10.1155/2021/5329881
(26) Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res. 2011;63(11):S240-52. https://doi.org/10.1002/acr.20543 DOI: https://doi.org/10.1002/acr.20543
(27) Salahzadeh Z, Maroufi N, Ahmadi A, Behtash H, Razmjoo A, Gohari M, et al. Assessment of forward head posture in females: observational and photogrammetry methods. J Back Musculoskelet Rehabil. 2014;27(2):131-9. https://doi.org/10.3233/BMR-130426. DOI: https://doi.org/10.3233/BMR-130426
(28) Thacker D, Jameson J, Baker J, Divine J, Unfried A. Management of upper cross syndrome through the use of active release technique and prescribed exercises. Logan College of Chiropractic;2011.
(29) Rana P, Robinson ME, Bishop M. Uncovering the Sweet Spot: The Interplay Between Aerobic Exercise Intensity, Exercise-Induced Hypoalgesia, and Psychological Factors in Young Healthy Subjects [Internet]. JEPonline. 2024;27(2):63-86. Available from: https://www.researchgate.net/publication/379534352_Uncovering_the_Sweet_Spot_The_Interplay_Between_Aerobic_Exercise_Intensity_Exercise-Induced_Hypoalgesia_and_Psychological_Factors_in_Young_Healthy_Subjects
(30) Rana P, Joshi S, Bodwal M. Quantitative Gait Analysis In Patients With Knee Osteoarthritis. International Journal of Physiotherapy and Research. 2016;4(5):1684-1688. https://doi.org/10.16965/ijpr.2016.164 DOI: https://doi.org/10.16965/ijpr.2016.164
(31) Mahajan R, Kataria C, Bansal K. Comparative Effectiveness of Muscle Energy Technique and Static Stretching for Treatment of Subacute Mechanical Neck Pain. 2012;1(1):16-24. https://doi.org/10.5455/ijhrs.00000004 DOI: https://doi.org/10.5455/ijhrs.00000004
(32) Ylinen J, Kautiainen H, Wirén K, Häkkinen A. Stretching exercises vs manual therapy in treatment of chronic neck pain: a randomized, controlled cross-over trial. J Rehabil Med. 2007;39(2):126-32. https://doi.org/10.2340/16501977-0015. DOI: https://doi.org/10.2340/16501977-0015
(33) Häkkinen A, Salo P, Tarvainen U, Wirén K, Ylinen J. Effect of manual therapy and stretching on neck muscle strength and mobility in chronic neck pain. J Rehabil Med. 2007;39(7):575-9. https://doi.org/10.2340/16501977-0094 DOI: https://doi.org/10.2340/16501977-0094
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2024 Ravita Phogat, Priyanka Rana, Sonu Punia, Varun Singh
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Esta obra está licenciada com uma Licença Creative Commons Atribuição 4.0 Internacional.