Programa de pós-graduação em Ciências da Reabilitação
Permanent URI for this communityhttps://repositorio.ufrn.br/handle/123456789/24718
Browse
7 results
Search Results
Master Thesis Efeito do dry neendlig na dor muscular de início tardio em mulheres saudáveis: ensaio controlado randomizado e cego(Universidade Federal do Rio Grande do Norte, 2024-12-18) Viana, Joelmir Lisboa; Lins, Caio Alano de Almeida; https://orcid.org/0000-0001-6424-3114; http://lattes.cnpq.br/1378037748813246; http://lattes.cnpq.br/8463795325407399; Nascimento, José Diego Sales do; Macedo, Liane de BritoIntroduction: Delayed Onset Muscle Soreness (DOMS) likely occurs due to unfamiliar exercises or excessive sets or loads. Strategies to accelerate recovery should be implemented so that the individual can return to performing exercises efficiently as soon as possible. In the scientific and clinical field, the use of Dry Needling (DN) has gained prominence, although its effects on DOMS are still underexplored. Objective: To investigate the effect of DN on DOMS administered immediately after an eccentric exercise protocol on the biceps brachii in healthy women. Methods: This is a randomized, controlled, and blinded clinical trial, composed of forty women. All participants were initially assessed with measurements of pain perception (numerical pain scale and algometry), dynamometry, and treatment expectations. They then performed an exercise protocol on an isokinetic dynamometer, consisting of 2 sets of 6 eccentric contractions at 60°/s for the elbow flexors. After the protocol, participants received an intervention according to the group to which they were randomly assigned: the DN group, where dry needling was applied, and the sham group (SG), where needle penetration was simulated. Finally, re-evaluations were conducted immediately and 48 hours after the intervention protocol, except for the Numerical Pain Scale (NPS), which was also assessed at 24 and 72 hours post-exercise. The analysis focused on pain perception (NPS and pain threshold), peak torque normalized by body weight, average peak torque, power, and work. Statistical analysis included Kolmogorov-Smirnov and Levene tests and mixed ANOVA. The Bonferroni post-hoc test was applied to identify differences when a significant F value was found. Statistical significance was set at 5% with a 95% confidence interval. Results: No significant differences were observed between the groups for pain sensation at any time point. No differences were found between groups for the other secondary outcomes. Conclusion: Dry needling treatment was not effective in reducing pain sensation, pain threshold, or muscle performance in the participants.Master Thesis Efeitos da massagem percussiva com pistola de percussão na recuperação após corrida de 10km: ensaio clínico controlado Randomizado e cego(Universidade Federal do Rio Grande do Norte, 2023-12-15) Almeida Filho, Emerson Levy Dutra de; Lins, Caio Alano de Almeida; https://orcid.org/0000-0001-6424-3114; http://lattes.cnpq.br/1378037748813246; http://lattes.cnpq.br/3133442543068778; Souza, Clecio Gabriel de; https://orcid.org/0000-0001-9005-7956; http://lattes.cnpq.br/6308219057546985; Maciel, Daniel Germano; https://orcid.org/0000-0003-0975-5998; http://lattes.cnpq.br/6153830984694222Introduction: Road running is a modality that provides benefits to its practitioners, however, in order to improve their performance, runners seek high volumes and intensities of training, which can cause an imbalance between mechanical stress and rest. To avoid this imbalance, a massage has been gaining popularity, percussive massage, which tends to reduce pain, improve muscle spasms and increase range of movement and increases local blood flow. Objectives: To evaluate the effects of percussive massage on the perception of pain and fatigue, perception of recovery, pressure pain threshold and dynamometric muscular performance of runners after a 10 km run. Methods: This is a controlled, randomized and blind clinical trial, in which 40 runners of both sexes were randomly allocated into two groups: the experimental group, in which percussive massage (GMP) was performed and the control group, in which percussive massage (GMP) was performed therapeutic massage (GMT) of the “effleurage” type. Both groups received 10 minutes of quadriceps femoris massage. Participants were assessed at 6 moments using the pain and fatigue perception and recovery perception scales, isokinetic dynamometry and algometry. In the statistical analysis, the Kolmogorov-Smirnov and Levene tests and mixed ANOVA were used. The Bonferroni post-hoc test was applied to identify differences when a significant F value was found. Statistical significance was set at 5% and a confidence interval of 95%. Results: The runners carried out an initial assessment, and it was observed that before the race, both groups were without pain or fatigue (0), and the perception of recovery was well recovered (17). After the running protocol, it was observed that running generated pain and fatigue, as both groups had an increase in pain (approximately 2) and fatigue (approximately 3), and in the perception of recovery it dropped to 13 (reasonably recovered), showing a drop in income. However, after the interventions, both groups showed a good recovery, especially after 48 hours of intervention, in which the results returned to initial values (baseline) without pain (0) or fatigue (0) and were well recovered ( 17). However, in the analysis between groups, no significant differences were found for the variables evaluated. Conclusion: We can observe that the running protocol used was enough to generate pain and fatigue, however, both the percussive massage and the effleurage-type therapeutic massage proved to be effective in accelerating the recovery process after a 10km run, with no difference between the techniquesMaster Thesis Efeitos da estimulação transcraniana por corrente contínua (ETCC) na dor muscular tardia após treino resistido: protocolo para um ensaio controlado randomizado(Universidade Federal do Rio Grande do Norte, 2022-11-21) Santos, Aliuska Souza; Freitas, Rodrigo Pegado de Abreu; Souza, Clécio Gabriel de; https://orcid.org/0000-0001-9005-7956; http://lattes.cnpq.br/6308219057546985; http://lattes.cnpq.br/3462462933163509; http://lattes.cnpq.br/2310562863702029; Brasileiro, Jamilson Simões; Nascimento, José Diego Sales doBackgroud: Delayed onset muscle soreness (DOMS) is a discomfort described as fatigue, pain and allodynia in the skeletal muscles after exercise. To minimize DOMS it is suggested nondrug therapies such as massage and cryotherapy. A new approach, Transcranial Direct Current Stimulation (tDCS) applied over the primary motor cortex (M1) is the focus of this study. This technique modulates the functional connectivity of sensory networks by modifying the perception of pain. Objective: To develop a protocol of a randomized controlled trial to evaluate the effects of tDCS on DOMS in 24, 48 and 72 hours after a protocol of muscle damage induced by resistance exercise. Methods: The study describes a randomized, controlled, double-blind two-arm trial protocol following the recommendations of SPIRIT/ 2013. The study will have 6 stages: initial assessment, application of five consecutive sessions of tDCS blindly, then a protocol for induction of late onset muscle pain and evaluation of pain and function soon after application of the protocol; function with 24 and 48 and 72 hours after the DMIT induction protocol. Muscle pain, assessed by Visual Analogue Scale (VAS), will be the primary outcome of the study. The secondary outcomes evaluated will be the elbow joint amplitude for flexion and extension, muscle performance and muscle power, evaluated by the dynamometry. The effects of stimulation shall be calculated using a model of analysis of variance (ANOVA). Expected results: We suggest that the presented protocol will be valid to assess whether tDCS will decrease the DMIT and improve the functionality of the active group. This protocol could be applied in further studies with a clinical population, aiming to reduce the negative effects arising from strength exercise, such as fatigue and pain.Master Thesis Estimulação transcraniana por corrente contínua na fase crônica da Chikungunya: protocolo para um ensaio clínico randomizado(Universidade Federal do Rio Grande do Norte, 2022-02-14) Nascimento, Abraão Sérvulo do; Freitas, Rodrigo Pegado de Abreu; http://lattes.cnpq.br/3462462933163509; http://lattes.cnpq.br/4264195315785705; Ribeiro, Karyna Myrelly Oliveira Bezerra de Figueiredo; http://lattes.cnpq.br/9795076623959418; Andrade, Suellen Mary Marinho dos SantosIntroduction: Chikungunya virus infection is still an epidemic in Brazil with an incidence of 59.4 cases per 100,000 in the Northeast region. More than 60% of patients have chronic recurrent arthralgia, and there are no specific therapeutic agents to treat and rehabilitate people in the chronic phase of chikungunya. Persistent pain can lead to disability, requiring long-term pharmacological treatment. Non-drug therapies such as transcranial direct current stimulation (tDCS) emerge as a promising complementary approach for these patients. Objectives: to evaluate the effects of tDCS on pain and functionality of individuals in the chronic phase (symptoms persisting for more than 3 months) of chikungunya using anodic tDCS in the primary motor cortex (C3/Fp2 assembly). Methods: this is a protocol of a clinical trial, parallel, double-blind, randomized and controlled. Forty participants of both sexes with chronic chikungunya (minimum 3 months of initial infection) will be randomized to an active or sham group. A total of ten consecutive sessions lasting 20 min each will be administered over two weeks, using a single-phase direct current with an intensity of 2 mA for 20 min. Participants in both groups will be assessed at baseline, immediately after the 10th session, 2 weeks (first follow-up) and 4 weeks (second follow-up) after the intervention. As a primary outcome, we will have pain assessed using a numerical rating scale (NRS) and algometry to record pressure pain threshold (PPTh) and pressure pain tolerance (PPTo). Secondary outcomes will be functionality (HAQ), muscle strength (Handgrip dynamometer) and quality of life (SF-36). The effects of stimulation will be calculated using a mixed analysis of variance (ANOVA) model. Expected results: The application of tDCS in the described assembly is already recommended for chronic pain syndromes and rheumatic diseases. It is expected that the outcomes will improve only in the active group, contributing to the strengthening of this resource for this population. This way we will have one more non-pharmacological therapeutic option available and accessible, and additional data for the scientific discussion around clinical policies and future trials.Master Thesis Efeitos imediatos de instruções verbais na qualidade de movimento durante o teste do degrau lateral e correlação da avaliação visual com dados de cinemática, força e flexibilidade do membro inferior(2019-11-18) Silva, Rômulo Lemos e; Silva, Rodrigo Scattone da; ; ; Serrão, Fábio Viadanna; ; Vieira, Wouber Hérickson de Brito;Introduction: Abnormal lower limb movement patterns during closed kinetic chain activities seem to contribute to the occurrence of knee injuries. The Lateral Step-Down test (LSD) is a simple test for the assessment of lower limb movement patterns. Verbal instructions may result in immediate improvements in movement patterns in certain functional activities; however, it remains unknown whether these instructions can cause these same improvements during the LSD. Objectives: the purposes of this dissertation were: 1) to conduct a narrative review regarding the assessment of quality of movement during the LSD, 2) to determine the immediate effects of a verbal instructions intervention in the quality of movement and trunk, pelvis and lower limb kinematics in healthy females during the LSD, 3) to verify possible associations between lower limb muscle strength and flexibility and the results of quality of movement and 3D kinematics during the LSD. Methods: For the first study, two independent reviewers conducted a literature review in different databases. For the experimental study, thirtyfour healthy females performed the LSD and were assessed both visually and using a 3D kinematics analysis before and after receiving verbal instructions for movement correction. Participants were divided into Good Movement Group (GG) and Poor Movement Group (PG) according to their scores. Lower limb flexibility was measured using the Lunge Test and the assessment of passive hip stiffness. Muscle strength was measured using a handheld dynamometer. Verbal intervention included instructions aimed at improving the alignment of the trunk, pelvis, hip and knee during the LSD. Results: The narrative review identified a few confounding factors in the included studies that may interfere with the LSD results, such as step height and instructions given prior to the test. It was also found that the LSD is considered a simple test for clinical use, with moderate reliability (κ=0.59–0.81). Results from the experimental study showed that quality of movement during the LSD was positively correlated with kinematic measures of hip adduction, hip flexion and pelvic drop. Verbal instructions improved quality of movement of the volunteers in general, with the GG showing greater improvement in quality of movement after the instructions than the PG. In group comparisons, the PG presented greater pelvic drop, greater hip adduction and decreased hip flexion when compared to GG. Conclusions: The LSD has adequate reliability and should be standardized in order to minimize possible confounding factors. In the experimental investigation, the visual assessment of the LSD presented a significant association with pelvic drop and hip adduction during the 3D analysis in healthy females. Factors such as decreased ankle flexibility and increased hip flexibility are related to greater hip movements during the LSD. Verbal instructions caused an immediate improvement in lower limb quality of movement in healthy women during the LSD.Master Thesis Estimulação transcraniana por corrente contínua melhora dor e qualidade de vida em pacientes com Polineuropatia diabética: ensaio clínico randomizado(2018-07-31) Ferreira, Galeno Jahnssen Bezerra de Menezes; Freitas, Rodrigo Pegado de Abreu; ; ; Gualdi, Lucien Peroni; ; Lixandrão, Maíra Carolina;Introduction: Diabetes Mellitus is Classified as a chronic disease that as a characteristics peripheral nerve injury and neuropathic pain. It is a disease that effects several organs and systems and can generate serious vascular complication, being the main cause of painful diabetic neuropathic (PDN). In the long run for patients with diabetes, PDN is considered one of the major complications. It is characterized by constants pain that greatly affects the quality of life (QoL) of diabetic patients. The treatment is a challenge for the multiprofessional team, since in some cases the pain presents no significant pattern of improvement or is partially resolved with the use of medication. Objective: This study aimed to evaluate the effects of anodal tDCS of the M1 on QoL, physical fitness and pain in patients with diabetic polyneuropathy. Subjects and methods: It was conducted a two arms, parallel, sham, randomized, double-blind trial with twenty patients with diabetic polyneuropathy. Five consecutive sessions of C3/Fp2 tDCS montage were done. Quality of life according to SF-36 and pain were used to assess the primary outcome. Secondary outcomes measures was physical fitness level according to lower and upper body strength, flexibility and submaximal level of functional capacity. All outcomes were measured in 3 different times (baseline, 1 week and 2 week). Results: Generalized estimating equations (GEE) showed significant main effects of time x group on SF-36 score (x2 = 48.79; p < 0.001) with significant difference between baseline to 1 week (p = 0.001) and 2 week (p = 0.001). SF-36 score showed significant difference between group only on 2 week (p = 0.05). Mental health, physical health, emotional, general health, physical function and functional capacity showed significant interaction time x group with increase in Active-tDCS group. Bodily pain differ between groups in 2 week (p = 0.001). TUG and 6MWT have shown significant improvement only in Active-tDCS group (p = 0.0075; p = 0.0001 respectively, according to ANOVA). Conclusions: Five sessions of anodal M1 tDCS improve QoL, pain and functionality in patients with diabetic polyneuropathy.Master Thesis Neuromodulação para o tratamento das artralgias decorrentes da chikungunya(2017-12-12) Silva Filho, Edson Meneses da; Cacho, Ênio Walker Azevedo; Freitas, Rodrigo Pegado de Abreu; Rodrigo Pegado de Abreu Freitas; http://lattes.cnpq.br/3462462933163509; http://lattes.cnpq.br/7371695127039138; http://lattes.cnpq.br/5006107107585061; Morya, Edgard; https://orcid.org/0000-0003-0954-5317; http://lattes.cnpq.br/8813809602087639; Belchior, Hindiael Aeraf; https://orcid.org/0000-0002-6898-3985; http://lattes.cnpq.br/2815729240392635The Chikungunya (CHIK) virus is epidemic in Brazil, with 170,000 cases in the first half of 2016. More than 60% of patients present relapsing and remitting chronic arthralgia with debilitating pain lasting years. There are no specific therapeutic agents to treat and rehabilitee infected persons with CHIK. Persistent pain can lead to incapacitation, requiring long-term pharmacological treatment. Advances in non-pharmacological treatments are necessary to promote pain relief without side effects and to restore functionality. Here, we demonstrate that the transcranial direct current stimulation (tDCS) across the primary motor cortex significantly reduces pain in the chronic phase of CHIK. Our findings suggest tDCS could be an effective, inexpensive and deployable therapy to areas lacking resources with a great number of patients with chronic CHIK persistent pain.