Papel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cego
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/1778 |
Resumo: | Introduction: Fibromyalgia (FM) is a syndrome characterized by chronic widespread pain, with prevalence in women. An important issue is that many patients with FM also have the diagnosis of temporomandibular disorders (TMD) and the coexistence of these conditions generates a clinical result of high complexity. Exercise and phototherapy (low level laser therapy / LED) are two areas used for the treatment of chronic pain and may be promising in the rehabilitation of these comorbidities. In a protocol (1) the objective was to verify if the phototherapy and exercise program in a single application can increase or decrease the sensitivity of pain in patients with FM associated with TMD. Objective of the protocol two (2) was to evaluate the potential of physical exercise program and phototherapy on condition of chronic pain in women with FM associated with TMD. Methods / Study Design: Randomized clinical trial, double-blind and controlled. Protocol 1 was conducted involving 80 women aged ??? 35 years old with a diagnosis of FM TMD. Patients were randomly allocated to one of four groups: CON (have not undergone any operation); PHO group (intervention with phototherapy); EXT group (intervention with exercise); PHO + EXT group (more intervention exercise phototherapy). One session of the treatments and the revaluation was carried out was after thirty (30) minutes of application, with analysis of algometry. In Protocol 2 used the same methodology to protocol 1, but the revaluation was after ten (10) weeks of treatment, with addition of other evaluative tools algometry. Statistical analysis was performed using Student's t-test, one-tailed and paired and was held Gaussian distribution: Shapiro-Wilk and Kruskal Wallis test (Dunnes post-test), and even the use of the Wilcoxon test and the significance of statistical analysis 0.05 for all tests. The study protocol is registered with the World Health Organization under protocol number NCT02279225. Results: Groups with active intervention, had a good response on the group without intervention and even the combination of therapeutic resources was more effective in the two periods evaluated, there was a significant improvement from the point corresponding to DTM in the intervention groups. Discussion: This is the first randomized controlled trial to evaluate the role of phototherapy, a physical exercise program and the combination of these interventions for pain in fibromyalgia patients with TMD in assessment baseline and after longitudinal treatment. The results provide valuable clinical evidence for objective assessment of the potential benefits and risks of the procedures. Conclusion: The therapy associated with specific exercise program improves the painful condition FM patient with TMD. Perspectives: Check the role of phototherapy, the exercise program and these therapies in combination in the hormone changes that may be related to quality of life of patients. |
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Serra, Andrey JorgeSerra, Andrey JorgeBocalini, Danilo SalesCunha, Gisela ArsaCarvalho, Paulo de Tarso Camillo deBussadori, Sandra Kalilhttp://lattes.cnpq.br/9891029313058031Silva, Mariana Moreira da2018-06-15T13:45:40Z2015-06-29Silva, Mariana Moreira da. Papel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cego. 2015. 76 f. Tese( Programa de P??s-Gradua????o em Biofot??nica Aplicada ??s Ci??ncias da Sa??de) - Universidade Nove de Julho, S??o Paulo.http://bibliotecatede.uninove.br/handle/tede/1778Introduction: Fibromyalgia (FM) is a syndrome characterized by chronic widespread pain, with prevalence in women. An important issue is that many patients with FM also have the diagnosis of temporomandibular disorders (TMD) and the coexistence of these conditions generates a clinical result of high complexity. Exercise and phototherapy (low level laser therapy / LED) are two areas used for the treatment of chronic pain and may be promising in the rehabilitation of these comorbidities. In a protocol (1) the objective was to verify if the phototherapy and exercise program in a single application can increase or decrease the sensitivity of pain in patients with FM associated with TMD. Objective of the protocol two (2) was to evaluate the potential of physical exercise program and phototherapy on condition of chronic pain in women with FM associated with TMD. Methods / Study Design: Randomized clinical trial, double-blind and controlled. Protocol 1 was conducted involving 80 women aged ??? 35 years old with a diagnosis of FM TMD. Patients were randomly allocated to one of four groups: CON (have not undergone any operation); PHO group (intervention with phototherapy); EXT group (intervention with exercise); PHO + EXT group (more intervention exercise phototherapy). One session of the treatments and the revaluation was carried out was after thirty (30) minutes of application, with analysis of algometry. In Protocol 2 used the same methodology to protocol 1, but the revaluation was after ten (10) weeks of treatment, with addition of other evaluative tools algometry. Statistical analysis was performed using Student's t-test, one-tailed and paired and was held Gaussian distribution: Shapiro-Wilk and Kruskal Wallis test (Dunnes post-test), and even the use of the Wilcoxon test and the significance of statistical analysis 0.05 for all tests. The study protocol is registered with the World Health Organization under protocol number NCT02279225. Results: Groups with active intervention, had a good response on the group without intervention and even the combination of therapeutic resources was more effective in the two periods evaluated, there was a significant improvement from the point corresponding to DTM in the intervention groups. Discussion: This is the first randomized controlled trial to evaluate the role of phototherapy, a physical exercise program and the combination of these interventions for pain in fibromyalgia patients with TMD in assessment baseline and after longitudinal treatment. The results provide valuable clinical evidence for objective assessment of the potential benefits and risks of the procedures. Conclusion: The therapy associated with specific exercise program improves the painful condition FM patient with TMD. Perspectives: Check the role of phototherapy, the exercise program and these therapies in combination in the hormone changes that may be related to quality of life of patients.Introdu????o: A Fibromialgia (FM) ?? uma s??ndrome caracterizada pela dor cr??nica generalizada, com preval??ncia em mulheres. Uma quest??o importante ?? que v??rios pacientes com FM tamb??m apresentam o diagn??stico de disfun????o temporomandibular (DTM) e a coexist??ncia dessas patologias gera um resultado cl??nico de alta complexidade. O exerc??cio f??sico e a fototerapia (laserterapia de baixa pot??ncia/ diodo emissor de luz) s??o duas ??reas utilizadas para o tratamento da dor cr??nica, podendo ser promissores na reabilita????o dessas comorbidades. No protocolo um (1) o objetivo foi verificar se a fototerapia e o programa de exerc??cio f??sico em uma ??nica aplica????o pode aumentar ou diminuir a sensibilidade da dor no paciente com FM associado a DTM. Objetivo do protocolo dois (2) foi avaliar o potencial do programa de exerc??cio f??sico e da fototerapia na condi????o de dor cr??nica em mulheres com FM associado a DTM. M??todos / Desenho do estudo: Ensaio cl??nico randomizado, duplo-cego e controlado. O protocolo 1 foi realizado envolvendo 80 mulheres com ??? 35 anos de idade com diagn??stico de FM com DTM. Os pacientes foram alocados aleatoriamente para um dos quatro grupos: Grupo CON (n??o foram submetidas a qualquer interven????o); Grupo PHO (interven????o com a fototerapia); Grupo EXT (interven????o com exerc??cios f??sicos); Grupo PHO + EXT (fototerapia mais interven????o do exerc??cio). Foi realizado uma ??nica sess??o dos tratamentos e a reavalia????o foi ap??s trinta (30) minutos da aplica????o, com analise da algometria. No Protocolo 2 usou a mesma metodologia que o protocolo 1, mas as reavalia????es foram ap??s dez (10) semanas de tratamento, com outras ferramentas avaliativas al??m da algometria. Para an??lise estat??stica foi utilizado o teste t-Student, unicaudal e pareado e foi realizada a distribui????o Gaussiana: Shapiro-Wilk e teste Kruskall Wallis (p??s-teste de Dunnes), e ainda a utiliza????o do teste Wilcoxon, sendo a analise estat??stica de signific??ncia 0,05 para todos os testes. O protocolo deste estudo est?? registrado com a Organiza????o Mundial de Sa??de sob protocolo n??mero NCT02279225. Resultados: Os grupos com interven????o ativa, tiveram uma boa resposta sobre o grupo sem interven????o e ainda a combina????o de recursos terap??uticos mostrou ser mais eficaz nos dois momentos avaliados, houve uma melhora significante quanto ao ponto correspondente a DTM nos grupos de interven????o. Discuss??o: Este ?? o primeiro estudo controlado randomizado avaliando o papel da fototerapia, de um programa de exerc??cio f??sico e a combina????o dessas interven????es para a dor em pacientes fibromi??lgicos com DTM, em avalia????o em linha de base e ap??s tratamento longitudinal. Os resultados oferecem evid??ncias cl??nicas valiosas para avalia????o objetiva dos potenciais benef??cios e riscos dos procedimentos. Conclus??o: A fototerapia associada ao programa de exerc??cio f??sico espec??fico melhora a condi????o dolorosa do paciente de FM com DTM. Perspectivas: Verificar o papel da fototerapia, do programa de exerc??cios e essas terapias de forma combinada na altera????o de horm??nios que podem estar relacionados a qualidade de vida destes pacientes.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2018-06-15T13:45:40Z No. of bitstreams: 1 Mariana Moreira da Silva.pdf: 2627073 bytes, checksum: 8b556a25b3da990d9fcef2fc095004ad (MD5)Made available in DSpace on 2018-06-15T13:45:40Z (GMT). No. of bitstreams: 1 Mariana Moreira da Silva.pdf: 2627073 bytes, checksum: 8b556a25b3da990d9fcef2fc095004ad (MD5) Previous issue date: 2015-06-29application/pdfporUniversidade Nove de JulhoPrograma de P??s-Gradua????o em Biofot??nica Aplicada ??s Ci??ncias da Sa??deUNINOVEBrasilSa??delaser de baixa pot??nciaLEDdisfun????o da articula????o temporomandibularfibromialgiadorlow power laserLEDtemporomandibular joint dysfunctionfibromyalgiapainCIENCIAS DA SAUDEPapel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cegoRole of phototherapy and a physical exercise program in fibromyalgia, temporomandibular dysfunction: controlled clinical trial, randomized double-blindinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALMariana Moreira da Silva.pdfMariana Moreira da Silva.pdfapplication/pdf2627073http://localhost:8080/tede/bitstream/tede/1778/2/Mariana+Moreira+da+Silva.pdf8b556a25b3da990d9fcef2fc095004adMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1778/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/17782018-06-15 10:45:40.88oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2018-06-15T13:45:40Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Papel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cego |
dc.title.alternative.eng.fl_str_mv |
Role of phototherapy and a physical exercise program in fibromyalgia, temporomandibular dysfunction: controlled clinical trial, randomized double-blind |
title |
Papel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cego |
spellingShingle |
Papel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cego Silva, Mariana Moreira da laser de baixa pot??ncia LED disfun????o da articula????o temporomandibular fibromialgia dor low power laser LED temporomandibular joint dysfunction fibromyalgia pain CIENCIAS DA SAUDE |
title_short |
Papel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cego |
title_full |
Papel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cego |
title_fullStr |
Papel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cego |
title_full_unstemmed |
Papel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cego |
title_sort |
Papel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cego |
author |
Silva, Mariana Moreira da |
author_facet |
Silva, Mariana Moreira da |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Serra, Andrey Jorge |
dc.contributor.referee1.fl_str_mv |
Serra, Andrey Jorge |
dc.contributor.referee2.fl_str_mv |
Bocalini, Danilo Sales |
dc.contributor.referee3.fl_str_mv |
Cunha, Gisela Arsa |
dc.contributor.referee4.fl_str_mv |
Carvalho, Paulo de Tarso Camillo de |
dc.contributor.referee5.fl_str_mv |
Bussadori, Sandra Kalil |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9891029313058031 |
dc.contributor.author.fl_str_mv |
Silva, Mariana Moreira da |
contributor_str_mv |
Serra, Andrey Jorge Serra, Andrey Jorge Bocalini, Danilo Sales Cunha, Gisela Arsa Carvalho, Paulo de Tarso Camillo de Bussadori, Sandra Kalil |
dc.subject.por.fl_str_mv |
laser de baixa pot??ncia LED disfun????o da articula????o temporomandibular fibromialgia dor |
topic |
laser de baixa pot??ncia LED disfun????o da articula????o temporomandibular fibromialgia dor low power laser LED temporomandibular joint dysfunction fibromyalgia pain CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
low power laser LED temporomandibular joint dysfunction fibromyalgia pain |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Introduction: Fibromyalgia (FM) is a syndrome characterized by chronic widespread pain, with prevalence in women. An important issue is that many patients with FM also have the diagnosis of temporomandibular disorders (TMD) and the coexistence of these conditions generates a clinical result of high complexity. Exercise and phototherapy (low level laser therapy / LED) are two areas used for the treatment of chronic pain and may be promising in the rehabilitation of these comorbidities. In a protocol (1) the objective was to verify if the phototherapy and exercise program in a single application can increase or decrease the sensitivity of pain in patients with FM associated with TMD. Objective of the protocol two (2) was to evaluate the potential of physical exercise program and phototherapy on condition of chronic pain in women with FM associated with TMD. Methods / Study Design: Randomized clinical trial, double-blind and controlled. Protocol 1 was conducted involving 80 women aged ??? 35 years old with a diagnosis of FM TMD. Patients were randomly allocated to one of four groups: CON (have not undergone any operation); PHO group (intervention with phototherapy); EXT group (intervention with exercise); PHO + EXT group (more intervention exercise phototherapy). One session of the treatments and the revaluation was carried out was after thirty (30) minutes of application, with analysis of algometry. In Protocol 2 used the same methodology to protocol 1, but the revaluation was after ten (10) weeks of treatment, with addition of other evaluative tools algometry. Statistical analysis was performed using Student's t-test, one-tailed and paired and was held Gaussian distribution: Shapiro-Wilk and Kruskal Wallis test (Dunnes post-test), and even the use of the Wilcoxon test and the significance of statistical analysis 0.05 for all tests. The study protocol is registered with the World Health Organization under protocol number NCT02279225. Results: Groups with active intervention, had a good response on the group without intervention and even the combination of therapeutic resources was more effective in the two periods evaluated, there was a significant improvement from the point corresponding to DTM in the intervention groups. Discussion: This is the first randomized controlled trial to evaluate the role of phototherapy, a physical exercise program and the combination of these interventions for pain in fibromyalgia patients with TMD in assessment baseline and after longitudinal treatment. The results provide valuable clinical evidence for objective assessment of the potential benefits and risks of the procedures. Conclusion: The therapy associated with specific exercise program improves the painful condition FM patient with TMD. Perspectives: Check the role of phototherapy, the exercise program and these therapies in combination in the hormone changes that may be related to quality of life of patients. |
publishDate |
2015 |
dc.date.issued.fl_str_mv |
2015-06-29 |
dc.date.accessioned.fl_str_mv |
2018-06-15T13:45:40Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
Silva, Mariana Moreira da. Papel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cego. 2015. 76 f. Tese( Programa de P??s-Gradua????o em Biofot??nica Aplicada ??s Ci??ncias da Sa??de) - Universidade Nove de Julho, S??o Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/1778 |
identifier_str_mv |
Silva, Mariana Moreira da. Papel da fototerapia e de um programa de exerc??cio f??sico na fibromialgia com disfun????o temporomandibular: ensaio cl??nico controlado, randomizado e duplo-cego. 2015. 76 f. Tese( Programa de P??s-Gradua????o em Biofot??nica Aplicada ??s Ci??ncias da Sa??de) - Universidade Nove de Julho, S??o Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/1778 |
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por |
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Universidade Nove de Julho |
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Programa de P??s-Gradua????o em Biofot??nica Aplicada ??s Ci??ncias da Sa??de |
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UNINOVE |
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Universidade Nove de Julho |
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Biblioteca Digital de Teses e Dissertações da Uninove |
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http://localhost:8080/tede/bitstream/tede/1778/2/Mariana+Moreira+da+Silva.pdf http://localhost:8080/tede/bitstream/tede/1778/1/license.txt |
bitstream.checksum.fl_str_mv |
8b556a25b3da990d9fcef2fc095004ad bd3efa91386c1718a7f26a329fdcb468 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE) |
repository.mail.fl_str_mv |
bibliotecatede@uninove.br||bibliotecatede@uninove.br |
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1811016874190700544 |