Efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cego

Detalhes bibliográficos
Autor(a) principal: Silva, Andréia Cristina de Oliveira
Data de Publicação: 2019
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/2277
Resumo: Introduction: Neck pain is described as an unpleasant sensory and emotional experience that begins at the upper nuchal line and continues to the level of the scapular spine. Although it may be associated with degenerative processes and other pathologies, often the local tissue that produces pain remains unidentified in these cases neck pain may be considered non-specific (NS-NP). Thus, this condition may be related to functional anatomic imbalances between structures that interconnect with the cervical region, such as the mandible, tongue and hyoid bone. Objective: To evaluate the effect of manipulation of the suprahyoid region and tongue on cervical pain, mobility and disability in individuals with chronic NS-NP. Methods: This was a randomized, double-blind controlled trial consisting of 40 individuals with chronic NS-NP, randomly divided into two groups: i) Control - received multimodal treatment (manual therapy and exercise program), ii) Experimental - received the same treatment as the control group plus a protocol for manipulation of the suprahyoid region and tongue. The treatment was performed twice a week for 3 weeks (total of 6 sessions). The primary endpoint evaluated was cervical pain, as assessed by the Numeric Pain Rating Scale (NPRS), and the secondary end points: the intensity of Pain Catastrophizing Scale (PCS) about cervical pain, the degree of neck disability, the patient's specific functional scale, cervical mobility, amplitude of mouth opening, and TMJ-related symptoms. Possible differences between groups were tested using linear mixed models considering differences between groups and intention to treat. Paired T-test was used for intragroup analyzes. Results: Between the groups, only the right neck rotation movement and the PCS showed significant differences between the groups (p <0.01). In the intragroup analysis, significant differences (p <0.01) were found for all clinical outcomes for the experimental group. For the control group, with the exception of neck range of motion, all clinical outcomes showed significant post treatment differences (p <0.05). Conclusions: In this study it was demonstrated that the addition of suprahyoid and tongue manipulation to a multimodal intervention for the treatment of patients with chronic nonspecific neck pain can contribute to the improvement of cervical rotation as well as catastrophic thinking about pain.
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spelling Politti, FabianoPolitti, FabianoGomes, Cid André Fidelis de PaulaPasin Neto, Hugohttp://lattes.cnpq.br/9702583407750531Silva, Andréia Cristina de Oliveira2020-10-27T20:47:12Z2019-12-16Silva, Andréia Cristina de Oliveira. Efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cego. 2019. 86 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo, 2019 .http://bibliotecatede.uninove.br/handle/tede/2277Introduction: Neck pain is described as an unpleasant sensory and emotional experience that begins at the upper nuchal line and continues to the level of the scapular spine. Although it may be associated with degenerative processes and other pathologies, often the local tissue that produces pain remains unidentified in these cases neck pain may be considered non-specific (NS-NP). Thus, this condition may be related to functional anatomic imbalances between structures that interconnect with the cervical region, such as the mandible, tongue and hyoid bone. Objective: To evaluate the effect of manipulation of the suprahyoid region and tongue on cervical pain, mobility and disability in individuals with chronic NS-NP. Methods: This was a randomized, double-blind controlled trial consisting of 40 individuals with chronic NS-NP, randomly divided into two groups: i) Control - received multimodal treatment (manual therapy and exercise program), ii) Experimental - received the same treatment as the control group plus a protocol for manipulation of the suprahyoid region and tongue. The treatment was performed twice a week for 3 weeks (total of 6 sessions). The primary endpoint evaluated was cervical pain, as assessed by the Numeric Pain Rating Scale (NPRS), and the secondary end points: the intensity of Pain Catastrophizing Scale (PCS) about cervical pain, the degree of neck disability, the patient's specific functional scale, cervical mobility, amplitude of mouth opening, and TMJ-related symptoms. Possible differences between groups were tested using linear mixed models considering differences between groups and intention to treat. Paired T-test was used for intragroup analyzes. Results: Between the groups, only the right neck rotation movement and the PCS showed significant differences between the groups (p <0.01). In the intragroup analysis, significant differences (p <0.01) were found for all clinical outcomes for the experimental group. For the control group, with the exception of neck range of motion, all clinical outcomes showed significant post treatment differences (p <0.05). Conclusions: In this study it was demonstrated that the addition of suprahyoid and tongue manipulation to a multimodal intervention for the treatment of patients with chronic nonspecific neck pain can contribute to the improvement of cervical rotation as well as catastrophic thinking about pain.Introdução: A cervicalgia é descrita como uma experiência sensorial e emocional desagradável que começa na linha nucal superior e continua até o nível da espinha escapular. Embora possa estar associada à processos degenerativos e à outras patologias, muitas vezes o tecido local que produz a dor permanece não identificado e, nestes casos, a cervicalgia pode ser considerada como inespecífica (CI). Dessa maneira, essa condição pode estar relacionada à desequilíbrios anátomo funcionais entre as estruturas que se interligam com a região cervical, como por exemplo a mandíbula, língua e o osso hioideo. Objetivo: Avaliar o efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica. Métodos: Esse foi um ensaio clínico randomizado, controlado duplo cego, constituído de 40 indivíduos com CI crônica, divididos aleatoriamente em dois grupos sendo esses: i) Controle - recebeu o tratamento multimodal (terapia manual e um programa de exercício), ii) Experimental – recebeu o mesmo tratamento do grupo controle somado a um protocolo de manipulação da região supra-hioidea e da língua. O tratamento foi realizado duas vezes por semana, durante 3 semanas (total de 6 sessões). O desfecho primário avaliado foi a dor cervical, avaliada pela Escala Numérica Verbal da Dor (ENVD) e os secundários: a intensidade do pensamento catastrófico (PCS), o grau de incapacidade do pescoço, a escala funcional específica do paciente, a mobilidade cervical além da dor, amplitude de abertura, e os sintomas relacionados à ATM. As possíveis diferenças entre os grupos foram testadas através de modelos mistos lineares considerando as diferenças entre os grupos e intenção de tratamento. O Test-t pareado foi utilizado para as análises intragrupo. Resultados: Entre os grupos, somente o movimento de rotação à direita do pescoço e a PCS demonstraram diferenças significavas entre os grupos (p <0.01). Na análise intragrupo, foram encontradas diferenças significativas (p <0.01) em todos os desfechos clínicos para o grupo experimental. Para o grupo controle, com exceção da amplitude de movimento do pescoço, todas os desfechos clínicos apresentaram diferenças estatisticamente significante pós tratamento (p<0.05). Conclusões: Nesse estudo foi demonstrado que a adição da manipulação da região supra-hioidea e da língua à uma intervenção multimodal para o tratamento de pacientes com cervicalgia inespecífica crônica pode contribuir para a melhora do movimento de rotação cervical, bem como no pensamento catastrófico sobre a dor.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2020-10-27T20:47:12Z No. of bitstreams: 1 ANDRÉIA CRISTINA DE OLIVEIRA SILVA.doc.pdf: 2344727 bytes, checksum: 4226c1e68539a684dab18e8a416eff0d (MD5)Made available in DSpace on 2020-10-27T20:47:12Z (GMT). No. of bitstreams: 1 ANDRÉIA CRISTINA DE OLIVEIRA SILVA.doc.pdf: 2344727 bytes, checksum: 4226c1e68539a684dab18e8a416eff0d (MD5) Previous issue date: 2019-12-16application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúdecervicalgia inespecíficaosso hioideregião supra-hioidealíngua.nonspecific cervicalgiahyoid bonesuprahyoid regiontongue.CIENCIAS DA SAUDEEfeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cegoThe effect of therealese of suprahyoid region and tongue on pain, mobility and disability in individuals with non-specific neck pain: a randomized double blind clinical trialinfo: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:UNINOVEORIGINALANDRÉIA CRISTINA DE OLIVEIRA SILVA.doc.pdfANDRÉIA CRISTINA DE OLIVEIRA SILVA.doc.pdfapplication/pdf2344727http://localhost:8080/tede/bitstream/tede/2277/2/ANDR%C3%89IA+CRISTINA+DE+OLIVEIRA+SILVA.doc.pdf4226c1e68539a684dab18e8a416eff0dMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2277/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/22772021-07-07 16:48:08.922oai: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:2021-07-07T19:48:08Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false
dc.title.por.fl_str_mv Efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cego
dc.title.alternative.eng.fl_str_mv The effect of therealese of suprahyoid region and tongue on pain, mobility and disability in individuals with non-specific neck pain: a randomized double blind clinical trial
title Efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cego
spellingShingle Efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cego
Silva, Andréia Cristina de Oliveira
cervicalgia inespecífica
osso hioide
região supra-hioidea
língua.
nonspecific cervicalgia
hyoid bone
suprahyoid region
tongue.
CIENCIAS DA SAUDE
title_short Efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cego
title_full Efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cego
title_fullStr Efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cego
title_full_unstemmed Efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cego
title_sort Efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cego
author Silva, Andréia Cristina de Oliveira
author_facet Silva, Andréia Cristina de Oliveira
author_role author
dc.contributor.advisor1.fl_str_mv Politti, Fabiano
dc.contributor.referee1.fl_str_mv Politti, Fabiano
dc.contributor.referee2.fl_str_mv Gomes, Cid André Fidelis de Paula
dc.contributor.referee3.fl_str_mv Pasin Neto, Hugo
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/9702583407750531
dc.contributor.author.fl_str_mv Silva, Andréia Cristina de Oliveira
contributor_str_mv Politti, Fabiano
Politti, Fabiano
Gomes, Cid André Fidelis de Paula
Pasin Neto, Hugo
dc.subject.por.fl_str_mv cervicalgia inespecífica
osso hioide
região supra-hioidea
língua.
topic cervicalgia inespecífica
osso hioide
região supra-hioidea
língua.
nonspecific cervicalgia
hyoid bone
suprahyoid region
tongue.
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv nonspecific cervicalgia
hyoid bone
suprahyoid region
tongue.
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description Introduction: Neck pain is described as an unpleasant sensory and emotional experience that begins at the upper nuchal line and continues to the level of the scapular spine. Although it may be associated with degenerative processes and other pathologies, often the local tissue that produces pain remains unidentified in these cases neck pain may be considered non-specific (NS-NP). Thus, this condition may be related to functional anatomic imbalances between structures that interconnect with the cervical region, such as the mandible, tongue and hyoid bone. Objective: To evaluate the effect of manipulation of the suprahyoid region and tongue on cervical pain, mobility and disability in individuals with chronic NS-NP. Methods: This was a randomized, double-blind controlled trial consisting of 40 individuals with chronic NS-NP, randomly divided into two groups: i) Control - received multimodal treatment (manual therapy and exercise program), ii) Experimental - received the same treatment as the control group plus a protocol for manipulation of the suprahyoid region and tongue. The treatment was performed twice a week for 3 weeks (total of 6 sessions). The primary endpoint evaluated was cervical pain, as assessed by the Numeric Pain Rating Scale (NPRS), and the secondary end points: the intensity of Pain Catastrophizing Scale (PCS) about cervical pain, the degree of neck disability, the patient's specific functional scale, cervical mobility, amplitude of mouth opening, and TMJ-related symptoms. Possible differences between groups were tested using linear mixed models considering differences between groups and intention to treat. Paired T-test was used for intragroup analyzes. Results: Between the groups, only the right neck rotation movement and the PCS showed significant differences between the groups (p <0.01). In the intragroup analysis, significant differences (p <0.01) were found for all clinical outcomes for the experimental group. For the control group, with the exception of neck range of motion, all clinical outcomes showed significant post treatment differences (p <0.05). Conclusions: In this study it was demonstrated that the addition of suprahyoid and tongue manipulation to a multimodal intervention for the treatment of patients with chronic nonspecific neck pain can contribute to the improvement of cervical rotation as well as catastrophic thinking about pain.
publishDate 2019
dc.date.issued.fl_str_mv 2019-12-16
dc.date.accessioned.fl_str_mv 2020-10-27T20:47:12Z
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dc.identifier.citation.fl_str_mv Silva, Andréia Cristina de Oliveira. Efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cego. 2019. 86 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo, 2019 .
dc.identifier.uri.fl_str_mv http://bibliotecatede.uninove.br/handle/tede/2277
identifier_str_mv Silva, Andréia Cristina de Oliveira. Efeito da manipulação da região supra-hioidea e da língua na dor, mobilidade e incapacidade cervical de indivíduos com cervicalgia inespecífica crônica: ensaio clínico randomizado duplo cego. 2019. 86 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo, 2019 .
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