Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles

Detalhes bibliográficos
Autor(a) principal: Rebelatto, Marcelo Nascimento
Data de Publicação: 2020
Tipo de documento: Tese
Idioma: por
Título da fonte: Repositório Institucional da UFSCAR
Texto Completo: https://repositorio.ufscar.br/handle/ufscar/13264
Resumo: Shoulder pain is one of the main musculoskeletal disorders; however, there are difficulties in its assessment and diagnosis. Considering regional interdependence, a patient's primary symptom may be related to impairments in various regions and systems of the body regardless of proximity to the primary symptom. The relationship between the shoulder and the cervicothoracic spine has less previous evidence, which would improve the description and decision-making in these individuals. In this sense, the objectives of this thesis were: 1) to determine the intra and inter-rater reliability to assess the strength of the cervical muscles in individuals with shoulder pain. 2) identify if there are differences between the assessments of sensitivity, range of motion (ROM) and cervical strength of subjects with and without shoulder pain. For the first study, cervical muscle strength was assessed in 31 individuals with shoulder pain using a portable dynamometer and reliability was analyzed using the Intraclass Correlation Coefficient (CCI), standard error of measurement (SEM) and Minimum Detectable Change (MDC). It was concluded that the portable hand held dynamometer has excellent intra-rater reliability and good to excellent inter-rater reliability for manual cervical dynamometry. In the second study, 48 individuals with shoulder pain and 48 asymptomatic of both genders, aged between 18 and 60 years, who did not have cervical dysfunction were assessed. Sensitivity (pressure pain threshold), ROM (goniometry with cervical range of motion) and cervical strength (manual dynamometry) assessments were performed in all individuals. It was concluded that individuals with shoulder pain have greater cervical sensitivity and less cervical mobility than asymptomatic individuals. In addition, older age, pain and dysfunction tend to be associated with poorer performance in cervical assessments.
id SCAR_8ad04c982b16fda6082e96d1fe4789a4
oai_identifier_str oai:repositorio.ufscar.br:ufscar/13264
network_acronym_str SCAR
network_name_str Repositório Institucional da UFSCAR
repository_id_str 4322
spelling Rebelatto, Marcelo NascimentoSendín, Francisco Alburquerquehttp://lattes.cnpq.br/7551905278202959Haik, Melina Nevoeirohttp://lattes.cnpq.br/8240155487619947http://lattes.cnpq.br/7204785489008565e2d3977d-9171-42ff-8502-80bfd59f89df2020-09-22T10:42:33Z2020-09-22T10:42:33Z2020-08-19REBELATTO, Marcelo Nascimento. Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles. 2020. Tese (Doutorado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2020. Disponível em: https://repositorio.ufscar.br/handle/ufscar/13264.https://repositorio.ufscar.br/handle/ufscar/13264Shoulder pain is one of the main musculoskeletal disorders; however, there are difficulties in its assessment and diagnosis. Considering regional interdependence, a patient's primary symptom may be related to impairments in various regions and systems of the body regardless of proximity to the primary symptom. The relationship between the shoulder and the cervicothoracic spine has less previous evidence, which would improve the description and decision-making in these individuals. In this sense, the objectives of this thesis were: 1) to determine the intra and inter-rater reliability to assess the strength of the cervical muscles in individuals with shoulder pain. 2) identify if there are differences between the assessments of sensitivity, range of motion (ROM) and cervical strength of subjects with and without shoulder pain. For the first study, cervical muscle strength was assessed in 31 individuals with shoulder pain using a portable dynamometer and reliability was analyzed using the Intraclass Correlation Coefficient (CCI), standard error of measurement (SEM) and Minimum Detectable Change (MDC). It was concluded that the portable hand held dynamometer has excellent intra-rater reliability and good to excellent inter-rater reliability for manual cervical dynamometry. In the second study, 48 individuals with shoulder pain and 48 asymptomatic of both genders, aged between 18 and 60 years, who did not have cervical dysfunction were assessed. Sensitivity (pressure pain threshold), ROM (goniometry with cervical range of motion) and cervical strength (manual dynamometry) assessments were performed in all individuals. It was concluded that individuals with shoulder pain have greater cervical sensitivity and less cervical mobility than asymptomatic individuals. In addition, older age, pain and dysfunction tend to be associated with poorer performance in cervical assessments.A dor no ombro é uma das principais desordens musculoesqueléticas, porém, há dificuldades na sua avaliação e diagnóstico. Considerando a interdependência regional, um sintoma primário de um paciente pode estar relacionado com comprometimentos de várias regiões e sistemas do corpo independentemente da proximidade com o sintoma primário. A relação entre o ombro e a coluna cervicotorácica conta com poucas evidências prévias, o que melhoraria a descrição e a tomada de decisões nestes indivíduos. Nesse sentido, os objetivos desta tese foram: 1) Determinar a confiabilidade intra e interexaminadores para avaliar a força dos músculos cervicais em indivíduos com dor no ombro. 2) Identificar se existem diferenças entre as avaliações de sensibilidade, amplitude de movimento (ADM) e força da cervical de sujeitos com e sem dor no ombro. Para o primeiro estudo, a força dos músculos cervicais foi mensurada em 31 indivíduos com dor no ombro usando um dinamômetro portátil e a confiabilidade foi analisada usando o Coeficiente de Correlação Intraclasse (CCI), erro padrão de medição (EPM) e Mínima Diferença Detectável (MDD). Concluiu-se que o dinamômetro manual portátil tem confiabilidade intraexaminadores excelente e confiabilidade interexaminadores de boa a excelente para dinamometria cervical manual. No segundo estudo, foram avaliados 48 sujeitos com dor no ombro e 48 assintomáticos de ambos os sexos, com idade entre 18 e 60 anos que não apresentavam disfunção na cervical. Foram realizadas as avaliações de sensibilidade (limiar de dor à pressão), ADM (goniometria com o cervical range of motion) e força (dinamometria manual) da cervical em todos os indivíduos. Concluiu-se que indivíduos com dor no ombro têm maior sensibilidade cervical e menos mobilidade cervical do que indivíduos assintomáticos. Além disso, maior idade, dor e disfunção tendem a estar associados a pior performance nas avaliações cervicais.Não recebi financiamentoporUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Fisioterapia - PPGFtUFSCarAttribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessDor no ombroColuna cervicalLimiar de dor a pressãoDinamometriaAmplitude de movimento cervicalShoulder painCervical spinePressure pain thresholdDynamometryCervical range of motionCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALLimiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controlesCervical pressure pain threshold, range of motion and strength in individual with shoulder pain: a cross-sectional case control studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis60005478421-dfd4-4c2f-a5e2-ad20c33f75bereponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALtese final PDF.pdftese final PDF.pdfTeseapplication/pdf808891https://repositorio.ufscar.br/bitstream/ufscar/13264/7/tese%20final%20PDF.pdfb10766b4d833275e3b4510186299f923MD57Assinada_Carta-comprovante-da-versão-final-de-teses-e-dissertações.pdfAssinada_Carta-comprovante-da-versão-final-de-teses-e-dissertações.pdfCarta do orientador assinadaapplication/pdf194108https://repositorio.ufscar.br/bitstream/ufscar/13264/10/Assinada_Carta-comprovante-da-vers%c3%a3o-final-de-teses-e-disserta%c3%a7%c3%b5es.pdfc55bf0ef9200f818f4e90347095618aaMD510CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8701https://repositorio.ufscar.br/bitstream/ufscar/13264/11/license_rdf42fd4ad1e89814f5e4a476b409eb708cMD511TEXTtese final PDF.pdf.txttese final PDF.pdf.txtExtracted texttext/plain110048https://repositorio.ufscar.br/bitstream/ufscar/13264/12/tese%20final%20PDF.pdf.txt2cfb1ed0295c46e3d54227d3aef7ab4bMD512Assinada_Carta-comprovante-da-versão-final-de-teses-e-dissertações.pdf.txtAssinada_Carta-comprovante-da-versão-final-de-teses-e-dissertações.pdf.txtExtracted texttext/plain1634https://repositorio.ufscar.br/bitstream/ufscar/13264/14/Assinada_Carta-comprovante-da-vers%c3%a3o-final-de-teses-e-disserta%c3%a7%c3%b5es.pdf.txt612dc1d3fad9bc69b8b5ba1313436052MD514THUMBNAILtese final PDF.pdf.jpgtese final PDF.pdf.jpgIM Thumbnailimage/jpeg7264https://repositorio.ufscar.br/bitstream/ufscar/13264/13/tese%20final%20PDF.pdf.jpg07b2f86970d9c74ffb7e87b28313a3b2MD513Assinada_Carta-comprovante-da-versão-final-de-teses-e-dissertações.pdf.jpgAssinada_Carta-comprovante-da-versão-final-de-teses-e-dissertações.pdf.jpgIM Thumbnailimage/jpeg17646https://repositorio.ufscar.br/bitstream/ufscar/13264/15/Assinada_Carta-comprovante-da-vers%c3%a3o-final-de-teses-e-disserta%c3%a7%c3%b5es.pdf.jpg17078c53ccbd412810551b033c9d5d38MD515ufscar/132642023-09-18 18:32:07.146oai:repositorio.ufscar.br:ufscar/13264Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:32:07Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false
dc.title.por.fl_str_mv Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles
dc.title.alternative.eng.fl_str_mv Cervical pressure pain threshold, range of motion and strength in individual with shoulder pain: a cross-sectional case control study
title Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles
spellingShingle Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles
Rebelatto, Marcelo Nascimento
Dor no ombro
Coluna cervical
Limiar de dor a pressão
Dinamometria
Amplitude de movimento cervical
Shoulder pain
Cervical spine
Pressure pain threshold
Dynamometry
Cervical range of motion
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
title_short Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles
title_full Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles
title_fullStr Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles
title_full_unstemmed Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles
title_sort Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles
author Rebelatto, Marcelo Nascimento
author_facet Rebelatto, Marcelo Nascimento
author_role author
dc.contributor.authorlattes.por.fl_str_mv http://lattes.cnpq.br/7204785489008565
dc.contributor.author.fl_str_mv Rebelatto, Marcelo Nascimento
dc.contributor.advisor1.fl_str_mv Sendín, Francisco Alburquerque
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/7551905278202959
dc.contributor.advisor-co1.fl_str_mv Haik, Melina Nevoeiro
dc.contributor.advisor-co1Lattes.fl_str_mv http://lattes.cnpq.br/8240155487619947
dc.contributor.authorID.fl_str_mv e2d3977d-9171-42ff-8502-80bfd59f89df
contributor_str_mv Sendín, Francisco Alburquerque
Haik, Melina Nevoeiro
dc.subject.por.fl_str_mv Dor no ombro
Coluna cervical
Limiar de dor a pressão
Dinamometria
Amplitude de movimento cervical
topic Dor no ombro
Coluna cervical
Limiar de dor a pressão
Dinamometria
Amplitude de movimento cervical
Shoulder pain
Cervical spine
Pressure pain threshold
Dynamometry
Cervical range of motion
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
dc.subject.eng.fl_str_mv Shoulder pain
Cervical spine
Pressure pain threshold
Dynamometry
Cervical range of motion
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
description Shoulder pain is one of the main musculoskeletal disorders; however, there are difficulties in its assessment and diagnosis. Considering regional interdependence, a patient's primary symptom may be related to impairments in various regions and systems of the body regardless of proximity to the primary symptom. The relationship between the shoulder and the cervicothoracic spine has less previous evidence, which would improve the description and decision-making in these individuals. In this sense, the objectives of this thesis were: 1) to determine the intra and inter-rater reliability to assess the strength of the cervical muscles in individuals with shoulder pain. 2) identify if there are differences between the assessments of sensitivity, range of motion (ROM) and cervical strength of subjects with and without shoulder pain. For the first study, cervical muscle strength was assessed in 31 individuals with shoulder pain using a portable dynamometer and reliability was analyzed using the Intraclass Correlation Coefficient (CCI), standard error of measurement (SEM) and Minimum Detectable Change (MDC). It was concluded that the portable hand held dynamometer has excellent intra-rater reliability and good to excellent inter-rater reliability for manual cervical dynamometry. In the second study, 48 individuals with shoulder pain and 48 asymptomatic of both genders, aged between 18 and 60 years, who did not have cervical dysfunction were assessed. Sensitivity (pressure pain threshold), ROM (goniometry with cervical range of motion) and cervical strength (manual dynamometry) assessments were performed in all individuals. It was concluded that individuals with shoulder pain have greater cervical sensitivity and less cervical mobility than asymptomatic individuals. In addition, older age, pain and dysfunction tend to be associated with poorer performance in cervical assessments.
publishDate 2020
dc.date.accessioned.fl_str_mv 2020-09-22T10:42:33Z
dc.date.available.fl_str_mv 2020-09-22T10:42:33Z
dc.date.issued.fl_str_mv 2020-08-19
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
format doctoralThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv REBELATTO, Marcelo Nascimento. Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles. 2020. Tese (Doutorado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2020. Disponível em: https://repositorio.ufscar.br/handle/ufscar/13264.
dc.identifier.uri.fl_str_mv https://repositorio.ufscar.br/handle/ufscar/13264
identifier_str_mv REBELATTO, Marcelo Nascimento. Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles. 2020. Tese (Doutorado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2020. Disponível em: https://repositorio.ufscar.br/handle/ufscar/13264.
url https://repositorio.ufscar.br/handle/ufscar/13264
dc.language.iso.fl_str_mv por
language por
dc.relation.confidence.fl_str_mv 600
dc.relation.authority.fl_str_mv 05478421-dfd4-4c2f-a5e2-ad20c33f75be
dc.rights.driver.fl_str_mv Attribution-NonCommercial-NoDerivs 3.0 Brazil
http://creativecommons.org/licenses/by-nc-nd/3.0/br/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivs 3.0 Brazil
http://creativecommons.org/licenses/by-nc-nd/3.0/br/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade Federal de São Carlos
Câmpus São Carlos
dc.publisher.program.fl_str_mv Programa de Pós-Graduação em Fisioterapia - PPGFt
dc.publisher.initials.fl_str_mv UFSCar
publisher.none.fl_str_mv Universidade Federal de São Carlos
Câmpus São Carlos
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFSCAR
instname:Universidade Federal de São Carlos (UFSCAR)
instacron:UFSCAR
instname_str Universidade Federal de São Carlos (UFSCAR)
instacron_str UFSCAR
institution UFSCAR
reponame_str Repositório Institucional da UFSCAR
collection Repositório Institucional da UFSCAR
bitstream.url.fl_str_mv https://repositorio.ufscar.br/bitstream/ufscar/13264/7/tese%20final%20PDF.pdf
https://repositorio.ufscar.br/bitstream/ufscar/13264/10/Assinada_Carta-comprovante-da-vers%c3%a3o-final-de-teses-e-disserta%c3%a7%c3%b5es.pdf
https://repositorio.ufscar.br/bitstream/ufscar/13264/11/license_rdf
https://repositorio.ufscar.br/bitstream/ufscar/13264/12/tese%20final%20PDF.pdf.txt
https://repositorio.ufscar.br/bitstream/ufscar/13264/14/Assinada_Carta-comprovante-da-vers%c3%a3o-final-de-teses-e-disserta%c3%a7%c3%b5es.pdf.txt
https://repositorio.ufscar.br/bitstream/ufscar/13264/13/tese%20final%20PDF.pdf.jpg
https://repositorio.ufscar.br/bitstream/ufscar/13264/15/Assinada_Carta-comprovante-da-vers%c3%a3o-final-de-teses-e-disserta%c3%a7%c3%b5es.pdf.jpg
bitstream.checksum.fl_str_mv b10766b4d833275e3b4510186299f923
c55bf0ef9200f818f4e90347095618aa
42fd4ad1e89814f5e4a476b409eb708c
2cfb1ed0295c46e3d54227d3aef7ab4b
612dc1d3fad9bc69b8b5ba1313436052
07b2f86970d9c74ffb7e87b28313a3b2
17078c53ccbd412810551b033c9d5d38
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)
repository.mail.fl_str_mv
_version_ 1802136379594899456