Limiares de dor à pressão, amplitude de movimento e força cervicais em sujeitos com dor no ombro: estudo transversal de casos e controles
Autor(a) principal: | |
---|---|
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. |
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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. |
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https://repositorio.ufscar.br/handle/ufscar/13264 |
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por |
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600 |
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05478421-dfd4-4c2f-a5e2-ad20c33f75be |
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Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ info:eu-repo/semantics/openAccess |
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Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ |
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openAccess |
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Universidade Federal de São Carlos Câmpus São Carlos |
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Programa de Pós-Graduação em Fisioterapia - PPGFt |
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UFSCar |
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Universidade Federal de São Carlos Câmpus São Carlos |
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