Tratamento manipulativo osteopático protocolar e pragmático na dor musculoesquelética: uma revisão sistemática com metanálise

• Autor(a) principal: Damasceno, Ronaldo Pereira
• Data de Publicação: 2022
• Outros Autores: [e-mail]
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/17576
• topic: Osteopathy; Pain; Articular; Muscle; OMT; Osteopatia; Álgico; Articular; Músculo; TMO; Dor musculoesquelética; Manipulação osteopática; Medicina osteopática; CIENCIAS DA SAUDE::EDUCACAO FISICA

Musculoskeletal pain can lead to a decrease in physical activities, mainly due to the avoidance and fear of pain and, therefore, culminate in the harm caused by a sedentary lifestyle. Osteopathic Manipulative Treatment (OMT) is one of the multidisciplinary available approaches for pain management. Pragmatic and protocol OMT approaches are available in the literature, and it is not clear if there are differences between them in responses to musculoskeletal pain management. Therefore, this systematic review with meta-analysis verified the effect of pragmatic and protocol OMT on the subjective perception of musculoskeletal pain. To this end, a search was carried out in 10 databases in February 2021, where only controlled and randomized trials with participants with non-cancerous musculoskeletal pain were included. The meta-analysis of the 36 studies included, with 39 results, showed that the 1,298 participants with musculoskeletal pain, who belonged to the OMT group, significantly decreased musculoskeletal pain from -0.84 (-1.14, -0.55), when compared to the 1,142 who were in control groups (P<0,00001). When separated by categorization, the 888 participants in the pragmatic OMT groups significantly decreased musculoskeletal pain by -0.85 (-1.26, -0.43) when compared to 814 in the control situation (P<0,0001). When the results were adjusted for comparison with sham or inactive control, the 484 participants in the pragmatic OMT groups significantly decreased musculoskeletal pain by -1.26 (-1.95, -0.57) compared to 425 in the control situation (P = 0.0003), while the 217 participants in the protocol OMT groups significantly decreased musculoskeletal pain by -0.66 (-1.12, -0.20) when compared to 138 in the control groups (P = 0.005). The statistically significant and clinically relevant results of this meta-analysis indicated that both pragmatic and protocol OMT can decrease the subjective perception of musculoskeletal pain, but pragmatic OMT obtained better results than protocol OMT