Liberação miofascial como tratamento de distúrbios da voz, respiração e postura corporal de professoras – ensaio clínico controlado e randomizado
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/22204 |
Resumo: | Objective: To verify the effects of musculoskeletal manipulations of the myofascial release using pompage in teachers from all levels of the city of Santa Maria/RS, with vocal and musculoskeletal complaints, with normal larynx and compare with the control group. Methods: Double-blind, randomized controlled clinical trial with 28 teachers in the study group and 28 teachers in the control group, totaling 56 participants. Were performed: anamnesis; videolaryngoscopy; hearing screening; clinical and photogrammetric postural assessment; pain threshold in cervical muscles; sound pressure and maximum phonation time measurements; manovacuometry; and, filling out protocols for vocal self-assessment, neck pain, anxiety and depression, and musculoskeletal pain. Pompage therapy had a total of 24 sessions (eight weeks) of 40 min each, with three weekly sessions. Afterwards, the control and study groups were reassessed. Results: In the study group, there was: a significant improvement in the pain threshold of all evaluated muscles, in the posture of most of the evaluated body segments, in the cervical disability, in the maximum respiratory pressures, and in the results of the instruments: Hospital Anxiety and Depression Scale ; Vocal Tract Discomfort Scale; Vocal Symptoms Scale; Vocal Participation and Activity Profile; Voice Handicap Index; Voice Quality of Life; Nordic Musculoskeletal Questionnaire. In the control group, there was: significant improvement in the right scalene muscle and in the anterior head posture. Conclusion: after myofascial release therapy with pompage, performed in the study group to verify the effect of the intervention and in the control group after the reevaluations, there was a reduction in cervical pain and functional disability, an increase in pain threshold, postural improvement, an improvement in maximum respiratory pressures and an improvement in self-rated aspects related to the characteristics and quality of life related to voice, social participation related to voice, anxiety and depression, and musculoskeletal symptoms of teachers. Thus, physical therapy treatment can improve the quality of life of teachers, reducing vocal and musculoskeletal symptoms and functional disability. |
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3913 |
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2021-09-13T18:07:39Z2021-09-13T18:07:39Z2020-06-26http://repositorio.ufsm.br/handle/1/22204Objective: To verify the effects of musculoskeletal manipulations of the myofascial release using pompage in teachers from all levels of the city of Santa Maria/RS, with vocal and musculoskeletal complaints, with normal larynx and compare with the control group. Methods: Double-blind, randomized controlled clinical trial with 28 teachers in the study group and 28 teachers in the control group, totaling 56 participants. Were performed: anamnesis; videolaryngoscopy; hearing screening; clinical and photogrammetric postural assessment; pain threshold in cervical muscles; sound pressure and maximum phonation time measurements; manovacuometry; and, filling out protocols for vocal self-assessment, neck pain, anxiety and depression, and musculoskeletal pain. Pompage therapy had a total of 24 sessions (eight weeks) of 40 min each, with three weekly sessions. Afterwards, the control and study groups were reassessed. Results: In the study group, there was: a significant improvement in the pain threshold of all evaluated muscles, in the posture of most of the evaluated body segments, in the cervical disability, in the maximum respiratory pressures, and in the results of the instruments: Hospital Anxiety and Depression Scale ; Vocal Tract Discomfort Scale; Vocal Symptoms Scale; Vocal Participation and Activity Profile; Voice Handicap Index; Voice Quality of Life; Nordic Musculoskeletal Questionnaire. In the control group, there was: significant improvement in the right scalene muscle and in the anterior head posture. Conclusion: after myofascial release therapy with pompage, performed in the study group to verify the effect of the intervention and in the control group after the reevaluations, there was a reduction in cervical pain and functional disability, an increase in pain threshold, postural improvement, an improvement in maximum respiratory pressures and an improvement in self-rated aspects related to the characteristics and quality of life related to voice, social participation related to voice, anxiety and depression, and musculoskeletal symptoms of teachers. Thus, physical therapy treatment can improve the quality of life of teachers, reducing vocal and musculoskeletal symptoms and functional disability.Objetivo: Verificar os efeitos das manipulações musculoesqueléticas do tipo liberação miofascial com uso de pompage em professoras de todos os níveis da cidade de Santa Maria/RS, com queixas vocais e osteomusculares, com laringe normal e comparar com o grupo controle. Métodos: Ensaio clínico controlado e randomizado duplo cego com 28 professoras no grupo estudo e 28 professoras no grupo controle, totalizando 56 participantes. Foram realizados: anamnese; videolaringoscopia; triagem auditiva; avaliação postural clínica e fotogramétrica; limiar de dor nos músculos cervicais; medidas de pressão sonora e de tempo máximo de fonação; manovacuometria; e, preenchimento de protocolos de autoavaliação vocal, de dor cervical, de ansiedade e depressão, e de dor musculoesquelética. A terapia com pompage teve um total de 24 sessões (oito semanas) de 40 min cada, com três sessões semanais. Após, os grupos controle e estudo foram reavaliados. Resultados: No grupo estudo houve: melhora significativa do limiar de dor de todos os músculos avaliados, da postura da maioria dos segmentos corporais avaliados, da incapacidade cervical, das pressões respiratórias máximas, e dos resultados dos instrumentos: Escala Hospitalar de Ansiedade e Depressão; Escala de Desconforto do Trato Vocal; Escala de Sintomas Vocais; Perfil de Participação e Atividade Vocais; Índice de Desvantagem Vocal; Qualidade de Vida em Voz; Questionário Nórdico de Sintomas Osteomusculares. No grupo controle houve: melhora significativa do músculo escaleno direito e na postura anteriorizada da cabeça. Conclusão: após a terapia de liberação miofascial com pompage, realizada no grupo estudo para verificar o efeito da intervenção e no grupo controle após as reavaliações, houve redução da dor cervical e da incapacidade funcional, aumento do limiar de dor, melhora postural, melhora das pressões respiratórias máximas e melhora dos aspectos autoavaliados relacionados às características e à qualidade de vida relacionada à voz, à participação social relacionada à voz, a ansiedade e depressão, e a sintomas osteomusculares das professoras. Assim, o tratamento fisioterapêutico melhorou a qualidade de vida das professoras, reduzindo os sintomas vocais e osteomusculares e a incapacidade funcional.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESporUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em Distúrbios da Comunicação HumanaUFSMBrasilFonoaudiologiaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessDocentesLaringeManipulações musculoesqueléticasPosturaRespiraçãoVozTeachersLarynxMusculoskeletal manipulationsPostureBreathVoiceCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIALiberação miofascial como tratamento de distúrbios da voz, respiração e postura corporal de professoras – ensaio clínico controlado e randomizadoMyofascial release as treatment of voice disorders, breath and body posture of teachers - controlled and randomized clinical trialinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisCielo, Carla Aparecidahttp://lattes.cnpq.br/8424979142095675Frigo, Letícia FernandezBernardi, Caren LucianeBajotto, Alethéia PetersTrevisan, Maria ElaineSoares, Márcia Keskehttp://lattes.cnpq.br/6237620812834538Andriollo, Débora Bonesso40070000000360060060060060060060072048afa-aa54-4737-a1a2-67ef1c0d96f3f8af6f0d-a6e7-4545-bdf5-3993b5cc07cd3957cada-4bc9-4909-a3b2-bf09d139de5562fb0b36-e9af-4f86-ad55-3fc5caf4ea724b88592f-6c4a-4dce-8996-330220a3cd2213c8c292-feef-4386-8987-27d632acd01f65fb2d84-427f-4ea4-adc9-22592fad845ereponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALTES_PPGDCH_2020_ANDRIOLLO_DEBORA.pdfTES_PPGDCH_2020_ANDRIOLLO_DEBORA.pdfTese de Doutoradoapplication/pdf3794007http://repositorio.ufsm.br/bitstream/1/22204/1/TES_PPGDCH_2020_ANDRIOLLO_DEBORA.pdfa8be890a73d149807093478c7e200df3MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Liberação miofascial como tratamento de distúrbios da voz, respiração e postura corporal de professoras – ensaio clínico controlado e randomizado |
dc.title.alternative.eng.fl_str_mv |
Myofascial release as treatment of voice disorders, breath and body posture of teachers - controlled and randomized clinical trial |
title |
Liberação miofascial como tratamento de distúrbios da voz, respiração e postura corporal de professoras – ensaio clínico controlado e randomizado |
spellingShingle |
Liberação miofascial como tratamento de distúrbios da voz, respiração e postura corporal de professoras – ensaio clínico controlado e randomizado Andriollo, Débora Bonesso Docentes Laringe Manipulações musculoesqueléticas Postura Respiração Voz Teachers Larynx Musculoskeletal manipulations Posture Breath Voice CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
title_short |
Liberação miofascial como tratamento de distúrbios da voz, respiração e postura corporal de professoras – ensaio clínico controlado e randomizado |
title_full |
Liberação miofascial como tratamento de distúrbios da voz, respiração e postura corporal de professoras – ensaio clínico controlado e randomizado |
title_fullStr |
Liberação miofascial como tratamento de distúrbios da voz, respiração e postura corporal de professoras – ensaio clínico controlado e randomizado |
title_full_unstemmed |
Liberação miofascial como tratamento de distúrbios da voz, respiração e postura corporal de professoras – ensaio clínico controlado e randomizado |
title_sort |
Liberação miofascial como tratamento de distúrbios da voz, respiração e postura corporal de professoras – ensaio clínico controlado e randomizado |
author |
Andriollo, Débora Bonesso |
author_facet |
Andriollo, Débora Bonesso |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Cielo, Carla Aparecida |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8424979142095675 |
dc.contributor.advisor-co1.fl_str_mv |
Frigo, Letícia Fernandez |
dc.contributor.referee1.fl_str_mv |
Bernardi, Caren Luciane |
dc.contributor.referee2.fl_str_mv |
Bajotto, Alethéia Peters |
dc.contributor.referee3.fl_str_mv |
Trevisan, Maria Elaine |
dc.contributor.referee4.fl_str_mv |
Soares, Márcia Keske |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6237620812834538 |
dc.contributor.author.fl_str_mv |
Andriollo, Débora Bonesso |
contributor_str_mv |
Cielo, Carla Aparecida Frigo, Letícia Fernandez Bernardi, Caren Luciane Bajotto, Alethéia Peters Trevisan, Maria Elaine Soares, Márcia Keske |
dc.subject.por.fl_str_mv |
Docentes Laringe Manipulações musculoesqueléticas Postura Respiração Voz |
topic |
Docentes Laringe Manipulações musculoesqueléticas Postura Respiração Voz Teachers Larynx Musculoskeletal manipulations Posture Breath Voice CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.subject.eng.fl_str_mv |
Teachers Larynx Musculoskeletal manipulations Posture Breath Voice |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
description |
Objective: To verify the effects of musculoskeletal manipulations of the myofascial release using pompage in teachers from all levels of the city of Santa Maria/RS, with vocal and musculoskeletal complaints, with normal larynx and compare with the control group. Methods: Double-blind, randomized controlled clinical trial with 28 teachers in the study group and 28 teachers in the control group, totaling 56 participants. Were performed: anamnesis; videolaryngoscopy; hearing screening; clinical and photogrammetric postural assessment; pain threshold in cervical muscles; sound pressure and maximum phonation time measurements; manovacuometry; and, filling out protocols for vocal self-assessment, neck pain, anxiety and depression, and musculoskeletal pain. Pompage therapy had a total of 24 sessions (eight weeks) of 40 min each, with three weekly sessions. Afterwards, the control and study groups were reassessed. Results: In the study group, there was: a significant improvement in the pain threshold of all evaluated muscles, in the posture of most of the evaluated body segments, in the cervical disability, in the maximum respiratory pressures, and in the results of the instruments: Hospital Anxiety and Depression Scale ; Vocal Tract Discomfort Scale; Vocal Symptoms Scale; Vocal Participation and Activity Profile; Voice Handicap Index; Voice Quality of Life; Nordic Musculoskeletal Questionnaire. In the control group, there was: significant improvement in the right scalene muscle and in the anterior head posture. Conclusion: after myofascial release therapy with pompage, performed in the study group to verify the effect of the intervention and in the control group after the reevaluations, there was a reduction in cervical pain and functional disability, an increase in pain threshold, postural improvement, an improvement in maximum respiratory pressures and an improvement in self-rated aspects related to the characteristics and quality of life related to voice, social participation related to voice, anxiety and depression, and musculoskeletal symptoms of teachers. Thus, physical therapy treatment can improve the quality of life of teachers, reducing vocal and musculoskeletal symptoms and functional disability. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020-06-26 |
dc.date.accessioned.fl_str_mv |
2021-09-13T18:07:39Z |
dc.date.available.fl_str_mv |
2021-09-13T18:07:39Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/doctoralThesis |
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doctoralThesis |
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http://repositorio.ufsm.br/handle/1/22204 |
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http://repositorio.ufsm.br/handle/1/22204 |
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por |
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por |
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400700000003 |
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dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Distúrbios da Comunicação Humana |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Fonoaudiologia |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.source.none.fl_str_mv |
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