O transplante de células-tronco hematopoéticas alogênico (TCTH Alo) Procedimento clínico realizado no combate de várias doenças hematológicas neoplásicas. Combina altas doses de quimioterapia ou radioterapia, possui um grau de toxidade elevada. O paciente passa por um regime de isolamento social, que causa alterações psicológicas significativas, como ansiedade, perturbações de humor, afetividade embotada e cognição alterada, podendo leva-lo a depressão. A aplicação da musicoterapia pode reduzir níveis de ansiedade, dor e melhorar o humor?. Método: Foram aplicadas sessões de musicoterapia no (GEM) e a Escala Visual Analógica (EVA) nos grupos (GEM) e ( GC) para humor, ansiedade e dor. Resultados: O teste de Mann Whitney indicou significância estatística. Conclusão: A musicoterapia melhorou o humor, diminuiu a ansiedade e aliviou a dor.
Objective
To determine if electrical stimulation (ES) reduces days to radiographic union of acute fractures
Data Sources
MEDLINE database search using the terms combinations of electric stimulation AND bone healing, electric stimulation AND fracture, electric stimulation AND fracture healing, full articles, English language, without publication date restriction
Study Selection
Inclusion criteria were (1) randomized-controlled trials concerning electrical stimulation for the purpose of healing acute fractures with (2) outcomes on radiographic union at regular time intervals. Exclusion criteria were (1) studies involving skeletally immature patients or (2) ES for non-unions, spinal fusions, and osteotomies.
Data Extraction
Study quality was assessed with the Cochrane Collaboration tool for risk of bias assessment by 2 independent reviewers. Heterogeneity between studies was assessed with the χ2 and I2 tests.
Data Synthesis
The mean days to radiographic union was calculated as a continuous variable with standard deviations. The meta-analysis was performed to compare the ES and non-ES groups across studies using Metafor; software (Bell Labs, Murray Hill, NJ, United States).
Conclusion
Electrical stimulation does not reduce time to radiographic union in acute fractures. However, an improvement in the healing time was noted in the semi-invasive method of ES in which the current was delivered directly within the fracture site. This finding provides evidence that innovative methods of ES delivery may demonstrate the promising results found in smaller animal studies.
Keywords: Electric Stimulation, Bone Healing, Fracture
Level of Evidence: Level I
Purpose: The autologous hematopoietic stem cell transplantation (HSCT Aut) is a therapeutic medical treatment for various neoplastic hematologic, congenital, genetic or acquired disorders. In this procedure which combines high-dose chemotherapy and/or radiotherapy and has a high degree of cytotoxicity, the patient experiences solitary confinement, which causes psychological distress, anxiety, mood, fatigue, nauseas, pain and can lead him/her to depression. Music therapy applied with the purpose of decreasing this social confinement. This is a randomized clinical trial. Method: n=45 patients were selected randomly. n=24 were selected for the Experimental Music Therapy Group (EMG) and n=21 received music therapy intervention for the Control Group (CG) who received the standard treatment. The intervention of live music was applied using music therapy methods and techniques. Assessment and quantification made using the visual analog scale (VAS). The dependent variables were nauseas and pain of patients. Results: The student t test applied, (p <0.05) considered statistically significant when comparing the groups, reducing nauseas and pain significantly Conclusion: Music therapy reduced nausea and pain of the patients undergoing hematopoietic stem cells transplantation autologous, providing bio-psychosocial welfare.
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