HighlightsThis study challenges the notion that TENS can only be applied at the site of pain.The study supports the use of TENS in patients with significant skin injuries.This helps to understand the action of TENS in edema.
BackgroundSeveral studies have used placebo acupuncture methods in recent years as a way for blinding therapeutic effect of acupuncture, however placebo method selection has not followed enough methodological criteria to the point of stabilishing a consensus of what should be the best method to be used. This study aimed to evaluate the effectiveness of three different placebo acupuncture methods for blinding applied in healthy subjects.MethodsThis study was approved by the Ethics Committee of the Federal University of Sergipe with the number 47193015.5.0000.5546 and all individuals participating in the study signed a free and informed consent. For this study, 321 healthy volunteers were randomly divided into seven groups using the abdominal point stomach (ST) 25 and seven groups using the lumbar point bladder (Bl) 52 for stimulation. For real acupuncture procedure, three different methods of placebo acupuncture plus a mix between real acupuncture and placebo applied in the same individual, totaling fourteen groups in this study. Outcome assessments were performed before and immediately after applying the technique. Investigator who assessed variables had no knowledgement about the method was applied. Identification, weight and height were measured before puncture by using. At the end, subjects were asked if they believed they were receiving real or placebo acupuncture.ResultsThere was no significant difference between groups for the perception about the type o stimulation (wheter real or placebo puncture). Percentage of subjects who reported to have received real acupuncture in the abdominal point was 69.56% in real group, 86.95% in group Park Sham, 82.60% in needle + foam, 91.30% in insertion and removal, 78.26% in real + Park Sham, 86.36% in real + needle and foam, 86.95% in real + insertion and removal, and for the lumbar point was 86.36% in real group, 86.95% in group Park Sham, 69.56% in needle + foam, 72% in insertion and removal, 86.95% in real + Park Sham, 81.81% in real + needle and foam and 78.26% in real + insertion and removal.ConclusionAll placebo acupuncture methods proposed in this study were equally effective for bliding the study participants using either abdominal or lumbar acupoints, and none of the placebo methods presented benefit compared to the other to be used in future clinical trials.Ethics CommitteeFederal University of Sergipe (UFS), number of approval: 47193015.5.0000.5546Trial registrationensaiosclinicos.gov.br RBR-3w2p32 Registered in 28th January 2016.
Objetivos: Codificar, através da Classificação Internacional de Funcionalidade (CIF), o estado de saúde dos pacientes internados em Unidade de Terapia Intensiva (UTI) cardiotorácica e comparar a codificação da mobilidade destes na admissão e na alta da unidade. Métodos: Foi realizado um estudo observacional longitudinal descritivo, na UTI Cardiotorácica adulta, no segundo dia de internação e no dia da alta. Os dados foram coletados por meio de uma ficha de internação e de um checklist cardiológico da CIF. Resultados: Amostra composta por 43 pacientes, idade média de 50,58 ± 17,24 anos, com internação média de 3,42 ± 4,24 dias. Na codificação relacionada a transferência e locomoção, feita na avaliação e alta, observou-se resultados estatisticamente significantes (p < 0,001) para todas as variáveis analisadas. Conclusão: A CIF demonstrou grande capacidade de padronizar a linguagem entre os profissionais na UTI além de quantificar a evolução dos pacientes.Palavras-chave: Classificação Internacional de Funcionalidade, incapacidade e saúde, limitação da mobilidade, disfunções cardíacas.
Background : Acupuncture treatment has become increasingly popular in the Western due to its therapeutic effects and low cost. However, some studies suggest that both real and sham acupuncture have effects. Objectives: Our study aimed to evaluate the effect of real and placebo acupuncture in cutaneous and deep sensitivity threshold. Methods: Three different types of placebo acupunctures were compared with real acupuncture, four groups at the St25 point (abdominal) and four at the Bl52 point (lumbar region), totaling eight groups. 185 subjects were recruited and randomized, ratings of cutaneous sensitivity threshold (von Frey filaments) and pressure pain threshold (algometer) occurred before and after the application. Results: The cutaneous sensitivity threshold showed no significant difference in the intragroup analysis and also compared between groups. The pressure pain threshold showed a significant decrease in values in the Real group Bl52 ([Formula: see text] = 0.044) and insertion and removal Bl52 ([Formula: see text] = 0.037) for intra-group analysis and comparison between groups, there was a significant reduction in Real groups St25 and insertion and withdrawal in Bl52 point compared to Park Sham Bl52 and Real Bl52, respectively ([Formula: see text] [Formula: see text] 0.05). Conclusion: Cutaneous sensitivity threshold did not change after applying acupuncture or placebo, but these techniques influence the pressure pain threshold.
INTRODUÇÃO: A dor lombar é considerada o problema musculoesquelético mais prevalente e oneroso na maior parte dos países. A instabilidade lombar é apontada como causa primária e secundária desse tipo de dor. Dentre os métodos de tratamento, vem ganhando destaque as técnicas de reforço muscular, portanto é nesse contexto que se encaixa a Estabilização Segmentar Vertebral (ESV). OBJETIVO: Analisar a eficiência da técnica de ESV em indivíduos com lombalgia inespecífica. MÉTODOS: Trata-se de um ensaio clínico com distribuição aleatória e encoberto onde 50 sujeitos foram igualmente distribuídos em 2 grupos. No grupo Experimental (GE), os indivíduos foram submetidos a um programa com doze sessões de estabilização lombar, realizado duas vezes por semana, já no grupo Controle (GC), não houve nenhum tipo de intervenção. As variáveis de estudo e suas respectivas ferramentas de mensuração foram: dor (Escala Visual Analógica), avaliação de ativação do músculo transverso através de Unidade de Biofeedback Pressórico e questionário sobre a qualidade de vida. RESULTADOS: Ao comparar os resultados referentes a intensidade da dor do GE pré e pós-intervenção, houve melhora significativa (p < 0,0001), da mesma forma quando comparado GE pós-intervenção com GC. Ao analisar a força do músculo transverso, houve melhora no GE tanto quando comparado o pré e pós intragrupo, quanto ao intergrupo (p < 0,0001). Quanto a qualidade de vida, houve melhora estatisticamente significativa no antes e depois do GE (p < 0,0001), como também quando comparado o GE e GC após a intervenção (p < 0,01). CONCLUSÃO: A Estabilização Segmentar Vertebral pode ser um método eficaz para tratamento de indivíduos com dor lombar inespecífica.
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