A eficácia da terapia manual em indivíduos cefaleicos portadores e não-portadores de degeneração cervical: análise de seis casos

Abstract

Background: Tension-type headaches (TTH) are generally treated with prophylactic medication. With regard to Physical Therapy treatment, many types of procedures have been reported, ranging from electrotherapy and acupuncture to techniques such as cervical traction, vertebral mobilization, stretching and relaxation. Objective: To examine the evolution of six patients diagnosed with TTH who underwent a Physical Therapy treatment protocol consisting of manual therapy. Method: Six individuals were followed up (three with associated vertebral abnormalities and three with no abnormalities). Five participants were women and one was a man. They underwent treatment consisting of ten sessions of manual cervical traction, stretching, vertebral mobilization and massage. Pain intensity was assessed using a visual analog scale (VAS) and the pain threshold for pressure on the upper trapezius muscle was measured using an analog pressure algometer (PDT; pain detection threshold). The data were graphically displayed in a multiple baseline system and during a follow-up period. Results: Even though this treatment showed positive results in all cases, in relation to pain intensity, greater difficulty in completely relieving the symptoms was found among the individuals who did not have vertebral abnormalities. With regard to PDT, it was found that individuals with cervical degeneration presented greater improvement.

Effects of manual therapy techniques in the treatment of pain in post mastectomy patients: systematic review.

“…(20) Thus it can be seen that the manual therapy maneuvering have a significant effect in relieving pain in muscles trigger points. …”

“…(20) Physiotherapy has various manual techniques may provide pain relief, restoring structural and functional properties of the fabric, and may also affect the fluid flow, reducing the structural obstructions within the tissue.…”

Síndrome de tensão musculoesquelética, musculatura laríngea extrínseca e postura corporal: considerações teóricas

“…For this reason, are suggest studies with that population to promote greater support to speech therapy treatment. Inclusive, it was not found in literature studies on simultaneous treatment between Speech Therapy and Physical Therapy, which seems to be more effective, in view of the researched literature 10,29 .…”

“…Thus, it is possible that the use of resonance tubes having one favored easier and relaxed phonation 3 . Study carried with 23 women without vocal complaints and ages between 23 and 40 years, who performed twice the exercises FingerKazoo and phonation with straw, showed reduction of the fundamental frequency after both exercises, Studies suggest a physical therapist therapy including electrotherapy and transcutaneous electrical nerve stimulation (TENS), light amplification by stimulated emission of radiation (laser) of low intensity, laser acupuncture, cryotherapy, among others 10,29 . A proven effective modality for normotensive cervical muscles is manual therapy with traction, massage, cervical manipulation and mobilization, associated or not to exercise, as well as passive stretching and/or resistive, isometric relaxation, assisted soft tissue mobilization (important in the treatment of muscle fascia), therapeutic exercises aiming to correct and balance muscle, diaphragm respiratory reeducation and therapy with craniocervical flexion 9,10,29 .…”

Prevalence and management of headache in a selected area of Southern Santa Catarina

“…In Vitoria/ES, it was observed that 69.9% of respondents with headache used common painkillers, among which sodium dipyrone (26.8%) and paracetamol (25.5%) 12 were the most frequently mentioned. In addition to pharmacological management, individuals may use non-pharmacological management, such as rest 13 , physiotherapy 14 and acupuncture 15 .…”