Effect of pompage on pain, disability and craniocervical position of female teachers - Randomized clinical trial

Abstract

Introduction: Education professionals are one of the most important occupational groups and represents one of the main parts of the economy of modern society. The vocal demands most mentioned by the teachers are talking while standing up, talking a lot and in a closed environment, which corresponds to the most frequent situations encountered in teaching. In addition, remaining in the standing position for a prolonged period may have repercussions on other systems and generate postural deviations, pain and reduced functionality. Objective: To verify changes in pressure pain threshold, in disability index and in craniocervical posture of female teachers with vocal and musculoskeletal complaints, and with normal larynx, after myofascial release - pompage. Methods: This study was a controlled and randomized clinical trial. The following procedures were performed: anamnesis, videolaryngoscopy, hearing screening, clinical and photogrammetric postural assessment using the SAPo® protocol, completion of the neck pain self-assessment protocol Neck Disability Index, and pain threshold in the cervical muscles using the Pain Pressure Threshold. Myofascial therapy with pompage had a total of 24 sessions of 40 min each, three times a week, in 28 teachers assigned to the study group (SG), and 28 to the control group (CG). Afterwards, the groups were reassessed. Results: The SG presented a significant improvement in the pain threshold of all the muscles evaluated, in the posture of most of the body segments evaluated, and in the cervical disability. In the CG there was a significant improvement in angle A2 after therapy. Conclusion: After myofascial release therapy with pompage, the subjects presented a reduction in cervical pain and in functional disability, an increase in pain threshold, and posture improvement.

Effect of Pompage on Vocal and Respiratory Measurements from Female Teachers: A Randomized Clinical Trial

“…In a third moment, after inclusion in the study and randomization of groups, all SG and CG volunteers underwent medical evaluation with videolaryngoscopy [49,50] on a day previously scheduled. The volunteers performed anamnesis to check personal information, complaints, and health history and to report their weight and height to calculate BMI; medical evaluation with videolaryngoscopy was also performed [32,43,[51][52][53].…”

“…Teachers who also were amateur or professional singers, to prevent possible vocal skills already trained from interfering in the evaluations 11. Teachers with alcohol and/or smoking habits [41,42,50] 12. Underweight or obese subjects, according to the body mass index (BMI) calculated through self-reported measurements 13.…”

“…Underweight or obese subjects, according to the body mass index (BMI) calculated through self-reported measurements 13. Individuals who had a diagnosis of laryngeal disease [8,51,52] the evaluations and reevaluations, were not authors of this research, and were blinded to our objectives [49,50]. The students who applied MMP went through training for 2 weeks (applying MMP to their colleagues) prior to applying the protocol to the teachers.…”

“…Afterward, tension was maintained, i.e., the fascia was retained for 20 s, and finally, the return time, which should be as slow as possible. The maneuvers were repeated three times in all protocol sessions with an interval of 30 s between each one, making a total average time of 40 min of attendance [48][49][50] (Table 2).…”

Correlation between musculoskeletal pain and stress levels in teachers during the remote teaching period of the COVID-19 pandemic

“…page39 also proved to be effective in reducing anxiety, stress and MSP. These measures can be adopted by municipal and state departments of education to prevent MSP and high stress levels, by providing better working conditions for teachers, especially during critical periods, to enable them to perform their duties under better conditions and with lower occupational risk.…”