Electromyography function, disability degree, and pain in leprosy patients undergoing neural mobilization treatment

Véras, Larissa Sales Téles; Vale, Rodrigo Gomes de Souza; Mello, Danielli Braga de; Castro, Jose; Lima, Vicente Pinheiro; Trott, Alexis; Dantas, Estélio Henrique Martín

doi:10.1590/s0037-86822012000100016

Cited by 20 publications

(24 citation statements)

References 29 publications

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“…Several approaches have also been proposed in the literature to treat chronic neuropathic pain with agents such as tricyclic antidepressants, carbamazepine, tramadol, gabapentin, and corticosteroids, as well as by immobilization and surgical nerve decompression [10]. Physical therapy using a method called neural mobilization has shown good results with regard to pain intensity in leprosy patients with neuropathic pain [33].…”

Section: Discussionmentioning

confidence: 99%

Pain and Its Consequences in Quality of Life: A Study with WHOQOL-Bref in Leprosy Patients with Neuropathic Pain

Reis

Gomes

Rodrigues

et al. 2013

ISRN Tropical Medicine

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Chronic neuropathic pain emerges as a challenge in the treatment of leprosy patients after multidrug therapy discharge. The aim of this study was to determine the quality of life and its repercussions in leprosy patients with chronic pain. We studied male and female patients with chronic neuropathic pain in the last year. Neuropathic pain was confirmed using Douleur Neuropathique en 4 (DN4) and its intensity evaluated by visual analogue scale (VAS). A general questionnaire was applied to evaluate quality of life (WHOQOL-bref). Statistical analyses were composed by descriptive and central tendency. Spearman correlation was used to identify the relation between pain intensity, quality of life domains, and facets. Multiple linear regressions were performed to verify the influence of pain intensity on each facet. Neuropathic pain patients scored worst in physical and environment domains. The low facets were related to pain and discomfort, thinking and concentration, sexual activity, and recreation opportunities. Pain intensity has a high negative influence on psychological domain and recreation opportunities. These findings should contribute to the development of rehabilitation programs considering patients needs to improve their quality of life and true social reintegration.

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Section: Discussionmentioning

confidence: 99%

Pain and Its Consequences in Quality of Life: A Study with WHOQOL-Bref in Leprosy Patients with Neuropathic Pain

Reis

Gomes

Rodrigues

et al. 2013

ISRN Tropical Medicine

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“…In relation to the Wells test, a significant value of p=0.0313 was obtained compared to the mean value before the technique (21,14) and after (23,85), indicating improvement in flexibility after the technique application (Figure 2 C).…”

Section: Resultsmentioning

confidence: 91%

“…Véras et al 2012 (23) used the electromyography to verify the effects of the technique on muscle activity and found that patients undergoing neural mobilization technique achieved improvement in EMG function and strength levels by reducing the degree of disability and pain.…”

Section: Santos and Domingues (2008)mentioning

confidence: 99%

Analysis of the NPT effect in women with chronic LBP: a pilot study

Villeneuve¹,

Ceci²,

Parreira³

et al. 2020

mtprehabjournal

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Introduction: low back pain (LBP) is characterized by pain in the region between the last costal arches and the gluteal fold. It can occur due to several intrinsic and extrinsic factors, and it has a very high prevalence in adulthood, causing several problems which directly influence the quality of life. Neurosensory Postural Therapy (NPT) is a technique which uses manual neural stimulation to adjust muscle tone. Objective: The aim of the present study was to verify the effects of NPT on pain, mobility, flexibility, functionality, cardiac variability and body oscillation. Methodology: Seven women over 20 years old were recruited, which were evaluated before and after the technique, which consisted of pressure on the upper and lower roots of the sciatic nerve at 3 points for 60 seconds. Results: The mean pain score was 2.71 ± 1.38 and 1.35 ± 1.18, with a value of p = 0.02. For the Schöber test we obtained a mean of 21.93 ± 1.36 and 22.34 ± 1.30 cm in the pre-and post-test with p=0.01. No statistical difference was found in the Rolland Morris questionnaire. The electromyography obtained statistical difference in the analysis of the gluteus medius with p=0.02. Significant results (p=0.0001) were found in the lateral evaluation by the stabilometry and the HF/LF ratio showed difference with p=0.03 in the pretest and after 30 days. Conclusion: The technique of NPT has benefits in the parameters studies, demonstration being a fast technique with period of efficiency.

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“…Every health professional should be able to evaluate and identify any early dermatoneurological signs of leprosy, to guide and propose appropriate therapy and to avoid or minimise physical disabilities 22,23 .…”

Section: Physical Incapacity Valuation Performance and Physiotherapymentioning

confidence: 99%

Leprosy and Physiotherapy: a necessary approach

Álvarez

Filho

2019

jhgd

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Introduction: New cases of leprosy occur due to a set of factors associated with the lack of knowledge about the disease, both by health professionals and patients, favoring late diagnosis, the development of physical and social disabilities, stigma and prejudice. Objective: To verify the knowledge of students completing the physiotherapy course on leprosy and professional practice in the care of patients with the disease. Methods: A qualitative exploratory descriptive study was conducted with 68 undergraduate students from physiotherapy courses from public and private universities (AU, UB, UC), in the State of Mato Grosso do Sul. Data were collected through a questionnaire with ten open questions about knowledge, practical action, motivations, interests and teaching-learning process about leprosy. To organize and analyze the data, thecollective subject discourse technique was used. Results: It was found that 60% of aU students, 63% of UB and 30.8% of UC have a general conception about the disease. 46.7% of aU students, 77.8% of UB and 80.9% of UC never had contact with leprosy patients. More than half of the students at the three universities said they were unaware of the physiotherapy approaches and practices in leprosy. Almost 100% of ub and UC students stated that the subject was not addressed during the course and therefore did not feel prepared to provide health education and to guide on how to prevent physical deficiencies resulting from leprosy. 73.3% of AU students, 96.3% of UB and 100% of UC recorded negative evaluations, qualifying the course as precarious, insufficient and weak in the leprosy approach. Conclusion: It is concluded that leprosy should be included in physiotherapy courses systematically, providing practical care activities, developing skills from prevention to rehabilitation, seeking greater motivation and identification of his work in this area.

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Electromyography function, disability degree, and pain in leprosy patients undergoing neural mobilization treatment

Abstract: Leprosy patients undergoing the technique of neural mobilization had an improvement in electromyography function and muscle strength, reducing disability degree and pain.

Cited by 20 publications

References 29 publications

Pain and Its Consequences in Quality of Life: A Study with WHOQOL-Bref in Leprosy Patients with Neuropathic Pain

Pain and Its Consequences in Quality of Life: A Study with WHOQOL-Bref in Leprosy Patients with Neuropathic Pain

Analysis of the NPT effect in women with chronic LBP: a pilot study

Leprosy and Physiotherapy: a necessary approach

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