Síndrome do manguito rotador: reabilitação

Rached, R; Rampim, Danielle Bianchini; Yamauti, Rafael Hossamu; Azeka, Meyre Sato; Santos, Renata Moraes dos; Guidolin, Beatriz; Otani, Pericles; Oliveira, Ricardo Bocatto de; Castineira, Carolina Pastorin; Martins, Fernanda; Alfieri, Fábio Marcon; Moraes, Sandra Alamino Felix de; Rosa, Chennyfer Dobbins Paes da; Imamura, Marta; Battistella, Linamara Rizzo; Bernardo, Wanderley Marques

doi:10.5935/0104-7795.20130016

Cited by 3 publications

(3 citation statements)

References 51 publications

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“…Despite extensive use of acetaminophen and ibuprofen for the management of shoulder pain, no randomized controlled trials have compared the efficacy of these two drugs in the treatment of this condition [Rached et al, 2013, Boudreault et al, 2014]. Therefore, the primary objective of the present study was to compare the therapeutic outcomes (pain, functional disability, QoL) of acetaminophen and ibuprofen in the management of RC-related pain.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of acetaminophen versus ibuprofen for the management of rotator cuff-related shoulder pain: Randomized open-label study

AlRuthia

Alghadeer

Balkhi

et al. 2019

Saudi Pharmaceutical Journal

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BackgroundShoulder pain related to the rotator cuff (RC) is one of the most common and bothersome musculoskeletal complaints. Pharmacologic treatment most often includes acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. However, data allowing comparison of the efficacy of these two drugs are very limited. We compared the therapeutic outcomes of acetaminophen and ibuprofen in the management of RC-related pain.MethodsThis was an open-label, two-center, active-control, prospective randomized clinical trial. Participants were assigned randomly to acetaminophen or ibuprofen treatment groups. The acetaminophen dose was 500 mg every 6–8 h, and it was 400–800 mg every 6–8 h for ibuprofen. The impact of the treatment was measured by Shoulder Pain and Disability Index (SPADI), Quick Disabilities of the Arm, Shoulder, and Hand (Quick-DASH) and World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaires at baseline and after 6 weeks of therapy.ResultsThirty-three patients completed the study; 20 treated with ibuprofen and 13 with acetaminophen. Patients in both groups were comparable at baseline with regard to SPADI, Quick-DASH, and WHOQOL-BREF scores. After 6 weeks of treatment, patients receiving ibuprofen, but not acetaminophen, reported an improvement in pain severity and functional activity (as measured by SPADI and Quick-DASH). Patients taking acetaminophen, but not ibuprofen, reported improvement in the physical and environmental domains of WHOQOL-BREF scores.ConclusionsIbuprofen and acetaminophen provide benefits to patients suffering from RC-related pain. However, the type of improvement perceived by patients differed between these two medications.

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Section: Introductionmentioning

confidence: 99%

Efficacy of acetaminophen versus ibuprofen for the management of rotator cuff-related shoulder pain: Randomized open-label study

AlRuthia

Alghadeer

Balkhi

et al. 2019

Saudi Pharmaceutical Journal

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“…Associados aos mesmos, os relaxantes musculares como a ciclobenzaprina, carisoprodol, fenilbutasona e o tiocolchicosídeo também podem ser considerados (26).…”

Section: Revisão De Literaturaunclassified

“…Até o presente momento, há a evidência do seu uso intravenoso por bomba de ACP (analgesia controlada pelo paciente) para fisioterapia no pós-cirúrgico de ombro (32). Mas, no tratamento ambulatorial, não foi encontrada evidência em literatura, embora seja uma prática clínica constante quando se considera o escalonamento do tratamento de dor recomendado pela OMS (Organização Mundial da Saúde) (26).…”

Section: Revisão De Literaturaunclassified

Bloqueio do nervo suprascapular guiado por ultrassom com lidocaína versus solução salina mais exercícios físicos para a reabilitação da tendinite do músculo supra-espinhal: um estudo controlado randomizado duplo-cego

Otani

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AGRADECIMENTOSA Deus, por tudo que tem me dado.À minha família, por todo o suporte financeiro, psicológico e afetivo. Em especial, à minha sobrinha e afilhada, Helô Sayuri Otani, que trouxe mais vida e brilho para nossas vidas. À minha prima Melissa Katayama Minucelli que fez os folders dessa pesquisa.À minha orientadora, Dra. Marta Imamura, pela enorme paciência que teve comigo e por transmitir conhecimentos tão valiosos, e a todos que, de alguma forma, me ajudaram com o doutorado. À Dra. Satiko Imamura que me introduziu ao mundo do tratamento da dor e me apresentou a fisiatria. Ao Dr. Wu Tu Hsing que me incentivou a iniciar o doutorado. À Professora Dra. Linamara Rizzo Battistella que construiu toda a Rede de Reabilitação Lucy Montoro, que se tornou referência no Estado de São Paulo como instituição assistencial, de ensino e pesquisa.A todos os meus professores, do ensino primário até a pós-graduação, médicos e não médicos, de todas as áreas, que contribuíram com o conhecimento necessário para que eu estivesse aqui hoje.A todos os meus amigos, antigos e novos, presentes e ausentes, próximos e distantes, que sempre torceram para que meus projetos se realizassem.

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Comparative Study of Pain Relief in Two Non-Pharmacological Treatments in Patients with Partial Rotator Cuff Tears: A Randomized Trial

et al. 2019

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Background Pain induction is the primary characteristic of a rotator cuff tear while muscle weakness appears as a secondary feature, leading to further disability. Objectives The study aimed to determine the effectiveness of physiotherapeutic interventions through transcutaneous electrical nerve stimulation (TENS) or microcurrent electrical nerve stimulation (MENS) in conjunction with kinesiotherapy in patients with partial thickness rotator cuff tear. Methods This was a blinded randomized prospective study. The study recruited 42 outpatients with partial rotator cuff tear under conservative treatment selected from the 401 General Military Hospital of Athens and the University General Hospital ‘Attikon’ during 2015 - 2017. Patients were assessed for pain and disability using the SPADI (shoulder pain and disability index), a numerical rating scale (NRS) for pain, and the EuroQoL-5 questionnaire for the evaluation of the quality of life. The first group received TENS and kinesiotherapy while the second group received MENS and kinesiotherapy. Three measurements were recorded. The first assessment was performed during the initial patient visit; the second after completion of the physiotherapeutic sessions, and the third one three months after the initial assessment. A follow-up ultrasound scan was performed three months after the completion of the therapeutic sessions to assess the anatomical healing of the rotator cuff tear. Results Repeated measurements analysis indicated a significant improvement in pain scores, functionality, and patients’ quality of life (P value < 0.001). Comparison of the two treatment methods did not reveal any significant differences (P value > 0.05) despite the fact that the MENS was associated with a greater improvement in pain intensity and TENS with a greater improvement in functionality and quality of life. Conclusions Using MENS and TENS appears to be equally effective in terms of pain relief, functional improvement, and quality of life enhancement in patients.

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Síndrome do manguito rotador: reabilitação

Cited by 3 publications

References 51 publications

Efficacy of acetaminophen versus ibuprofen for the management of rotator cuff-related shoulder pain: Randomized open-label study

Efficacy of acetaminophen versus ibuprofen for the management of rotator cuff-related shoulder pain: Randomized open-label study

Bloqueio do nervo suprascapular guiado por ultrassom com lidocaína versus solução salina mais exercícios físicos para a reabilitação da tendinite do músculo supra-espinhal: um estudo controlado randomizado duplo-cego

Comparative Study of Pain Relief in Two Non-Pharmacological Treatments in Patients with Partial Rotator Cuff Tears: A Randomized Trial

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