Banca de DEFESA: LEONORA CASTRO TENORIO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : LEONORA CASTRO TENORIO
DATE: 12/12/2022
TIME: 16:00
LOCAL: Hospital das Clínicas
TITLE:

EFFECTS OF OSTEOPATHIC MANIPULATIVE TREATMENT IN THE MUSCULOSKELETIC MANIFESTATIONS OF CHRONIC PHASE CKIUNGUNYA FEVER: RANDOMIZED CLINICAL TRIAL

KEY WORDS:

Osteopathic manipulative treatment. Chikungunya fever. Chronic pain. Osteopathy. Functionality.

PAGES: 85
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

The Chikungunya Fever (FC) is an epidemic illness with high morbidity rate and presents disabling arthralgia as its main clinical characteristic. Studies indicate an elevated intake of analgesic and low satisfaction during the treatment of the chronic stage. Osteopathic manipulative treatment (OMT) is a manual therapy technique, which uses mobilization and manipulation of body tissues for pain relief, improvement of musculoskeletal manifestations as well as improvement of joint functionality, presenting itself as a treatment strategy for rheumatologic diseases. The aim of this study was to evaluate the effects of OMT on the reduction of chronic musculoskeletal manifestations (pain and functional disability) in CF patients. A randomized, controlled, blind for the evaluators trial was carried out, in which 44 patients were included for analysis, divided into two groups: intervention group,which received OMT, with 24 patients; and placebo control group, with 20 patients. The osteopathy group (OG) underwent 4 sessions of OMT intervention and was reassessed within 15 days and 30 days since theirlast session, at the rheumatology clinic of the Hospital das Clínicas de Pernambuco, with protocol elaborated by the researcher. These being the inclusion criteria: men and women aged 18 years old or more; to be monitored by the CF clinic at the Hospital das Clínicas; clinical serology diagnosis for CF; present pain and rigidity in superior limbs, having more than three months of duration of the symptoms, and consenting to participate of the study. These being the exclusion criteria: patients with inflammatory joint diseases, prior to CHIKV infection; diseases that compromise functionality of the upper limbs; cognitive, auditory and visual impairment preventing the application of assessment instruments; diagnosis of neoplasia, chronic infectious diseases or other rheumatologic illnesses,and have been undergoing physical therapy treatment within the previous 2 months. The sample was obtained by spontaneous demand and recruitment. The outcome variables were: pain measured with the Visual Analog Scale (VAS), the Brief Pain Inventory Questionnaire (BPI) besides Algometer and functionality, collected with the aid of the Disabilities of the Arm, Shoulder, Hand Questionnaire (DASH) and the nine-hole peg test (9HPT). The data were analyzed quantitatively, analytically and measured in effect size. For analysis of the results, the significance level adopted was p=0.05. The average age of the sample was 53.55 (16.5) years, most of them female (95.0%). Regarding pain intensity, during the analysis of the primary endpoint, an efficacy of 77.3% was observed, the 15-day follow up showed continued improvement with efficacy of 91.5%, and 81.2% within 30 days, after the intervention with OMT, p≤0.05. In the analysis between the groups, a statistically significant reduction in pain for the OG was observed with differences in the last session (S4) = 1.2, within the 15-day follow-up (S5) = 1.84, and within 30 days (S6) = 1.45 point when compared to the control group (CG). In the intra-group analysis, when comparing the initial session to the last one and follow-ups, only the OG presented a significant statistical reduction. Regarding the secondary endpoint, of pain and functionality, it was observed an efficacy in all the evaluated instruments as well as in both 15-day and 30-day follow-ups after undergoing the OMT, except for the algometry and the 9HPT test, where there was no statistically significant improvement in both intra-group and inter-group analysis for the OG (p<0.05). It can be concluded that OMT has proved to be effective in reducing pain besides improving the functionality of patients with musculoskeletal manifestations in the chronic stage of CF.

COMMITTEE MEMBERS:
Presidente - 2284980 - GUSTAVO PINA GODOY
Externa à Instituição - ALINE ROZALIN
Externo à Instituição - PAULO HENRIQUE ALTRAN VEIGA