BrJPhttps://www.scielo.br/feed/brjp/2020.v3n1/2024-01-05T20:00:19.366000ZVol. 3 No. 1 - 2020WerkzeugEditor again! Other challenges!10.5935/2595-0118.202000012024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZPosso, Irimar de Paula
<em>Posso, Irimar De Paula</em>;
<br/><br/>
The influence of the cannabinoid receptor CB1 on the periaqueductal gray in mice treated with photobiomodulation after chronic constriction injury of the sciatic nerve: a placebo-controlled trial10.5935/2595-0118.202000022024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZSantos, Gabriela Xavierde-Souza, Giovane GaldinoAlves, Suélen SantosOcamoto, Gabriela NagaiParizotto, Nivaldo Antôniodos-Reis, Luciana Maria
<em>Santos, Gabriela Xavier</em>;
<em>De-Souza, Giovane Galdino</em>;
<em>Alves, Suélen Santos</em>;
<em>Ocamoto, Gabriela Nagai</em>;
<em>Parizotto, Nivaldo Antônio</em>;
<em>Dos-Reis, Luciana Maria</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Studies have demonstrated that the cannabinoid CB1 receptor is involved in the modulation of pain, mainly by activating the descending pain control pathway. However, the role of photobiomodulation in this process is not well elucidated. Thus, the present study aimed to investigate the involvement of the CB1 receptor in the supraspinal photobiomodulation-induced antinociception. METHODS: Male albino swiss mice were submitted to chronic constriction injury and treated with photobiomodulation. To evaluate the supraspinal involvement of the CB1 receptor in the photobiomodulation-induced antinociception, the cannabinoid CB1 receptor antagonist AM251 (0.1µg/vol 0.2µL) was injected 5 minutes before the photobiomodulation treatment. The photobiomodulation treatment was performed on the fifth day after the stereotactic surgery and chronic constriction injury at a dose of 50J/cm2 in acute condition. The hot plate and von Frey monofilaments tests were performed to evaluate the thermal and mechanical pain sensitivity, respectively. RESULTS: The thermal and mechanical nociceptive threshold was higher in mice with chronic constriction injury, injected with saline and treated with photobiomodulation at the dose of 50J/cm2 in both the hot plate (p<0.001) and von Frey (p>0.001) tests. These antinociceptive effects were not detected in mice with chronic constriction injury pre-treated with AM251. CONCLUSION: The present study suggests that CB1 receptors located in Supraspinal structures, participate in the control of neuropathic pain following photobiomodulation treatment in animals undergoing chronic constriction injury.Low-level laser therapy in periarticular morphological aspects of the knee of Wistar rats in rheumatoid arthritis model10.5935/2595-0118.202000032024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZNeves, MorganaTavares, Alana Ludemila de FreitasRetameiro, Ana Caroline BarbosaLeal, Taciane Stein da SilvaRibeiro, Lucinéia de Fátima ChaskoBertolini, Gladson Ricardo Flor
<em>Neves, Morgana</em>;
<em>Tavares, Alana Ludemila De Freitas</em>;
<em>Retameiro, Ana Caroline Barbosa</em>;
<em>Leal, Taciane Stein Da Silva</em>;
<em>Ribeiro, Lucinéia De Fátima Chasko</em>;
<em>Bertolini, Gladson Ricardo Flor</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: The deleterious effects of rheumatoid arthritis on periarticular tissues have not yet been fully elucidated. Therefore, the search for treatments that can modulate the inflammatory profile and tissue remodeling is pertinent. The present study evaluated the effects of low-level laser therapy (LLLT) on the morphology of periarticular tissues and synovial membrane of rats in a rheumatoid arthritis model. METHODS: Sixty-four male rats were divided into acute (7 days) and chronic (28 days) inflammatory periods, with four groups (n=8) each, being: CG (control group), LG (lesion group), CLaG (laser control group) and LLaG (laser lesion group). The animals of the lesion groups received two inoculations of Freund’s Complete Adjuvant at a concentration of 50µL, the first at the base of the tail, and the second at the right knee. The animals in the control groups were injected with isotonic sodium chloride solution. The ClaG and LLaG were treated with 660nm LBI, 5J/cm2 in the right knee. After the experimental period, the animals were euthanized, and the knees were processed for light microscopy. RESULTS: The CG and CLaG morphological analysis had normal aspects. The LG showed synovitis, femur, and tibia with changes in the periosteum, with inflammatory cells and bone modifications. In the LLaG, the synovial membrane showed signs of improvement. Bone tissue in the chronic period showed morphological aspects, denoting tissue remodeling. CONCLUSION: The experimental model was efficient in simulating inflammatory tissue events, and the low-level laser therapy showed beneficial effects on the morphology of the periarticular tissues.Effects of duloxetine, fluoxetine and pregabalin on fentanyl-induced hyperalgesia in rattus novergicus10.5935/2595-0118.202000042024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZPires, Oscar CésarDalcim, Maria LuizaPigozzi, Ana Luiza MontesCaldeira, Fabiana Mara Scarpelli de Lima AlvarengaPires, Marta Helena RovaniAlmeida Neto, Lafayette dePosso, Irimar de Paula
<em>Pires, Oscar César</em>;
<em>Dalcim, Maria Luiza</em>;
<em>Pigozzi, Ana Luiza Montes</em>;
<em>Caldeira, Fabiana Mara Scarpelli De Lima Alvarenga</em>;
<em>Pires, Marta Helena Rovani</em>;
<em>Almeida Neto, Lafayette De</em>;
<em>Posso, Irimar De Paula</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Opioids are drugs used to relieve pain, but may cause increased pain sensitivity, known as opioid-induced hyperalgesia, which adversely affects pain management. This study aimed to check if fentanyl, an opioid widely used in the clinical practice, produces hyperalgesia that can be attenuated by duloxetine, fluoxetine and pregabalin. METHODS: Thirty male Wistar rats were divided into six groups. The animals in group 1 received 1mL of 0.9% saline solution intraperitoneally (IP) and gavage; group 2 received fentanyl at a dose of 100µg.kg-1 IP and 0.9% saline solution per gavage; groups 3, 4 and 5 received fentanyl at the dose of 100µg.kg-1 IP, and gavage with duloxetine, 40mg.kg-1, fluoxetine, 40mg.kg-1 and pregabalin, 40mg.kg-1, respectively. Under general anesthesia with isoflurane, all animals were submitted to plantar surgical incision. The application of Von Frey filaments assessed hyperalgesia at the second hour, one, three, five and seven days after treatment. RESULTS: Two hours after the procedure, no differences were observed between G1 and G2, although G3, G4, and G5 showed less hyperalgesia. On day one and day three, a greater hyperalgesic effect was observed in G2 when compared to G1, G3, G4 and G5. On day five, there was a hyperalgesic effect on G2, and on day seven, there were no differences among the groups. CONCLUSION: The results suggest that fentanyl induces hyperalgesia and the efficacy of duloxetine, fluoxetine, and pregabalin in reducing it.Health biopsychosocial aspects of students and collaborators of a higher education institution suffering from headache10.5935/2595-0118.202000052024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZPessigatti, Bruna PereiraRodrigues, Ana Paula CostaAguiar, Pâmela ValérioDias, Fabiano Moura
<em>Pessigatti, Bruna Pereira</em>;
<em>Rodrigues, Ana Paula Costa</em>;
<em>Aguiar, Pâmela Valério</em>;
<em>Dias, Fabiano Moura</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Headache is considered a common health condition in doctors’ offices around the world. It is an unpleasant sensory experience that will be experienced by the individual at least once in their life, be it an adult or child. The main challenge is to make an accurate diagnosis due to the signs and symptoms that may be related to other diseases. Its etiology is multifactorial and is often related to the individual’s biopsychosocial condition. Thus, headache results in significant physical and emotional impact on the patient. The objective of this study was to identify the biopsychosocial aspects of the health of students and employees with headache from a higher education institution in the city of Vila Velha/ES. METHODS: This research was a cross-sectional analytical study conducted from March to May 2019. The convenience sample consisted of 51 individuals of both genders, aged between 18 and 59 years old, who reported headaches. RESULTS: Fifty-one individuals (female=41 and male=10) participated in the study; most individuals were single (n=38, 74.5%) and had no children (n=40, 78.4%); 62.7% were students and 32.7% were employees. The average time since the perception of the symptom was 105±118.3 months. According to the visual analog scale, the total average pain was 6.6±1.8. The impact of headache was measured by the migraine deficiency assessment questionnaire which showed 52.9% of individuals with a severe impact. This result resembles sleep disorders (58.8%), confirming that the headache is debilitating in the population studied. CONCLUSION: It was observed that female students had a higher prevalence of headache and that the most prevalent type of pain is migraine, with an impact on the overall functionality of individuals.Effects of cold versus hot compress on pain in university students with primary dysmenorrhea10.5935/2595-0118.202000062024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000Zdos-Santos, Gyan Karla AdvíncolaSilva, Natália Cristina de Oliveira Vargas eAlfieri, Fábio Marcon
<em>Dos-Santos, Gyan Karla Advíncola</em>;
<em>Silva, Natália Cristina De Oliveira Vargas E</em>;
<em>Alfieri, Fábio Marcon</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Dysmenorrhea is the most common gynecological complaint among young women. Several therapeutic resources have been studied, aiming at reducing pain. The objective of this study was to identify the influence of cold or hot compresses on pain intensity and pressure pain tolerance thresholds in women with primary dysmenorrhea. METHODS: A single-blind randomized clinical study involving 40 young women divided into two groups: hot compress or cold compress, applied for 20 minutes on the lower abdomen and lower back regions. Pressure pain tolerance thresholds were evaluated by algometry in the vastus medialis, gluteus maximus, lumbar paravertebral muscles and supraspinatus ligaments L4-L5 and L5-S1. Pain intensity was assessed by the visual analog scale. RESULTS: No significant changes in pressure pain tolerance thresholds were observed immediately after the application of the compresses, nor 30 minutes later. The comparison of the variation in the effect of changes showed no differences between the intervention groups, either regarding the pressure pain tolerance thresholds or the visual analog scale. However, both groups had a significant reduction in the visual analog scale right after the application and 30 minutes after the end of the intervention. Nevertheless, right after the use of the compresses, as well as 30 minutes after its end, the group that received the cold compress had a more significant reduction in pain intensity (p=0.002 and p=0.004, respectively). CONCLUSION: Cold or hot compresses did not produce changes in pressure pain tolerance thresholds. However, pain perception was lower after this treatment, especially in the group using cold compresses.Pain threshold between men and women with different fat masses and percentages10.5935/2595-0118.202000072024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZMariani, LaísaSilva, Cecília Felix daBuzanello, Márcia RosângelaBertolini, Gladson Ricardo Flor
<em>Mariani, Laísa</em>;
<em>Silva, Cecília Felix Da</em>;
<em>Buzanello, Márcia Rosângela</em>;
<em>Bertolini, Gladson Ricardo Flor</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: There is a data gap regarding cold pain and pressure pain in healthy young individuals. The present study aimed to compare cold pain threshold and intensity and pressure threshold in young men and women with different fat percentages. METHODS: The study included 30 men and 42 women aged between 18 and 25 years, divided into two groups: normal - body mass index ≤24.9 and overweight - ≥25. Fat percentage was estimated by tetrapolar bioimpedance, pain-pressure threshold by pressure algometer, cold pain threshold was timed, and the intensity measured by the visual analog scale. RESULTS: The intensity of pain caused by cold showed no significant difference between groups, as well as the cold pain threshold and the initial and final pain threshold. The same behavior happened within the men and women groups. When comparing the difference between genders, pressure pain and cold pain thresholds had significant differences. Pain intensity did not differ between genders. CONCLUSION: Fat percentage did not affect the response time of cold pain and pressure pain thresholds and pain intensity in young adults. When considering gender, although the cold pain threshold in men was higher than in women, pain intensity was similar.Musculoskeletal disorders in banana culture workers10.5935/2595-0118.202000082024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZSimas, José Martim MarquesAlencar, Maria do Carmo Baracho deYamauchi, Liria Yuri
<em>Simas, José Martim Marques</em>;
<em>Alencar, Maria Do Carmo Baracho De</em>;
<em>Yamauchi, Liria Yuri</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Work-related repetitive strain injury/musculoskeletal disorders affect numerous rural workers causing functional physical impairment. This study aimed to investigate the prevalence of work-related musculoskeletal disorders in banana culture workers. METHODS: From a list of banana culture workers linked to the Family Strategy, a questionnaire was applied to obtain socio-demographic data, rural property, health and labor, and the Nordic Musculoskeletal Questionnaire. Data were statistically analyzed using the statistical software R Development Core Team®. RESULTS: Thirty-six workers from ten rural properties participated in the study. The majority were male (94.4%), age group from 20 to 49 years (75.0%), most of them with incomplete primary education (50.0%). Regarding musculoskeletal disorders, the main regions affected were lumbar (63.9%), shoulders (47.2%) and knees (44.4%), with more than one region affected per worker. Regarding the work, tasks were described as painful and tiring including cutting, loading, fertilization, costal pulverization of pesticide, plowing and thinning. CONCLUSION: There are risks of musculoskeletal disorders among banana workers with risks of leave of absence due to illness, which may lead to losses in daily activities. There is a need to deepen the theme to promote health at work.The management of pediatric pain and the perception of the nursing team in light of the Social Communication Model of Pain10.5935/2595-0118.202000092024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZFaccioli, Stela CruzTacla, Mauren Teresa Grubisich MendesRossetto, Edilaine GiovaniniCollet, Neusa
<em>Faccioli, Stela Cruz</em>;
<em>Tacla, Mauren Teresa Grubisich Mendes</em>;
<em>Rossetto, Edilaine Giovanini</em>;
<em>Collet, Neusa</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Pain is a multidimensional experience, and its management depends on both the professional’s sensitivity and their ability to choose strategies for measurement and relief. The nursing team plays a fundamental role in this process since the assessment of pain in a systematic way provides the right therapeutic measures to the child. The present study aimed to evaluate pain and analgesia in the medical records and to understand the perception of the nursing team regarding the management of pain in hospitalized children. METHODS: Qualitative, descriptive, exploratory research carried out in a tertiary level state university hospital. Data collection included patients hospitalized in a pediatric inpatient unit and a semi-structured interview with 24 members of the nursing team. A thematic analysis proposed by Minayo was used for data analysis. The analysis was performed following the Social Communication Model of Pain. RESULTS: Eighty medical records were analyzed, and although pain is considered the fifth vital sign, most of the nurse prescriptions for pain remain blank in the medical records The participants’ reports resulted in three categories: the naturalness of the pain in hospitalized children; the responsibility of the nursing team before the 5th vital sign; pain management. CONCLUSION: Paying attention to the painful process of a child requires some skills from the professional to identify, assess, use proper instruments, understand the feelings involved in the process, and entail care in the prioritization of pediatric pain management.Central sensitization and beliefs among patients with chronic pain in a primary health care unit10.5935/2595-0118.202000102024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZDionísio, Gustavo HenriqueSalermo, Victor YoshiokaPadilha, Alexandre
<em>Dionísio, Gustavo Henrique</em>;
<em>Salermo, Victor Yoshioka</em>;
<em>Padilha, Alexandre</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: The pain that persists for more than three months is classified as chronic pain. Current studies suggest the existence of a dynamic relationship between biological changes, psychological state, and social context within the pain phenomenon and its chronicity. Central sensitization can be defined as the amplification of the neural signaling within the central nervous system that causes pain hypersensitivity, characterized by overlapping symptoms. The objective of this study was to evaluate the central sensitization, dysfunctional beliefs and other variables such as self-perception about sleep quality in a group of patients with chronic pain. METHODS: The patients answered sociodemographic questions, questions about pain-related habits and beliefs, and completed the central sensitization questionnaire. RESULTS: The 30 participants involved in the study had a mean value of 49.86±16.14 for central sensitization, as well as a high presence of dysfunctional beliefs and poor sleep self-perception. CONCLUSION: The need for a biopsychosocial look aiming to investigate the beliefs and level of central sensitization of patients with chronic pain is becoming increasingly necessary, as it is essential to understand the socioeconomic conditions of each individual for better evaluation and management. An initial educational approach in an easy language that stimulated the reflection and participation of patients to understand their symptoms was well accepted by these patients.Prevalence of orofacial pain in wind instrument players10.5935/2595-0118.202000112024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZLeonardi, Giovana EmanuelleKieling, Bruna LuizaReis, Giselle Emilãine da SilvaLeonardi, Bruno BrandaliseSydney, Priscila Brenner HilgenbergBonotto, Daniel
<em>Leonardi, Giovana Emanuelle</em>;
<em>Kieling, Bruna Luiza</em>;
<em>Reis, Giselle Emilãine Da Silva</em>;
<em>Leonardi, Bruno Brandalise</em>;
<em>Sydney, Priscila Brenner Hilgenberg</em>;
<em>Bonotto, Daniel</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: This cross-sectional observational study was conducted due to the uncertainties that still exist about the role of playing wind instruments in musculoskeletal complaints. Therefore, the objective was to assess the prevalence of temporomandibular dysfunction and associated factors in wind instrument players. METHODS: Wind instrument players from the School of Music of Fine Arts of Paraná were evaluated for nine-months. Axes I and II of the Research Diagnostic Criteria for Temporomandibular Disorders was used to obtain the variables of interest. The statistical analyses were performed using the SPSS 2.0 software, using the Fishers Exact test, with a significance level of 5%. RESULTS: Thirty-five musicians were examined, 85.7% were male, and 14.3% were female. The temporomandibular dysfunction prevalence was 51.4% being more commonly found in the group II (disc displacements) 34.2%. This result was statistically meaningful when associated with females (p=0,052). Group I disorders (muscle disorders) were diagnosed in 5 patients (14.2%) and group III disorders (joint disorders) were diagnosed in 3 patients (8.5%). Gender also influenced the presence of chronic pain, being more frequent in females (p=0.019). CONCLUSION: In this research, we found a high prevalence of individuals affected by temporomandibular dysfunction. Therefore, studies with expanded samples are necessary, as well as educational and preventive measures. Temporomandibular dysfunction specialists should devote more attention to this group of people.Vibration associated with cryotherapy to relieve pain in children10.5935/2595-0118.202000122024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZMendes-Neto, José MardenSantos, Sandra Lauton
<em>Mendes-Neto, José Marden</em>;
<em>Santos, Sandra Lauton</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: The administration of intramuscular drugs and peripheral venous puncture are procedures that use needles cause pain, especially in children. This painful experience generates distress, phobia, tachycardia, refusal to further treatments, anxiety, and sadness in parents. The use of non-pharmacological methods such as vibration and cold for pain relief in children has become a reliable alternative. The objective of this study was to evaluate the association between vibration and cryotherapy as a strategy for the relief of pain in children undergoing procedures with the use of needles. CONTENTS: This is an integrative review, in which articles were searched in the Pubmed, Medline, BDENF and LILACS databases, using the descriptors: “Child”, “Vibration”, “Cryotherapy” and “Pain” associated with the Boolean operator “and”. After the selection and reading of the articles in full, they were systematically synthesized and classified with a level of scientific evidence 2. Studies have shown that the association between vibration and cryotherapy is effective in reducing pain in children with or without cognitive alterations, also reducing their and parents’ anxiety during procedures performed with needles. CONCLUSION: The implementation of vibration associated with cryotherapy during the administration of injectable drugs and the installation of a peripheral venous device can reduce the fear, anguish, and anxiety in children, calming the parents and benefiting health professionals.Gender role in pain perception and expression: an integrative review10.5935/2595-0118.202000132024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZNascimento, Michele GomesKosminsky, MaurícioChi, Michele
<em>Nascimento, Michele Gomes</em>;
<em>Kosminsky, Maurício</em>;
<em>Chi, Michele</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Gender seems to play a role in influencing the response to experimental pain, although this influence is not very clear yet. Therefore, the objective of the present review was to investigate the contribution of the gender construct (gender identity/role) in the experience of pain through the selection and analysis of clinical studies on the subject. CONTENTS: A search was carried out in the databases Medline (via Pubmed), LILACS (via BVS), and PsycINFO. The search used the following descriptors: gender identity, pain, gender role combined by the Boolean operator AND/OR (gender identity) AND pain AND gender role AND pain, in English, Portuguese and Spanish. At the end of the selection, 11 studies were included for this review. All the investigations recovered on the subject are clinical laboratory studies. Regarding the influence of the gender identity and its role in pain perception, most of the studies (91%) show that this variable was a contributing factor to the differences observed in perception (tolerance/pain threshold) and the need to communicate the pain. CONCLUSION: In experimental pain, a higher degree of femininity or female social roles are associated with lower thresholds and less tolerance to pain, as well as a greater natural tendency to communicate pain sensation. These results are independent of the type of stimulus, ethnicity, or sexual orientation.The use of opioids in the treatment of oncologic pain in the elderly10.5935/2595-0118.202000142024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZSilva, Ledismar José daMendanha, Diego MachadoGomes, Patrícia Pádua
<em>Silva, Ledismar José Da</em>;
<em>Mendanha, Diego Machado</em>;
<em>Gomes, Patrícia Pádua</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: The use of opioids in cancer is already widespread and proven by several well-controlled clinical trials. However, the elderly with cancer pain are=un-dertreated due to the lack of knowledge in the management of these patients, the underestimation of pain, as well as the fear of complications arising in this age group. Therefore, the scientific community contributes to giving inputs to create possible clinical and health guidelines. The present study aimed to perform a systematic literature review of opioid treatments proposed for cancer-related pain in elderly patients. CONTENTS: The search on the literature included papers addressing cancer pain treatment with opioids among the elderly, published from 2008 to 2018, and available in Portuguese or English. Searches were conducted on Medical Literature, Analysis, and Retrieval System Online (MEDLINE) and Latin American and Caribbean Health Sciences Literature (LILACS) electronic databases using the keywords “cancer pain”, “opioids”, and “elderly” in both languages, combined with the Boolean operator “AND”. To analyze the quality of the method, the adapted Critical Appraisal Skills Programme was used. Of a total of 411 studies found, 32 were included. About 75% of the selected articles were published in the last five years. CONCLUSION: The results showed that opioids remain the pillar to treat cancer-related pain in the elderly. They can be used for better management of pain, but with caution due to the possible adverse effects. In addition, pain management in the elderly requires a multifactorial analysis, including comorbidities, polypharmacy, and patient functionality. Therefore, an individualized approach in the elderly patient is required in order to enhance results, reduce side effects, and improve quality of life.Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review10.5935/2595-0118.202000152024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZAbner, Thiago dos Santos SousaDantas, Maria Ivone OliveiraAzevedo-Santos, Isabela FreireDeSantana, Josimari Melo
<em>Abner, Thiago Dos Santos Sousa</em>;
<em>Dantas, Maria Ivone Oliveira</em>;
<em>Azevedo-Santos, Isabela Freire</em>;
<em>Desantana, Josimari Melo</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Joint mobilization is a non-pharmacological technique used to treat chronic musculoskeletal pain. However, it is controversial due to a lack of studies comparing its effects on this painful condition. The objective of this study was to assess the risk of bias in clinical trials investigating the effect of joint mobilization on chronic musculoskeletal pain. CONTENTS: A systematic search on Pubmed, Cochrane Library, ScienceDirect, Scielo, PEDro, CINAHL, SPORTDiscus, LILACS, BVS, PsycINFO, Web of Science, and Scopus was performed on September 2019 from the combination of three keywords: Musculoskeletal Manipulations AND Chronic Pain AND Musculoskeletal Pain. Randomized controlled clinical trials that evaluated the use of joint mobilization associated or not to other therapies in chronic musculoskeletal pain treatment were included. Five thousand five hundred eighty-seven articles were screened, and 14 studies were analyzed, including 812 participants, with a mean age of 54 years, and female being the most affected. According to these articles, joint mobilization promoted the reduction of pain intensity in short and long terms, increase in range of motion, strength and function when used alone or in association with conventional physiotherapy. Regarding methodological quality, most of the studies were classified with low risk for selection, performance, detection and reporting bias. In the “other bias” item, which considered therapists experience time and types of treatment applied, only one study presented low risk and other study presented an unclear risk. CONCLUSION: Joint mobilization seems to be an effective technique for the treatment of chronic musculoskeletal pain. However, it is still necessary to investigate and compile studies with greater methodological quality, thus promoting greater support to evidence-based practice.Scalp dysesthesia. Case report10.5935/2595-0118.202000162024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZRocha, Leticia ArraisGarcia, João Batista SantosRodrigues, Thiago Alves
<em>Rocha, Leticia Arrais</em>;
<em>Garcia, João Batista Santos</em>;
<em>Rodrigues, Thiago Alves</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Scalp dysesthesia is characterized by the presence of several localized or diffuse symptoms, such as burning, pain, pruritus or stinging sensations, without objective findings in the physical examination of the patient that can explain and link the existing symptomatology to some other etiology. The aim of this study was to describe a case of scalp dysesthesia, from its clinical and laboratory investigation and the conduct adopted. CASE REPORT: A 38-year-old male patient, first assigned to the Dermatology Service, with complaints of pruritus in the scalp for 5 years. In the consultation at the Pain Service, the patient complained of daily, intermittent and burning dysesthetic sensations, such as tingling and pruritus in the bipariethoccipital region, worsening with heat and associated with severe pain in the cervical region. Upon physical examination, evidence of excoriations associated with this pruritus was found. The patient received conservative pharmacological treatment, with significant improvement of the symptomatology after 3 months. CONCLUSION: Larger prospective studies are needed to further characterize the pathogenesis of scalp dysesthesia, to generate optimization of the available therapeutic options and consequently improve the care that is given to patients. This report corroborates with some findings already described in the literature, such as the association with cervical alterations and the improvement through the use of low-dose antidepressants and anticonvulsants such as gabapentin.About methods and instruments in behavior research10.5935/2595-0118.202000172024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZPerissinotti, Dirce Maria Navas
<em>Perissinotti, Dirce Maria Navas</em>;
<br/><br/>
Pain neuroscience education for patients with musculoskeletal pain10.5935/2595-0118.202000182024-01-05T20:00:19.366000Z2020-08-09T06:48:15.580000ZBittencourt, Juliana ValentimCorrêa, Letícia AmaralReis, Felipe José Jandre dosNogueira, Leandro Alberto Calazans
<em>Bittencourt, Juliana Valentim</em>;
<em>Corrêa, Letícia Amaral</em>;
<em>Reis, Felipe José Jandre Dos</em>;
<em>Nogueira, Leandro Alberto Calazans</em>;
<br/><br/>