Revista Dorhttps://www.scielo.br/journal/rdor/feed/2022-08-06T14:19:33.068000ZVol. 18 No. 4 - 2017WerkzeugRopivacaine: the newest anesthetic agent celebrates 20 years10.5935/1806-0013.201701172022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZNociti, José Roberto
<em>Nociti, José Roberto</em>;
<br/><br/>
Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy10.5935/1806-0013.201701182022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZBandeira, Roberto AlbuquerqueGomes, Lucy de OliveiraBezerra, Armando José ChinaDuarte, Josiane Aparecida
<em>Bandeira, Roberto Albuquerque</em>;
<em>Gomes, Lucy De Oliveira</em>;
<em>Bezerra, Armando José China</em>;
<em>Duarte, Josiane Aparecida</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: The objective of this study was to correlate the level of anxiety presented in the preoperative period with the intensity of pain reported by elderly in the immediate postoperative period of transvesical prostatectomy. METHODS: Sixty-four elderly patients submitted to transvesical prostatectomy were studied, using the following instruments: the numeric pain scale and Hamilton anxiety rating scale in the preoperative; and the short-form McGill pain questionnaire (Portuguese version adapted) in the immediate postoperative period. The elderly divided into four groups, according to the level of anxiety presented in the preoperative period: absent, mild, moderate and intense. The Spearman correlation was established between preoperative anxiety levels and postoperative pain intensity. RESULTS: There was a significant positive correlation between the level of preoperative anxiety and pain intensity in the immediate postoperative period. The pain curves (sensitive and affective) presented a significant increase at moments 6, 18 and 24h in all groups. These curves were significantly higher in the elderly with moderate and intense anxiety than in those without anxiety and mild anxiety. The pain peak was recorded at 18h after surgery in all groups. CONCLUSION: In the elderly, the level of anxiety presented in the preoperative period was positively correlated with the pain response in the immediate postoperative of transvesical prostatectomy. The use of preoperative measures that reduce anxiety can improve analgesia in the immediate postoperative period of this surgery and, therefore, reduce the amount of analgesics used in this period. There was also a need for intervention with adequate analgesia at the postoperative pain peak which occurred 18h after surgery.Prevalence of musculoskeletal pain in nursing professionals working in orthopedic setting10.5935/1806-0013.201701192022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZSantos, Evandro Cardoso dosAndrade, Rubian DiegoLopes, Soraia Geraldo RozzaValgas, Cleidson
<em>Santos, Evandro Cardoso Dos</em>;
<em>Andrade, Rubian Diego</em>;
<em>Lopes, Soraia Geraldo Rozza</em>;
<em>Valgas, Cleidson</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Musculoskeletal pain is considered one of the major causes for leave of absence. In the hospital setting, researchers classify the nursing activity as one of the most harmful to human health. The aim of this study was to identify the prevalence of musculoskeletal pain in nursing professionals working in the orthopedic setting at a hospital in the South of Brazil. METHODS: The study population consisted of 29 nursing professionals among which three were nursing assistant, 23 nurse techs, and three nurses. The workers answered a questionnaire with questions related to musculoskeletal pain (Nordic adapted), sociodemographic profile, labor characteristics, and habits and lifestyle. RESULTS: The prevalence of musculoskeletal pain in the studied subjects was 96.6% in at least one of the body parts in the last 12 months. The main regions involved were the lower and upper back (79.3 and 75.9%, respectively), the neck (65.5%), the shoulder (62.1%), ankle/feet (55.2%) and wrists/hands (51.7%). Of the professionals studied, 65.5% reported a leave of absence due to health problems in last the 12 months. It was identified that nurse practitioners showed a higher prevalence of pain in the majority of the body regions in comparison to the other professionals. CONCLUSION: The prevalence of musculoskeletal pain reported by the nursing professionals in the study was considered high. This points to the need for health promotion programs such as exercise at the workplace, ergonomics, pre-established breaks and more professionals in the ward, measures described in the literature that can contribute to reduce the overload and improve the working conditions and quality of life of these professionals.Pain and palliative care: the knowledge of medical students and the graduation gaps10.5935/1806-0013.201701202022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZDalpai, DéboraMendes, Florentino FernandesAsmar, João Antônio Vila NovaCarvalho, Pauline LopesLoro, Fernanda LaísBranco, Aline
<em>Dalpai, Débora</em>;
<em>Mendes, Florentino Fernandes</em>;
<em>Asmar, João Antônio Vila Nova</em>;
<em>Carvalho, Pauline Lopes</em>;
<em>Loro, Fernanda Laís</em>;
<em>Branco, Aline</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Currently, the medical course does not provide complete education and handling of pain, and it is also devoid of disciplines addressing thanatology in palliative care. The objective of this study was to evaluate the knowledge about pain and palliative care of medical students and their perception on how these themes are taught the graduation course. METHODS: We invited to participate in the survey students of the medical school who are concluding the fourth, fifth and sixth year of graduation at the Federal University of Health Science of Porto Alegre. The demographic and characterization data of the sample were collected, and a questionnaire was applied and validated with 19 direct questions about pain and palliative care. RESULTS: Forty-seven students agreed to participate in the study. The vast majority mentioned not receiving enough information during the undergraduate program about the proper handling of patients with pain, and patient care in a terminal situation. CONCLUSION: This study highlights education gaps on pain and palliative care in medical schools. It shows the difficulties of the students have to put the theoretical knowledge into practice, for example, their insecurity in handling pain, especially when it comes to the use of opioids.Pain tolerance and cardiorespiratory fitness in women with dysmenorrhea10.5935/1806-0013.201701212022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZAlfieri, Fábio MarconBernardo, Karoline Mayara de AquilesPinto, Yasmim da SilvaSilva, Natália Cristina de Oliveira Vargas ePortes, Leslie Andrews
<em>Alfieri, Fábio Marcon</em>;
<em>Bernardo, Karoline Mayara De Aquiles</em>;
<em>Pinto, Yasmim Da Silva</em>;
<em>Silva, Natália Cristina De Oliveira Vargas E</em>;
<em>Portes, Leslie Andrews</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Hormonal changes are known to affect quality of life of women and may interfere in pain tolerance and cardiorespiratory exercise performance. Thus, the aim of this study was to evaluate and compare pressure pain tolerance threshold and cardiorespiratory fitness in women in luteal and follicular phases of the menstrual cycle. METHODS: University students aged 18-30 years old with a regular menstrual cycle were evaluated for cardiorespiratory fitness (ergospirometry), pain perception through the visual analog scale and pressure pain tolerance (algometry). RESULTS: When evaluated in follicular phase, the 13 participants exhibited a significant increase (p<0.001) in pain perception. Follicular phase also resulted in a significant reduction in pressure pain tolerance in all sites evaluated (p<0.05). At rest, follicular phase resulted in a significant increase (p<0.05) in systolic and diastolic blood pressure, but no effect was observed in heart rate. At peak exercise, follicular phase caused a significant reduction (p<0.05) in heart rate and peak VO2, without significantly affecting speed, test duration and indicators of metabolism efficiency. CONCLUSION: Healthy women with dysmenorrhea show higher pain perception in follicular phase, which results in increased pain sensitivity and prejudice in hemodynamic aspects at rest and during exercise, as well as in cardiorespiratory fitness, without significant alterations in metabolism.The transcutaneous electrical nerve stimulation of variable frequency intensity has a longer-lasting analgesic action than the burst transcutaneous electrical nerve stimulation in cancer pain10.5935/1806-0013.201701222022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZSchleder, Juliana CarvalhoVerner, Fernanda AparecidaMauda, LorianeMazzo, Débora MeloFernandes, Luiz Cláudio
<em>Schleder, Juliana Carvalho</em>;
<em>Verner, Fernanda Aparecida</em>;
<em>Mauda, Loriane</em>;
<em>Mazzo, Débora Melo</em>;
<em>Fernandes, Luiz Cláudio</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Pain is one of the most frequent symptoms in cancer, and physical therapy offers non-invasive methods such as the transcutaneous electrical nerve stimulation for the relief of symptoms. The objective of this study was to compare the effect of the burst transcutaneous electrical nerve stimulation with the transcutaneous electrical nerve stimulation with variable intensity frequency in cancer pain. METHODS: This study was conducted with 53 patients of the Hospital Erasto Gaertner, divided into two groups: burst transcutaneous electrical nerve stimulation and variable intensity frequency transcutaneous electrical nerve stimulation. Pain assessment was performed before and right after the electroanalgesia, and at every hour until completing 6 hours. RESULTS: The group treated with burst transcutaneous electrical nerve stimulation maintained complete analgesia for 2 hours, returning to the initial score value within 6 hours of evaluation; the group of variable intensity frequency transcutaneous electrical nerve stimulation maintained complete analgesia for 4 hours, not returning to the initial score value within the 6 hours. When comparing the intensity of the pain between the groups there was a significant difference between them (p<0.001) in all the assessments from the third hour after the electroanalgesia, showing a significant difference (p<0.001) at the 3rd and 4th hour after the electroanalgesia. There was no difference at the 5th hour and at the 6th hour. CONCLUSION: The variable intensity frequency transcutaneous electrical nerve stimulation provided a longer-lasting analgesia in cancer pain than the burst transcutaneous electrical nerve stimulation.Drawing pain for children with sickle cell anemia: the pain that hurts, really hurts10.5935/1806-0013.201701232022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZCustódio, Lívia LopesLeitão, Ilse Maria Tigre de ArrudaGomes, Ilvana Lima VerdeMendes, Layza Castelo Branco
<em>Custódio, Lívia Lopes</em>;
<em>Leitão, Ilse Maria Tigre De Arruda</em>;
<em>Gomes, Ilvana Lima Verde</em>;
<em>Mendes, Layza Castelo Branco</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Painful crises are part in the evolution of sickle cell anemia, is the more dramatic picture of variable intensity and location, caused by chronic hemolysis and vaso-occlusion, which alter the daily life of the patients. The objective of this study was to understand, by means of drawing, the repercussions and the coping strategies in situations caused by the painful crises of the sickle cell anemia, from the children’s perspective. METHODS: Exploratory, qualitative study, carried out in a pediatric referral hospital of Ceará, with five children diagnosed with sickle cell anemia. Data collection was performed from May to July 2016, by means of observations and drawings-story by Trinca. In the analysis, it was used the analysis of drawings content by Coutinho. RESULTS: Two categories emerged: the pain that hurts and coping with pain. Every child identified its bigger meaning, evoking the repercussions of pain as the most striking element and more present in its life. CONCLUSION: In face of the sufferings confronted by children with sickle cell anemia, it is necessary to create strategies that promote the implementation of public policies to prevent crises and treat the disease, modifying the course of the disease and improving the quality of life.Prevalence of acute pain in patients attending the emergency room10.5935/1806-0013.201701242022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZRodrigues, Ingrid Sterphany AmorimOliveira, Louise Mangabeira Medeiros deFernandes, Flávia Emília Cavalcante ValençaTeles, Maria Emília Vidal
<em>Rodrigues, Ingrid Sterphany Amorim</em>;
<em>Oliveira, Louise Mangabeira Medeiros De</em>;
<em>Fernandes, Flávia Emília Cavalcante Valença</em>;
<em>Teles, Maria Emília Vidal</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Despite the importance of acute pain in the health-disease process, there are few studies about its prevalence in emergency services that function as a gateway to health services. The objective of this study was to evaluate the prevalence of acute pain in an emergency room setting. METHODS: The data were collected from September 2016 to June 2017, using the medical records of patients treated in the emergency service in 2015. Considering the average of 8,000 visits per month, we adopted a random sampling process using categorical variables, and it was estimated a sample of 4,064 records. RESULTS: The pain was present among older people (39.6 years) when compared to patients who had pain and other symptoms associated (37.0 years) (p=0.000). There was a higher concentration of demand for the service by women (55.3%) due to pain and other causes, and for acute pain, the demand was 50.1% of females. In risk classification, 86.6% was characterized not urgent, and 99.6% sought service on their own. Only 0.5% of patients affected by acute pain were referred to other services. CONCLUSION: The study showed that the majority of the care demand at the emergency room is of little complexity and could be attended at the primary care unit. The pain is present in all types of care, and the objective is to relieve the pain, leading patients to look for an agile and decisive service.Pain during tracheal aspiration in patients with traumatic brain injury undergoing mechanical ventilation10.5935/1806-0013.201701252022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZRibeiro, Caíque Jordan NunesBezerra, Daílson SilvaLima, Alanna Gleice Carvalho FontesFernandes, Caren Cristina FreitasMenezes, Míriam Geisa das VirgensRibeiro, Maria do Carmo de Oliveira
<em>Ribeiro, Caíque Jordan Nunes</em>;
<em>Bezerra, Daílson Silva</em>;
<em>Lima, Alanna Gleice Carvalho Fontes</em>;
<em>Fernandes, Caren Cristina Freitas</em>;
<em>Menezes, Míriam Geisa Das Virgens</em>;
<em>Ribeiro, Maria Do Carmo De Oliveira</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Victims of traumatic brain injury, in intensive care units, frequently experience pain. Tracheal aspiration is a procedure with nociceptive potential routinely carried out in these patients. The objective of this study was to evaluate the effectiveness of tracheal aspiration in patients with traumatic brain injury undergoing mechanical ventilation. METHODS: Prospective study conducted in two intensive care units of a general public hospital in Aracaju, Sergipe, Brazil. During three days, 300 observations were carried out in 20 victims of traumatic brain injury. The pain was assessed using the Brazilian version of the Behavioral Pain Scale and the physiological parameters of heart rate and blood pressure (systolic and diastolic). The sedation depth was measured by Ramsay scores and the Richmond Agitation Sedation Scale. The Friedman test, ANOVA, and the Bonferroni post hoc test were used to verify the existence any differences in pain scores and physiological parameters at the different moments of the evaluation. A 5% statistical significance was accepted. RESULTS: The sample was predominantly comprised of men, young, from the interior of the State, with no comorbidities and with severe traumatic brain injury. Fentanyl and midazolam were the most used drugs for sedation and analgesia. There was a high prevalence of pain (70.0-85.5%). The pain scores were significantly higher during the tracheal aspiration, and the physiological parameters did not present any statistically significant increase. CONCLUSION: Valid and trustworthy behavioral scales, as the Behavioral Pain Scale, should be incorporated into the routine of the intensive care units to guide analgesia and sedation management, especially to prevent suffering during these painful procedures.Newborn's pain under the mother's perception10.5935/1806-0013.201701262022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZSoares, Marilia Freitas EliasChaves, Ana Vládia GomesMorais, Ana Paula da SilvaRabelo, Maria Zuleide da SilvaRodrigues, Lidiane do NascimentoChaves, Edna Maria Camelo
<em>Soares, Marilia Freitas Elias</em>;
<em>Chaves, Ana Vládia Gomes</em>;
<em>Morais, Ana Paula Da Silva</em>;
<em>Rabelo, Maria Zuleide Da Silva</em>;
<em>Rodrigues, Lidiane Do Nascimento</em>;
<em>Chaves, Edna Maria Camelo</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Pain can generate important complications for the newborn. The mother, inserted in this context, becomes an important ally during the hospitalization since she stays with the. Thus, the study aimed to identify the mother's perception of pain in her hospitalized child in the Neonatal Intensive Care Unit and to compare the mothers' reports with a range of behavioral and physiological signs. METHODS: This is a qualitative study in a tertiary hospital in the State of Ceará. Fifteen mothers who were with their children hospitalized at the Neonatal Intensive Care Unit participated in the study, where they were placed in front of their children in two different moments: at rest and handling, in order to identify signs of pain. The data were analyzed by approximation of the speeches as proposed by Minayo. RESULTS: The results showed that the mothers did not perceive signs of pain in the newborn at rest. However, when handled, the mothers were able to identify the signs of pain through the characteristics presented in the newborn: facial expression, strong crying and the movement of arms and legs. CONCLUSION: Mothers are able to identify signs of pain in the child during painful procedures, mainly through crying and face changes. Thus, it points out the relevance of using pain evaluation scales to measure the behavioral and physiological signs of the newborn in a Neonatal Intensive Care Unit.The use of acupuncture versus dry needling in the treatment of myofascial temporomandibular dysfunction10.5935/1806-0013.201701272022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZCosta, Anieli daBavaresco, Caren SerraGrossmann, Eduardo
<em>Costa, Anieli Da</em>;
<em>Bavaresco, Caren Serra</em>;
<em>Grossmann, Eduardo</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Orofacial pain is the pain felt in the oral cavity and the face, with a multifactorial etiology, being a representative of the temporomandibular dysfunction. Among the various possibilities for treatment are acupuncture and the dry needling. The objective of this study was to compare the effectiveness of these two therapies in the cases of myogenic temporomandibular dysfunction. CONTENTS: A review of articles relating to the topic was conducted on the LILACS, Medline, Scielo and Pubmed database, cross-referencing the following descriptors: “acupuncture” OR “electroacupuncture” OR “dry needling” AND “orofacial pain syndrome” OR “orofacial pain” OR “temporomandibular dysfunction” OR “temporomandibular disorders”, myofascial temporomandibular dysfunction or trigger points in last the 16 years. Clinical trials, systematic reviews, metanalysis, case studies involving human beings were included. The selected languages were English and Portuguese. Twenty-one articles were found that were carefully evaluated and tabulated. The present study identified that both acupuncture and dry needling were significantly important in the resolution of the signs and symptoms of the myogenous temporomandibular dysfunction, with adequate effectiveness. CONCLUSION: It can be pointed out that dry needling seems to be more effective in the resolution of local pain on the myofascial trigger points than just using of acupuncture points at a distance. Acupuncture demonstrated positive influences in the general health quality and pain of patients with myofascial temporomandibular dysfunction. Therefore, the therapy of choice will depend on the professional’s assessment of the clinical conditions of the patient and the therapeutic goals to be achieved.The use of noninvasive neuromodulation in the treatment of chronic pain in individuals with temporomandibular dysfunction10.5935/1806-0013.201701282022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZSilva, Tatyanne dos Santos FalcãoGaldino, Melyssa Kelyanne Cavalcanti
<em>Silva, Tatyanne Dos Santos Falcão</em>;
<em>Galdino, Melyssa Kelyanne Cavalcanti</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Faced with mechanisms of maladaptive neuroplasticity that can generate a memorization of pain sensation in individuals with temporomandibular dysfunction, the transcranial direct current stimulation emerges as a possible treatment strategy for chronic pain. However, further studies are needed to demonstrate the efficacy of this therapeutic modality and its long-term effect. Thus, the present study aims to discuss the use of transcranial direct current stimulation in the treatment of temporomandibular dysfunction in individuals with chronic pain. CONTENTS: The present review encompasses 40 articles, published between the years 2000 and 2016. The temporomandibular dysfunction is a disease characterized by a set of signs and symptoms that may include joint noise, pain in the muscles of mastication, limitation of mandibular movements, facial pain, joint pain and/or dental wear. Pain appears as a very present and striking symptom, with a tendency to chronicity, a condition that is difficult to treat and often associated with psychological factors such as anxiety and depression. Studies using transcranial direct current stimulation in patients with chronic pain symptomatology have been showing good results through neuromodulation of neuronal excitability. It is worth noting that it corresponds to a non-invasive technique, low cost, easy and quick to apply, besides having minimal adverse effects. CONCLUSION: The transcranial direct current stimulation has shown promising results in the treatment of temporomandibular dysfunction pain, with the possibility of becoming a complementary technique to the existing treatments, and thus, providing a professional assistance of better quality and resolution to the patient with this disorder.Physiotherapeutic treatment in temporomandibular disorders10.5935/1806-0013.201701292022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZPelicioli, MarceloMyra, Rafaela SimonFlorianovicz, Vivian CarlaBatista, Juliana Secchi
<em>Pelicioli, Marcelo</em>;
<em>Myra, Rafaela Simon</em>;
<em>Florianovicz, Vivian Carla</em>;
<em>Batista, Juliana Secchi</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Temporomandibular dysfunction is defined as a set of dysfunctions that affect the masticatory muscles, the temporomandibular joint and associated structures. The objective of this study was to systematize scientific evidence on the techniques of physiotherapeutic treatment for temporomandibular disorders. CONTENTS: The search was performed on the Medline, LILACS and Scielo databases, as well as the Pubmed search tool for articles published in the last 10 years, from August 2006 to August 2016. The survey was carried out with the following descriptors: “temporomandibular joint” and “physiotherapy”, “temporomandibular joint disorders” and “physiotherapy”, “temporomandibular joint” and “physiotherapy techniques”, “temporomandibular joint disorders” and “physiotherapy techniques”. We included randomized trials and case reports, composed only of patients with temporomandibular disorders who underwent physical therapy. The search totaled 32 studies and 11 of them were selected. The pain was assessed by unanimity. The articles did the same amount of sessions. CONCLUSION: Several resources such as ultrasound, laser, cathodic current; or manual therapies, as muscle stretching, and joint mobilization bring remarkable benefits to temporomandibular dysfunction. However, studies with higher methodological quality with follow-up are necessary.The use of oxytocin and relaxin in the treatment of refractory chronic pain with mixed characteristics (neuropathic and myofascial pain). Case report10.5935/1806-0013.201701302022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZGuarnieri, Isadora CerrutiRodrigues, Driéli PachecoFerreira, Karen dos Santos
<em>Guarnieri, Isadora Cerruti</em>;
<em>Rodrigues, Driéli Pacheco</em>;
<em>Ferreira, Karen Dos Santos</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Some studies have related the use of synthetic oxytocin for the treatment of painful syndromes that relies on central and peripheral modulation mechanisms of pain. Thus, the objective of this study was to report a case of a patient with a refractory chronic pain of mixed characteristics (myofascial and neuropathic pain) who responded to the treatment with synthetic oxytocin and relaxin. CASE REPORT: Female patient, 41 years old, presenting a 10-year history of right hemifacial pain after dental surgery, with neuropathic characteristics, diagnosed as atypical facial pain (atypical trigeminal neuralgia). Later, she developed pain in the right cervical region, radiating to the shoulder, with several muscle trigger points in the pericranial region, suggestive of myofascial pain. After treatment with antidepressants, neuromodulators, anesthetic blockade, capsaicin and topical lidocaine, with partial results and pain recurrence, she started treatment with intramuscular oxytocin and oral relaxin. Over the year she followed the proposed treatment, she presented light pain, greater pain-free intervals, reduced need of pain blockade, improved tolerance to physical exercise and of the local face allodynia. CONCLUSION: Despite the new drugs, procedures, and protocols to treat chronic pain, the patients often present unsatisfactory outcomes. Many times, there are situations of mixed pain (neuropathic and myofascial pain) with central and peripheral sensitization, resulting in worse prognostic and refractoriness. In this case, synthetic oxytocin and relaxin presented a satisfactory response.Physiotherapeutic intervention in pain and quality of life of women with rheumatoid arthritis. Case reports10.5935/1806-0013.201701312022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZSchnornberger, Caroline de MacedoJorge, Matheus Santos GomesWibelinger, Lia Mara
<em>Schnornberger, Caroline De Macedo</em>;
<em>Jorge, Matheus Santos Gomes</em>;
<em>Wibelinger, Lia Mara</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Rheumatoid arthritis is an autoimmune, chronic, idiopathic and inflammatory disease that symmetrically affects the tissues, organs and peripheral joints causing pain, swelling, stiffness and decreased the quality of life. The objective of this study was to confirm the effects of a physiotherapeutic intervention program on pain and quality of life of women with rheumatoid arthritis. CASE REPORTS: Study of a series of cases of five female patients, with average age ± 54 years. The initial assessment consisted of data collection, pain assessment by visual analog scale and evaluation of the quality of life by the Medical Outcomes Study36 Item Short-Form Health Survey SF-36. After the initial assessment, patients were subjected to a physiotherapeutic intervention program based on kinesiotherapy, which was conducted in groups, consisting of two sessions per week and duration of 50 minutes per session, totaling 10 sessions. The pain showed no statistically significant results when analyzed by the visual analog scale. However, when assessing the quality of life related to pain and vitality, there were statistically significant results (p≤0.05) in post-intervention. CONCLUSION: The proposed intervention program has been effective in improving the pain and vitality domains regarding the analysis of the quality of life in women with rheumatoid arthritis.Effect of a physiotherapy program in patient with persistent polyarthralgia after chikungunya fever. Case report10.5935/1806-0013.201701322022-08-06T14:19:33.068000Z2020-08-09T06:49:13.928000ZOliveira, Alexsandro da SilvaSilva, Júlio Guilherme
<em>Oliveira, Alexsandro Da Silva</em>;
<em>Silva, Júlio Guilherme</em>;
<br/><br/>
ABSTRACT BACKGROUND AND OBJECTIVES: Chikungunya fever is caused by the chikungunya virus, but with characteristics similar to the dengue fever. The main clinical manifestation that differs from dengue is the strong joint pains, which can remain for long periods, and that is found at lower intensity and duration with dengue. The objective of this study was to contribute to the physical therapy in patients with persistent polyarthralgia after chikungunya fever. CASE REPORT: Female patient, 35 years old, diagnosed with persistent polyarthralgia after chikungunya fever. When admitted to the physiotherapy service, she complained of severe pain in the knee, wrist and right ankle, mainly in the morning. For the physiotherapeutic evaluation, the following parameters were used: visual analog scale, use of painkillers, goniometry, modified sphygmomanometer test, and perimetry. The functional assessment was done through a 10m walking test, Quick Dash and Lequesne scales, Portuguese version, for the upper and lower limbs, respectively. The proposed physiotherapeutic program was based on therapeutic exercises and manual therapy for 4 weeks. The results showed that the proposed physical therapy was effective in decreasing the pain, increasing muscle strength, the range of motion, decreasing edema and improving functional capacity. CONCLUSION: The physiotherapeutic treatment proved to be effective in treating a patient with persistent polyarthralgia after chikungunya fever, improving the subjective pain and functional capacity.