Revista Dor最新文献

{"title":"The use of noninvasive neuromodulation in the treatment of chronic pain in individuals with temporomandibular dysfunction","authors":"T. Silva, M. K. Galdino","doi":"10.5935/1806-0013.20170128","DOIUrl":"https://doi.org/10.5935/1806-0013.20170128","url":null,"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.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44036504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ropivacaine: the newest anesthetic agent celebrates 20 years","authors":"J. Nociti","doi":"10.5935/1806-0013.20170117","DOIUrl":"https://doi.org/10.5935/1806-0013.20170117","url":null,"abstract":"On February 22, 1997, the first European Symposium on Ropivacaine was held in Stockholm, Sweden, with the participation of 554 anesthesiologists from 22 countries, including 11 from Brazil. In the same year, Astra Laboratory launched a new local anesthetic for clinical use in 14 countries: United Kingdom, Ireland, Germany, Austria, Canada, Italy, France, Belgium, Norway, Switzerland, South Africa, BRAZIL, Argentina, and Portugal.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42914856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of oxytocin and relaxin in the treatment of refractory chronic pain with mixed characteristics (neuropathic and myofascial pain). Case report","authors":"Isadora Cerruti Guarnieri, D. P. Rodrigues, K. Ferreira","doi":"10.5935/1806-0013.20170130","DOIUrl":"https://doi.org/10.5935/1806-0013.20170130","url":null,"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, neuromodula-tors, 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 fol-lowed 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.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47338106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiotherapeutic treatment in temporomandibular disorders","authors":"Marcelo Pelicioli, Rafaela Simon Myra, Vivian Carla Florianovicz, Juliana Secchi Batista","doi":"10.5935/1806-0013.20170129","DOIUrl":"https://doi.org/10.5935/1806-0013.20170129","url":null,"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.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/1806-0013.20170129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43480059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of musculoskeletal pain in nursing professionals working in orthopedic setting","authors":"E. Santos, R. D. Andrade, Soraia Geraldo Rozza Lopes, Cleidson Valgas","doi":"10.5935/1806-0013.20170119","DOIUrl":"https://doi.org/10.5935/1806-0013.20170119","url":null,"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.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/1806-0013.20170119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46637623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain tolerance and cardiorespiratory fitness in women with dysmenorrhea","authors":"F. Alfieri, K. Bernardo, Y. Pinto, N. C. D. O. V. E. Silva, L. A. Portes","doi":"10.5935/1806-0013.20170121","DOIUrl":"https://doi.org/10.5935/1806-0013.20170121","url":null,"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.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42707763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a physiotherapy program in patient with persistent polyarthralgia after chikungunya fever. Case report","authors":"Alexsandro da Silva Oliveira, J. G. Silva","doi":"10.5935/1806-0013.20170132","DOIUrl":"https://doi.org/10.5935/1806-0013.20170132","url":null,"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.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43694494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Drawing pain for children with sickle cell anemia: the pain that hurts, really hurts","authors":"L. L. Custódio, I. M. T. D. A. Leitão, Ilvana Lima Verde Gomes, Layza Castelo Branco Mendes","doi":"10.5935/1806-0013.20170123","DOIUrl":"https://doi.org/10.5935/1806-0013.20170123","url":null,"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.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46969899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The transcutaneous electrical nerve stimulation of variable frequency intensity has a longer-lasting analgesic action than the burst transcutaneous electrical nerve stimulation in cancer pain","authors":"Juliana Carvalho Schleder, Fernanda Aparecida Verner, Loriane Mauda, Débora Melo Mazzo, L. Fernandes","doi":"10.5935/1806-0013.20170122","DOIUrl":"https://doi.org/10.5935/1806-0013.20170122","url":null,"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 analgeThe transcutaneous electrical nerve stimulation of variable frequency intensity has a longer-lasting analgesic action than the burst transcutaneous electrical nerve stimulation in cancer pain Estimulação elétrica nervosa transcutânea de intensidade e frequência variável tem ação analgésica mais duradoura que a estimulação elétrica nervosa transcutânea burst sobre a dor oncológica Juliana Carvalho Schleder1, Fernanda Aparecida Verner2, Loriane Mauda3, Débora Melo Mazzo4, Luiz Cláudio Fernandes5 1. Universidade Federal do Paraná, Hospital Universitário Regional dos Campos Gerais, Departamento de Fisioterapia, Ponta Grossa, PR, Brasil. 2. Hospital Cajuru, Departamento de Fisioterapia, Curitiba, PR, Brasil. 3. Pontifícia Universidade Católica do Paraná, Curso de Medicina, Curitiba, PR, Brasil. 4. Universidade Estadual de Ponta Grossa, Hospital Universitário Regional dos Campos Gerais, Departamento de Fisioterapia, Ponta Grossa, PR, Brasil. 5. Universidade Federal do Paraná, Departamento de Fisiologia, Curitiba, PR, Brasil. Submitted in May 10, 2017. Accepted for publication in October 30, 2017. Conflict of interests: none – Sponsoring sources: none Correspondence to: Rua Cruz e Souza no 430 ap. 11 – Jardim Carvalho 84015-420 Ponta Grossa, PR, Brasil E-mail: deboramazzo@uol.com.br © Sociedade Brasileira para o Estudo da Dor sia in cancer pain than the ","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/1806-0013.20170122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41574334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiotherapeutic intervention in pain and quality of life of women with rheumatoid arthritis. Case reports","authors":"Caroline de Macedo Schnornberger, M. Jorge, Lia Mara Wibelinger","doi":"10.5935/1806-0013.20170131","DOIUrl":"https://doi.org/10.5935/1806-0013.20170131","url":null,"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.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/1806-0013.20170131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42218443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}