ABSTRACT
A dor passa ser um fator importante quando se estuda a população idosa, pois apresenta um grande impacto nas atividades diárias, aumentando as comorbidades e a mortalidade, transformando-se em um sério problema de saúde pública. OBJETIVOS: Avaliar a confiabilidade das medidas intraexaminador e interexaminador de um algômetro digital em mensurar o limiar da dor no quadril de idosos institucionalizados e frágeis. MATERIAIS E MÉTODOS: A amostra foi de forma intencional de acordo com a capacidade cognitiva dos idosos para responderem às avaliações; dois examinadores realizaram a algometria na região do quadril em 17 idosos residentes de uma instituição de longa permanência. RESULTADOS: Os coeficientes de correlação intraclasse (CCI) demonstraram alta confiabilidade do instrumento intra-examinador - iguais a 0,877 e muito alta interexaminador - iguais a 0,973. CONCLUSÃO: Há confiabilidade no algômetro digital em mensurar o limiar de dor no quadril em idosos de uma instituição de longa permanência.
Pain becomes an important factor when studying the elderly population, as it has a great impact on daily activities, increasing comorbidities and mortality, becoming a serious public health problem. OBJECTIVES: To evaluate the reliability of the intra-examiner and inter-examiner measurements of a digital algometer in measuring the hip pain threshold of institutionalized and fragile elderly people. MATERIALS AND METHODS: The sample was intentionally in accordance with the elderly's cognitive ability to respond to assessments; two examiners performed algometry in the hip region on 17 elderly residents of a long-term institution. RESULTS: The intraclass correlation coefficients (ICC) high reliability of the intraexaminer instrument - equal to 0.877 and very high interexaminer - equal to 0.973. CONCLUSION: There is reliability in the digital algometer in measuring the hip pain threshold in the elderly in a long-term institution.
Subject(s)
Pain , Aged , Reproducibility of ResultsABSTRACT
ABSTRACT BACKGROUND AND OBJECTIVES: Muscle pain is one of the causes of the leave of absence in physical activities, as well as limiting factor in sports performance. The objective of this study was to evaluate the early and late response to the pain perception threshold after acupuncture in a single application, in subjects submitted to repetitive strain. METHODS: Clinical-experimental quantitative trial, with control group and blind, with 47 healthy women, aged between 18 and 55 years (36.3±10.6), divided deterministically by sequential alternation to the groups: acupuncture (GACP n=16), Sham (Gsham n=16) and control (CGRT n=15). The repetitive strain was performed in the Reformer equipment of the Pilates method, before and after the intervention, with 0,25x40mm needles. The GACP received the needling at point ST36 (Zusanli). The Gsham received superficial needling out of the acupuncture point, and the CGRT only performed the exercise. All patients had the needles for 20 minutes, except for the CGRT who remained only at rest. A digital pressure algometer was used at point BL57 (Chengshan). The algometry was conducted before the intervention and the exercise, immediately after, and after 24 hours. RESULTS: The GACP showed a significant increase in the pain perception threshold when compared to Gsham (p =0.021) and to CGRT (p<0.001) and after 24 hours, with CGRT (p=0.006). The results were coherent with the acupuncture theoretical foundations, suggesting the release of opioid analgesics and applicability in the recovery of post-exercise sore muscles. CONCLUSION: A single acupuncture intervention was able to increase the Pain Perception Threshold immediately and after 24 hours.
RESUMO JUSTIFICATIVA E OBJETIVOS: A dor muscular é uma das causas de afastamento de práticas de atividades físicas e fator limitante no desempenho desportivo. O objetivo deste estudo foi avaliar a resposta imediata e tardia do limiar de percepção dolorosa após estímulo de acupuntura em uma única aplicação, em sujeitos submetidos a esforço repetitivo. MÉTODOS: Ensaio clínico-experimental, quantitativo, com grupo controle e encoberto, 47 mulheres sadias, com idades entre 18 e 55 anos (36,3±10,6), separadas por alocação determinista por alternância sequencial em grupos: acupuntura (GACP n=16), Sham (Gsham n=16) e controle (GCRT n=15). Realizou-se o esforço repetitivo no equipamento Reformer do método Pilates, antes e após a intervenção com agulhas 0,25x40mm. O GACP recebeu agulhamento no ponto E36 (Zusanli). O Gsham agulhamento superficial, fora do ponto de estímulo de acupuntura e o GCRT só realizou o exercício. Todos permaneceram 20 min com agulhas e o GCRT só em repouso. Utilizou-se um algômetro de pressão digital no ponto B57 (Chengshan). A algometria foi realizada antes da intervenção e do exercício, imediatamente após, e após 24 horas. RESULTADOS: O GACP teve aumento significativo do limiar de percepção dolorosa no momento imediato, quando comparado ao Gsham (p=0,021) e ao GCRT (p<0,001), e após 24 horas com o GCRT (p=0,006). Houve coerência dos resultados com as bases teóricas do estímulo da acupuntura, sugerindo liberação de opioides analgésicos e aplicabilidade em recuperação de dores musculares pós-exercícios. CONCLUSÃO: Uma única intervenção de acupuntura foi capaz de aumentar o limiar de percepção dolorosa de imediato e após 24 horas.
ABSTRACT
Oriental medicine, are described in detail about the human body association between systemic and musculoskeletal system, the location of the organs and critical points. Critical point or biological active point in the human body has a total of 302, classified about lives and impact is most dangerous, more dangerous and dangerous. These ascertaining theoretical and usage is important. Our aim was to study in limbs of the body composition and perceived status in the critical point.Total 62 most healthy people obtained to the research from this 31 people were male, 31 people were female and 18-28 ages. We used algometry, anthropometry and VAS. Upper and lower limbs of the body composition and perceived status in the critical point compared with body constitution.Statistical analyses were conducted in SPSS (PASW) Version 17.0.The mean age were had male 18.47, female 23.42 obtained to the research. “Wind-bile”, “windphlegm” body constitution people were 22.58%, “phlegm-bile” body constitution people were 8.06% and “wind-bile-phlegm” body constitution people not available. A high significant decrease, high correlation in “phlegm-bile” body constitution people were the most high measured in 9 point, “bilewind” body constitution people were lowest measured in 8 point by anthropometry.Comparing results by anthropometric indication, algometry tools, VAS methods is dependent to the positive or reserve.
ABSTRACT
Thirty-eight patients with a musculoskeletal chest wall syndrome were evaluated for the musculoskeletal findings of chest wall. All patients had the chest wall tenderness and the typical chest pain could be reproduced by the palpation. There was no significant difference in the diagnostic features of the pain for the onset, location, characteristics, duration, radiation, and area of references for chest pain among the different groups of the patients. However, a reproduction of pain by palpation and the pressure threshold difference between the lesion and control points by using pressure algometry was a reliable and specific diagnostic tool. Pressure threshold difference was correlated with numerical rating scale by the correlation coefficient 0.96. The common causes of the chest wall syndrome were the myofascial pain syndrome, chostochondritis, sternalis syndrome, rib-tip syndrome, xiphodynia in order. Six patients had chest wall disorders in conjunction with other associated intrathoracic condition. Thirty-two patients had an isolated chest wall syndrome. Chest wall syndrome should be considered in all patients with the chest pain, as its recognition could help the patient management.