ABSTRACT
Objective: To compare the efficacy of different treatment protocols in treating transient synovitis of the hip (TSH) in children and to optimize the clinical treatment strategy for this condition. Methods: Ninety kids with TSH were divided into a control group, a chiropractic group and a chiropractic plus foot bath group using the random number table method, with 30 cases in each group. The control group was treated with conventional traction; the chiropractic group was given chiropractic treatment based on the control group; the chiropractic plus foot bath group was given Chinese medicine foot bath based on the chiropractic group. Traction and foot bath were conducted once daily while chiropractic was done once every other day, all with 14 d as a treatment course for a total of two courses. Changes in the visual analog scale (VAS) score and range of motion (ROM) of the hip joint in the three groups were observed, and the efficacy was compared. Results: The total effective rate was 93.3％ in the chiropractic plus foot bath group, versus 76.7％ in the chiropractic group and 66.7％ in the control group, and the total effective rate was notably higher in the chiropractic plus foot bath group than in the other two groups (both P<0.05). Respectively after the first and second treatment course, the VAS score decreased significantly in each of the three groups compared with that before treatment (all P<0.01), and the ROM of the hip joint in flexion increased significantly (all P<0.01). After two treatment courses, the VAS score was lower in the chiropractic plus foot bath group than in the other two groups (both P<0.05), and its ROM of the hip joint in flexion was larger than that in the other two groups (both P<0.05). Conclusion: Based on traction, chiropractic plus Chinese medicine foot bath can effectively reduce pain and improve motor function of the hip joint in treating TSH.
ABSTRACT
Objetivo: Evaluar el efecto del masaje terapéutico clásico como cuidado de enfermería en la capacidad funcional del adulto mayor en una casa hogar. Métodos: Estudio cuantitativo, longitudinal, cuasiexperimental. Se evaluó la capacidad funcional del adulto mayor antes y después del masaje terapéutico clásico con el índice de Barthel, alfa de Cronbach de 0.95. Muestreo no probabilístico por conveniencia. En total se estudiaron 15 adultos mayores divididos aleatoriamente en grupo de estudio y control, con base en Epidat 3.1. El análisis se realizó con estadística descriptiva y no paramétrica a través de T de Wilcoxon y U de Mann Whitney para lo cual se utilizó el programa SPSS v.19. Resultados: El promedio de edad fue de 84.14 ± 9.68 vs. 80.25 ± 10.49 para el grupo control y de estudio respectivamente; el 73% del género masculino. Previo y posterior al masaje terapéutico en la prueba de Wilcoxon, el resultado fue: grupo control (Z = 0, p = 1) vs. grupo experimental (Z = 2.47, p = 0.01). En la U de Mann Whitney (U = 0.5, p = 0.001). En la posprueba del grupo de estudio se observó un aumento significativo de la capacidad funcional. No existen estudios similares, sin embargo, algunas investigaciones han demostrado que el masaje terapéutico es efectivo para mejorar el dolor, la amplitud de movimiento y la fuerza de agarre en adultos mayores. Conclusiones: El masaje terapéutico clásico es efectivo para incrementar la capacidad funcional del adulto mayor institucionalizado.
Objective: To assess the effect of traditional therapeutic massage on the functional capacity of elderly adults in a residential care facility. Methods: Quasi-experimental, longitudinal and quantitative study. The elderly adults' functional capacity was assessed before and after the classic therapeutic massage using Barthel's index. Cronbach alpha turned out to be 0.95. The sampling was by convenience and not probabilistic. In total, 15 studied elderly adults were randomly assigned to a control group and a study group using Epidat 3.1. Descriptive and not parametric analysis was performed using Wilcoxon T and Mann Whitney U tests with the SPSS v.19 program. Results: The average age was 84.14 ± 9.68 and 80.25 ± 10.49 in the control and study groups respectively. Seventy-three percent were masculine. The Wilcoxon test results were Z = 0, P = 1 in the control group, and Z = 2.47, P = .01 in the experimental group. The Mann Whitney test result was U = 0.5, P = .001. The study group post-test showed a significant increase in the functional capacity. There are not many similar works in the literature; however some research studies have demonstrated that therapeutic massage is effective in improving movement and gripping strength, and also in reducing pain among elderly adults. Conclusions: Traditional therapeutic massage is effective in increasing the functional capacity of institutionalized elderly adults.
Objetivo: Avaliar o efeito da massagem terapêutica clássica como um cuidado de enfermagem na capacidade funcional do idoso no Lar. Métodos: Estudo qualitativo, longitudinal, quase experimental. Avaliou-se a capacidade funcional do idoso antes e depois da massagem terapêutica clássica com o índice de Barthel, alfa de Cronbach de 0.95. Amostragem não probabilística por conveniência. No total estudaram-se 15 idosos divididos aleatoriamente em grupo de estudo e de controle, utilizando Epidat 3.1. A análise realizou-se com estatística descritiva e não paramédica a través de T de Wilcoxon e U de Mann Whitney para o qual se utilizou o programa SPSS v. 19. Resultados: A média de idade foi de 84.14 ± 9.68 vs 80.25 ± 10.49 grupo controle e de estudo respectivamente, 73% gênero masculino. Prévio e posterior à massagem terapêutica na prova de Wilcoxon, o resultado foi: o grupo controle (Z = 0, p = 1) vs grupo experimental (Z = 2.47, p = 0.01). No U de Mann Whitney (U = 0.5, p = 0.001). No pós-teste do grupo de estudo observou-se um aumento significativo da capacidade funcional. Não existem estudos similares, porém, algumas pesquisas têm demonstrado que a massagem terapêutica é efetiva para a melhoria da dor, da amplitude de movimento e da força de preensão em idosos. Conclusões: A massagem terapêutica clássica é efetiva para incrementar a capacidade funcional do idoso numa instituição.