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1.
Fisioter. Bras ; 23(1): 173-187, Fev 11, 2022.
Article in Portuguese | LILACS | ID: biblio-1358612

ABSTRACT

Introdução: As Disfunções Temporomandibulares (DTM) consistem em um conjunto de problemas clínicos, de etiologia multifatorial que afeta diretamente na qualidade de vida (QV) desses indivíduos. As mulheres apresentam mais chances de ter DTM do que os homens. Diante disso, a fisioterapia associada aos exercícios terapêuticos e a eletroterapia é eficaz no tratamento da DTM e melhora da QV. Objetivo: Verificar a eficácia do tratamento fisioterapêutico em mulheres com DTM no alívio da dor orofacial e melhora da função mandibular. Métodos: Trata-se de uma revisão integrativa da literatura, com artigos selecionados no período de 2016 a 2020, indexados nas bases de dados: Pubmed, PEDro, BVS, Scielo e Google Acadêmico, os quais foram agregados 7 artigos elegíveis. A análise da qualidade metodológica foi realizada através da escala PEDro. Resultados: As técnicas e recursos fisioterapêuticos: terapia manual, ultrassom, fototerapia, TENS e acupuntura, mostraram-se eficazes no tratamento de mulheres com DTM. Conclusão: O uso das técnicas e recursos fisioterapêuticos foram eficazes no tratamento de mulheres com DTM no alívio da dor orofacial e melhora da função mandibular, além de melhorar a atividade eletromiográfica dos músculos mastigatórios, cefaleia, cervicalgia e QV. (AU)


Subject(s)
Female , Therapeutics , Electric Stimulation Therapy , Physical Therapy Modalities , Treatment Outcome , Musculoskeletal Manipulations , Facial Pain
3.
Rev. Pesqui. Fisioter ; 11(3): 495-500, ago.2021. ilus, tab
Article in English, Portuguese | LILACS | ID: biblio-1293370

ABSTRACT

INTRODUÇÃO: A corrente interferencial é uma modalidade bastante utilizada, porém, apresenta como fator limitante a quantidade de acomodações, o que é comum em eletroestimulação. Apesar de possuir alguns recursos que visam reduzir a adaptação fisiológica, não é totalmente eficaz; neste sentido, pode haver diferenças devido à técnica de uso. Assim, o presente estudo pretendeu analisar se há diferenças na adaptação para as formas bipolar ou tetrapolar em indivíduos com dor lombar crônica não específica. MÉTODOS: Ensaio clínico cruzado, composto por 15 voluntárias com dor lombar crônica não específica, as quais receberam terapia bipolar ou tetrapolar em semanas subsequentes. Foi explicado sobre a adaptação à corrente e o que deveria avisar quando ocorresse, e, desta forma, foi computado o número de vezes em que o fenômeno ocorreu, o tempo necessário até ocorrer a primeira adaptação, a intensidade inicial da corrente utilizada e o quanto aumentou-se após a primeira adaptação. RESULTADOS: Para nenhuma das variáveis analisadas, foi observada diferença significativa entre as duas técnicas (p>0,05). CONCLUSÃO: As técnicas analisadas não mostraram diferenças na adaptação em mulheres jovens com dor lombar não específica.


INTRODUCTION: The interferential current is a widely used modality; however, it presents as a limiting factor the amount of accommodation, which is common in electrostimulation. Despite having some resources that aim to reduce physiological adaptation, it is not fully effective in this sense, but there may be differences due to the technique of use. Thus, the present study aimed to analyze whether there are differences in the accommodation for bi- or tetrapolar forms in individuals with chronic nonspecific low back pain. METHODS: Crossover clinical study, consisting of 15 volunteers with chronic nonspecific low back pain, who received bipolar or tetrapolar therapy in subsequent weeks. They were explained about the current accommodation and that they should be told when it occurred, and in this way, the number of times that the phenomenon occurred, the time needed until the first accommodation occurred, the initial intensity of the current used, and how much it increased after the first accommodation were computed. RESULTS: None of the variables analyzed had a significant difference between the two techniques (p>0.05). CONCLUSION: The techniques analyzed showed no differences in accommodation in young women with nonspecific low back pain.


Subject(s)
Low Back Pain , Adaptation, Physiological , Electric Stimulation Therapy
5.
Rev. Assoc. Med. Bras. (1992) ; 67(2): 282-286, Feb. 2021. tab
Article in English | LILACS | ID: biblio-1287821

ABSTRACT

SUMMARY OBJECTIVE: The aim of this study was to compare the effect of transcutaneous electrical nerve stimulation (TENS), ultrasound (US), and pulsed electromagnetic field (PEMF) combination with TENS and US therapy alone in patients with supraspinatus tear. METHODS: Forty patients were included in this study. The patients were randomly divided into two groups as follows: PEMF (n=20) and Sham (n=20) groups. PEMF was applied to the first group at a frequency of 50 Hz, 25 G intensity, and 20 min/session. The device was turned off while PEMF was applied to the second group. Diathermy (US) and electrotherapy (TENS) were applied to both groups for 10 sessions. Numerical Rating Scale (NRS), University of California-Los Angeles (UCLA) Shoulder Scale, and Shoulder Pain and Disability Index (SPADI) were used as outcome measures. RESULTS: In both groups, there was a significant improvement in the NRS, UCLA Shoulder Scale, and SPADI scores after treatment compared with pretreatment (p<0.05). In the comparison of the difference between the pretreatment and posttreatment measurement values between the groups, no significant difference was found between PEMF and Sham groups according to the NRS (p=0.165), UCLA Shoulder Scale (p=0.141), and SPADI (p=0.839) scores. CONCLUSIONS: In our study, a combination of PEMF therapy with conventional physical therapy modalities was not found to be superior to the conventional therapy alone, and adding it to the routine treatment of symptomatic supraspinatus tear would not provide any additional benefit.


Subject(s)
Humans , Electric Stimulation Therapy , Magnetic Field Therapy , Treatment Outcome , Rotator Cuff , Shoulder Pain/therapy , Electromagnetic Fields
6.
CoDAS ; 33(1): e20190190, 2021. tab, graf
Article in Portuguese | LILACS | ID: biblio-1249594

ABSTRACT

RESUMO Objetivo Verificar o efeito imediato da corrente elétrica excitomotora, denominada FES, na qualidade vocal e no tempo máximo de fonação (TMF), e possíveis desconfortos, em mulheres sem alteração vocal, com aplicação em intensidade máxima suportada (IMS) e associada à fonação. Método Estudo experimental com 20 mulheres adultas normofônicas. Elas emitiram a vogal /a/ sustentada e depois foi aplicada a FES durante emissão da mesma vogal. Foram cinco séries com três minutos de emissão cada, intercaladas com descanso passivo; o estímulo elétrico foi na IMS pela participante, ajustado por série. Antes e após as emissões as vozes foram gravadas e coletados os TMF e a intensidade dos estímulos. A qualidade vocal foi classificada por juízes. Foram comparados os dados pré e pós emissão/eletroestimulação em cada fase. A análise qualitativa foi realizada a partir de sintomas autorreferidos. Resultados Não houve diferença na qualidade vocal e nos TMF entre os momentos pré e pós nas duas fases. A diferença entre a IMS e a intensidade de percepção do estímulo foi maior na série 1 em relação à série 2. Houve aumento da IMS na série 5 em relação à série 1. Não foram relatados sintomas negativos imediatos ou em até 48 horas após os procedimentos. Conclusão A corrente FES em IMS, associada à fonação, não gerou mudança imediata na qualidade vocal, nos TMF ou desconfortos autorreferidos pelas mulheres sem alteração vocal, mesmo com aumento gradual do estímulo.


ABSTRACT Purpose To verify the immediate effect of the Excitomotor Electrical Current, called Functional Electrical Stimulation (FES), on vocal quality, Maximum Phonation Time (MPT) and possible discomfort, in women without vocal alteration, with application at Maximum Supported Intensity (MSI) and associated with phonation. Methods Experimental study with 20 normophonic adult women. They emitted the sustained vowel / a / and then it was applied to FES during emission of the same vowel. There were five series with three minutes of emission each, interspersed with passive rest. The electrical stimulus was at the MSI by the participant, adjusted by series. Before and after the emissions the voices were recorded and the MPT and the intensity of the stimuli were collected. The vocal quality was rated by judges. Statistical analysis made it possible to compare pre and post emission / electrostimulation data in each phase. Qualitative analysis was performed based on self-reported symptoms. Results There was no difference in vocal quality and MPT between pre and post moments in both phases. The difference between MSI and stimulus perception intensity was greater in series 1 than in series 2. There was an increase in MSI in series 5 compared to series 1. No significant negative symptoms or within 48h after procedures were reported. Conclusion The FES at MSI, associated with phonation, did not generate an immediate change in vocal quality, in the MPT or self-reported discomforts by women without vocal alteration, even with a gradual increase in the stimulus, series by series.


Subject(s)
Humans , Female , Adult , Voice Disorders , Electric Stimulation Therapy , Phonation , Time Factors , Voice Quality
7.
Frontiers of Medicine ; (4): 740-749, 2021.
Article in English | WPRIM | ID: wpr-922503

ABSTRACT

Stroke is one of the most serious diseases that threaten human life and health. It is a major cause of death and disability in the clinic. New strategies for motor rehabilitation after stroke are undergoing exploration. We aimed to develop a novel artificial neural rehabilitation system, which integrates brain-computer interface (BCI) and functional electrical stimulation (FES) technologies, for limb motor function recovery after stroke. We conducted clinical trials (including controlled trials) in 32 patients with chronic stroke. Patients were randomly divided into the BCI-FES group and the neuromuscular electrical stimulation (NMES) group. The changes in outcome measures during intervention were compared between groups, and the trends of ERD values based on EEG were analyzed for BCI-FES group. Results showed that the increase in Fugl Meyer Assessment of the Upper Extremity (FMA-UE) and Kendall Manual Muscle Testing (Kendall MMT) scores of the BCI-FES group was significantly higher than that in the sham group, which indicated the practicality and superiority of the BCI-FES system in clinical practice. The change in the laterality coefficient (LC) values based on μ-ERD (ΔLC


Subject(s)
Electric Stimulation , Electric Stimulation Therapy , Electroencephalography , Humans , Recovery of Function , Stroke/therapy , Stroke Rehabilitation
8.
Int. braz. j. urol ; 46(6): 891-901, Nov.-Dec. 2020. tab, graf
Article in English | LILACS | ID: biblio-1134270

ABSTRACT

ABSTRACT Purpose To review current literature regarding sacral neuromodulation (SNM) for neurogenic lower urinary tract dysfunction (NLUTD) focused on indications, barriers and latest technological developments. Material and Methods A PubMed database search was performed in April 2020, focusing on SNM and various neuro-urological conditions. Results SNM has been increasingly indicated for lower urinary tract dysfunction (LUTD) in neuro-urological patients. Most studies are cases series with several methodological limitations and limited follow-up, lacking standardized definition for SNM clinical success. Most series focused on neurogenic overactive bladder in spinal cord injured (incomplete lesions) and multiple sclerosis patients. Barriers for applying this therapy in neurogenic LUTD were mainly related to magnetic resonance imaging incompatibility, size of the implantable pulse generator (IPG), and battery depletion. Newer technological advances have been made to address these limitations and will be widely available in the near future. Conclusions SNM seems a promising therapy for neurogenic LUTD in carefully selected patients with incomplete lesions. Further studies are still needed to define which subgroups of neurological patients benefit the most from this minimally invasive technique.


Subject(s)
Humans , Urinary Bladder, Neurogenic/therapy , Electric Stimulation Therapy , Sacrum
9.
Fisioter. Bras ; 21(5): 525-534, Nov 19, 2020.
Article in English | LILACS | ID: biblio-1283582

ABSTRACT

Vaginismus consists of involuntary spasms in the external musculature of the vagina, the etiology of which is still unknown, but there are cases of biopsychosocial factors such as sexual abuse, strict sex, education, emotional trauma, religious beliefs, low-quality sexual relations, fear of sex, or even changes of ostemioarticular origin, can lead to this condition, making vaginal penetration impossible during sexual intercourse, gynecological exams or use of tampons. Objective: To highlight as physical therapy practices, their validation for the treatment of vaginismus and to verify the effectiveness of the analyzed practices. Methods: Systematic literature review carried out through digital bibliographic research on scientific articles published in electronic and electronic journals, randomized clinical trials, with no period between the years 2010 to 2020, in the electronic databases PubMed, Bireme and PEDro. Results: There was no great variability in the resources used and the studies showed positive and similar results. Conclusion: Physical therapy proved to be beneficial for cases of vaginismus, with the use of functional electrical stimulation (FES) in an analogue way, pelvic floor muscle relaxation exercises, local desensitization performed with vaginal dilator and massage. However, more research is needed, considering the moderate methodological scores found in the studies analyzed. (AU)


Vaginismo consiste em espasmos involuntários na musculatura do terço externo da vagina, com etiologia ainda desconhecida, mas há evidências de que fatores biopsicossociais como abuso sexual, sexo estrito, educação, trauma emocional, crenças religiosas, relações sexuais de baixa qualidade, medo do sexo, ou mesmo alterações de origem osteomioarticular, podem acarretar nesta condição, impossibilitando a penetração vaginal em relações sexuais, exames ginecológicos ou no uso de absorventes internos. Objetivo: Evidenciar as práticas fisioterapêuticas, sua validação para o tratamento do vaginismo e verificar a eficácia das práticas analisadas. Material e métodos: Revisão sistemática de literatura realizada através de busca bibliográfica digital em artigos científicos publicados em revistas impressas e eletrônicas, ensaios clínicos randomizados, no período compreendido entre os anos de 2010 a março de 2020, nas bases de dados eletrônicas Pubmed, Bireme e Pedro. Resultados: Não houve grande variabilidade dos recursos utilizados e os estudos apresentaram resultados positivos e semelhantes. Conclusão: A fisioterapia mostrou-se benéfica para os casos de vaginismo, com a utilização de estimulação elétrica funcional (FES) de forma analgésica, exercícios de relaxamento da musculatura do assoalho pélvico, dessensibilização local realizada com dilatador vaginal e massagem. No entanto, mais pesquisas são necessárias, tendo em vista os escores metodológicos moderados encontrados nos estudos analisados. (AU)


Subject(s)
Humans , Female , Physical Therapy Modalities , Vaginismus , Rehabilitation , Electric Stimulation Therapy , Pelvic Floor
10.
Fisioter. Bras ; 21(2): 204-210, Mai 16, 2020.
Article in Portuguese | LILACS | ID: biblio-1282972

ABSTRACT

Introdução: As associações de Terapias Combinadas de Ultrassom e Eletroterapia (TCUE) no mercado nacional podem ser utilizadas através de diferentes equipamentos. Na prática clínica tem-se relatado que o uso das TCUE tem eficácia no tratamento da adiposidade localizada. Objetivo: Avaliar os efeitos da terapia combinada (TCUE) no tratamento da adiposidade localizada. Métodos: Trata-se de um estudo experimental, composto por uma amostra de 15 coelhos, de ambos os sexos, da espécie Oryctolagus Cuniculus, divididos aleatoriamente em três grupos: G1- grupo TCUE-M que utilizou efeitos do ultrassom com aplicação de correntes estereodinâmicas (n = 5); G2- grupo TCUE -H que utilizou uma combinação de ultrassom e corrente Aussie (n = 5) e G3- controle (n = 5) nenhuma terapia. Resultados: As análises dos resultados revelaram pequenas alterações na camada adiposa na maioria dos coelhos integrantes dos grupos tratados. Conclusão: A análise das lâminas histológicas apresentou irregularidades na membrana celular adiposa mostrando diferentes tamanhos de células. (AU)


Introduction: Associations of Combined Ultrasound Therapy and Electrotherapy (TCUE) can be used in the domestic market through different equipment. Some authors report that the use of TCUE has efficacy in the treatment of localized adiposity. Objective: To evaluate the effects of combined therapy (TCUE) in the treatment of localized adiposity. Methods: This is an experimental study consisting of a sample of 15 rabbits of both sexes of the species Oryctolagus Cuniculus, randomly divided into three groups: G1- TCUE-M group that used ultrasound effects with the application of stereodynamic currents (n = 5); G2-TCUE-H group that used a combination of ultrasound and current Aussie (n = 5) and G3-control (n = 5) no therapy. Results: Analyzes of the results revealed small alterations in the adipose layer in most of the rabbits in the treated groups. Conclusion: Analysis of the histological slides presented irregularities in the adipose cell membrane showing different cell sizes. (AU)


Subject(s)
Humans , Combined Modality Therapy , Adiposity , Ultrasonic Therapy , Adipose Tissue , Electric Stimulation Therapy
12.
Acta fisiátrica ; 27(1): 34-40, mar. 2020.
Article in Portuguese | LILACS | ID: biblio-1129942

ABSTRACT

A lombalgia é um problema extremamente comum, que afeta mais pessoas do que qualquer outra afecção. Acarreta em um quadro de dor, perda de função e redução da qualidade de vida. Isto posto, o tratamento conservador é de suma importância para a reabilitação de pacientes com lombalgia. Objetivo: Avaliar o efeito agudo da estimulação elétrica transcutânea (TENS) em portadores de lombalgia. Métodos: Série de casos, no qual participaram 66 pacientes. Foi realizado uma única intervenção com TENS no modo acupuntural, frequência de 70 Hz, tempo de pulso de 150 us, com duração de 40 minutos. Foram avaliados o nível de dor, flexibilidade de isquiotibiais, força muscular e estabilização do complexo lombopélvico pré, imediatamente após e 24 horas após a intervenção. Resultados: O nível de dor, flexibilidade de isquiotibiais e força muscular dos extensores de tronco apresentaram melhora imediatamente após intervenção (p<0,05). Após 24 horas, houve aumento significativo da dor em comparação ao pós intervenção (p<0,05), porém ainda se verificou um efeito analgésico e de melhora da flexibilidade em comparação a avaliação pré. A força muscular melhorou de forma significativa pós intervenção e manteve-se 24 horas após (p<0,05). Os testes de estabilidade apresentaram maior tempo de manutenção da postura imediatamente após a aplicação da TENS, porém com redução deste feito pós 24 horas (p<0,05). Conclusão: A TENS demonstrou redução do quadro álgico, melhora da força de tronco, flexibilidade de isquiotibiais e da estabilização lombopélvica imediatamente após a intervenção. Estes efeitos se mantiveram 24 horas após, porém não com a mesma intensidade.


Low back pain is an extremely common problem that affects more people than any other condition. It causes pain, loss of function and reduced quality of life. That said, conservative treatment is of paramount importance for the rehabilitation of patients with low back pain. Objective: To evaluate the acute effect of transcutaneous electrical stimulation (TENS) in patients with low back pain. Methods: Case series, in which 66 patients participated. A single intervention with TENS was performed in acupuncture mode, frequency of 70 Hz, pulse time of 150 us, lasting 40 minutes. The level of pain, hamstring flexibility, muscle strength and stabilization of the lumbopelvic complex pre, immediately after and 24 hours after the intervention were evaluated. Results: The level of pain, hamstring flexibility and muscle strength of the trunk extensors improved immediately after intervention (p <0.05). After 24 hours, there was a significant increase in pain compared to the post-intervention period (p <0.05), but there was still an analgesic effect and improved flexibility compared to the pre evaluation. Muscle strength improved significantly after the intervention and was maintained 24 hours later (p <0.05). The stability tests showed a longer posture maintenance time immediately after the application of TENS, but with a reduction of this done after 24 hours (p <0.05). Conclusion: TENS demonstrated a reduction in pain, improvement in trunk strength, hamstring flexibility and lumbopelvic stabilization immediately after the intervention. These effects were maintained 24 hours later, but not to the same degree.


Subject(s)
Electric Stimulation Therapy , Physical Therapy Modalities , Low Back Pain , Rehabilitation
15.
Clinics ; 75: e1477, 2020. tab, graf
Article in English | LILACS | ID: biblio-1089606

ABSTRACT

OBJECTIVES: To evaluate the effect of transcutaneous tibial nerve stimulation (TTNS) and transcutaneous parasacral stimulation on the treatment of overactive bladder (OAB) in elderly people and to compare the final results between groups. METHODS: Fifty female volunteers, mean age 68.62 (±5.9) years, were randomly allocated into two groups: those receiving TTNS (G1, N=25) and those receiving transcutaneous parasacral stimulation (G2, N=25). The primary outcome was the International Consultation on Incontinence Questionnaire (ICIQ-OAB) score, and secondary outcomes were the International Consultation on Incontinence Questionnaire - short form (ICIQ-SF) score and 3-day bladder diary measurements. Volunteers were assessed before and after the treatment. Clinical Trials (ReBeC): RBR-9Q7J7Y. RESULTS: Both groups' symptoms improved as measured by the ICIQ-OAB (G1 = <0.001; G2 = <0.001) and ICIQ-SF (G1 = <0.001; G2 = <0.001). In the 3-day bladder diary assessments after treatment, G1 showed a reduced number of nocturia (p<0.001), urgency (p<0.001) and urge urinary incontinence episodes (p<0.001), whereas G2 showed only a reduced number of nocturia episodes (p<0.001). No difference between groups was found. CONCLUSION: Both of the proposed treatments were effective in the improvement of OAB symptoms, but TTNS showed a reduction in a greater number of symptoms as measured by the 3-day bladder diary. No differences were found between groups.


Subject(s)
Humans , Female , Middle Aged , Aged , Sacrum/innervation , Tibial Nerve , Electric Stimulation Therapy/methods , Urinary Bladder, Overactive/therapy , Urinary Incontinence/therapy , Transcutaneous Electric Nerve Stimulation/methods , Treatment Outcome , Urinary Bladder, Overactive/diagnosis
17.
Chinese Acupuncture & Moxibustion ; (12): 1187-1190, 2020.
Article in Chinese | WPRIM | ID: wpr-877584

ABSTRACT

OBJECTIVE@#To observe the therapeutic effect of acupuncture combined with cranial electrotherapy stimulation (CES) on generalized anxiety disorder (GAD).@*METHODS@#A total of 200 patients with GAD were randomized into an acupuncture+CES group, an acupuncture group, a CES group and a medication group, 50 cases in each one. In the medication group, patients were treated with tandospirone citrate tablet orally, 10 mg after breakfast, lunch and dinner respectively. In the CES group, CES was adopted by SCS brain electromedical instrument, 60 min each time, once a day. In the acupuncture group, acupuncture was applied to Baihui (GV 20), Sishencong (EX-HN 1), Yintang (GV 29), Shenting (GV 24), etc., 30 min each time, once a day. In the acupuncture+CES group, CES was adopted before acupuncture. Treatment of sixty days was required in the 4 groups. Before and after treatment, the scores of Hamilton anxiety scale (HAMA), World Health Organization's quality of life questionnaire-brief version (WHOQOL-BREF) and treatment emergent symptom scale (TESS) were observed, the clinical effect was evaluated, and the relapse of anxiety during follow-up of 1 year after treatment was recorded in the 4 groups.@*RESULTS@#Compared before treatment, the scores of HAMA after treatment were decreased (@*CONCLUSION@#Acupuncture combined with CES can effectively relieve the symptoms in patients with GAD, improve the quality of life, reduce the occurrence of adverse reactions and the relapse rate, and its clinical effect is obviously superior to the western medication, the simple application of acupuncture or CES.


Subject(s)
Acupuncture Points , Acupuncture Therapy , Anxiety Disorders/therapy , Electric Stimulation Therapy , Humans , Quality of Life , Treatment Outcome
18.
Revista Areté ; 20(2): 13-23, 2020. tab, graf
Article in Spanish | LILACS, COLNAL | ID: biblio-1354747

ABSTRACT

La participación del Fonoaudiólogo en la rehabilitación neuromuscular orofacial y musculatura implicada en la mecánica deglutoria, se ha complementado con el uso de la terapia eléctrica funcional; esta carece de evidencia científica que respalde su efectividad en los procesos de recuperación funcional. Objetivo: Realizar una revisión documental sobre el uso de la terapia eléctrica funcional en el manejo de la disfagia, con el fin de crear un soporte teórico que respalde los procesos de intervención en fonoaudiología. Metodología: La revisión de la literatura se realizó en las bases de datos de Proquest, EBSCO, Scielo, Redalyc y Medic Latina. Fueron revisados artículos entre el 2008 y 2018. Para la selección de los artículos se utilizó el diagrama de flujo PRISMA (Preferred Reporting Hems for Systematic Reviews and Meta analyses). Resultados: Se revisaron 2980 artículos para exclusión por título, quedando 66 artículos en la primera depuración, de los cuales 21 fueron descartados por no cumplir con ningún criterio propuesto, 10 por repetición y 12 por no permitir el acceso al documento. Finalmente fueron considerados 23 artículos y 5 fuentes de consulta física para realizar el respectivo análisis. Conclusiones: Existe escasa evidencia científica que respalde la intervención fonoaudiológica en la disfagia con electroterapia.


The participation of the speech therapist within the orofacial neuromuscular rehabilitation and the musculature involved in swallowing mechanics, has been complemented with the use of functional electrical therapy, which has lacked scientific evidence that supports its effectiveness in faster recovery processes in terms of functionality. Objective: To carry out a documentary review of information related to the use of functional electric therapy on the management of dysphagia, to create a theoretical support that supports the processes of speech therapy intervention. Methodology: The review of the literature was carried out in the databases of Proquest, EBSCO, Scielo, Redalyc and Medic Latina. Articles were reviewed between 2008 and 2018. For the selection of the articles the PRISMA flow chart (Preferred Reporting Hems for Systematic Reviews and Meta analyzes) was used. Results: 2980 articles were reviewed for exclusion by title, leaving 66 articles in the first debugging, of which 21 were discarded for not complying with any proposed criteria, 10 for repetition and 12 for not allowing access to the document. Finally, 23 articles and 5 sources of physical consultation were considered to perform the respective analysis. Conclusions: There is little scientific evidence to support the speech therapy intervention in dysphagia with electrotherapy.


Subject(s)
Electric Stimulation Therapy , Deglutition , Speech, Language and Hearing Sciences , Speech , Effectiveness , Deglutition Disorders , Mechanics , Methodology as a Subject , Literature
19.
Int. j. cardiovasc. sci. (Impr.) ; 32(5): 483-489, Sept-Oct. 2019. tab, graf
Article in English | LILACS | ID: biblio-1040100

ABSTRACT

Neuromuscular electrical stimulation seems to be a promising option to intensify the rehabilitation and improve the exercise capacity of patients in the immediate postoperative period of cardiac surgery. Objective: This study aimed to evaluate the hemodynamic (heart rate, systolic blood pressure, diastolic blood pressure, and mean blood pressure) and respiratory (respiratory rate and oxygen saturation) responses to neuromuscular electrical stimulation in the immediate postoperative period in patients submitted to cardiac surgery and to verify its feasibility and safety. Methods: This is a pilot randomized controlled trial, wherein critical patients in the immediate postoperative period of cardiac surgery were randomly assigned to a control group, using sham neuromuscular electrical stimulation, or an experimental group, submitted to neuromuscular electrical stimulation sessions (FES), for 60 min, with a 50-Hz frequency, 200-µs pulse duration, time on: 3 s, and time off: 9 s. Data distribution was evaluated by the Shapiro-Wilk test. The analysis of variance was used and a p-value < 0.05 was considered significant. Results: Thirty patients were included in the study. The neuromuscular electrical stimulation was applied within the first 23.13 ± 5.24 h after cardiac surgery, and no changes were found regarding the hemodynamic and respiratory variables between the patients who underwent neuromuscular electrical stimulation, and those in the control group. Conclusions: In the present study, neuromuscular electrical stimulation did not promote changes in hemodynamic and respiratory responses of patients in the immediate postoperative period of cardiac surgery


Subject(s)
Humans , Male , Female , Postoperative Period , Thoracic Surgery , Electric Stimulation Therapy/methods , Cardiac Rehabilitation , Blood Pressure , Exercise , Oxygen Level/methods , Diagnosis of Health Situation , Data Interpretation, Statistical , Analysis of Variance , Randomized Controlled Trial , Outcome Assessment, Health Care/methods , Arterial Pressure , Heart Rate
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