Hypertonic glucose in the treatment of low back pain: A randomized clinical trial.

BACKGROUND: Chronic low back pain (LBP) is defined as pain lasting longer than 3 months and is one of the conditions with the most significant social impact. Treatment is complex and includes proliferative agents used in prolotherapy. The mechanism is not known, but osmotic agents (hypertonic solutions of dextrose or glucose) cause cellular rupture and an inflammatory response that releases cytokines and growth factors that lead to scarring and reinnervation. METHODS: Patients with chronic LBP (>12 weeks) who were non-traumatic and unresponsive to at least 1 month of physical therapy were selected. All patients were followed up at a return visit at 1, 3, and 6 months for pain assessment using validated pain questionnaires and scales. RESULTS: Nineteen patients were included in the conservative group and 19 in the glucose group, with the majority being women (57.9%). The patients were between 47 and 59 years of age (39.5%), mixed race (76.33%), married or in a committed relationship (73.7%), and had completed the study for 5.2 years. Overall mean body mass index was 27.3 ± 4.4 kg/m 2 and was higher in the conservative group (28.0 ± 4.7 kg/m 2 ). The groups showed differences in Visual Analog Scale scores, with median and amplitude values close to each other between the time points evaluated and increasing values in the glucose group, which had significantly higher values for this scale at the third evaluation ( P = .031). When comparing the Rolland-Morris scale scores between the groups, there was a significant difference only in the 3-m assessment ( P = .021). In the follow-up assessment, both groups showed significant improvement between T0 and the other assessment time points ( P < .05) in all evaluations. CONCLUSION: Both groups significantly improved on the evaluated scales during follow-up. Overall, no effects were attributable to the glucose components or the prolotherapy protocol.

Association of photobiomodulation therapy and therapeutic exercises in relation to pain intensity and neck disability in individuals with chronic neck pain: a systematic review of randomized trials.

Exercise is often pointed out as an effective form of treatment in the clinical management of chronic neck pain (CNP). However, due to its complex range of causal factors and great diversity of signs and symptoms, other resources such as photobiomodulation therapy (PBMT) have been routinely used for the treatment of CNP. The aim of this study was to systematically review the literature on the use of the association of PBMT and therapeutic exercises in relation to pain intensity and neck disability in individuals with CNP. PubMed, Medline (via Ovid), Embase (via Ovid), Cinahl (via Ebsco), and Central (via Cochrane library) databases were searched using the following terms: "laser," "low-level laser," "photobiomodulation," "light emitting diodes," "phototherapy," "exercise," "chronic neck pain." After verification and implementation of eligibility criteria, seven manuscripts were considered eligible for data analysis. These manuscripts had methodological quality between 5 and 8 points on the PEDro scale. Most studies used low infrared laser therapy to perform PBMT, with a wide range of parameters and energy density between 2 and 7 J/cm2 and a total treatment time between 2 and 6 weeks. Four studies showed significant benefits in terms of pain intensity at short-term follow-up and one at intermediate-term follow-up. However, only one showed a minimal clinically important change. No studies have shown significant improvement in disability. This review demonstrates that the association of PBMT with therapeutic exercises in general promotes significant benefits only for the intensity of pain. However, it does not seem to promote a minimally effective clinical difference in individuals with CNP.

Avaliação dos indicadores de qualidade de vida, capacidade funcional e alterações osteomusculares em camareiras de hotéis da orla marítima de Maceió, Alagoas / Evaluation of the indicators of quality of life, functional capacity and musculoskeletal changes in hotel maids of the sea coast of Maceió, Alagoas

Introdução: Os distúrbios osteomusculares relacionados ao trabalho são responsáveis por uma parcela significativa das causas de queda de rendimento do trabalhador. Objetivo: O objetivo neste trabalho foi avaliar os indicadores de qualidade de vida, capacidade funcional e alterações osteomusculares em camareiras de hotéis da orla marítima do município de Maceió, Alagoas. Métodos: Este estudo descritivo do tipo transversal e quantitativo foi realizado com 36 camareiras, por meio da aplicação de três questionários validados no Brasil. Resultados: Verificou-se que a maioria delas apresentou uma qualidade de vida relativamente boa. Referente às alterações osteomusculares, constataram-se predomínio de lesões em punho, mãos, dedos e na região lombar, além disso, observou-se que quanto maior a idade e o tempo de exercício na profissão menor a capacidade funcional. Conclusão: Sugere-se a implementação de medidas preventivas de doenças relacionadas ao trabalho e promotoras de melhor condição de saúde para as camareiras.

Introduction: The work-related musculoskeletal disorders are responsible for a significant portion of the causes of falling income of the worker. Objective: The aim in this study was to evaluate the indicators of quality of life, functional capacity and musculoskeletal changes in hotel maids of the seacost in the city of Maceió, State Alagoas. Methods: This cross-sectional descriptive and quantitative study was conducted with 36 hotel maids of the seacost of Maceió, reaching the objective through the application of three validated questionnaires in Brazil. Results: It was found that most of the hotel maids had a relatively good quality of life, with a predominance of lesions in the wrist, hands, fingers and lower back, moreover, it was observed that the greater age and duration of exercise as hotel maid, minor the functional capacity. Conclusion: It was suggested the implementation of preventive measures of work-related diseases and promote better health condition for the hotel maids.

Avaliação da autoestima de adolescentes gestantes de baixa renda assistidas pelo Núcleo de Apoio à Saúde da Família / Evaluation of self-esteem in pregnant adolescents of low income assisted by Nucleus of Support the Family Health

Introdução: No Brasil, a gravidez na adolescência apresenta-se como um problema, sobretudo, de caráter social. Objetivo: Avaliar a autoestima de adolescentes gestantes de baixa renda assistidas pelo Núcleo de Apoio à Saúde da Família. Métodos: Participaram do estudo 120 adolescentes do sexo feminino, divididas em dois grupos (60 gestantes e 60 não gestantes). Foram coletados dados pessoais e socioeconômicos. As grávidas foram indagadas sobre questões gestacionais. Aplicou-se também a escala de Rosenberg para avaliar a autoestima de todas as participantes. Resultados: Observou-se que a autoestima de ambos os grupos revelou-se reduzida, sendo a diferença entre eles estatisticamente significante. Além disso, foi encontrada fraca correlação dos aspectos pessoais e socioeconômicos com a autoestima das integrantes da pesquisa, assim como das questões gestacionais com a autoestima das gestantes do estudo. Conclusão: Ficou evidenciado que a gestação se estabelece como um fator de influência negativa sobre a autoestima das adolescentes deste estudo.

Introduction: In Brazil, adolescent pregnancy is presented as a problem, especially, social. Objective: To evaluate the self-esteem in pregnant adolescents of low income assisted by Nucleus of Support the Family Health. Methods: Participated in the study 120 female adolescents, divided into two groups (60 pregnant and 60 not pregnant). We collected personal and socioeconomic data. Pregnant women were also questioned about aspects of pregnancy. Moreover, the scale of Rosenberg was applied to evaluate the self-esteem of the subjects of the study. Results: It was observed that the self-esteem of both groups proved to be reduced, where the difference found between them was statistically significant. In addition, there was weak correlation of personal and socioeconomic data with the self-esteem of the subjects that made up the sample, neither a relation of the pregnancy aspects with the self-esteem of the pregnant in the study. Conclusion: It was revealed that pregnancy is established as a factor of negative influence on self-esteem of adolescents in this study.