Navegando por Palavras-chave "Tendão patelar"

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    Fototerapia e ultrassom terapêutico associados ao exercício excêntrico na intensidade da dor e funcionalidade em pacientes com tendinopatias do tendão do calcâneo e patelar: estudo preliminar controlado, randomizado e cego
    (Universidade Federal de São Paulo (UNIFESP), 2016-08-29) Santos, Marina Yumi Ono [UNIFESP]; Pinfildi, Carlos Eduardo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Tendinopathy is a painful tendon condition that occurs most often due to overload. Patellar tendinopathy and the tendon of the calcaneus are the most common of the lower limb, along with that of the posterior tibial. Although advances have been made in relation to the scientific evidence in the treatment of tendinopathies, there is still a lack of studies that support the use of electrophysical agents (AEF) such as phototherapy and therapeutic ultrasound. Objective: To compare the effect of phototherapy or therapeutic ultrasound associated with the protocol of eccentric exercises, on pain intensity and functionality of individuals with tendonopathies of the calcaneus and patellar tendon. Method: Controlled, randomized and blind pilot study, approved by Unifesp ethics and research committee. Fifteen volunteers diagnosed with tendonopathies of the calcaneal and patellar tendon were randomized into three groups: Group EA: eccentric exercises and stretching, EAF group: eccentric exercises, stretching and phototherapy, and EAUS group: eccentric exercises, stretching and ultrasound. Eccentric exercises were performed in 6 sets of 15 repetitions, 3 times per week for 8 weeks. Ultrasound was used with the following parameters: 1 Mhz frequency, 7W power, 100Hz pulse repetition frequency, 50% cycle, 1.0W / cm2 intensity, SATA 0.5 W / cm2, 4200J power, Time of 10 minutes. For phototherapy a cluster with 13 diodes was used: 3 of 850nm, 7 of 670nm and 3 of 950nm, 265mW and 5J. The evaluations were numerical scale of pain in the static position (resting and palpation of the tendon) and dynamic situation (activity that causes more pain and single hop test) pre-treatment, 4 weeks, 8 weeks and follow-up 16 and 24 weeks . Statistical analysis: To evaluate the behavior of the EA, EAUS and EAF groups over the time evaluated, according to the variables of interest, the ANOVA variance analysis model with repeated measurements and the Bonferroni multiple comparisons method will be used. Results: Pain at palpation of tendon pre-treatment vs 4 weeks: reduction of 3.5 in the EAF group; Pre-treatment vs 8 weeks: reduction of 3.8 in the EAF group; 16 vs 24 weeks: decrease of 3 in the EAUS group. Pain evaluation during the most painful activity pre vs 4 weeks: reduction of 2 in the EAF group; Pre-treatment vs 8 weeks: reduction of 3 in the EA and EAUS groups. In the comparison between the pain evaluations during the single hop test in the pre and 4 weeks there was reduction of 2.5 in pain in the EA and EAF groups; Pre and 8 weeks: reduction of 2.5 in the EAF group and 16 and 24 weeks: reduction of 3 in the EAUS group. Conclusion: The addition of phototherapy and ultrasound to the eccentric exercises decreased the intensity of pain in patients with tendonopathies of the calcaneus and patellar tendon at different periods.