Efeitos agudos da vibração mecânica em pacientes de pós-operatório de instabilidade anterior do ombro
Data
2024-03-08
Autores
Silva, Uriel Sena Lopes Gomes da 
Orientadores
Ejnisman, Benno
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Os indivíduos com instabilidade do ombro sofrem de carências neuromusculares desta articulação como a força, a amplitude de movimento e a dor. O processo de reabilitação de pacientes tratados cirurgicamente desta disfunção passa por melhorar as qualidades neuromusculares perdidas no processo. A vibração mecânica vem demonstrando ser um recurso capaz de melhorar as funções neuromusculares dos membros superiores e da cintura escapular com efeitos agudos imediatos em uma única sessão de aplicação. Objetivo: Verificar se a vibração mecânica é capaz de melhorar as funções neuromusculares de pacientes com instabilidade do ombro. Métodos: Para este estudo, foram selecionados 10 pacientes no processo de reabilitação de cirurgia de instabilidade do ombro. Foram analisados os efeitos imediatos da aplicação da vibração mecânica em quatro aspectos: força muscular, amplitude de movimento, dor e exame físico. Essas variáveis foram analisadas em três momentos: antes, imediatamente depois e 10 minutos depois da aplicação da vibração mecânica. A vibração mecânica consistiu em uma única sessão de 5 series de 30 segundos de estimulação com o paciente posicionado com as mãos sobre a plataforma numa frequência de 30Hz. Para analisar a força muscular foi realizada uma dinamometria isocinética das rotações interna e externa do ombro em duas velocidades angulares: 60 e 180º/s. A amplitude de movimento foi analisada por meio da goniometria digital. A dor foi medida por meio da escala analógica de dor e o exame físico por meio do teste de apreensão. Resultados: Os resultados mostraram melhoras significativas na força muscular, na amplitude de movimento e na dor. Não houve uma melhora no exame físico. Conclusão: Conclui-se que a vibração mecânica é um recurso eficaz na melhora das qualidades neuromusculares em pacientes com instabilidade do ombro.
Individuals with shoulder instability suffer from neuromuscular deficiencies in this joint, such as strength, range of movement and pain. The process of rehabilitation of subjects treated surgically for this dysfunction involves improving the neuromuscular qualities lost in the process. Mechanical vibration has proven to be a resource capable of improving the neuromuscular functions of the upper limbs and shoulder girdle with immediate acute effects in a single application session. Objective: To verify whether mechanical vibration is capable of improving the neuromuscular functions of subjects with shoulder instability. Methods: For this study, 10 subjects were selected in the rehabilitation process following shoulder instability surgery. The immediate effects of applying mechanical vibration were analyzed in four aspects: muscle strength, range of movement, pain and physical assessment condition. These variables were analyzed at three moments: before, immediately after and 10 minutes after the application of mechanical vibration. Mechanical vibration consisted of a single session of 5 series of 30 seconds of stimulation with the patient positioned with their hands on the platform at a frequency of 30Hz. To analyze muscle strength, isokinetic dynamometry of the internal and external rotations of the shoulder was performed at two angular speeds: 60 and 180º/s. Range of movement was analyzed using digital goniometry. Pain was measured using the analogue pain scale and pain was measured using the apprehension test. Results: The results showed significant improvements in muscle strength, range of motion and pain. There was no improvement in the physical assessment. Conclusion: It is concluded that mechanical vibration is an effective resource in improving neuromuscular qualities in subjects with shoulder instability.
Individuals with shoulder instability suffer from neuromuscular deficiencies in this joint, such as strength, range of movement and pain. The process of rehabilitation of subjects treated surgically for this dysfunction involves improving the neuromuscular qualities lost in the process. Mechanical vibration has proven to be a resource capable of improving the neuromuscular functions of the upper limbs and shoulder girdle with immediate acute effects in a single application session. Objective: To verify whether mechanical vibration is capable of improving the neuromuscular functions of subjects with shoulder instability. Methods: For this study, 10 subjects were selected in the rehabilitation process following shoulder instability surgery. The immediate effects of applying mechanical vibration were analyzed in four aspects: muscle strength, range of movement, pain and physical assessment condition. These variables were analyzed at three moments: before, immediately after and 10 minutes after the application of mechanical vibration. Mechanical vibration consisted of a single session of 5 series of 30 seconds of stimulation with the patient positioned with their hands on the platform at a frequency of 30Hz. To analyze muscle strength, isokinetic dynamometry of the internal and external rotations of the shoulder was performed at two angular speeds: 60 and 180º/s. Range of movement was analyzed using digital goniometry. Pain was measured using the analogue pain scale and pain was measured using the apprehension test. Results: The results showed significant improvements in muscle strength, range of motion and pain. There was no improvement in the physical assessment. Conclusion: It is concluded that mechanical vibration is an effective resource in improving neuromuscular qualities in subjects with shoulder instability.
Descrição
Citação
SILVA, Uriel Sena Lopes Gomes da. Efeitos agudos da vibração mecânica em pacientes de pós-operatório de instabilidade anterior do ombro. 2024. 75 f. Dissertação (Mestrado Profissional em Ciências da Saúde Aplicada ao Esporte e à Atividade Física) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP). São Paulo, 2024.