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[PMID]: 28374714 [Au] Autor: Stupin VA; Silina EV; Goryunov SV; Gorsky VA; Krivikhin VT; Bogomolov MS; Barantsevich ER; Koreiba KA [Ad] Endereço: N.I. Pirogov Russian National Research University. [Ti] Título: [Assessment of changes in the lesions sizes and the incidence of complete epithelialization during the treatment of diabetic foot syndrome over a period of 4 weeks (multicenter study)]. [Ti] Título: Otsenka dinamiki ploshchadi rany i chastoty sluchaev polnoi epitelizatsii pri lechenii sindroma diabeticheskoi stopy (rezul'taty mnogotsentrovogo issledovaniya).. [So] Source: Khirurgiia (Mosk);(3):55-60, 2017. [Is] ISSN: 0023-1207 [Cp] País de publicação: Russia (Federation) [La] Idioma: rus [Ab] Resumo: AIM: To assess the effectiveness of the collagen biomaterial in treatment process in patients with DFS. MATERIAL AND METHODS: 71 patients 30-80 y.o. with diabetic foot syndrome of varying severity were included in prospective multicenter study. Patients were randomized into two homogeneous groups: control group (n=35) - standard therapy, other 36 patients (main group) were additionally treated with medical device (MD) Collost in accordance with the instructions for use. RESULTS: Biomaterial Collost using in complex treatment of diabetic foot syndrome resulted in more rapid and effective healing of the ulcer. The treatment success increased from 43% to 72%. Complete epithelialization was achieved by 2.6 times more rapidly in conjunction with reduction the incidence of unsuccessful treatment results by 4.1 times. [Mh] Termos MeSH primário: Colágeno Pé Diabético Reepitelização/efeitos dos fármacos [Mh] Termos MeSH secundário: Idoso Materiais Biocompatíveis/administração & dosagem Materiais Biocompatíveis/farmacocinética Disponibilidade Biológica Colágeno/administração & dosagem Colágeno/farmacocinética Pé Diabético/diagnóstico Pé Diabético/tratamento farmacológico Pé Diabético/fisiopatologia Monitoramento de Medicamentos/métodos Feminino Seres Humanos Masculino Meia-Idade Índice de Gravidade de Doença Terapia de Tecidos Moles/métodos Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL [Nm] Nome de substância: 0 (Biocompatible Materials); 9007-34-5 (Collagen) [Em] Mês de entrada: 1707 [Cu] Atualização por classe: 170724 [Lr] Data última revisão: 170724 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170405 [St] Status: MEDLINE [do] DOI: 10.17116/hirurgia2017355-60

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[PMID]: 28260875 [Au] Autor: Cruz-Montecinos C; Godoy-Olave D; Contreras-Briceño FA; Gutiérrez P; Torres-Castro R; Miret-Venegas L; Engel RM [Ad] Endereço: Laboratory of Biomechanics and Kinesiology, San José Hospital, Santiago, Chile; Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile; Unit of Kinesiology and Physical Therapy, San José Hospital, Santiago, Chile. [Ti] Título: The immediate effect of soft tissue manual therapy intervention on lung function in severe chronic obstructive pulmonary disease. [So] Source: Int J Chron Obstruct Pulmon Dis;12:691-696, 2017. [Is] ISSN: 1178-2005 [Cp] País de publicação: New Zealand [La] Idioma: eng [Ab] Resumo: BACKGROUND AND OBJECTIVE: In chronic obstructive pulmonary disease (COPD), accessory respiratory muscles are recruited as a compensatory adaptation to changes in respiratory mechanics. This results in shortening and overactivation of these and other muscles. Manual therapy is increasingly being investigated as a way to alleviate these changes. The aim of this study was to measure the immediate effect on lung function of a soft tissue manual therapy protocol (STMTP) designed to address changes in the accessory respiratory muscles and their associated structures in patients with severe COPD. METHODS: Twelve medically stable patients (n=12) with an existing diagnosis of severe COPD (ten: GOLD Stage III and two: GOLD Stage IV) were included. Residual volume, inspiratory capacity and oxygen saturation (SpO ) were recorded immediately before and after administration of the STMTP. A Student's -test was used to determine the effect of the manual therapy intervention ( <0.05). RESULTS: The mean age of the patients was 62.4 years (range 46-77). Nine were male. Residual volume decreased from 4.5 to 3.9 L ( =0.002), inspiratory capacity increased from 2.0 to 2.1 L ( =0.039) and SpO increased from 93% to 96% ( =0.001). CONCLUSION: A single application of an STMTP appears to have the potential to produce immediate clinically meaningful improvements in lung function in patients with severe and very severe COPD. [Mh] Termos MeSH primário: Pulmão/fisiopatologia Doença Pulmonar Obstrutiva Crônica/terapia Músculos Respiratórios/fisiopatologia Terapia de Tecidos Moles [Mh] Termos MeSH secundário: Idoso Chile Feminino Seres Humanos Medidas de Volume Pulmonar Masculino Meia-Idade Doença Pulmonar Obstrutiva Crônica/diagnóstico Doença Pulmonar Obstrutiva Crônica/fisiopatologia Recuperação de Função Fisiológica Índice de Gravidade de Doença Fatores de Tempo Resultado do Tratamento [Pt] Tipo de publicação: CLINICAL TRIAL; JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171010 [Lr] Data última revisão: 171010 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170307 [St] Status: MEDLINE [do] DOI: 10.2147/COPD.S127742

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[PMID]: 28167179 [Au] Autor: Chamorro Comesaña A; Suárez Vicente MD; Docampo Ferreira T; Pérez-La Fuente Varela MD; Porto Quintáns MM; Pilat A [Ad] Endereço: Physiotherapy Unit, Alvaro Cunqueiro Hospital, Estructura Organizativa de Xestión Integrada, Vigo, Spain. Electronic address: antonio.chamorro.comesana@sergas.es. [Ti] Título: Effect of myofascial induction therapy on post-c-section scars, more than one and a half years old. Pilot study. [So] Source: J Bodyw Mov Ther;21(1):197-204, 2017 Jan. [Is] ISSN: 1532-9283 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Myofascial Induction Therapy (MIT) is a manually-applied method used in physiotherapy and focused on restoring altered fascial tissue. In a healthy body, the fascial system maintains elasticity and coordination of movements. However, injuries and their after-effects, such as scars, may reduce this tissue role, causing a dysfunction. The aim of this study is to ascertain the effect of MIT on scars which have completed the repair process in healthy individuals without any associated pathology that might affect the healing process. In all 10 cases studied, changes were observed after applying MIT on the structure of the scar fold, both at deep (shown by ultrasound) and at superficial (shown by scar fold measurement) levels. Eight weekly MIT sessions were applied, establishing this number as a reference for future studies. Functional improvement was determined using Schober's Test and patient quality of life was measured with a specific questionnaire. These outcomes lay the groundwork for future research. [Mh] Termos MeSH primário: Cesárea Cicatriz/terapia Terapia de Tecidos Moles/métodos [Mh] Termos MeSH secundário: Feminino Seres Humanos Projetos Piloto Qualidade de Vida [Pt] Tipo de publicação: CLINICAL TRIAL; JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171002 [Lr] Data última revisão: 171002 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170208 [St] Status: MEDLINE

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[PMID]: 28003133 [Au] Autor: Castro-Martín E; Ortiz-Comino L; Gallart-Aragón T; Esteban-Moreno B; Arroyo-Morales M; Galiano-Castillo N [Ad] Endereço: Department of Physical Therapy, Instituto Mixto Universitario Deporte y Salud (iMUDS), University of Granada, Granada, Spain. [Ti] Título: Myofascial Induction Effects on Neck-Shoulder Pain in Breast Cancer Survivors: Randomized, Single-Blind, Placebo-Controlled Crossover Design. [So] Source: Arch Phys Med Rehabil;98(5):832-840, 2017 May. [Is] ISSN: 1532-821X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVES: To (1) investigate the immediate effects of myofascial induction (MI), with placebo electrotherapy as a control, on perceived pain, cervical/shoulder range of motion (ROM), and mood state in breast cancer survivors (BCSs) with shoulder/arm morbidity; and (2) examine the relationships between pain modifications and cervical/shoulder ROM on the side affected by breast cancer. DESIGN: Randomized, single-blind, placebo-controlled crossover study. SETTING: Physical therapy laboratory. PARTICIPANTS: BCSs (N=21) who had a diagnosis of stage I-IIIA breast cancer and had completed adjuvant therapy (except hormonal treatment). INTERVENTION: During each session, the BCSs received either an MI (fascial unwinding) intervention focused on the upper limb area following the Pilat approach or placebo pulsed shortwave therapy (control group). Each session lasted 30 minutes, and an adequate washout period of 4 weeks between sessions was established. MAIN OUTCOME MEASURES: The visual analog scale (VAS) for pain and anxiety, shoulder-cervical goniometry for ROM, the Profile of Mood States for psychological distress, and the Attitudes Towards Massage Scale were used. RESULTS: An analysis of covariance (ANCOVA) revealed significant time × group interactions for VAS affected arm (P=.031) but not for VAS cervical (P=.332), VAS nonaffected arm (P=.698), or VAS anxiety (P=.266). The ANCOVA also revealed significant interactions for affected shoulder flexion (P<.001), abduction (P<.001), external rotation (P=.004), and internal rotation (P=.001). Significant interactions for affected cervical rotation (P=.022) and affected cervical lateral flexion (P=.038) were also found. A significant negative correlation was found between changes in VAS affected arm and shoulder/arm internal rotation ROM (r=-.46; P=.03). CONCLUSIONS: A single MI session decreases pain intensity and improves neck-shoulder ROM to a greater degree than placebo electrotherapy for BCSs experiencing pain. [Mh] Termos MeSH primário: Neoplasias da Mama/reabilitação Cervicalgia/reabilitação Dor de Ombro/reabilitação Terapia de Tecidos Moles/métodos [Mh] Termos MeSH secundário: Adulto Afeto Idoso Ansiedade/psicologia Ansiedade/reabilitação Neoplasias da Mama/complicações Neoplasias da Mama/psicologia Estudos Cross-Over Terapia por Estimulação Elétrica/métodos Feminino Seres Humanos Meia-Idade Cervicalgia/etiologia Cervicalgia/psicologia Medição da Dor Amplitude de Movimento Articular Dor de Ombro/etiologia Dor de Ombro/psicologia Método Simples-Cego [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1707 [Cu] Atualização por classe: 170724 [Lr] Data última revisão: 170724 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 161223 [St] Status: MEDLINE

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[PMID]: 27749733 [Au] Autor: Hotfiel T; Swoboda B; Krinner S; Grim C; Engelhardt M; Uder M; Heiss RU [Ad] Endereço: 1Division of Orthopedic Rheumatology, Department of Orthopedic Surgery, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany; 2Department of Orthopedic Trauma Surgery, University Hospital Erlangen, Erlangen, Germany; 3Department of Trauma and Orthopedic Surgery, Klinikum Osnabrück, Osnabrück, Germany; and 4Department of Radiology, University Hospital Erlangen, Erlangen, Germany. [Ti] Título: Acute Effects of Lateral Thigh Foam Rolling on Arterial Tissue Perfusion Determined by Spectral Doppler and Power Doppler Ultrasound. [So] Source: J Strength Cond Res;31(4):893-900, 2017 Apr. [Is] ISSN: 1533-4287 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Hotfiel, T, Swoboda, B, Krinner, S, Grim, C, Engelhardt, M, Uder, M, and Heiss, R. Acute effects of lateral thigh foam rolling on arterial tissue perfusion determined by spectral Doppler and power Doppler ultrasound. J Strength Cond Res 31(4): 893-900, 2017-Foam rolling has been developed as a popular intervention in training and rehabilitation. However, evidence on its effects on the cellular and physiological level is lacking. The aim of this study was to assess the effect of foam rolling on arterial blood flow of the lateral thigh. Twenty-one healthy participants (age, 25 ± 2 years; height, 177 ± 9 cm; body weight, 74 ± 9 kg) were recruited from the medical and sports faculty. Arterial tissue perfusion was determined by spectral Doppler and power Doppler ultrasound, represented as peak flow (Vmax), time average velocity maximum (TAMx), time average velocity mean (TAMn), and resistive index (RI), and with semiquantitative grading that was assessed by 4 blindfolded investigators. Measurement values were assessed under resting conditions and twice after foam rolling exercises of the lateral thigh (0 and 30 minutes after intervention). The trochanteric region, mid portion, and distal tibial insertion of the lateral thigh were representative for data analysis. Arterial blood flow of the lateral thigh increased significantly after foam rolling exercises compared with baseline (p ≤ 0.05). We detected a relative increase in Vmax of 73.6% (0 minutes) and 52.7% (30 minutes) (p < 0.001), in TAMx of 53.2% (p < 0.001) and 38.3% (p = 0.002), and in TAMn of 84.4% (p < 0.001) and 68.2% (p < 0.001). Semiquantitative power Doppler scores at all portions revealed increased average grading of 1.96 after intervention and 2.04 after 30 minutes compared with 0.75 at baseline. Our results may contribute to the understanding of local physiological reactions to self-myofascial release. [Mh] Termos MeSH primário: Terapia de Tecidos Moles/métodos Coxa da Perna/irrigação sanguínea Coxa da Perna/fisiologia [Mh] Termos MeSH secundário: Adulto Velocidade do Fluxo Sanguíneo Feminino Hemodinâmica Seres Humanos Masculino Coxa da Perna/diagnóstico por imagem Ultrassonografia Ultrassonografia Doppler [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1705 [Cu] Atualização por classe: 170515 [Lr] Data última revisão: 170515 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161018 [St] Status: MEDLINE [do] DOI: 10.1519/JSC.0000000000001641

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[PMID]: 27623523 [Au] Autor: Ferragut-Garcías A; Plaza-Manzano G; Rodríguez-Blanco C; Velasco-Roldán O; Pecos-Martín D; Oliva-Pascual-Vaca J; Llabrés-Bennasar B; Oliva-Pascual-Vaca Á [Ad] Endereço: Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma de Mallorca, Spain. [Ti] Título: Effectiveness of a Treatment Involving Soft Tissue Techniques and/or Neural Mobilization Techniques in the Management of Tension-Type Headache: A Randomized Controlled Trial. [So] Source: Arch Phys Med Rehabil;98(2):211-219.e2, 2017 Feb. [Is] ISSN: 1532-821X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To evaluate the effects of a protocol involving soft tissue techniques and/or neural mobilization techniques in the management of patients with frequent episodic tension-type headache (FETTH) and those with chronic tension-type headache (CTTH). DESIGN: Randomized, double-blind, placebo-controlled before and after trial. SETTING: Rehabilitation area of the local hospital and a private physiotherapy center. PARTICIPANTS: Patients (N=97; 78 women, 19 men) diagnosed with FETTH or CTTH were randomly assigned to groups A, B, C, or D. INTERVENTIONS: (A) Placebo superficial massage; (B) soft tissue techniques; (C) neural mobilization techniques; (D) a combination of soft tissue and neural mobilization techniques. MAIN OUTCOMES MEASURES: The pressure pain threshold (PPT) in the temporal muscles (points 1 and 2) and supraorbital region (point 3), the frequency and maximal intensity of pain crisis, and the score in the Headache Impact Test-6 (HIT-6) were evaluated. All variables were assessed before the intervention, at the end of the intervention, and 15 and 30 days after the intervention. RESULTS: Groups B, C, and D had an increase in PPT and a reduction in frequency, maximal intensity, and HIT-6 values in all time points after the intervention as compared with baseline and group A (P<.001 for all cases). Group D had the highest PPT values and the lowest frequency and HIT-6 values after the intervention. CONCLUSIONS: The application of soft tissue and neural mobilization techniques to patients with FETTH or CTTH induces significant changes in PPT, the characteristics of pain crisis, and its effect on activities of daily living as compared with the application of these techniques as isolated interventions. [Mh] Termos MeSH primário: Manipulações Musculoesqueléticas/métodos Limiar da Dor/fisiologia Cefaleia do Tipo Tensional/reabilitação [Mh] Termos MeSH secundário: Atividades Cotidianas Adulto Método Duplo-Cego Feminino Seres Humanos Masculino Meia-Idade Medição da Dor Índice de Gravidade de Doença Terapia de Tecidos Moles/métodos Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL [Em] Mês de entrada: 1707 [Cu] Atualização por classe: 170717 [Lr] Data última revisão: 170717 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 160914 [St] Status: MEDLINE

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[PMID]: 26121431 [Au] Autor: Behara B; Jacobson BH [Ad] Endereço: Health and Human Performance Laboratory, Oklahoma State University, Stillwater, Oklahoma. [Ti] Título: Acute Effects of Deep Tissue Foam Rolling and Dynamic Stretching on Muscular Strength, Power, and Flexibility in Division I Linemen. [So] Source: J Strength Cond Res;31(4):888-892, 2017 Apr. [Is] ISSN: 1533-4287 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Behara, B and Jacobson, BH. Acute effects of deep tissue foam rolling and dynamic stretching on muscular strength, power, and flexibility in Division I linemen. J Strength Cond Res 31(4): 888-892, 2017-A recent strategy to increase sports performance is a self-massage technique called myofascial release using foam rollers. Myofascial restrictions are believed to be brought on by injuries, muscle imbalances, overrecruitment, and/or inflammation, all of which can decrease sports performance. The purpose of this study was to compare the acute effects of a single-bout of lower extremity self-myofascial release using a custom deep tissue roller (DTR) and a dynamic stretch protocol. Subjects consisted of NCAA Division 1 offensive linemen (n = 14) at a Midwestern university. All players were briefed on the objectives of the study and subsequently signed an approved IRB consent document. A randomized crossover design was used to assess each dependent variable (vertical jump [VJ] power and velocity, knee isometric torque, and hip range of motion was assessed before and after: [a] no treatment, [b] deep tissue foam rolling, and [c] dynamic stretching). Results of repeated-measures analysis of variance yielded no pretest to posttest significant differences (p > 0.05) among the groups for VJ peak power (p = 0.45), VJ average power (p = 0.16), VJ peak velocity (p = 0.25), VJ average velocity (p = 0.23), peak knee extension torque (p = 0.63), average knee extension torque (p = 0.11), peak knee flexion torque (p = 0.63), or average knee flexion torque (p = 0.22). However, hip flexibility was statistically significant when tested after both dynamic stretching and foam rolling (p = 0.0001). Although no changes in strength or power was evident, increased flexibility after DTR may be used interchangeably with traditional stretching exercises. [Mh] Termos MeSH primário: Futebol Americano/fisiologia Força Muscular/fisiologia Exercícios de Alongamento Muscular/métodos Amplitude de Movimento Articular/fisiologia Terapia de Tecidos Moles/métodos [Mh] Termos MeSH secundário: Adolescente Atletas Desempenho Atlético/fisiologia Articulação do Quadril/fisiologia Seres Humanos Articulação do Joelho/fisiologia Extremidade Inferior/fisiologia Masculino Músculo Esquelético/fisiologia Torque Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1705 [Cu] Atualização por classe: 170515 [Lr] Data última revisão: 170515 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 150630 [St] Status: MEDLINE [do] DOI: 10.1519/JSC.0000000000001051

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[PMID]: 27814873 [Au] Autor: Wasserman JB; Steele-Thornborrow JL; Yuen JS; Halkiotis M; Riggins EM [Ad] Endereço: Rocky Mountain University of Health Professions, Franklin Pierce University, 670 N. Commercial St, Suite 301, Manchester, NH 03101, USA. Electronic address: wassermanj@franklinpierce.edu. [Ti] Título: Chronic caesarian section scar pain treated with fascial scar release techniques: A case series. [So] Source: J Bodyw Mov Ther;20(4):906-913, 2016 Oct. [Is] ISSN: 1532-9283 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To describe outcomes of two subjects with chronically painful Caesarian section (C-section) scars following an intervention of specific myofascial scar release techniques. STUDY DESIGN: Case series. BACKGROUND: Over 1.3 million C-sections are performed annually in the US. Anywhere from 7 to 18% of those will develop chronic scar pain. Although anecdotal evidence supporting the use of fascial release in reducing surgical scar pain exists, almost no research has been published. METHODS AND MEASURES: Two subjects who both underwent two C-sections resulting in chronic discomfort of 6-9 years duration participated in this study. Both reported premenstrual pain, pain upon pressure to the lower abdomen, and pain during bowel movements. Subject 1 also reported sharp pain with bed mobility. Four, 30-min treatment sessions over a period of two weeks consisted of stretching the scar until a release in tissue tension was felt by the treating therapist. Outcome measures included pain and pressure tolerance using a Pressure Algometer, measurements of scar flexibility using an Adheremeter, and the Numeric Pain Rating Scale (NPRS). These measures were collected at baseline, five days after the final treatment and at four weeks. RESULTS: Both subjects demonstrated improvements in all outcome measures. At four weeks, pressure tolerance at all point improved as much as 79% (p < 0.0001) and scar mobility increased in all directions at all points as much as 200% (p < 0.0001). Following treatment, both subjects rated their premenstrual pain for all previously painful activities at 0/10 for the first time since their surgeries. CONCLUSIONS: These results suggest that scar release techniques may help reduce chronic scar pain in women who have had C-section surgery. [Mh] Termos MeSH primário: Cesárea/efeitos adversos Dor Crônica/terapia Cicatriz/etiologia Cicatriz/terapia Fáscia/fisiopatologia Terapia de Tecidos Moles/métodos [Mh] Termos MeSH secundário: Adulto Feminino Seres Humanos [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171003 [Lr] Data última revisão: 171003 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161106 [St] Status: MEDLINE

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[PMID]: 27814868 [Au] Autor: Abu Taleb W; Rehan Youssef A; Saleh A [Ad] Endereço: Faculty of Physical Therapy, Cairo University, Giza, Egypt; Port Said General Hospital, Port Said, Egypt. [Ti] Título: The effectiveness of manual versus algometer pressure release techniques for treating active myofascial trigger points of the upper trapezius. [So] Source: J Bodyw Mov Ther;20(4):863-869, 2016 Oct. [Is] ISSN: 1532-9283 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Manual pressure release (MPR) is a popular treatment of trigger points. Yet, treatment response may be influenced by inconsistent application of pressure. Further, it may contribute to increased risk of work-related musculoskeletal disorders of the wrist and hand in therapists. Therefore, this study aimed at introducing a novel method to apply pressure using the algometer and to compare its effectiveness to MPR. Forty-five volunteers with active trigger points of the upper trapezius received algometer pressure release (APR), MPR, or sham ultrasound (US). Pain pressure threshold (PPT) and contralateral active and passive neck side-bending ranges were assessed at baseline and immediately after a single session. Results showed no significant differences in post-treatment PPT between the study groups (p > 0.05). The APR group showed a significant increase in passive side-bending range compared with the two other groups, whereas active range improved in the APR compared with the US group (p < 0.05). Our results show that using algometer to apply pressure release to upper trapezius trigger points is more effective compared with manual release and sham US. [Mh] Termos MeSH primário: Síndromes da Dor Miofascial/terapia Músculos Superficiais do Dorso/fisiopatologia Terapia de Tecidos Moles/instrumentação Terapia de Tecidos Moles/métodos Pontos-Gatilho/fisiopatologia [Mh] Termos MeSH secundário: Adulto Feminino Seres Humanos Masculino Medição da Dor Limiar da Dor [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171003 [Lr] Data última revisão: 171003 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161106 [St] Status: MEDLINE

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[PMID]: 27814865 [Au] Autor: Telles G; Cristovão DR; Belache FA; Santos MR; Almeida RS; Nogueira LA [Ad] Endereço: Physical Therapy of Hospital Universitário Gaffrée e Guinle and Delfim Physical Therapy Service, Rio de Janeiro, Brazil. [Ti] Título: The effect of adding myofascial techniques to an exercise programme for patients with anterior knee pain. [So] Source: J Bodyw Mov Ther;20(4):844-850, 2016 Oct. [Is] ISSN: 1532-9283 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Anterior knee pain is a common complaint and can cause difficulty with its inability to bear weight. The aim of the study was to analyse the effect of adding myofascial techniques to an exercise programme for patients with anterior knee pain. A clinical trial with 18 patients with a clinical diagnosis of anterior knee pain was conducted. One group (E) with nine individuals was treated with hip muscle strengthening exercises; another group (EM), with nine individuals, had myofascial techniques added. To quantify the results, the Numeric Pain Rating Scale (NPRS) and the Lower Extremity Functional Scale (LEFS) were used. The E group showed an improvement in pain (p = 0.02), but not in the mean degree of disability. The EM group showed an improvement in pain (p = 0.01), as well as the degree of disability (p = 0.008). The effect size analysis showed that participants of the EM group had a greater impact on clinical pain and disability (Cohen's d = .35 and .30, respectively). The addition of myofascial techniques should be considered to improve the functionality of the lower limbs and reduce pain in patients with anterior knee pain. [Mh] Termos MeSH primário: Articulação do Joelho Dor/reabilitação Modalidades de Fisioterapia Terapia de Tecidos Moles/métodos [Mh] Termos MeSH secundário: Idoso Idoso de 80 Anos ou mais Feminino Quadril/fisiologia Seres Humanos Masculino Meia-Idade Força Muscular/fisiologia Exercícios de Alongamento Muscular/métodos Treinamento de Resistência/métodos [Pt] Tipo de publicação: JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171003 [Lr] Data última revisão: 171003 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161106 [St] Status: MEDLINE

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2	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
3	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2

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