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Efeitos do kinesiotaping no quadro ?lgico e no desempenho neuromuscular de portadores da s?ndrome da dor femoropatelar

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Previous issue date: 2016-12-20 / A S?ndrome da Dor Femoropatelar (SDFP), definida como dor anterior ou retropatelar, ? uma das disfun??es m?sculo-esquel?ticas mais frequentes no joelho que acomete, sobretudo, a popula??o feminina e cujo tratamento apresenta-se controverso. Objetivo: Analisar os efeitos imediatos e tardios da aplica??o do Kinesio Taping (KT) na atividade eletromiogr?fica do m?sculo vasto medial obl?quo (VMO), no desempenho isocin?tico do quadr?ceps femoral e na dor de sujeitos portadores da SDFP. M?todos: Ensaio cl?nico, randomizado e cego, no qual 54 volunt?rias, com idade m?dia de 23,70 ? 3,76 anos, foram distribu?das aleatoriamente em tr?s grupos e realizaram um dos seguintes protocolos: (1) grupo controle - permaneceram em repouso; (2) grupo com tens?o - aplica??o do KT com tens?o na regi?o do VMO; (3) grupo sem tens?o - aplica??o do KT sem tens?o, na mesma regi?o. Todas as volunt?rias foram submetidas ? avalia??o da intensidade da dor, da atividade eletromiogr?fica do VMO e VL e dos par?metros dinamom?tricos em tr?s momentos distintos: antes da aplica??o do KT, imediatamente ap?s e 72h depois da aplica??o. A an?lise estat?stica foi realizada por meio do SPSS (vers?o 20.0). Foi utilizada uma ANOVA de modelo misto para verificar diferen?as intra e intergrupo, com n?vel de signific?ncia de 5% (p ? 0,05). Resultados: Houve diferen?a significativa intergrupo na intensidade da dor entre o grupo sem tens?o e o grupo controle, ap?s 72h. Com rela??o ?s vari?veis dinamom?tricas, n?o houve diferen?a entre os grupos avaliados para o pico de torque normalizado pelo peso corporal, pico de torque m?dio, pot?ncia m?dia e trabalho total. Tamb?m n?o foram observadas diferen?as no que se refere ?s vari?veis eletromiogr?fica: raz?o VMO/VL e tempo de in?cio da ativa??o do VMO em rela??o ao VL, em cadeia aberta e fechada. Conclus?o: O Kinesio Taping, aplicado no vasto medial obl?quo, n?o promove altera??es imediatas e nem tardias no desempenho isocin?tico nem nos par?metros eletromiogr?ficos de portadores da S?ndrome da Dor Femoropatelar. Entretanto, foi observada uma redu??o da dor no grupo que aplicou o KT sem tens?o, ap?s 72 horas da sua aplica??o. / Patellofemoral pain syndrome (PFPS) is defined as anterior or retropatellar pain. It is one of the most frequent musculoskeletal dysfunctions in the knee, that affects mainly, the female population and whose treatment is controversial. Objective: To analyze the immediate and late effects of Kinesio Taping (KT) in the electromyography activity of the vastus medialis obliquus (VMO), in the isokinetic performance of the quadriceps femoris and the pain of subjects with PFPS. Methods: Randomized clinical trial, in which 54 volunteers, with a mean age of 23.70 ? 3.76 years were randomized into three groups and performed one of the following protocols: (1) control group - remained in rest; (2) group with tension - application of KT with tension in the VMO region; (3) group without tension - application of KT without tension, in the same region. All volunteers were submitted to the evaluation of pain intensity, electromyography activity of the VMO and the VL and the dynamometric parameters in three different moments: before the application of KT, after the application and 72 hours after the application. Statistical analysis was performed using SPSS (version 20.0). A mixed model ANOVA was used to verify intra and intergroup differences, with a significance level of 5% (p ? 0.05). Results: There was a significant intergroup difference in pain intensity in the 72h evaluation between the no tension group and the control group. Dynamometric variables, peak torque normalized by body weight, mean peak torque, mean power and total work did not show significant difference between the groups evaluated. No differences were observed in the electromyography variables, VMO/ VL ratio and time of onset of VMO activation in relation to VL. Conclusion: Kinesio Taping, applied to the vastus medialis obliquus, does not promote immediate or late changes in the isokinetic performance and in the electromyography parameters of patients with Patellofemoral Pain Syndrome. However, was observed a reduction in pain, in the no tension group after 72 hours of application.

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/23579
Date20 December 2016
CreatorsMelo, Samara Alencar
Contributors58440097468, http://lattes.cnpq.br/2238444079880883, Sousa, Catarina de Oliveira, 01214947484, http://lattes.cnpq.br/5522647106933904, Ferreira, Jos? Jamacy de Almeida, 24372110472, http://lattes.cnpq.br/7942403520160630, Brasileiro, Jamilson Sim?es
PublisherPROGRAMA DE P?S-GRADUA??O EM FISIOTERAPIA, UFRN, Brasil
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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