Efeitos do tratamento osteopático associado a outras abordagens fisioterapêuticas para o manejo do quadro clínico de indivíduos com síndrome do impacto do ombro: uma revisão integrativa
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Data
2023-06
Tipo de documento
Artigo Científico
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Acesso embargado
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Autores
REGIS, Guilherme Zimermann
Orientador
SALM, Daiana Cristina
Coorientador
Resumo
A dor no ombro é um dos problemas musculoesqueléticos com maior prevalência nos membros superiores, a exemplo da síndrome do impacto do ombro (SIO). O manejo da SIO torna-se complexo e com isso terapias complementares como técnicas osteopáticas têm sido exploradas para o tratamento de diversas disfunções, inclusive as relacionados ao ombro. Este estudo teve como objetivo sumarizar os efeitos das técnicas osteopáticas no tratamento SIO. O presente estudo realizou uma revisão integrativa, a busca eletrônica foi realizada nas bases de dados: Pubmed, PEDro e Cochrane e no repositório Google Acadêmico. Os critérios de inclusão foram sem restrição de datas, nos idiomas português, inglês e espanhol, tipo de estudo ensaio clínico, relatou ou série de caso e que contemplasse no mínimo a patologia SIO e técnicas osteopáticas. Os achados deste estudo demonstraram que dentre as técnicas fisioterapêuticas associadas ao tratamento osteopático foram: exercícios, massagem de fricção, massagem transversa e liberação miofascial. Ainda assim, os principais desfechos avaliados foram dor e função. Portanto, foi observado que o tratamento osteopático quando associado a outras técnicas fisioterapêuticas para o manejo da SIO promovem melhora da dor e função. Contudo, espera-se que tenham mais estudos com abordagem osteopática sem associação terapêutica, para que seja possível inferir o efeito isolado da osteopatia em indivíduos com SIO.
Shoulder pain is one of the most prevalent musculoskeletal problems in the upper limbs, such as shoulder impingement syndrome (SIS). The management of SIS becomes complex and, therefore, complementary therapies such as osteopathic techniques have been explored for the treatment of several dysfunctions, including those related to the shoulder. This study aimed to summarize the effects of osteopathic techniques in SIS treatment. The present study carried out an integrative review, the electronic search was carried out in the databases: Pubmed, PEDro and Cochrane and in the Google Scholar repository. Inclusion criteria were, without date restriction, in Portuguese, English and Spanish, type of study, clinical trial, case report or series, and that contemplated at least SIS pathology and osteopathic techniques. The findings of this study demonstrated that among the physiotherapeutic techniques associated with osteopathic treatment were: exercises, friction massage, transverse massage and myofascial release. Still, the main outcomes evaluated were pain and function. Therefore, it was observed that osteopathic treatment, when associated with other physiotherapeutic techniques for managing SIS, promotes improvement in pain and function. However, it is expected that there will be more studies with an osteopathic approach without therapeutic association, so that it is possible to infer the isolated effect of osteopathy in individuals with SIS.
Shoulder pain is one of the most prevalent musculoskeletal problems in the upper limbs, such as shoulder impingement syndrome (SIS). The management of SIS becomes complex and, therefore, complementary therapies such as osteopathic techniques have been explored for the treatment of several dysfunctions, including those related to the shoulder. This study aimed to summarize the effects of osteopathic techniques in SIS treatment. The present study carried out an integrative review, the electronic search was carried out in the databases: Pubmed, PEDro and Cochrane and in the Google Scholar repository. Inclusion criteria were, without date restriction, in Portuguese, English and Spanish, type of study, clinical trial, case report or series, and that contemplated at least SIS pathology and osteopathic techniques. The findings of this study demonstrated that among the physiotherapeutic techniques associated with osteopathic treatment were: exercises, friction massage, transverse massage and myofascial release. Still, the main outcomes evaluated were pain and function. Therefore, it was observed that osteopathic treatment, when associated with other physiotherapeutic techniques for managing SIS, promotes improvement in pain and function. However, it is expected that there will be more studies with an osteopathic approach without therapeutic association, so that it is possible to infer the isolated effect of osteopathy in individuals with SIS.
Palavras-chave
Osteopatia, Dor, Ombro