Mobilização neural x ultrassom terapêutico na síndrome do túnel do carpo: uma revisão de literatura.
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Data
2023-12
Tipo de documento
Artigo Científico
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ISSN da Revista
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Área do conhecimento
Modalidade de acesso
Acesso aberto
Editora
Autores
PEREIRA, Eva Denise Alves
NASCIMENTO, Jennifer Fonseca do
Orientador
OLIVEIRA, Marcella Cabral de
Coorientador
ARAÚJO, Cíntia Maria Saraiva
Resumo
Introdução: Quando ocorre uma inflamação dos tendões flexores, o espaço do túnel do carpo é reduzido e provoca uma compressão isquêmica do nervo mediano, ocasionando a síndrome do túnel do carpo, que é descrita como a neuropatia periférica mais recorrente, com uma prevalência de até 5% e predominantemente no sexo feminino. Tendo como sintomas, parestesia e dormência nos três primeiros dedos, além de dor e perda de força dos músculos flexores do punho. Para alívio desse quadro sintomatológico, tratamentos conservadores, como técnicas de mobilização neural e ultrassom são indicados. Objetivo: Comparar a eficácia do ultrassom terapêutico e da mobilização neural no tratamento da síndrome do túnel do carpo. Metodologia: Trata-se de uma revisão integrativa da literatura, com busca nas bases de dados, Medline, PEDro, PubMed, SciELO e Scopus, com recorte de tempo dos últimos seis anos, nos idiomas português, inglês e espanhol. Resultados e Discussão: Na busca realizada entre setembro e outubro de 2023, foram selecionados 7 artigos. Os artigos selecionados revelaram que ambos os tratamentos apresentam resultados satisfatórios no tratamento da STC. Conclusão: Conclui-se, que, embora os dois recursos tenham resultados positivos no tratamento da STC, a mobilização neural se sobressaiu quando comparada ao ultrassom terapêutico.
Introduction: When inflammation of the flexor tendons occurs, the carpal tunnel space is reduced and causes ischemic compression of the median nerve, causing carpal tunnel syndrome, which is described as the most recurrent peripheral neuropathy, with a prevalence of up to 5 % and predominantly in females. The symptoms include paresthesia and numbness in the first three fingers, in addition to pain and loss of strength in the wrist flexor muscles. To alleviate this symptomatological condition, conservative treatments, such as neural mobilization techniques and ultrasound, are indicated. Objective: To compare the effectiveness of therapeutic ultrasound and neural mobilization in the treatment of carpal tunnel syndrome. Methodology: This is an integrative review of the literature, with a search in the databases Medline, PEDro, PubMed, SciELO and Scopus, with a time frame of the last six years, in Portuguese, English and Spanish. Results and Discussion: In the search carried out between September and October 2023, 7 articles were selected. The selected articles revealed that both treatments present satisfactory results in the treatment of carpal tunnel syndrome. Conclusion: It is concluded that although both resources have positive results in the treatment of CTS, neural mobilization stood out when compared to therapeutic ultrasound.
Introduction: When inflammation of the flexor tendons occurs, the carpal tunnel space is reduced and causes ischemic compression of the median nerve, causing carpal tunnel syndrome, which is described as the most recurrent peripheral neuropathy, with a prevalence of up to 5 % and predominantly in females. The symptoms include paresthesia and numbness in the first three fingers, in addition to pain and loss of strength in the wrist flexor muscles. To alleviate this symptomatological condition, conservative treatments, such as neural mobilization techniques and ultrasound, are indicated. Objective: To compare the effectiveness of therapeutic ultrasound and neural mobilization in the treatment of carpal tunnel syndrome. Methodology: This is an integrative review of the literature, with a search in the databases Medline, PEDro, PubMed, SciELO and Scopus, with a time frame of the last six years, in Portuguese, English and Spanish. Results and Discussion: In the search carried out between September and October 2023, 7 articles were selected. The selected articles revealed that both treatments present satisfactory results in the treatment of carpal tunnel syndrome. Conclusion: It is concluded that although both resources have positive results in the treatment of CTS, neural mobilization stood out when compared to therapeutic ultrasound.
Palavras-chave
síndrome do túnel do carpo, mobilização neural, terapia ultrassonográfica