Associação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversal
Ano de defesa: | 2020 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Nove de Julho
|
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Ciências da Reabilitação
|
Departamento: |
Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/2549 |
Resumo: | The study aimed to verify the correlation between tactile acuity, intensity of pain at rest and movement, functional capacity, catastrophization and symptoms of central sensitization syndrome in individuals diagnosed with chronic neck pain. Thus, a cross-sectional study was carried out in accordance with the STROBE Statement. a physical therapist was in charge of recruiting, diagnosing and allocating volunteers into two groups: cervical pain group and control group. Another physical therapist was in charge of administering the assessments. A third researcher processed and analyzed the data. All researchers were familiar with the assessment procedures, having an average of five years of training in Physiotherapy. In sequence, the evaluations were carried out: evaluation form, numerical pain scale, neck disability index, catastrophic thoughts about pain scale, central sensitization inventory and assessment of tactile sensitivity. All assessments were carried out individually, in a private room and with no time limit for completion. The study was composed of two distinct groups: individuals with chronic neck pain (n = 46) and without neck pain (n = 39). The groups did not show significant differences (p> 0.05) in demographic characteristics. With regard to TDDP, it was observed that individuals with pain presented alterations in tactile discrimination, with a significant and clinical increase in perceived distance (MD = 5.45, 95% CI 4.42 to 6.47; Cohen d = 2.34, 95% CI = 1.78 to 2.90) when compared to the control group. A positive, moderate and significant correlation was observed between TDDP and END at rest and movement, NDI and EPCD (r = 0.503 to 0.699, p <0.05), so that the greater the intensity of pain, disability and catastrophization, the smaller the perceived distance in the TDDP. In conclusion, our data suggest that tactile acuity is associated with clinical signs, pain intensity at rest and movement, cervical functionality and pain catastrophization. However, it is not related to symptoms of central sensitization syndrome in individuals diagnosed with chronic neck pain. |
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Gomes, Cid André Fidelis de PaulaGomes, Cid André Fidelis de PaulaBiasotto-Gonzalez, Daniela AparecidaGlória, Igor Phillip dos Santoshttp://lattes.cnpq.br/5350268679538768Ferreira, Cheila de Sousa Bacelar2021-06-21T17:48:54Z2020-12-04Ferreira, Cheila de Sousa Bacelar. Associação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversal. 2020. 61 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2549The study aimed to verify the correlation between tactile acuity, intensity of pain at rest and movement, functional capacity, catastrophization and symptoms of central sensitization syndrome in individuals diagnosed with chronic neck pain. Thus, a cross-sectional study was carried out in accordance with the STROBE Statement. a physical therapist was in charge of recruiting, diagnosing and allocating volunteers into two groups: cervical pain group and control group. Another physical therapist was in charge of administering the assessments. A third researcher processed and analyzed the data. All researchers were familiar with the assessment procedures, having an average of five years of training in Physiotherapy. In sequence, the evaluations were carried out: evaluation form, numerical pain scale, neck disability index, catastrophic thoughts about pain scale, central sensitization inventory and assessment of tactile sensitivity. All assessments were carried out individually, in a private room and with no time limit for completion. The study was composed of two distinct groups: individuals with chronic neck pain (n = 46) and without neck pain (n = 39). The groups did not show significant differences (p> 0.05) in demographic characteristics. With regard to TDDP, it was observed that individuals with pain presented alterations in tactile discrimination, with a significant and clinical increase in perceived distance (MD = 5.45, 95% CI 4.42 to 6.47; Cohen d = 2.34, 95% CI = 1.78 to 2.90) when compared to the control group. A positive, moderate and significant correlation was observed between TDDP and END at rest and movement, NDI and EPCD (r = 0.503 to 0.699, p <0.05), so that the greater the intensity of pain, disability and catastrophization, the smaller the perceived distance in the TDDP. In conclusion, our data suggest that tactile acuity is associated with clinical signs, pain intensity at rest and movement, cervical functionality and pain catastrophization. However, it is not related to symptoms of central sensitization syndrome in individuals diagnosed with chronic neck pain.O estudo teve como objetivo verificar a correlação entre acuidade tátil, intensidade da dor ao repouso e ao movimento, capacidade funcional, catastrofização e sintomas da síndrome da sensibilização central em indivíduos com diagnóstico de cervicalgia crônica. Dessa maneira, foi realizado um estudo transversal em conformidade ao STROBE Statement. Um fisioterapeuta ficou encarregado do recrutamento, diagnóstico e alocação dos voluntários em dois grupos: grupo dor cervical e grupo controle. Outro fisioterapeuta ficou encarregado de administrar as avaliações. Um terceiro pesquisador processou e analisou os dados. Todos os pesquisadores eram familiarizados aos procedimentos de avaliação, possuindo em média cinco anos de formação em Fisioterapia. Em sequência, foram realizadas as avaliações: ficha de avaliação, escala numérica da dor, neck disability index, escala de pensamentos catastróficos sobre a dor, inventário de sensibilização centra e avaliação da sensibilidade tátil. Todas as avaliações foram realizadas de forma individual, em sala reservada e sem limite de tempo para o término.O estudo foi composto por dois grupos distintos: indivíduos com dor cervical crônica (n = 46) e sem dor cervical (n = 39). Os grupos não apresentaram diferenças significativas (p > 0,05) nas características demográficas. No que diz respeito ao TDDP, observou-se que os indivíduos com dor apresentavam alteração na discriminação tátil, com aumento significativo e clínico na distância percebida (MD = 5,45, 95% CI 4,42 a 6,47; Cohen d = 2,34, 95% CI = 1,78 a 2,90) quando comparado ao grupo controle. Observou-se positiva, moderada e significativa correlação entre TDDP e END ao repouso e ao movimento, NDI e EPCD (r = 0,503 a 0.699, p < 0,05), de modo que, quanto maior a intensidade de dor, incapacidade e catastrofização, menor a distância percebida no TDDP. Em conclusão, nossos dados sugerem que a acuidade tátil está associada a sinais clínicos, intensidade da dor ao repouso e ao movimento, funcionalidade da cervical e catastrofização da dor. No entanto, não está relacionada a sintomas da síndrome da sensibilização central em indivíduos com diagnóstico de cervicalgia crônica.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2021-06-21T17:48:53Z No. of bitstreams: 1 Cheila de Sousa Bacelar Ferreira .pdf: 3020104 bytes, checksum: dca20176bca56d38773f4ebfd4a00c15 (MD5)Made available in DSpace on 2021-06-21T17:48:54Z (GMT). No. of bitstreams: 1 Cheila de Sousa Bacelar Ferreira .pdf: 3020104 bytes, checksum: dca20176bca56d38773f4ebfd4a00c15 (MD5) Previous issue date: 2020-12-04application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúdecervicalgiasensibilização do sistema nervoso centraldor crônicaneck painsensitization of the central nervous systemchronic painCIENCIAS DA SAUDEAssociação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversalAssociation between tactile acuity, pain, functionality and central sensitization syndrome in individuals with and without chronic neck pain: a cross-sectional studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALCheila de Sousa Bacelar Ferreira .pdfCheila de Sousa Bacelar Ferreira .pdfapplication/pdf3020104http://localhost:8080/tede/bitstream/tede/2549/2/Cheila+de+Sousa+Bacelar+Ferreira+.pdfdca20176bca56d38773f4ebfd4a00c15MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2549/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/25492021-06-21 14:48:54.472oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2021-06-21T17:48:54Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Associação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversal |
dc.title.alternative.eng.fl_str_mv |
Association between tactile acuity, pain, functionality and central sensitization syndrome in individuals with and without chronic neck pain: a cross-sectional study |
title |
Associação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversal |
spellingShingle |
Associação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversal Ferreira, Cheila de Sousa Bacelar cervicalgia sensibilização do sistema nervoso central dor crônica neck pain sensitization of the central nervous system chronic pain CIENCIAS DA SAUDE |
title_short |
Associação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversal |
title_full |
Associação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversal |
title_fullStr |
Associação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversal |
title_full_unstemmed |
Associação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversal |
title_sort |
Associação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversal |
author |
Ferreira, Cheila de Sousa Bacelar |
author_facet |
Ferreira, Cheila de Sousa Bacelar |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Gomes, Cid André Fidelis de Paula |
dc.contributor.referee1.fl_str_mv |
Gomes, Cid André Fidelis de Paula |
dc.contributor.referee2.fl_str_mv |
Biasotto-Gonzalez, Daniela Aparecida |
dc.contributor.referee3.fl_str_mv |
Glória, Igor Phillip dos Santos |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5350268679538768 |
dc.contributor.author.fl_str_mv |
Ferreira, Cheila de Sousa Bacelar |
contributor_str_mv |
Gomes, Cid André Fidelis de Paula Gomes, Cid André Fidelis de Paula Biasotto-Gonzalez, Daniela Aparecida Glória, Igor Phillip dos Santos |
dc.subject.por.fl_str_mv |
cervicalgia sensibilização do sistema nervoso central dor crônica |
topic |
cervicalgia sensibilização do sistema nervoso central dor crônica neck pain sensitization of the central nervous system chronic pain CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
neck pain sensitization of the central nervous system chronic pain |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
The study aimed to verify the correlation between tactile acuity, intensity of pain at rest and movement, functional capacity, catastrophization and symptoms of central sensitization syndrome in individuals diagnosed with chronic neck pain. Thus, a cross-sectional study was carried out in accordance with the STROBE Statement. a physical therapist was in charge of recruiting, diagnosing and allocating volunteers into two groups: cervical pain group and control group. Another physical therapist was in charge of administering the assessments. A third researcher processed and analyzed the data. All researchers were familiar with the assessment procedures, having an average of five years of training in Physiotherapy. In sequence, the evaluations were carried out: evaluation form, numerical pain scale, neck disability index, catastrophic thoughts about pain scale, central sensitization inventory and assessment of tactile sensitivity. All assessments were carried out individually, in a private room and with no time limit for completion. The study was composed of two distinct groups: individuals with chronic neck pain (n = 46) and without neck pain (n = 39). The groups did not show significant differences (p> 0.05) in demographic characteristics. With regard to TDDP, it was observed that individuals with pain presented alterations in tactile discrimination, with a significant and clinical increase in perceived distance (MD = 5.45, 95% CI 4.42 to 6.47; Cohen d = 2.34, 95% CI = 1.78 to 2.90) when compared to the control group. A positive, moderate and significant correlation was observed between TDDP and END at rest and movement, NDI and EPCD (r = 0.503 to 0.699, p <0.05), so that the greater the intensity of pain, disability and catastrophization, the smaller the perceived distance in the TDDP. In conclusion, our data suggest that tactile acuity is associated with clinical signs, pain intensity at rest and movement, cervical functionality and pain catastrophization. However, it is not related to symptoms of central sensitization syndrome in individuals diagnosed with chronic neck pain. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020-12-04 |
dc.date.accessioned.fl_str_mv |
2021-06-21T17:48:54Z |
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dc.identifier.citation.fl_str_mv |
Ferreira, Cheila de Sousa Bacelar. Associação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversal. 2020. 61 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2549 |
identifier_str_mv |
Ferreira, Cheila de Sousa Bacelar. Associação entre acuidade tátil, dor, funcionalidade e síndrome da sensibilização central em indivíduos com e sem cervicalgia crônica: um estudo transversal. 2020. 61 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
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