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Authors
Advisor(s)
Abstract(s)
Caso clínico: Este estudo observacional descritivo - tipo estudo de caso, tem como amostra
uma senhora de 36 anos com dor cervical superior esquerda e de cabeça. Após uma
avaliação inicial, a paciente foi submetida a três aplicações da técnica de inibição dos
músculos sub-occipitais durante uma semana em dias alternados, com o objetivo de
quantificar o seu efeito nas amplitudes articulares cervicais, na dor e na funcionalidade.
Para o efeito foram utilizados como instrumentos o Cervical Range of Motion Instrument,
a Escala Visual Analógica e o Índice de Incapacidade relacionada com a Cervical. A
paciente foi reavaliada em três momentos distintos (1’ após a primeira aplicação da técnica
e oito e quinze dias depois).
O resultado imediato da técnica foi de um ligeiro aumento nalgumas amplitudes
articulares mas noutras ocorreu uma diminuição dos seus valores. Após 8 e 15 dias houve
um aumento de todas as amplitudes articulares cervicais à exceção da inclinação e da
rotação esquerda que diminuíram ligeiramente em relação à avaliação inicial e da extensão
que manteve a mesma amplitude articular. Quanto à sintomatologia dolorosa foi eliminada
por completo e a pontuação da funcionalidade passou de 18 para zero logo após a primeira
intervenção.
A aplicação desta técnica, nesta paciente, aumentou as amplitudes articulares
cervicais, eliminou a dor cervical e de cabeça e melhorou a funcionalidade.
Clinical case: The object of this case study is a 36 years old’s lady of with upper neck pain on the left side and headache. After an initial assessment, the patient was submitted to three applications of the technique of inhibition of sub-occipital muscles for a week in alternate days, in order to quantify its effect on cervical range of motion, pain and functionality. As instrument were used the Cervical Range of Motion Instrument, Visual Analogue Scale and Neck Disability Index. The patient was re-assessed at three different times (1' after the first application of the technique and eight and fifteen days later). The immediate effect of the technique was a slight increase in some range of motions but in others there was a decrease in their values. After 8 and 15 days there was an increase of all cervical range of motions except for left rotation and left lateral flexion that slightly decreased when compared to the initial assessment and extension range of motion that remained the same. The pain symptoms were all eliminated and functionality score increased from 18 to zero, after the first intervention. The application of this technique in this patient, increased cervical range of motion, stopped the neck pain and headaches, and improved the functionality.
Clinical case: The object of this case study is a 36 years old’s lady of with upper neck pain on the left side and headache. After an initial assessment, the patient was submitted to three applications of the technique of inhibition of sub-occipital muscles for a week in alternate days, in order to quantify its effect on cervical range of motion, pain and functionality. As instrument were used the Cervical Range of Motion Instrument, Visual Analogue Scale and Neck Disability Index. The patient was re-assessed at three different times (1' after the first application of the technique and eight and fifteen days later). The immediate effect of the technique was a slight increase in some range of motions but in others there was a decrease in their values. After 8 and 15 days there was an increase of all cervical range of motions except for left rotation and left lateral flexion that slightly decreased when compared to the initial assessment and extension range of motion that remained the same. The pain symptoms were all eliminated and functionality score increased from 18 to zero, after the first intervention. The application of this technique in this patient, increased cervical range of motion, stopped the neck pain and headaches, and improved the functionality.
Description
Keywords
Inibição dos músculos sub-occipitais Amplitudes articulares cervicais CROM Dor Funcionalidade Inhibition of the sub-occipital muscles Neck range of motion CROM Pain Functionality
Pedagogical Context
Citation
Publisher
Instituto Politécnico do Porto. Escola Superior de Tecnologia da Saúde do Porto