Efeitos do uso noturno da órtese de punho associada a exercícios feitos em domicílio na redução de sintomas e melhora da função de indivíduos com síndrome do túnel do carpo
Data
2023-12-01
Autores
Ariboni, Rafaela Rocha 
Orientadores
Carvalho, Raquel de Paula
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
A síndrome do túnel do carpo (STC) é uma importante neuropatia compressiva da extremidade superior. A órtese de punho e exercícios de deslizamento estão entre os principais recursos do tratamento. O objetivo deste estudo foi avaliar o efeito da órtese de punho e exercícios de deslizamento de tendões e nervo mediano nos sintomas e função de indivíduos com STC. Cinco mulheres com idade média de 51,4 anos diagnosticadas com STC usaram uma órtese no período noturno associado a exercícios de deslizamento de tendões e nervo mediano durante 60 dias. O Douleur Neuropathique 4 Questionnaire (DN4), o Short-Form McGill Pain Questionnaire (SF-MPQ) e o Questionário de Boston foram aplicados em três sessões de avaliação: (I) antes do tratamento, (II) após 30 dias de tratamento, (III): após 60 dias de tratamento. O teste de Friedman foi utilizado nas análises com nível de significância ≤0,05. Os valores do SF-MPQ mostraram diferença estatisticamente significante com redução no domínio sensorial entre antes e após 60 dias de tratamento (p=0,002); e redução na pontuação total entre antes e após 60 dias (p=0,004) e entre 30 e 60 dias (p=0,043). Não houve diferença estatisticamente significante nas comparações do DN4 (p=0,801). Os valores da Escala de Gravidade dos Sintomas mostraram redução estatisticamente significante entre antes e após 30 dias (p=0,017), e entre antes e após 60 dias (p=0,006). Nossos resultados mostram que o tratamento proposto é efetivo a médio prazo para redução dos sintomas e melhora da função de indivíduos com síndrome do túnel do carpo.
Carpal tunnel syndrome (CTS) is an important compressive neuropathy of the upper extremity. Wrist orthosis and gliding exercises are among the main resources of the treatment. The objective of this study was to evaluate the effect of wrist orthosis and tendon and median nerve gliding exercises on symptoms and function in individuals with CTS. Five women with a mean age of 51.4 years diagnosed with CTS used an orthosis at night associated with tendon and median nerve gliding exercises for 60 days. The Douleur Neuropathique 4 Questionnaire (DN4), the Short-Form McGill Pain Questionnaire (SF-MPQ) and the Boston Questionnaire were applied in three evaluation sessions: (I) before treatment, (II) after 30 days of treatment, (III): after 60 days of treatment. The Friedman test was used in analyzes with a significance level ≤0.05. The SF-MPQ values showed a statistically significant difference with a reduction in the sensory domain between before and after 60 days of treatment (p=0.002); and reduction in the total score between before and after 60 days (p=0.004) and between 30 and 60 days (p=0.043). There was no statistically significant difference in the DN4 comparisons (p=0.801). The Symptom Severity Scale values showed a statistically significant reduction between before and after 30 days (p=0.017), and between before and after 60 days (p=0.006). Our results show that the proposed treatment is effective in the medium term for reducing symptoms and improving function in individuals with carpal tunnel syndrome.
Carpal tunnel syndrome (CTS) is an important compressive neuropathy of the upper extremity. Wrist orthosis and gliding exercises are among the main resources of the treatment. The objective of this study was to evaluate the effect of wrist orthosis and tendon and median nerve gliding exercises on symptoms and function in individuals with CTS. Five women with a mean age of 51.4 years diagnosed with CTS used an orthosis at night associated with tendon and median nerve gliding exercises for 60 days. The Douleur Neuropathique 4 Questionnaire (DN4), the Short-Form McGill Pain Questionnaire (SF-MPQ) and the Boston Questionnaire were applied in three evaluation sessions: (I) before treatment, (II) after 30 days of treatment, (III): after 60 days of treatment. The Friedman test was used in analyzes with a significance level ≤0.05. The SF-MPQ values showed a statistically significant difference with a reduction in the sensory domain between before and after 60 days of treatment (p=0.002); and reduction in the total score between before and after 60 days (p=0.004) and between 30 and 60 days (p=0.043). There was no statistically significant difference in the DN4 comparisons (p=0.801). The Symptom Severity Scale values showed a statistically significant reduction between before and after 30 days (p=0.017), and between before and after 60 days (p=0.006). Our results show that the proposed treatment is effective in the medium term for reducing symptoms and improving function in individuals with carpal tunnel syndrome.
Descrição
Citação
ARIBONI, Rafaela Rocha. Efeitos do uso noturno da órtese de punho associada a exercícios feitos em domicílio na redução de sintomas e melhora da função de indivíduos com síndrome do túnel do carpo. 2023. 45 f. Trabalho de conclusão de curso (Graduação em Fisioterapia) - Universidade Federal de São Paulo, Instituto de Saúde e Sociedade, Santos, 2023.