Banca de DEFESA: JOSE DIEGO SALES DO NASCIMENTO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : JOSE DIEGO SALES DO NASCIMENTO
DATE: 22/01/2021
TIME: 14:00
LOCAL: Vídeo Conferência
TITLE:

Clinical and Functional Aspects of Myofascial Pain Syndrome in Individuals with
Shoulder Pain

KEY WORDS:

Shoulder pain. Pain threshold. Myofascial pain syndrome. Range of movement.
Strength.

PAGES: 76
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

The general objective of the PhD Dissertation was to evaluate the relationship of
Myofascial Trigger Points (MTrPs) with physical, psychological and clinical
characteristics of pain, mobility and strength of individuals with symptomatology of
unilateral subacromial impingement syndrome. Two studies were carried out: 1)
Immediate effects of ischemic compression therapy on myofascial trigger points in the
shoulder; and 2) Relationship between myofascial trigger points and physical, clinical
and psychological characteristics in individuals with shoulder pain. Study 1 is a singlearm
clinical study, which evaluated 15 individuals (9 men and 6 women, age between
34.4 ± 10.4 and BMI of 24.20 ± 2.18 kg / m²). The individuals were evaluated for the
amount of MTrPs in the upper trapezius, lower trapezius, supraspinatus, infraspinatus,
pectoralis minor and medium deltoid muscles; pressure pain threshold (PPT) in the
upper trapezius, lower trapezius, infraspinatus and middle deltoid muscles; range of
motion (ROM) of the shoulder; and isometric strength of the shoulder muscles. The
Wilcoxon test was used to compare the numbers of MTrPs between the baseline, pretreatment,
as well as pre- and post-treatment. There was a reduction in the total
amount of MTrPs (p <0.01) and an increase in LDP in the middle deltoid muscle (p
0.03) in the comparisons between pre and post-treatment, while there was no
difference in ADMs (p> 0.05) and strength measurements (p> 0.24). However, the pain
was less during the sagittal elevation ROM (p <0.01) and internal rotation (p = 0.04), 

and during the performance of arm elevation and external rotation strength (p =
0.01).In general, there was no difference in the variables assessed between the
baseline and pre-treatment (p> 0.06). The ICT immediately reduced the amount of
MTPs and pain during mobility and strength, but did not change the PPT, ROM or
strength variables. The evaluation of mobility and strength did not have a negative
effect on the evaluated variables. Study 2 is an observational, cross-sectional study
that evaluated 58 individuals (36 men and 22 women, age between 31 ± 10.91 and
BMI of 71 ± 12.55 kg / m²). The individuals were assessed bilaterally for the presence
of TrPs (upper and lower trapezius, infraspinatus and supraspinatus), ROM (sagittal
and scapular flexion, internal and external rotation), isometric strength (scapular
flexion, internal and external rotation) and pain during ADM and strength. The
Spearman correlation test (rs) was used to assess the relationships between the
amount of MTrPs with ROM, pain during ROM, strength and pain during strength,
adopting a significance value of p <0.05. There was a correlation (rs = -0.29, p =
<0.01) between MTrPs of the lower, trapezoid and supraspinatus with the domain of
PSS function, as well as MTrPs of the upper trapezius with pain during ROM of
internal rotation and rotation external. The number of MTrPs of the lower trapezius
correlated with pain during ROM of sagittal flexion and internal rotation (rs= 0.30 -
0.40; p <0.05). There was a correlation between the number of MTrPs of the upper
trapezius and pain during the internal rotation force, MTrPs in the supraspinatus and
sagittal flexion ROM (rs = -0.36; p <0.01), scapular flexion (rs = -0 , 42; p <0.01) and
external rotation (rs = -0.30; p <0.01). Lower trapezius PGMs correlated with pain
during internal rotation and external rotation strength (rs = 0.29 - 0.38; p <0.05), as
well as external rotation ROM (rs = -0.29 ; p <0.05), the flexion and external rotation
force (rs = 0.29 - 0.34; p <0.05 was found between the number of PGMs in the lower
trapezius. Therefore, there is a correlation between quantity of active PGMs and pain
during ROM and shoulder strength, performance of ROM and strength, as well as with
the self-report of function. The ICT was effective to immediately reduce the amount of
MTPs and pain during mobility and strength, however, it did not have any effect on
PPT, ROM or strength.

BANKING MEMBERS:
Externa à Instituição - MELINA NEVOEIRO HAIK GUILHERME
Presidente - 1081828 - CATARINA DE OLIVEIRA SOUSA
Externo ao Programa - 243.721.104-72 - JOSÉ JAMACY DE ALMEIDA FERREIRA - UFPB
Externo à Instituição - RINALDO ROBERTO DE JESUS GUIRRO - USP
Externo ao Programa - 2316237 - RODRIGO SCATTONE DA SILVA