Banca de DEFESA: SAMARA ALENCAR MELO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : SAMARA ALENCAR MELO
DATE: 13/08/2021
TIME: 14:00
LOCAL: videoconferência
TITLE:

Effects of neuromuscular electric stimulation on femoropatellar pain: randomized controlled trials

KEY WORDS:

electromyography; physiotherapy; knee; quadriceps muscle 

PAGES: 87
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Patellofemoral Pain (PFP) is a very frequent and debilitating musculoskeletal disorder that affects functionality and can compromise the performance of activities of daily living. This condition mainly affects the female population and the treatment is controversial. Objective: To compare the effects of additional neuromuscular electrical stimulation (NMES) to a therapeutic exercise program with emphasis on the knee extensor and hip abductor groups in women with PFP. Methods: This is a randomized controlled trial, in which 34 women with PFP, mean age 23.8 (SD 4.1), were randomly distributed into 2 groups: exercises associated with NMES (ESG) and exercises (ExG). The ExG performed an exercise protocol aimed at training the knee extensors and hip abductors, while the ESG performed the same exercises, but associated with the NMES. Interventions were carried out in both groups, twice a week, for eight weeks, totaling 16 treatment sessions. The primary outcome measure was pain intensity. Secondary outcome measures include functional limitations, vastus medialis oblique (VMO), vastus lateralis (VL), gluteus medius (GM) electromyographic activity, and isokinetic muscle performance of the knee extensors and hip abductors. These parameters were measured 72h before the beggining of the intervention (baseline), after 4 weeks (4 weeks evaluation), after 8 weeks (8 weeks evaluation) and after 16 weeks (16 weeks follow-up evaluation). Results: We did not observe any significant difference between the evaluated groups regarding pain intensity variables, functional limitations, electromyographic activity, isokinetic performance of the knee extensors and isokinetic performance of the hip abductors (p>0.05). We evidenced a significant difference in the intragroup comparison for pain intensity (p<0.01; F=42.9; ηp2=0.57) and functional limitations (p<0.01; F=43.0; ηp2=0, 57), in both groups. Conclusion: NMES did not demonstrate significant additional effects that justify its association with exercise in the treatment of PFP. However, the proposed therapeutic exercises were effective in reducing pain and improving functional limitations, with a residual effect that remained eight weeks after the end of treatment.

BANKING MEMBERS:
Externa à Instituição - NAYRA DAYSE DOS ANJOS RABELO - UNINOVE
Externo ao Programa - 2275864 - CAIO ALANO DE ALMEIDA LINS
Externo à Instituição - FABIO VIADANNA SERRÃO - UFSCAR
Presidente - 1149610 - JAMILSON SIMOES BRASILEIRO
Externo à Instituição - JOSÉ JAMACY DE ALMEIDA FERREIRA - UFPB