Terapia Manual no tratamento da dor: uma revisão integrativa

Autores

DOI:

https://doi.org/10.34024/rnc.2022.v30.12076

Palavras-chave:

fisioterapia, dor, dor aguda, dor cronica, terapia manual, fisioterapia manipulativa

Resumo

Introdução. A Terapia Manual é um dos recursos terapêuticos mais antigos utilizados na reabilitação. Podemos descrever está técnica como a utilização de habilidades manuais, incluindo, mas não limitando a mobilização ou manipulação, para avaliar e tratar os tecidos moles e as estruturas articulares. Com o propósito de modular a dor e aumentar a amplitude de movimento. Objetivos. Existe uma vasta literatura sobre terapia manual, sendo a maioria provavelmente desconhecida pelos terapeutas manuais tradicionais e certamente desconhecida por outros profissionais sem interesse em terapia manual. O objetivo do estudo foi realizar uma revisão de literatura, buscando estudos que observaram evidência científica da terapia manual no tratamento da dor. Método. Foi realizada uma revisão bibliográfica integrativa nas seguintes bases de dados: Embase, Scopus, Web of Science, Pedro, Cochrane Library, Jama, Pubmed, Bvs, utilizando as seguintes palavras chaves: “manual therapy and pain”, “manual therapy”, “manual physiotherapy”, “manupulative physiotherapy”. Resultados. Foram selecionadas metanalises, revisões sistemáticas e estudos clínicos, que observaram em seus resultados melhora da dor lombar crônica e aguda, dor cervical crônica, enxaqueca e cefaleia tensional, dor no ombro, escoliose idiopática, impacto femoroacetabular, tontura cervicogenica, osteoartrite de joelho, dor musculoesquelética, disfunção temporomandibular, dor oncológica musculoesqueléticos pós-mastectomia, utilizando a terapia manual associado a outras técnicas e recursos terapêuticos. Conclusão. A Terapia Manual é um recurso terapêutico com evidência cientifica, e pode auxiliar no tratamento da dor. O tratamento deve ser realizado de forma multimodal, incluindo outras técnicas e recursos terapêuticos para uma melhor efetividade.

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Referências

Pettman E. A history of manipulative therapy. J Manual Manipul Ther 2007;15:165-74. https://doi.org/10.1179/106698107790819873

Schweitzer P. Fisioterapia ortopédica e medicina ortopédica. Fisioter Bras 2004;5:375. https://scholar.google.com.br/scholar?cluster=10410178889247596654&hl=pt-BR&as_sdt=0,5

Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain 2020;161:1976-82. https://doi.org/10.1097/j.pain.0000000000001939

Chou R, Wagner J, Ahmed AY, Blazina I, Brodt E, Buckley DI, et al. Treatments for Acute Pain: A Systematic Review. Agency Healthcare Res Qual 2020;20:EHC006. https://www.ncbi.nlm.nih.gov/books/NBK566506/

Kodama K, Takamoto K, Nishimaru H, Matsumoto J, Takamura Y, Sakai S, et al. Analgesic Effects of Compression at Trigger Points Are Associated With Reduction of Frontal Polar Cortical Activity as Well as Functional Connectivity Between the Frontal Polar Area and Insula in Patients With Chronic Low Back Pain: A Randomized Trial. Front Syst Neurosci. 2019;13:68.

https://doi.org/10.3389/fnsys.2019.00068

Reed WR, Cranston JT, Onifer SM, Little JW, Sozio RS. Decreased spontaneous activity and altered evoked nociceptive response of rat thalamic submedius neurons to lumbar vertebra thrust. Exp Brain Res 2017;235:2883-92.

https://doi.org/10.1007/s00221-017-5013-5

Ellingsen DM, Napadow V, Protsenko E, Mawla I, Kowalski MH, Swensen D, et al. Brain Mechanisms of Anticipated Painful Movements and Their Modulation by Manual Therapy in Chronic Low Back Pain. J Pain 2018;19:1352-65.

https://doi.org/10.1016/j.jpain.2018.05.012

Kim DH, Lee JJ, You SH. Best core stabilization exercise to facilitate subcortical neuroplasticity: A functional MRI neuroimaging study. Technol Health Care 2018;26:401-7. https://doi.org/10.3233/THC-171051

Bialosky JE, Beneciuk JM, Bishop MD, Coronado RA, Penza CW, Simon CB, et al. Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. J Orthop Sports Phys Ther 2018;48:8-18.

https://www.jospt.org/doi/10.2519/jospt.2018.7476

Nogueira LAC. Neurofisiologia da terapia manual. Bras F 2008;9:414-21. https://doi.org/10.33233/fb.v9i6.1732

Cook CE, Donaldson M, Lonnemann E. 'Next steps' for researching orthopedic manual therapy. J Man Manip Ther 2021;29:333-6. https://doi.org/10.1080/10669817.2021.2008010

Souza MTD, Silva MDD, Carvalho RD. Integrative review: what is it? How to do it? Einstein (São Paulo) 2010;8:102–6.

https://doi.org/10.1590/S1679-45082010RW1134

Rubinstein SM, van Middelkoop M, Assendelft WJ, de Boer MR, van Tulder MW. Spinal manipulative therapy for chronic low-back pain. Cochrane Database Syst Rev 2011;2:CD008112. https://doi.org/10.1002/14651858.CD008112.pub2

Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, et al. Orthopaedic Section of the American Physical Therapy Association. Low back pain. J Orthop Sports Phys Ther 2012;42:A1-57. https://doi.org/10.2519/jospt.2012.42.4.A1

Voogt L, de Vries J, Meeus M, Struyf F, Meuffels D, Nijs J. Analgesic effects of manual therapy in patients with musculoskeletal pain: a systematic review. Man Ther 2015;20:250-6. https://doi.org/10.1016/j.math.2014.09.001

Peek AL, Miller C, Heneghan NR. Thoracic manual therapy in the management of non-specific shoulder pain: a systematic review. J Man Manip Ther 2015;23:176-87. https://doi.org/10.1179/2042618615Y.0000000003

Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. J Bodyw Mov Ther 2015;19:102-12. https://doi.org/10.1016/j.jbmt.2014.06.001

Bussières AE, Stewart G, Al-Zoubi F, Decina P, Descarreaux M, Hayden J, et al. The Treatment of Neck Pain-Associated Disorders and Whiplash-Associated Disorders: A Clinical Practice Guideline. J Manipulative Physiol Ther 2016;39:523-64.e27. https://doi.org/10.1016/j.jmpt.2016.08.007

Martins WR, Blasczyk JC, Oliveira MAF, Lagôa Gonçalves KF, Bonini-Rocha AC, Dugailly PM, et al. Efficacy of musculoskeletal manual approach in the treatment of temporomandibular joint disorder: A systematic review with meta-analysis. Man Ther 2016;21:10-7. https://doi.org/10.1016/j.math.2015.06.009

Piper S, Shearer HM, Côté P, Wong JJ, Yu H, Varatharajan S, et al. The effectiveness of soft-tissue therapy for the management of musculoskeletal disorders and injuries of the upper and lower extremities: A systematic review by the Ontario Protocol for Traffic Injury management (OPTIMa) collaboration. Man Ther 2016;21:18-34. https://doi.org/10.1016/j.math.2015.08.011

Wetzler G, Roland M, Fryer-Dietz S, Dettmann-Ahern D. CranioSacral Therapy and Visceral Manipulation: A New Treatment Intervention for Concussion Recovery. Med Acupunct 2017;29:239-48. https://doi.org/10.1089/acu.2017.1222

Doherty C, Bleakley C, Delahunt E, Holden S. Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis. Br J Sports Med 2017;51:113-25. https://doi.org/10.1136/bjsports-2016-096178

Barassi G, Bellomo RG, Di Giulio C, Giannuzzo G, Irace G, Barbato C, et al. Effects of Manual Somatic Stimulation on the Autonomic Nervous System and Posture. Adv Exp Med Biol 2018;1070:97-109. https://doi.org/10.1007/5584_2018_153

Stochkendahl MJ, Kjaer P, Hartvigsen J, Kongsted A, Aaboe J, Andersen M, et al. National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur Spine J 2018;27:60-75. https://doi.org/10.1007/s00586-017-5099-2

Lystad RP, Bell G, Bonnevie-Svendsen M, Carter CV. Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review. Chiropr Man Therap 2011;19:21. https://doi.org/10.1186/2045-709X-19-21

Anwer S, Alghadir A, Zafar H, Brismée JM. Effects of orthopaedic manual therapy in knee osteoarthritis: a systematic review and meta-analysis. Physiotherapy 2018;104:264-76. https://doi.org/10.1016/j.physio.2018.05.003

Konstantinos Z, Theodoros B, Anastasios P, Michalis K. The impact of manual therapy techniques on pain, disability and il-1b levels in patients with chronic cervical pain. Inter J Physiother 2019;6:268-76. https://imsear.searo.who.int/handle/123456789/205766

Falsiroli Maistrello L, Rafanelli M, Turolla A. Manual Therapy and Quality of Life in People with Headache: Systematic Review and Meta-analysis of Randomized Controlled Trials. Curr Pain Headache Rep 2019;23:78. https://doi.org/10.1007/s11916-019-0815-8

Lotan S, Kalichman L. Manual therapy treatment for adolescent idiopathic scoliosis. J Bodyw Mov Ther 2019;23:189-93. https://doi.org/10.1016/j.jbmt.2018.01.005

Mallets E, Turner A, Durbin J, Bader A, Murray L. Short-term outcomes of conservative treatment for femoroacetabular impingement: a systematic review and meta-analysis. Int J Sports Phys Ther 2019;14:514-24. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6670054/pdf/ijspt-14-514.pdf

Pinheiro da Silva F, Moreira GM, Zomkowski K, Amaral de Noronha M, Flores Sperandio F. Manual Therapy as Treatment for Chronic Musculoskeletal Pain in Female Breast Cancer Survivors: A Systematic Review and Meta-Analysis. J Manipulative Physiol Ther 2019;42:503-13. https://doi.org/10.1016/j.jmpt.2018.12.007

Grim C, Kramer R, Engelhardt M, John SM, Hotfiel T, Hoppe MW. Effectiveness of Manual Therapy, Customised Foot Orthoses and Combined Therapy in the Management of Plantar Fasciitis-a RCT. Sports 2019;7:128. https://doi.org/10.3390/sports7060128

Rubinstein SM, de Zoete A, van Middelkoop M, Assendelft WJJ, de Boer MR, van Tulder MW. Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials. BMJ 2019;364:l689. https://doi.org/10.1136/bmj.l689

Haller H, Lauche R, Sundberg T, Dobos G, Cramer H. Craniosacral therapy for chronic pain: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskelet Disord 2019;21:1. https://doi.org/10.1186/s12891-019-3017-y

Donoso-Úbeda E, Meroño-Gallut J, López-Pina JA, Cuesta-Barriuso R. Effect of manual therapy in patients with hemophilia and ankle arthropathy: a randomized clinical trial. Clin Rehabil 2020;34:111-9. https://doi.org/10.1177/0269215519879212 Erratum in: Clin Rehabil 2020 Jan;34:NP1.

Rushton A, Rivett D, Carlesso L, Flynn T, Hing W, Kerry R. International framework for examination of the cervical region for potential of Cervical Arterial Dysfunction prior to Orthopaedic Manual Therapy intervention. Man Ther 2014;19:222-8. https://doi.org/10.1016/j.math.2013.11.005

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2022-06-28

Como Citar

Silva, J. R. R. da. (2022). Terapia Manual no tratamento da dor: uma revisão integrativa. Revista Neurociências, 30, 1–24. https://doi.org/10.34024/rnc.2022.v30.12076

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Artigos de Revisão
Recebido: 2021-04-30
Aceito: 2022-04-07
Publicado: 2022-06-28

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