Martín CJE, Pedroso MI, Sánchez SL, Llanes AO, Antón SR, Prendes LE

Language: Spanish
References: 22
Page:
PDF size: 67.65 Kb.

ABSTRACT

Objetive: to evaluate the usefulness of physiotherapy in cervicobraquialgia syndrome and to relate the behavior of different treatment combinations. Material and Methods: a retrospective quasi-experimental study of 1 138 patients with cervicobraquialgia, who had been treated in the Department of Physiotherapy of the Center of Medical and Surgical Research (CIMEQ) for 10 years, was conducted, in which 68% of patients were females. The Visual Analogue Scale was used before and after treatment. Eight treatment combinations were identified, including electrotherapy, magnetotherapy, infrared heat, active exercises, spinal traction and low-power laser. Results: Of the patients, 87.3% showed satisfactory results in the first 10 sessions. The "pain tracking" technique application stand out and its association with cryotherapy in achieving satisfactory results in the first 4 therapeutical sessions. The result of magnetotherapy was almost 90%; however, if associated with other physical device, it may increase the effectiveness, as in the case of active exercises (95.2%). The application of infrared heat achieved results above 80%, but only when combined with exercises and spinal traction. Conclusions: The results demonstrated that physical means bring therapeutic benefits in cervicobraquialgia syndrome. The application of heat was exceeded by a "non-thermal" physical means as the magnet. The early and supervised incorporation of exercising has a positive impact on recovery. It is recommended to further study the "pain tracking" techniques, since it proves to be effective after a few therapy sessions.

REFERENCES

1. Cullen J, Perdi M. Impacto de las cervicales en la salud del pueblo, I. Med Popular 1905; 15: 126-132.

2. Cullen J Jr, Perdi M Jr. Impacto de las cervicales en la salud del pueblo, II. Med Popular 1991; 3.258: 326-332

3. Sjrojgenssen I; Crhisstienssen J. Meffler Use, neck support and cervical symptoms. Acta Cervic Scand 1992; 6: 512-520

4. Doezie AM, Freehill AK, Novak CB, Dale AM, Mackinnon SE. Evaluation of cutaneous vibration thresholds in medical transcriptionists. J Hand Surg (Am ) 1997;22(5):867- 72.

5. Greening J, Lynn B. Vibration sense in the upper limb in patients with repetitive strain injury and a group of at-risk office workers. Int Arch Occup Environ Health 1998;71:29-34.

6. Jensen BR, Pilegaard M, Momsen A. Vibrotactile sense and mechanical functional state of the arm and hand among computer users compared with a control group. Int Arch Occup Environ Health 2002;75:332-40.

7. Chiu TT, Ku WY, Lee MH, Sum WK, Wan MP, Wong CY, Yuen CK, J Occup Rehabil 2002 Jun;12(2):77-91.

8. Haines Ted, Gross Anita, Goldsmith Charles H, Perry Lenora. Educación del paciente para el dolor de cuello con o sin radiculopatía (Revisión Cochrane traducida). En: La Biblioteca Cochrane Plus, 2008 Número 4. Oxford: Update Software Ltd. Disponible en: http://www.update-software.com

9. Karjalainen K, Malmivaara A, van Tulder M, Roine R, Jauhiainen M, Hurri H, Koes B. Rehabilitación biopsicosocial multidisciplinaria para el dolor de cuello y hombro en adultos en edad activa. (Cochrane Review). In: La Biblioteca Cochrane Plus, Issue 3, CD002194. 2008.

10. Kay TM, Gross A, Santaguida PL, Hoving J, Goldsmith C, Bronfort G, Cervical Overview Group . Ejercicios para los trastornos mecánicos de cuello (Cochrane Review). In: La Biblioteca Cochrane Plus, Issue 3, CD004250. 2008.

11. Martín Cordero JE, Prescripción y combinaciones terapéuticas, En su: Agentes Físicos Terapéuticos. La Habana: Ecimed, 2008., p:495-506.

12. Martín Cordero JE, Tratamiento del dolor, En su: Agentes Físicos Terapéuticos, 1ra ed, editorial Ecimed 2008. p: 514-40.

13. Martín Cordero JE, Bravo Acosta T, Llanes Acosta OR, Hernández Tápanes S, Agentes físicos en el síndrome compresivo radicular cervical, Investigaciones Medicoquirúrgicas 2010; 11(1):132.

14. Rodrigo MD, Azcona JM, Quero J, Lorente C, Acín P,Azcona J. Cervicogenic headache. Treatment with peripheral C1-C2-C3 subcutaneous electrostimulation. Rev Soc Esp Dolor 2005; 12: 333-339.

15. Kroeling P, Gross A, Goldsmith CH, Houghton PE, Cervical Overview Group. Electroterapia para los trastornos cervicales (Revisión Cochrane traducida). En: La Biblioteca Cochrane Plus, 2008 Número 4. Oxford: Update Software Ltd. Disponible en: http://www.update-software.com (Traducida de The Cochrane Library, 2008 Issue 3. Chichester, UK: John Wiley & Sons, Ltd.).

16. Martín Cordero JE, Electroterapia de baja frecuencia, En su: Agentes Físicos Terapéuticos, La Habana: Ecimed, 2008. p: 300-22.

17. Martín Cordero JE, Electroterapia de media frecuencia, En su: Agentes Físicos Terapéuticos, La Habana: Ecimed, 2008. p: 323-37.

18. Martín Cordero JE, Crioterapia, En su: Agentes Físicos Terapéuticos, 1ra ed, editorial Ecimed, 2008. ISBN-978-959-212-320-5, p: 179-94.

19. Martín Cordero JE, Magnetoterapia, En su: Agentes Físicos Terapéuticos, La Habana: Ecimed, 2008. p: 379-415.

20. Martín Cordero JE, Radiación infrarroja, En su: Agentes Físicos Terapéuticos, La Habana: Ecimed, 2008. p:436-41.

21. Martín Cordero JE, Tracción vertebral, En su: Agentes Físicos Terapéuticos, La Habana: Ecimed, 2008. p: 237-45.

22. Sánchez Serrano L, Martín Cordero JE, Pedroso Morales I, Llanes Acosta OR, Magnetoterapia y kinesiología en la cervicalgia, Investigaciones Medicoquirúrgicas 2010; 11(1):137.