Uso da ventosaterapia nas disfunções musculoesqueléticas: pesquisa sobre perfil, formação, prática clínica e atualização científica de fisioterapeutas brasileiros e proposta de protocolo de intervenção para indivíduos com osteoartrite do joelho
Suction cup therapy has been widely used by physical therapists in clinical practice for the supposed control of symptoms in various musculoskeletal disorders. The mechanisms of action and clinical effects of this resource are still not well known, and its effectiveness is currently being questio...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/47650 |
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| Resumo: | Suction cup therapy has been widely used by physical therapists in clinical practice for
the supposed control of symptoms in various musculoskeletal disorders. The mechanisms of
action and clinical effects of this resource are still not well known, and its effectiveness is
currently being questioned. Among several chronic-degenerative disorders, osteoarthritis is
highly prevalent throughout the world population, the knee is the most affected joint, and
there are no studies of high methodological quality about the treatment with cupping for this
disease. The general objective of the first study was to investigate the profile, training, clinical
practice and scientific updates of Brazilian physical therapists who use the suction cup as a
therapeutic resource in the treatment of musculoskeletal disorders. The aim of the second
study is to propose an intervention protocol to assess the effects of suction therapy on pain,
function and quality of life in individuals with knee osteoarthritis. For the first study, a cross-sectional study was carried out, with a quali-quantitative
approach, through an online questionnaire, in which 646 physical therapists participated, who
claimed to use the suction cup as a therapeutic resource in musculoskeletal disorders in their
clinical practice. In the results we observed that suction therapy has been used in clinical
practice by physical therapists, mostly newly graduated from a private institution, with little
professional experience. The high demand from patients, recommendations from
friends/professionals and the resource being popular among physical therapists were the main
reason for interest in the technique, which has been used more frequently after the positive
results reported by patients. As a therapeutic approach, it is often associated with other
manual therapeutic resources. Easy access, low cost and easy handling are the main
facilitators for using the suction cup. However, the scarcity of scientific evidence with good
methodological quality was listed as the main barrier to its use. Thus, physical therapists use the suction cup in clinical practice, supported by two pillars of evidence-based practice – the
therapist's experience and the patient's preferences, with less use of the third pillar, which
involves the use of the best available evidence. In the second study, to assess the effects of cupping therapy on individuals with KOA,
a protocol for a randomized controlled clinical trial was proposed. Sixty-two women
diagnosed with KOA will be recruited, based on the clinical criteria of the American College
of Rheumatology, randomly allocated into two groups (31 per group): cupping group and
cupping-sham group. The intervention will be carried out for 15 minutes, twice a week, over 6
consecutive weeks, totaling 12 sessions. Both groups will be evaluated at 4 moments: before
the intervention (T0), after 3 weeks of interventions (T3), at the end of the protocol (T6) and 4
weeks after the end of the intervention (follow-up - T10). The outcomes analyzed will be:
pain by the numerical pain scale; physical function by WOMAC; functionality by tests going
up/down stairs; brisk walking in 40 m and sitting/getting out of a chair in 30s; quality of life
by the SF-36; and assessment of the overall perception of recovery. |
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