scholarly journals Evidências da técnica de liberação miofascial no tratamento fisioterapêutico: revisão sistemática

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Anna Paula Martins Oliveira ◽  
Kamilla Prado Pereira ◽  
Lilian Ramiro Felicio
Keyword(s):  
Physical Therapy ◽  
Manual Therapy ◽  
Myofascial Release ◽  
Therapy Manual

Introdução: Frequentemente a fáscia, estrutura responsável pela transmissão de força tensional, está relacionada a queixas álgicas. Em decorrência a isso, a liberação miofascial é uma técnica amplamente utilizada na Fisioterapia, com o objetivo de mobilizar a fáscia, reduzindo aderências, gerando assim analgesia. Objetivo: analisar os métodos de liberação miofascial, verificando o nível de evidência destes. Métodos: Foi realizada uma busca nas bases de dados SciELO, PubMed e PEDro, utilizando as palavras-chaves: myofascial release, physical therapy, manual therapy, sendo os critérios de inclusão: Ensaios Clínicos Randomizados (ECR); idioma inglês ou português, e classificação maior ou igual a 7/10 (escala PEDro), sendo a busca realizada no período de 2008-2018. Resultados: Foram selecionados 132 ECR, dos quais foram excluídos: 27 duplicatas, 28 pela análise do título, 11 pós análise do resumo, 56 pela classificação inferior a 7 na escala PEDro e 3 em decorrência ao idioma, sendo dessa forma, selecionados 7 artigos para a revisão. Os estudos analisados no artigo compararam técnicas de liberação miofascial manual e instrumental, sendo a compressão isquêmica de pontos gatilhos a mais utilizada. Em comparativos entre as técnicas instrumentais, Foam Roll e Fascial Abrasion, a técnica utilizando o Foam Roll se mostrou menos efetiva. Conclusão: Em todas as suas formas de aplicação, a liberação miofascial se mostrou efetiva quanto ao alívio de dor e tensão.  

Comparative study on the effectiveness of myofascial release manual therapy and physical therapy for venous insufficiency in postmenopausal women

2012 ◽  
Vol 20 (5) ◽  
pp. 291-298 ◽  
Author(s):  
Elena Ramos-González ◽  
Carmen Moreno-Lorenzo ◽  
Guillermo A. Matarán-Peñarrocha ◽  
Rafael Guisado-Barrilao ◽  
María Encarnación Aguilar-Ferrándiz ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Comparative Study ◽  
Postmenopausal Women ◽  
Manual Therapy ◽  
Venous Insufficiency ◽  
Myofascial Release

169 Literature Review on Efficacy of Manual Therapy in The Conservative Treatment of Adolescent Idiopathic Scoliosis (AIS)

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
E A De Larrea ◽  
V Pace ◽  
A Caraffa ◽  
G Rinonapoli
Keyword(s):  
Physical Therapy ◽  
Manual Therapy ◽  
Muscle Tone ◽  
Case Reports ◽  
Case Series ◽  
Current Evidence ◽  
Conservative Strategy ◽  
Manipulative Therapy ◽  
Therapy Manual ◽  
Key Terms

Abstract AIS is a common condition whose conservative options usually involve physical therapy. Manual therapy can be part of an adequate conservative strategy due to his ability to improve range of motion and decrease muscle tone and pain. However, his indications and efficacy remain controversial. What is the current evidence on indications and efficacy of manual therapy in the treatment of AIS? Customized structured electronic searches: PubMed, Cochrane. Key terms: AIS manual therapy, AIS manipulative therapy, AIS mobilization exercises. 17 works included. 5 case reports, 3 case series, 2 group-control studies, 3 narrative reviews, 4 systematic reviews. Complications:0. Reviews suggested that manual therapy is a promising option if in adjunct to physical therapy exercises. Prevention of curve progression and better spine flexibility are often achieved. It remains unclear whether this should be attributed to physical therapy, manual therapy, or combination of both. Lacks in methodology leave room for uncertainty. Only few papers analyse the indications and efficacy of manual therapy in treatment of AIS. The current evidence suggest that manual therapy is a promising beneficial treatment strategy for AIS with conservative indications, especially if in conjunction with physical therapy. This is further supported by absence of reported complications. Further research with better methodology is needed.

Physical Therapy Manual

1977 ◽  
Vol 57 (8) ◽  
pp. 970-970
Author(s):  
Ronald E. Leppanen
Keyword(s):  
Physical Therapy ◽  
Therapy Manual

scholarly journals Timing of Supervised Physical Therapy after Hindfoot Fractures

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0000
Author(s):  
Stephanie Albin ◽  
Drew Van Boerum ◽  
James Morgan ◽  
Shane Koppenhaver
Keyword(s):  
Physical Therapy ◽  
Clinical Outcomes ◽  
Manual Therapy ◽  
Foot And Ankle ◽  
Therapeutic Exercise ◽  
Therapy Program ◽  
Surgical Fixation ◽  
Physical Therapy Program

Category: Ankle, Hindfoot Introduction/Purpose: Fractures to the hindfoot, including the talus and calcaneus, have devastating long-term functional outcomes. To date, no randomized trials have been done assessing the best time to initiate physical therapy after surgical fixation of these fractures. The purpose of this study is to assess whether initiating a supervised physical therapy program including therapeutic exercise and manual therapy two weeks post-operatively (EARLY) versus seven weeks post-operatively (LATE) in patients following surgical fixation for these fractures results in differences in clinical outcomes. The secondary purpose of this study is to assess what factors predict outcomes after these hindfoot fractures. Methods: Fifty patients between the ages of 18-70 years having undergone an open reduction internal fixation (ORIF) of the calcaneus or talus were recruited to participate from two foot and ankle fellowship-trained orthopedic surgeons. Subjects were randomly assigned to initiate formal physical therapy starting within 2 weeks post-operatively (EARLY) (n=26) or 8 weeks post-operatively (LATE) (n=24). Treatment for both groups consisted of impairment based manual therapy and therapeutic exercise. The lower extremity functional scale (LEFS), the American Orthopeadic Foot and Ankle Society (AOFAS) hindfoot scale, range of motion (ROM), pain and girth measurements to assess swelling were the outcome measures for this study. Subjects in both groups were seen for a total of 10 visits. All subjects underwent follow-up assessments at 3 months, 6 months, and 12 months post-operatively. Between-group differences were analyzed using ANCOVAs with baseline scores as covariates. Regression was used to assess factors predicting patients’ self-reported outcomes. Results: Results demonstrated no significant differences between the groups at any time point (3, 6 or 12 months) for the LEFS (p=0.637) or the AOFAS (p=0.634). No significant differences existed between the two groups for active ROM (p=0.106) or swelling (p=0.389). Subjects in both groups demonstrated improved AOFAS scores from baseline to one year follow-up by 26 points (p=0.00); however, most of the change occurred within the first 6 months post-operatively with only a 1.722 (95% CI -3.63 to 7.08) change between 6 to 12 month follow-up visits. Baseline anxiety (as measured by the Beck Anxiety Questionnaire) significantly predicted LEFS scores at both the 6 month and 12 month follow-up periods (r= -0.55, p=0.0015 and r= -0.53, p=0.007). Conclusion: This study did not demonstrate that initiating early supervised physical therapy (within 2 weeks after surgical fixation) improves self-reported outcomes for patients after surgical fixation of a hindfoot fracture as assessed by the LEFS, the AOFAS hindfoot scores, or clinical outcomes such as ROM or swelling compared to patients initiating a formal physical therapy program seven weeks after surgery. Although, many these patients typically have less than ideal clinical outcomes, it is possible that addressing other factors such as anxiety may help improve long-term outcomes.

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