ltrasound as a method of aid in the treatment of patients with musculoskeletal pai
- Conditions
- Myofascial Pain SyndromesC05.651.550
- Registration Number
- RBR-42pvd9
- Lead Sponsor
- Departamento de Anestesiologia da Faculdade de Medicina de Botucatu
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- Not specified
Adult participants 18 years of age or older who voluntarily signed the ICC and who have at least one active or latent Trigger Point located in the cervical, lumbar or shoulder region (trapezius, scapula lift , supraspinatus, infraspinatus), with symptoms for at least 3 months and receiving treatment, without alteration in the dosing schedule, for at least 1 month. These patients may not have undergone other invasive procedures for pain control, such as infiltration with local anesthetics of PGs, in the last 30 days.
Patients with the following clinical conditions will be excluded from the study:
active skin lesions, uncontrolled diabetes mellitus, neurodegenerative diseases,
fibromyalgia, uncontrolled arterial hypertension, known allergy to the local anesthetic
presence of active bacterial infection, use of anticoagulation with
altered coagulogram, patient request to leave the study and those who have low cognitive level and who do not understand the evaluation scales used.
There will be no limitation between genres.
Study & Design
- Study Type
- Intervention
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Primary outcome expected: intensity of pain, through the Verbal Numerical Scale (VNS) will be the instrument used to measure the<br>intensity of pain at rest and movement. This method of evaluating pain<br>in asking the patient the numerical value between 0 (absence of pain) and 10 (maximum pain<br>possible), corresponding to the pain reported by the patient at the time of the examination. She will be<br>applied prior to the completion of the procedure and immediately after the end of the<br>procedure (Polly, 2003). Associated with ENV, will be used algometer (Pressoalgimeter,<br>Top Cat Metrology, England, 2015), for the determination of pressure pain threshold before and<br>after the procedure, in an attempt to improve the quantification of painful information<br>objective (Annex IV).<br>
- Secondary Outcome Measures
Name Time Method Expected secondary outcome :In addition to the intensity of pain, the analgesia time between the groups, the<br>functional evaluation scores with specific scales, according to the location of PGs,<br>for the scapular girdle region, Neck Disability Index (Cook, 2016) (APPENDIX II) and region<br>Owestry 2.0 Disability Index (Vigatto, 2017) (ANNEX III), which will be<br>applied before the patient underwent the procedure, and after both interventions. Beyond<br>In addition, the occurrence of a limitation for the exercise of work will be evaluated (ANNEX IV).<br>If the patient presents cervical and lumbar involvement,<br>statistical calculation, the score corresponds to the area of the highest score.<br>Also will be evaluated the time demanded for the execution of both techniques,<br>to evaluate the functionality of the method in the TACP outpatient clinic (ANNEX IV).