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Autonomic nerve regulation in joint hypermobility patients with myofascial trigger points by Musculoskeletal Interfiber Counterirritant Stimulation (MICS).
Carvalho, Henrique Cunha; Machado, Natália Cristine Sales Santos; Yáñez-Silva, Aquiles; Rocabado, Mariano; Júnior, Alderico Rodrigues de Paula; Alves, Leandro Procópio; Ribeiro, Wellington; Lazo-Osório, Rodrigo Alexis.
Afiliação
  • Carvalho HC; The Federal University of Technology - Paraná (UTFPR), 87301-899, Campo Mourão, Brazil.
  • Machado NCSS; Institute of Research and Development, Universidade do Vale do Paraíba (UNIVAP), 12244-000, São José dos Campos, Brazil.
  • Yáñez-Silva A; Centro de Investigación en Fisiología del Ejercicio-CIFE, carrera de Ed. Física, Deporte y Recreación. U. Mayor (UMAYOR), Santiago, Chile.
  • Rocabado M; Facultad de Ciencias de la Rehabilitación, Universidad Andrés Bello (UNAB), Santiago, Chile.
  • Júnior ARP; Center of Innovation, Technology and Education (CITÉ), São José dos Campos Technology Park, 12247-016, São José dos Campos, Brazil.
  • Alves LP; Center of Innovation, Technology and Education (CITÉ), São José dos Campos Technology Park, 12247-016, São José dos Campos, Brazil; Institute of Biomedical Engineering, Universidade Anhembi Morumbi (UAM), 04546-001, São Paulo, Brazil.
  • Ribeiro W; Center of Innovation, Technology and Education (CITÉ), São José dos Campos Technology Park, 12247-016, São José dos Campos, Brazil.
  • Lazo-Osório RA; Center of Innovation, Technology and Education (CITÉ), São José dos Campos Technology Park, 12247-016, São José dos Campos, Brazil; Institute of Biomedical Engineering, Universidade Anhembi Morumbi (UAM), 04546-001, São Paulo, Brazil. Electronic address: rodylazo@hotmail.com.
Med Eng Phys ; 109: 103903, 2022 11.
Article em En | MEDLINE | ID: mdl-36371084
Joint hypermobility (JH) conditions suggest dysfunction in the autonomic nervous system (ANS) (dysautonomia), associated with multifactor non-articular local musculoskeletal pain, and remains a complex treatment. This study aims to determine the effects of musculoskeletal interfiber counterirritant stimulation (MICS) as an innovative treatment of myofascial trigger points (MTrPs) on the upper trapezius muscle in JH patients. We evaluate the ANS activity by wavelet transform spectral analysis of heart rate variability (HRV) in sixty women, equally divided: MTrP, MTrP + general joint hypermobility (GJH), and MTrP + joint hypermobility syndrome (JHS). The protocol phases were rest, stimulation, and recovery, with clinical and home treatment for three-days. All groups show a significantly decreased in pain perception during and post-treatment, and an increased parasympathetic ANS activity under MICS in the GJH and JHS groups. The variables low-frequency (LF) vs. high-frequency (HF) showed significant differences during the protocol phases, and the LF/HF ratio maintained a predominance of sympathetic activity (SA) throughout the protocol. The new MICS technique reduces the pain perception and modulates the ANS activity by an increase in vagal tone, and a decrease in sympathetic tone. This modulation was followed by an increase in the HRV in JH patients after treatment with MICS. Clinical Trials: RBR-88z25c5.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Instabilidade Articular Tipo de estudo: Guideline Limite: Female / Humans Idioma: En Revista: Med Eng Phys Assunto da revista: BIOFISICA / ENGENHARIA BIOMEDICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Instabilidade Articular Tipo de estudo: Guideline Limite: Female / Humans Idioma: En Revista: Med Eng Phys Assunto da revista: BIOFISICA / ENGENHARIA BIOMEDICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido