Banca de QUALIFICAÇÃO: KARIME ANDRADE MESCOUTO
Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.DISCENTE : KARIME ANDRADE MESCOUTO
DATA : 05/12/2017
HORA: 14:00
LOCAL: FACISA
TÍTULO:
EFFECTS OF TRANSCRANIAL DIRECT CURRENT STIMULATION IN WOMEN WITH FIBROMYALGIA
PALAVRAS-CHAVES:
Fibromyalgia; Transcranial Direct Current Stimulation; Pain; rehabilitation
PÁGINAS: 48
GRANDE ÁREA: Ciências da Saúde
ÁREA: Fisioterapia e Terapia Ocupacional
RESUMO:
Background: Fibromyalgia (FM) is a syndrome characterized by chronic widespread pain, fatigue, behavioral-cognitive impairments, mood disorders and sleep problems. Although the etiology of FM is unknown, it has been recognized as a centralized pain state where the patient’s Central Nervous System (CNS) is hyperactive, phenomenon known by Central Sensitization. Transcranial Direct Current Stimulation (tDCS) is a non-invasive, safe and cost-effective brain stimulation technique that modulates cortical excitability and has been showing positive effects in FM patients, however, there is no consensus on which method and exactly location of stimulation is most effective and presents with more significant benefits. Objective: The aim of this study is to evaluate whether a short 5 consecutive day treatment with tDCS stimulation results in better pain levels when compared to sham, or placebo, and if there are any differential effect between active tDCS and sham tDCS on pressure pain threshold, pressure pain tolerance, mood and general impact of FM in every day life. Methods: Initially, thirty-one participants were randomized in one of three groups: active tDCS in the primary motor cortex (M; n=11) and dorsolateral prefrontal cortex (DLPFC; n=7) and sham stimulation (SHAM; n=13). All the data were collected 7 days prior to the begging of the intervention (Baseline), on the 5th day of treatment and 7 days follow-up. The pressure pain threshold and tolerance were also revaluated at the 1st day of treatment to analyze the immediate effect of tDCS. A constant current of 2 mA intensity was administered during 5 consecutive days for 20min. Results: The preliminary results showed an increase in pressure pain threshold from Baseline to 7day follow-up (p=0,002). Functional state, negative affect and anxiety levels decreased from Baseline to 7day follow-up (p < 0,05). M1 group had, regardless of time, a decrease when compared to other groups (p < 0,05). Surprisingly, positive affect decreased in the DLPFC group from baseline to other revaluations (p = 0,035). It is suggested that ETCC has a positive effect on FM with reduction in pain and improvement in mood states.
MEMBROS DA BANCA:
Presidente - 2646619 - RODRIGO PEGADO DE ABREU FREITAS
Interno - 2316237 - RODRIGO SCATTONE DA SILVA
Externo ao Programa - 2218684 - MARCELO CARDOSO DE SOUZA