Banca de DEFESA: ARYOSTENNES MIQUÉIAS DA SILVA FERREIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ARYOSTENNES MIQUÉIAS DA SILVA FERREIRA
DATE: 31/10/2023
TIME: 08:00
LOCAL: Vídeo-conferência
TITLE:

TRANSCRANIAL DIRECT CURRENT STIMULATION AND NEURAL MOBILIZATION IN INDIVIDUALS WITH CHRONIC SCIATIC PAIN: RANDOMIZED CONTROLLED AND BLIND TRIAL

KEY WORDS:

Leg pain related to LBP; Chronic pain; Transcranial Direct Current Stimulation; Neural Mobilization.

 

PAGES: 60
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

INTRODUCTION: sciatic pain is a very common condition in the population and occurs when changes in the spine cause damage to the nerve root, generating radicular pain, radiating to the leg with somatotopic distribution. It is a condition with high levels of pain and disability. In chronic situations, the phenomenon of central sensitization may be present, as a form of maladaptive neuroplasticity, which can cause neuropathic pain due to somatosensory dysfunction. Among the forms of treatment, Neural Mobilization is a manual therapy technique validated and recommended for this condition. Alternatively and additionally, Transcranial Direct Current Stimulation (tDCS) has emerged as a resource for treating neuropathic pain in an attempt to modulate brain function. OBJECTIVE: To verify whether tDCS adds benefits in reducing pain intensity, neuropathic symptoms and disability in individuals with chronic radicular pain, when associated with Neural Mobilization. METHOD: This is a Randomized Controlled Clinical Trial with individuals who had chronic radicular pain divided into two groups: Experimental Group (active tDCS + Neural Mobilization) and Control Group (sham tDCS + Neural Mobilization). The primary outcome assessed was pain intensity, measured using the Numerical Pain Scale; secondary outcomes were disability, assessed by the Roland Morris Disability Questionaire (RMDQ); neuropathic symptoms, assessed by the Douler Neuropathique Questionnaire (DN4) and the Pain Detect Questionnaire (PDQ). Furthermore, the Perceived Global Effect scale was applied at the end of the intervention. The assessment was carried out before and after the intervention protocol and at seven and fourteen days of follow-up for the primary outcome. The intervention consisted of five sessions on consecutive days of tDCS on M1, with an intensity of 2 mA, for 20 minutes. The data were statistically analyzed, using the Kolmogorov-Smirnov and Levene tests to verify the normality and homogeneity of the sample, and then a mixed ANOVA of repeated measures was performed. To analyze categorical variables, Pearson's Chi-square test was used. A statistical significance level of 5% and a confidence interval of 95% were assumed. RESULTS: The study had 44 participants, 33 (75%) women and 11 (25%) men, with an average age of 41.36 (±13.056) years. The mean pain intensity at the first assessment was 7.30 (±1.936). There was a reduction in pain intensity for both groups over time (p=0.001), however, when analyzing the interaction of time by group, no difference was found between them (p=0.756). The same result was observed in the secondary outcomes, disability (p=0.251) and neuropathic symptoms (p=0.638). Regarding the overall perceived effect, the majority of participants (83%) reported feeling better than the previous condition, but with no difference between the groups (p=0.735). CONCLUSION: the intervention protocol with neural mobilization was effective in improving the outcomes of this study, but tDCS did not promote an additional effect in improving pain intensity, neuropathic symptoms and disability in individuals with chronic radicular pain when associated with this technique.

COMMITTEE MEMBERS:
Presidente - 4964489 - CLECIO GABRIEL DE SOUZA
Interno - 2646619 - RODRIGO PEGADO DE ABREU FREITAS
Externo à Instituição - ABRAHÃO FONTES BAPTISTA - UFABC