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Showing papers in "Revista Dor in 2017"


Journal ArticleDOI
TL;DR: The prevalence of musculoskeletal pain in nursing professionals working in the orthopedic setting at a hospital in the South of Brazil was considered high and points to the need for health promotion programs such as exercise at the workplace, ergonomics, pre-established breaks and more professionals in the ward to reduce the overload and improve the working conditions and quality of life of these professionals.
Abstract: BACKGROUND AND OBJECTIVES: Musculoskeletal pain is considered one of the major causes for leave of absence. In the hospital setting, researchers classify the nursing activity as one of the most harmful to human health. The aim of this study was to identify the prevalence of musculoskeletal pain in nursing professionals working in the orthopedic setting at a hospital in the South of Brazil. METHODS: The study population consisted of 29 nursing professionals among which three were nursing assistant, 23 nurse techs, and three nurses. The workers answered a questionnaire with questions related to musculoskeletal pain (Nordic adapted), sociodemographic profile, labor characteristics, and habits and lifestyle. RESULTS: The prevalence of musculoskeletal pain in the studied subjects was 96.6% in at least one of the body parts in the last 12 months. The main regions involved were the lower and upper back (79.3 and 75.9%, respectively), the neck (65.5%), the shoulder (62.1%), ankle/feet (55.2%) and wrists/hands (51.7%). Of the professionals studied, 65.5% reported a leave of absence due to health problems in last the 12 months. It was identified that nurse practitioners showed a higher prevalence of pain in the majority of the body regions in comparison to the other professionals. CONCLUSION: The prevalence of musculoskeletal pain reported by the nursing professionals in the study was considered high. This points to the need for health promotion programs such as exercise at the workplace, ergonomics, pre-established breaks and more professionals in the ward, measures described in the literature that can contribute to reduce the overload and improve the working conditions and quality of life of these professionals.

21 citations


Journal ArticleDOI
TL;DR: O objetivo deste estudo foi fornecer ao clinico that trabalha no atendimento primario uma maneira de abordagem adequada do paciente com dor lombar cronica, enfatizando o diagnostico diferencial dessa doenca.
Abstract: BACKGROUND AND OBJECTIVES: Low back pain is a problem that affects 80% of adults at some point in life, it is among the top 10 primary causes of consultation with internists and, every year, workers are absent from work for more than seven days due to this disease, causing a great impact in productivity and economy The objective of this study was to provide the clinician working at the primary care with an adequate approach to the patient with chronic low back pain, emphasizing the differential diagnosis of this disease CONTENTS: The etiological characterization of low back pain is a process that requires a propaedeutic approach that includes the clinical history, physical and complementary exams The approach to low back pain of mechanical origin, and others less common such as those with a neuropathic component or resulting from inflammation, infection or neoplasia was developed, based on the literature CONCLUSION: The diagnosis of low back pain is essential, yet challenging for the primary care physician Most patients with back pain can be treated at the primary care setting, provided that the GP has the proper knowledge to elaborate the differential diagnosis of this disease

16 citations


Journal ArticleDOI
TL;DR: Pain and work-related musculoskeletal disorders interfere significantly in dentists’ lives and there is significant correlation between pain intensity and disability caused by pain in dental surgeons.
Abstract: BACKGROUND AND OBJECTIVES: Musculoskeletal disorders represents one of the major public health problems among workers and the general population, and it is multifactorial in origin It has attracted the attention of researchers concerned with issues relating to health and work, due to cost and its impact on the quality of life It causes functional impairment, limitations in activities, decreased quality of life, disability, reduced work productivity and direct medical costs To measure the prevalence of musculoskeletal disorders and the association between the musculoskeletal disorders and pain disability in dentists in Sao Paulo, Brazil METHODS: A cross sectional study was conducted with 91dentists in the northwest of Sao Paulo, Brazil Data were collected through interviews, using the Nordic Questionnaire, The Pain Disability Questionnaire and the Numeric Pain Scale were also administered to workers who reported pain Statistical analyses were performed using SPSS 210 RESULTS: Most dentists (904%) had musculoskeletal disorders, especially in the neck, upper and lower back The analysis of the intensity of pain and disability with Pain Disability Questionnaire in symptomatic dentists showed an average pain intensity of 196, its intensity was classified as moderate Mean scores of the Pain Disability Questionnaire total (791) and its dimensions - functional condition (529) and psychosocial condition (261) - suggest moderate disability in Brazilian dentists There was moderate t correlation (r = 0409) between pain intensity and the total score of disability caused by pain CONCLUSION: Pain and work-related musculoskeletal disorders interfere significantly in dentists' lives There is significant correlation between pain intensity and disability caused by pain in dental surgeons

11 citations


Journal ArticleDOI
TL;DR: In this study, chronic pain prevalence was 35.69%, especially among females, and there has been more prevalence of lumbar and sacrococcygeal regions, followed by knees and headache, face and mouth and finally widespread pain.
Abstract: BACKGROUND AND OBJECTIVES: Pain is a major complaint of individuals looking for healthcare services. The high prevalence of both acute and chronic pain makes it a public health problem, due to high costs imposed to society and healthcare services, in addition to the negative impact on daily activities of those living with such experience. This study aimed at identifying the prevalence of chronic pain among medical students of a University in the countryside of Sao Paulo. METHODS: Cross-sectional study carried out with 395 students of all grades of the medicine course of the Universidade de Taubate. Investigated variables were: pain incidence and duration, presence or not of triggering factor(s), use or not of painkillers, pain location and dimension according to McGill questionnaire. RESULTS: There has been predominance of females with 253 participants (64.05%), prevailing the age group between 21 to 25 years with 217 students (54.93%). Among participants, 219 (55.44%) reported some type of pain and among them, 141 (64.38%) have reported chronic pain, that is, for more than six months, in a total of 35.69%. CONCLUSION: In our study, chronic pain prevalence was 35.69%, especially among females. With regard to pain location, there has been more prevalence of lumbar and sacrococcygeal regions, followed by knees and headache, face and mouth and finally widespread pain.

11 citations


Journal ArticleDOI
TL;DR: O objetivo deste estudo foi avaliar a dor durante a aspiracao traqueal em vitimas de traumatismo cranioencefalico submetidos a ventilacao mecânica nos diferentes momentos da avaliacao.
Abstract: Vitimas de traumatismo cranioencefalico, internadas em unidades de terapia intensiva, frequentemente experienciam dor. A aspiracao traqueal e um procedimento com potencial nociceptivo realizado rotineiramente nesses pacientes. O objetivo deste estudo foi avaliar a dor durante a aspiracao traqueal em vitimas de traumatismo cranioencefalico submetidos a ventilacao mecânica. Estudo prospectivo realizado em duas unidades de terapia intensiva de um hospital geral publico em Aracaju, Sergipe, Brasil. Foram realizadas 300 observacoes em 20 vitimas de traumatismo cranioencefalico durante tres dias. A dor foi ava- liada por meio da versao brasileira da Behavioral Pain Scale e os parâmetros fisiologicos de frequencia cardiaca e pressao arterial (sistolica e diastolica). A profundidade da sedacao foi mensurada pelos escores de Ramsay e da Richmond Agitation Sedation Scale O teste de Friedman, ANOVA e pos-teste de Bonferroni foram utilizados para verificar a existencia de diferenca dos escores de dor e parâmetros fisiologicos nos diferentes momentos da avaliacao. Foi admitida significância estatistica de 5%. A amostra foi composta predominantemente por homens, jovens, do interior do estado, sem comorbidades e com traumatismo cranioencefalico grave. Fentanil e midazolam foram os farmacos mais utilizados para sedacao e analgesia. Houve alta prevalencia de dor (70,0-85,5%), os escores de dor foram significativamente mais altos durante a aspiracao traqueal e os parâmetros fisiologicos nao apresentaram elevacao estatisticamente significativa. Escalas comportamentais validas e confiaveis, como a Behavioral Pain Scale, devem ser incorporadas a rotina das unidades de terapia intensiva para nortear o manuseio da analgesia e sedacao, sobretudo, para prevencao de sofrimento durante procedimentos dolorosos.

10 citations


Journal ArticleDOI
TL;DR: Estudo observacional, prospectivo de medidas repetidas, realizado entre setembro de 2015 e janeiro of 2016, com 99 pessoas registradas em fila de espera da clinica de fisioterapia de uma universidade de Minas Gerais, verificou-se reducoes estatisticamente significativas.
Abstract: JUSTIFICATIVA E OBJETIVOS: A dor cronica na coluna vertebral possui uma prevalencia elevada. A avaliacao de parâmetros subjetivos e fisiologicos ao longo do tempo, e como se relacionam, e importante para verificar as mudancas no estado de saude das pessoas que sofrem com essa condicao. O objetivo deste estudo foi avaliar e correlacionar as variaveis subjetivas e fisiologicas da dor cronica na coluna vertebral. METODOS: Estudo observacional, prospectivo de medidas repetidas, realizado entre setembro de 2015 e janeiro de 2016, com 99 pessoas registradas em fila de espera da clinica de fisioterapia de uma universidade de Minas Gerais. Foram realizadas quatro avaliacoes, com um intervalo de 15 dias entre elas. RESULTADOS: Verificou-se reducoes estatisticamente significativas, ao longo do tempo, na intensidade da dor (p<0,001), na sua interferencia nas atividades cotidianas (p<0,001), no limiar de dor (p<0,001) e na incapacidade fisica (p<0,001). Houve correlacoes negativas entre o limiar e a intensidade da dor nas avaliacoes tres (p=0,003) e quatro (p=0,001); correlacao positiva entre intensidade da dor e a incapacidade fisica em todas as avaliacoes (p<0,001); correlacao negativa entre o limiar de dor e a incapacidade fisica nas avaliacoes um (p=0,001), tres (p=0,043) e quatro (p=0,004). Tambem existem correlacoes positivas entre a intensidade da dor e a sua interferencia nas atividades cotidianas (p<0,001); e correlacao negativa entre o limiar de dor e essas atividades, principalmente nas avaliacoes tres e quatro. CONCLUSAO: Existem correlacoes entre as variaveis subjetivas com as fisiologicas da dor cronica na coluna vertebral.

10 citations


Journal ArticleDOI
TL;DR: There is a relationship between temporomandibular dysfunction and depression in undergraduate students, with higher prevalence in women, however, more specific diagnostic methods are necessary to confirm this relationship and the need for treatment.
Abstract: BACKGROUND AND OBJECTIVES: Temporomandibular joint dysfunction is a chronic condition that affects a large part of the college population, deserving greater importance in public health due to the negative consequences in students’ performance and in the quality of life of these individuals. The objective of this study is to check the association and correlation of temporomandibular dysfunction symptoms and signs with depression in students from the School of Science and Technology of Maranhao. METHODS: Epidemiological, descriptive and cross-sectional study with the quantitative approach with 199 undergraduate students. For data collection, we used Fonseca’s Anamnestic Index and the Research Diagnostic Criteria for Temporomandibular Disorders, Axis II. Data were analyzed using Pearson’s Chi-square test, Fisher’s Exact test, and Spearman’s Correlation, considering a statistical significance of 5%. RESULTS: 37.7% students showed signs and symptoms of mild temporomandibular dysfunction, 19.6% moderate and 9% severe. Temporomandibular dysfunction was more frequent in female students (70.2%) between the ages of 19 to 24 years (70.2%). When assessing the level of depression symptoms, it was found that 25.1% students had moderate depression and 17.1% severe. There was no statistically significant association (p<0.001) and weak positive correlation (r=0.38; p<0.001) between the presence of temporomandibular dysfunction signs and symptoms and depression. CONCLUSION: The results of this study suggest that there is a relationship between temporomandibular dysfunction and depression in undergraduate students, with higher prevalence in women, however, more specific diagnostic methods are necessary to confirm this relationship and the need for treatment.

9 citations


Journal ArticleDOI
TL;DR: The fundamental and important role of the nursing staff in the non-pharmacological pain management in cancer patients is evident and it is recommended the development of reliable and effective communication links, in addition to the implementation of educational actions involving the triad patient-family-team.
Abstract: BACKGROUND AND OBJECTIVES: Non-pharmacological therapy is important and complements the pharmacological treatment to relieve the pain and anxiety in many patients, and it is also classified as complementary and integrative therapy. The objective of this study was to describe the nurses’ role in non-pharmacological pain management in cancer patients. CONTENTS: Integrative literature review. Scientific publications indexed in the Medline, Integrated Building Environmental Communications System, LILACS and Nursing databases, accessed through the Virtual Health Library in October 2016, were evaluated. Following the inclusion criteria, seven studies were selected, published between 2006 and 2016. Data were subjected to content analysis. Based on this analysis, the articles were described in three categories: 1) the perception of nurses; 2) the perception of the patient, and 3) nursing actions. CONCLUSION: It was evident the fundamental and important role of the nursing staff in the non-pharmacological pain management in cancer patients. Both patients and family members should actively participate in the treatment. It is recommended the development of reliable and effective communication links, in addition to the implementation of educational actions involving the triad patient-family-team.

9 citations


Journal ArticleDOI
TL;DR: This curriculum of pain for physiotherapy highlights the role of this professional in the health care team and the development of a therapeutic relationship with patients, favoring patients' autonomy and education, as well as the strategies for pain evaluation and management.
Abstract: BACKGROUND AND OBJECTIVES: To introduce the curriculum in Pain for Graduation in Physiotherapy, suggesting its use for academic training in Brazil. CONTENTS: Considering that physiotherapists should be prepared to engage in the health care professional team assisting patients with different kinds of pain understanding the role of each professional, a group of physiotherapists with academic and clinical experience in pain treatment has developed, after consensus, this curriculum of pain for physiotherapy, which highlights the role of this professional in the health care team and the development of a therapeutic relationship with patients, favoring patients' autonomy and education, as well as the strategies for pain evaluation and management. CONCLUSION: The specific content of this pain curriculum can be integrated into different programs/courses, using the most adequate structure and educational method with regard to professional needs and their demands. Physical therapy, pain and models of academic training in health are discussed.

9 citations


Journal ArticleDOI
TL;DR: This study highlights education gaps on pain and palliative care in medical schools and shows the difficulties of the students have to put the theoretical knowledge into practice, for example, their insecurity in handling pain, especially when it comes to the use of opioids.
Abstract: BACKGROUND AND OBJECTIVES: Currently, the medical course does not provide complete education and handling of pain, and it is also devoid of disciplines addressing thanatology in palliative care. The objective of this study was to evaluate the knowledge about pain and palliative care of medical students and their perception on how these themes are taught the graduation course. METHODS: We invited to participate in the survey students of the medical school who are concluding the fourth, fifth and sixth year of graduation at the Federal University of Health Science of Porto Alegre. The demographic and characterization data of the sample were collected, and a questionnaire was applied and validated with 19 direct questions about pain and palliative care. RESULTS: Forty-seven students agreed to participate in the study. The vast majority mentioned not receiving enough information during the undergraduate program about the proper handling of patients with pain, and patient care in a terminal situation. CONCLUSION: This study highlights education gaps on pain and palliative care in medical schools. It shows the difficulties of the students have to put the theoretical knowledge into practice, for example, their insecurity in handling pain, especially when it comes to the use of opioids.

9 citations


Journal ArticleDOI
TL;DR: O presente estudo objetivou avaliar a qualidade of vida e o estado de humor de pessoas com dores cronicas e evidenciou-se that ha interferencia na qualidades de v life e no estado of humor em pacientes com dorecronicas.
Abstract: JUSTIFICATIVA E OBJETIVOS: Percebendo a presenca de queixas somaticas persistentes nas pessoas que procuravam o servico de fisioterapia, apresentando dor persistente como principal sintoma e a possivel associacao entre a queixa de dor e fatores psicologicos e sociais, alteracoes de humor e interferencia na qualidade de vida, o presente estudo objetivou avaliar a qualidade de vida e o estado de humor de pessoas com dores cronicas. METODOS: Estudo quantitativo, descritivo e survey, realizado em tres unidades basicas de saude no municipio de Catarina/CE. Para tanto, foram aplicados os questionarios: SF-36 (qualidade de vida), McGill (avaliacao da dor) e o Perfil dos Estados de Humor (estado de humor). RESULTADOS: Foram selecionados 24 individuos com queixas de dores cronicas musculoesqueleticas com media de idade de 37,29 anos e 83,3% do sexo feminino. Apenas 33,3% da amostra apresentou segundo grau completo, e 83,3% apresentavam dores musculoesqueleticas 3 ou mais vezes por semana. No SF-36 os aspectos fisicos e emocionais atingiram a menor media de escores 23,12 e 30,92, respectivamente. Ja no McGill os menores valores foram no escore misto (2,12) e avaliativo (2,29). Por fim, no POMS a soma dos valores negativos (72,04) foi superior ao quesito vigor (18,96). CONCLUSAO: Evidenciou-se que ha interferencia na qualidade de vida e no estado de humor em pacientes com dores cronicas.

Journal ArticleDOI
TL;DR: Em profissionais de enfermagem, o nivel de atividade fisica influencia a ocorrencia of lombalgia, intensidade de dor e indice of incapacidade funcional funcional.
Abstract: BACKGROUND AND OBJECTIVES: Hospitals integrate several risks posed by physical, chemical, psychosocial and ergonomic factors, which may be noxious for different healthcare professionals. This study aimed at evaluating the level of physical activity, the presence of musculoskeletal risk factors and the incidence of low back pain among nursing professionals of a hospital Materials and Sterilization Center. METHODS: Sample was made up of 56 individuals of both genders, working for the Associacao Beneficente de Campo Grande/MS-Hospital Santa Casa. Participants were divided in two groups: G1 (insufficiently active, n=27) and G2 (sufficiently active, n=29). In addition to the level of physical activity, anthropometric data, incidence of pain and functional incapacity, flexibility and muscle resistance were evaluated. RESULTS: The incidence of low back pain was lower in G2 (13 cases; 44.8%) as compared to G1 (24 cases; 88.9%). Body mass index, pain intensity and functional incapacity index were lower for G2. Time of physical activity was lower in G1. Abdominal muscles resistance was higher in G2. CONCLUSION: In nursing professionals, the level of physical activity influences the presence of low back pain, pain intensity and functional incapacity index.

Journal ArticleDOI
TL;DR: Os agentes fisicos em forma of calor profundo (ultrassom, diatermia por ondas curtas e micro-ondas) ofertam beneficios no manuseio da dor e outras variaveis em individuos com osteoartrite em diferentes graus of acometimento, especiales no longo prazo.
Abstract: BACKGROUND AND OBJECTIVES: Osteoarthritis is an inflammatory and degenerative joint disease, causing pain, musculoskeletal disorders and impact on functionality, daily life activities and quality of life. The action of physical agents by means of deep heating seems to be an alternative to treat such disease. This study aimed at verifying the effects of deep heating on osteoarthritis patients. CONTENTS: A systematic review was carried out in Medline, Scielo and LILACS databases as from keywords "Osteoarthritis", "Induced Hyperthermia", "Physiotherapy" and "Ultrasound", and other keywords such as "Deep heat", "Microwaves" and Short-waves", in Portuguese, English and Spanish, in the period from January 2005 to January 2016, and 986 articles were found. Initially, 16 potentially relevant articles were selected for the study and, after a judicious qualitative analysis, nine complete articles meeting inclusion criteria were selected. CONCLUSION: Physical deep heating physical agents (ultrasound, short-waves diathermy and microwaves) were beneficial to manage pain and other variables in individuals with osteoarthritis in different levels of severity, especially in the long term. However, these effects are better observed when applied simultaneously with kinesiotherapy.

Journal ArticleDOI
TL;DR: Mothers are able to identify signs of pain in the child during painful procedures, mainly through crying and face changes, and points out the relevance of using pain evaluation scales to measure the behavioral and physiological signs of the newborn in a Neonatal Intensive Care Unit.
Abstract: BACKGROUND AND OBJECTIVES: Pain can generate important complications for the newborn. The mother, inserted in this context, becomes an important ally during the hospitalization since she stays with the. Thus, the study aimed to identify the mother's perception of pain in her hospitalized child in the Neonatal Intensive Care Unit and to compare the mothers' reports with a range of behavioral and physiological signs. METHODS: This is a qualitative study in a tertiary hospital in the State of Ceara. Fifteen mothers who were with their children hospitalized at the Neonatal Intensive Care Unit participated in the study, where they were placed in front of their children in two different moments: at rest and handling, in order to identify signs of pain. The data were analyzed by approximation of the speeches as proposed by Minayo. RESULTS: The results showed that the mothers did not perceive signs of pain in the newborn at rest. However, when handled, the mothers were able to identify the signs of pain through the characteristics presented in the newborn: facial expression, strong crying and the movement of arms and legs. CONCLUSION: Mothers are able to identify signs of pain in the child during painful procedures, mainly through crying and face changes. Thus, it points out the relevance of using pain evaluation scales to measure the behavioral and physiological signs of the newborn in a Neonatal Intensive Care Unit.

Journal ArticleDOI
TL;DR: The musculoskeletal pain showed to be a frequent complaint among climacteric women, involving 93% of the volunteers in this study, ranked by the majority as an intense pain.
Abstract: BACKGROUND AND OBJECTIVES: The objective of this study was to evaluate the prevalence of musculoskeletal pain in climacteric women of a Basic Health Unit in Sao Paulo. METHODS: This is a descriptive cross-sectional study, with the participation of 93 climacteric women with average age of 49.1±6.1 years, with medical history containing obstetric background and pain characterization, including the presence, location, and intensity of these complaints. For data collection, we used a map of pain and a visual analog scale associated with the faces pain rating scale. RESULTS: Of the total, 87 women (93%) reported pain, with an average onset of symptoms of 5.8±7.7 years, and average pain in the visual analog and the faces scales of 6.9±3 mm. The pain was classified by most of the women (53%) as intense, and the places of greater involvement were the spine (71%), followed by the knees (58%) and shoulders (47%). Thus, the musculoskeletal pain showed to be a frequent complaint among climacteric women, involving 93% of the volunteers in this study, ranked by the majority as an intense pain. CONCLUSION: It is important to recognize the magnitude of this complaint in primary care to elaborate preventive and therapeutic actions aiming at improving the quality of life of these women.

Journal ArticleDOI
TL;DR: The physiotherapeutic treatment proved to be effective in treating a patient with persistent polyarthralgia after chikungunya fever, improving the subjective pain and functional capacity.
Abstract: BACKGROUND AND OBJECTIVES: Chikungunya fever is caused by the chikungunya virus, but with characteristics similar to the dengue fever. The main clinical manifestation that differs from dengue is the strong joint pains, which can remain for long periods, and that is found at lower intensity and duration with dengue. The objective of this study was to contribute to the physical therapy in patients with persistent polyarthralgia after chikungunya fever. CASE REPORT: Female patient, 35 years old, diagnosed with persistent polyarthralgia after chikungunya fever. When admitted to the physiotherapy service, she complained of severe pain in the knee, wrist and right ankle, mainly in the morning. For the physiotherapeutic evaluation, the following parameters were used: visual analog scale, use of painkillers, goniometry, modified sphygmomanometer test, and perimetry. The functional assessment was done through a 10m walking test, Quick Dash and Lequesne scales, Portuguese version, for the upper and lower limbs, respectively. The proposed physiotherapeutic program was based on therapeutic exercises and manual therapy for 4 weeks. The results showed that the proposed physical therapy was effective in decreasing the pain, increasing muscle strength, the range of motion, decreasing edema and improving functional capacity. CONCLUSION: The physiotherapeutic treatment proved to be effective in treating a patient with persistent polyarthralgia after chikungunya fever, improving the subjective pain and functional capacity.

Journal ArticleDOI
TL;DR: In the elderly, the level of anxiety presented in the preoperative period was positively correlated with the pain response in the immediate postoperative of transvesical prostatectomy, suggesting the use of preoperative measures that reduce anxiety can improve analgesia in the immediately postoperative period of this surgery and, therefore, reduce the amount of analgesics used in this period.
Abstract: BACKGROUND AND OBJECTIVES: The objective of this study was to correlate the level of anxiety presented in the preoperative period with the intensity of pain reported by elderly in the immediate postoperative period of transvesical prostatectomy. METHODS: Sixty-four elderly patients submitted to transvesical prostatectomy were studied, using the following instruments: the numeric pain scale and Hamilton anxiety rating scale in the preoperative; and the short-form McGill pain questionnaire (Portuguese version adapted) in the immediate postoperative period. The elderly divided into four groups, according to the level of anxiety presented in the preoperative period: absent, mild, moderate and intense. The Spearman correlation was established between preoperative anxiety levels and postoperative pain intensity. RESULTS: There was a significant positive correlation between the level of preoperative anxiety and pain intensity in the immediate postoperative period. The pain curves (sensitive and affective) presented a significant increase at moments 6, 18 and 24h in all groups. These curves were significantly higher in the elderly with moderate and intense anxiety than in those without anxiety and mild anxiety. The pain peak was recorded at 18h after surgery in all groups. CONCLUSION: In the elderly, the level of anxiety presented in the preoperative period was positively correlated with the pain response in the immediate postoperative of transvesical prostatectomy. The use of preoperative measures that reduce anxiety can improve analgesia in the immediate postoperative period of this surgery and, therefore, reduce the amount of analgesics used in this period. There was also a need for intervention with adequate analgesia at the postoperative pain peak which occurred 18h after surgery.

Journal ArticleDOI
TL;DR: The studied sample showed a high prevalence of musculoskeletal pain, which serves as a warning flag to the adoption of public policies to improve the working conditions of the dentists surveyed.
Abstract: BACKGROUND AND OBJECTIVES: Dentistry is among the occupational categories that most inflicts its practitioners to a series of risk factors to develop musculoskeletal disorders, especially the maintenance of static postures, repetitive activities, long work days, poorly designed work environment, stress and handling of chemical and biological materials. The objective of this study was to analyze the prevalence of work-related musculoskeletal pain in primary care dentists. METHODS: The sample consisted of 167 primary care dentists, who answered questionnaires relating to musculoskeletal pain, social-demographic data, lifestyle, occupational characteristics, fatigue and ability to work. RESULTS: The prevalence of musculoskeletal pain was high for upper limbs (38.3%), lower limbs (34.7%) and on the back (27.5%). The was a statistical association in the three body segments, with family income, associated morbidities, daily and weekly working time, the perception of fatigue, and ability to work. CONCLUSION: The studied sample showed a high prevalence of musculoskeletal pain, which serves as a warning flag to the adoption of public policies to improve the working conditions of the dentists surveyed.

Journal ArticleDOI
TL;DR: Better outcomes are found in hemodialysis patients who presented bone alterations, regardless of the source, and physical function, physical function and work status were the most affected.
Abstract: BACKGROUND AND OBJECTIVES: The objective of this study was to descriptively evaluate the symptom of pain and its influence on the quality of life in patients with chronic renal failure on hemodialysis treatment. METHODS: This is a descriptive, cross-sectional exploratory, quantitative approach. We evaluated 50 chronic renal failure patients on hemodialysis treatment through the Brief Pain Inventory and the Kidney Disease and Quality of Life Short Form. The emotional factors were evaluated by the Toronto Alexithymia and Hospital Anxiety and Depression Scales. RESULTS: The predominant age group was 40 to 60 years. 72% of the patients showed some bone changes and the majority interviewed did not have formal jobs at the time of interview. There was a noticeable increase in the intensity of pain in patients with bone alterations when compared to those without, as well as an increased ambulation impairment. The Hospital Anxiety and Depression Scale showed a slight increase in both parameters in those with bone pain. Regarding the quality of life, physical function and work status were the most affected. There was the absence of alexithymia in most of the interviewees, a positive correlation between pain intensity versus physical function (r=-0.14, p=0.03), physical function x work status (r=-0.28, p=0.04) and a negative correlation between alexithymia versus anxiety (r=0.03, p=0.62) and moderate pain versus overall health (r=0.06, p=0.40). CONCLUSION: We found worse outcomes in hemodialysis patients who presented bone alterations, regardless of the source.

Journal ArticleDOI
TL;DR: In this article, a qualitative study about the experience of 16 women with fibromyalgia, who participated in Zumba class for three months in 2016, was conducted, where patients wrote their reports on a sheet of paper, answering three questions.
Abstract: BACKGROUND AND OBJECTIVES: Different types of exercises are being used for the treatment of fibromyalgia, such as aerobic, resistance, flexibility exercises and body awareness therapy, but there is strong evidence that the gold standard for the non-pharmacological treatment of this disease is the aerobic exercise. The objective of this study was to collect reports of patients with fibromyalgia who practiced three months of dance (Zumba) and had to stop dancing for three months due to the recess of the academic activity at the end of 2016 and beginning of 2017. CASE REPORTS: This is a qualitative study about the experience of 16 women with fibromyalgia, who participated in Zumba class for three months in 2016. The reports were collected when they resumed their dance activities in March 2017. Therefore, the patients remained with no intervention for three months, during the academic recess. The patients wrote their reports on a sheet of paper, answering three questions. According to the reports, we noticed that Zumba brought several benefits for these patients, such as pain relief, improved sleep quality, self-esteem and physical performance. CONCLUSION: Based on patients’ reports we can conclude that Zumba, as a three-month intervention, produced positive effects in improving pain, functional capacity, and quality of life of women with fibromyalgia.

Journal ArticleDOI
TL;DR: Pain is often ignored, but brings significant consequences to quality of life of patients, contributing for relevant worsening of anxious or depressive symptoms, Thus, it is critical the multidisciplinary management of such patients.
Abstract: BACKGROUND AND OBJECTIVES: To evaluate pain symptoms and their influence on quality of life of chronic renal patients submitted to hemodialysis. METHODS: Descriptive, exploratory, comparative and cross-sectional study paired by frequency, having as tested group (GI, n=50) chronic renal patients under hemodialysis with hypertension and diabetes mellitus type 2, and as control group (GII, n=50) patients with hypertension or diabetes mellitus type 2, assisted by the Hypertension Ambulatory. Quality of life was evaluated by the Kidney Disease and Quality of Life Short-Form, pain by the Brief Pain Inventory, emotional factors by Beck anxiety and depression scales and neuropathic pain by DN4 questionnaire. RESULTS: Both groups had predominance of males, mean age of 47.3±16.5 years. With regard to labor, the group under hemodialysis (GI) had 80% of inactive patients. Most impaired quality of life domains were job situation and physical function. There has been prevalence of depression and anxiety, neuropathic pain and more pain complaint in GI, significantly interfering with general activities such as sleep and walking ability. There has been significant correlation (p<0.05) between anxiety, physical function and labor situation versus pain. CONCLUSION: Pain is often ignored, but brings significant consequences to quality of life of patients, contributing for relevant worsening of anxious or depressive symptoms. Thus, it is critical the multidisciplinary management of such patients.

Journal ArticleDOI
TL;DR: In this article, the effect of temporomandibular joint dysfunction, craniomedibular and cervical pain on the electromyographic activity of the masticatory muscles during rest and mandibular isometry was evaluated.
Abstract: BACKGROUND AND OBJECTIVES: Craniomandibular and cervical symptoms interfere with mandibular stability. Determining whether these disorders influence muscle activation when chewing, it is possible to improve interventions for this population. The objective of this study was to verify the effect of the temporomandibular joint dysfunction, craniomandibular and cervical pain on the electromyographic activity of the masticatory muscles during rest and mandibular isometry. METHODS: Fifty-five women aged between 18 and 30 years were divided into two groups: with temporomandibular dysfunction (n=28) and without temporomandibular dysfunction (n=27). The diagnosis of temporomandibular dysfunction was established using the Research Diagnostic Criteria for Temporomandibular Disorder (RDC/TMD). The RDC was also used to determine the presence of craniomandibular pain. Cervical pain was defined by physical examination. The electromyographic activity of masseter and temporalis muscles was evaluated in the rest position and mandibular isometry. The amplitude of muscle activation was represented by the root mean square values (RMS%) and normalized by maximum voluntary contraction. The Mann-Whitney U test was used to detect differences between the groups with and without temporomandibular dysfunction; with and without myofascial craniomandibular pain; and with and without cervical myofascial pain. RESULTS: It was observed greater amplitude in the activation of masseter and right temporalis muscles in the rest position in individuals with myofascial craniomandibular pain compared to asymptomatic (p<0.05). There was no difference among individuals with and without cervical myofascial pain, and with and without temporomandibular dysfunction. CONCLUSION: The presence of myofascial craniomandibular pain did not affect the masticatory activity, with greater muscle activation in mandibular rest.

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TL;DR: Visceral pain is a heterogeneous condition where most frequent presentation is abdominal pain in the course of irritable bowel syndrome and adequate diagnosis is critical for effective treatment.
Abstract: BACKGROUND AND OBJECTIVES: Visceral pain is induced by abnormalities of organs such as stomach, kidneys, bladder, gallbladder, intestines and others and includes distension, ischemia, inflammation and mesenteric traction. It is responsible for physical and psychic incapacity, absenteeism and poor quality of life. This study aimed at discussing major aspects of visceral pain with regard to prevalence, etiology and diagnosis. CONTENTS: According to Evidence-Based Medicine concepts, visceral pain etiology, diagnosis and prognosis were reviewed in LILACS, EMBASE and Pubmed databases. Therapeutic studies were not selected. The following terms were used as search strategy: ("visceral pain"[MeSH Terms] OR ("visceral"[All Fields] AND "pain"[All Fields]) OR "visceral pain"[All Fields]). Only studies published in Portuguese, English or Spanish were included. Narrative reviews with opinionated content and specific therapeutic procedures of medical specialties were excluded. Studies on visceral pain related to heart, cancer and musculoskeletal diseases and pregnancy were also excluded. CONCLUSION: Visceral pain is a heterogeneous condition where most frequent presentation is abdominal pain in the course of irritable bowel syndrome. Other diseases induce visceral pain and adequate diagnosis is critical for effective treatment.

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TL;DR: Low back pain interferes with quality of life of studied pregnant women as determined in the Family Health Strategy of the City of Cabo Frio.
Abstract: BACKGROUND AND OBJECTIVES: Pregnancy is characterized by a period when women's body suffers different changes Between 50 and 80% of pregnant women refer low back pain, which may directly interfere with their quality of life This study aimed at determining the prevalence of low back pain and its interference with quality of life of pregnant women assisted in the Family Health Strategy of the City of Cabo Frio METHODS: Field cross-sectional study with pregnant women between the 13th and 36th week of gestation, with low back pain, assisted in a low risk pre-natal program A demographic questionnaire, Roland Morris and WHOQOL-bref questionnaires were applied to evaluate low back pain and quality of life, respectively Descriptive statistics and Spearman correlation tests were used and p<005 was considered statistically significant RESULTS: Participated in the study 139 pregnant women assisted by the pre-natal assistance program Mean age of 244±765 years There has been significant correlation between quality of life domains questionnaire (physical domain p<0000, psychological domain p<0004, environmental domain p<0022; social relations domain p<00025 and overall quality of life p<0000 and Roland Morris questionnaire There has been correlation between weeks of gestation and Roland Morris questionnaire (p<0005) As to weeks of gestation and quality of life questionnaire there has only been correlation in the social relation domain (p<0025) CONCLUSION: Low back pain interferes with quality of life of studied pregnant women

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TL;DR: Several resources such as ultrasound, laser, cathodic current; or manual therapies, as muscle stretching, and joint mobilization bring remarkable benefits to temporomandibular dysfunction, however, studies with higher methodological quality with follow-up are necessary.
Abstract: BACKGROUND AND OBJECTIVES: Temporomandibular dysfunction is defined as a set of dysfunctions that affect the masticatory muscles, the temporomandibular joint and associated structures. The objective of this study was to systematize scientific evidence on the techniques of physiotherapeutic treatment for temporomandibular disorders. CONTENTS: The search was performed on the Medline, LILACS and Scielo databases, as well as the Pubmed search tool for articles published in the last 10 years, from August 2006 to August 2016. The survey was carried out with the following descriptors: “temporomandibular joint” and “physiotherapy”, “temporomandibular joint disorders” and “physiotherapy”, “temporomandibular joint” and “physiotherapy techniques”, “temporomandibular joint disorders” and “physiotherapy techniques”. We included randomized trials and case reports, composed only of patients with temporomandibular disorders who underwent physical therapy. The search totaled 32 studies and 11 of them were selected. The pain was assessed by unanimity. The articles did the same amount of sessions. CONCLUSION: Several resources such as ultrasound, laser, cathodic current; or manual therapies, as muscle stretching, and joint mobilization bring remarkable benefits to temporomandibular dysfunction. However, studies with higher methodological quality with follow-up are necessary.

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TL;DR: In face of the sufferings confronted by children with sickle cell anemia, it is necessary to create strategies that promote the implementation of public policies to prevent crises and treat the disease, modifying the course of the disease and improving the quality of life.
Abstract: BACKGROUND AND OBJECTIVES: Painful crises are part in the evolution of sickle cell anemia, is the more dramatic picture of variable intensity and location, caused by chronic hemolysis and vaso-occlusion, which alter the daily life of the patients. The objective of this study was to understand, by means of drawing, the repercussions and the coping strategies in situations caused by the painful crises of the sickle cell anemia, from the children’s perspective. METHODS: Exploratory, qualitative study, carried out in a pediatric referral hospital of Ceará, with five children diagnosed with sickle cell anemia. Data collection was performed from May to July 2016, by means of observations and drawings-story by Trinca. In the analysis, it was used the analysis of drawings content by Coutinho. RESULTS: Two categories emerged: the pain that hurts and coping with pain. Every child identified its bigger meaning, evoking the repercussions of pain as the most striking element and more present in its life. CONCLUSION: In face of the sufferings confronted by children with sickle cell anemia, it is necessary to create strategies that promote the implementation of public policies to prevent crises and treat the disease, modifying the course of the disease and improving the quality of life.

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TL;DR: Healthy women with dysmenorrhea show higher pain perception in follicular phase, which results in increased pain sensitivity and prejudice in hemodynamic aspects at rest and during exercise, as well as in cardiorespiratory fitness, without significant alterations in metabolism.
Abstract: BACKGROUND AND OBJECTIVES: Hormonal changes are known to affect quality of life of women and may interfere in pain tolerance and cardiorespiratory exercise performance. Thus, the aim of this study was to evaluate and compare pressure pain tolerance threshold and cardiorespiratory fitness in women in luteal and follicular phases of the menstrual cycle. METHODS: University students aged 18-30 years old with a regular menstrual cycle were evaluated for cardiorespiratory fitness (ergospirometry), pain perception through the visual analog scale and pressure pain tolerance (algometry). RESULTS: When evaluated in follicular phase, the 13 participants exhibited a significant increase (p<0.001) in pain perception. Follicular phase also resulted in a significant reduction in pressure pain tolerance in all sites evaluated (p<0.05). At rest, follicular phase resulted in a significant increase (p<0.05) in systolic and diastolic blood pressure, but no effect was observed in heart rate. At peak exercise, follicular phase caused a significant reduction (p<0.05) in heart rate and peak VO2, without significantly affecting speed, test duration and indicators of metabolism efficiency. CONCLUSION: Healthy women with dysmenorrhea show higher pain perception in follicular phase, which results in increased pain sensitivity and prejudice in hemodynamic aspects at rest and during exercise, as well as in cardiorespiratory fitness, without significant alterations in metabolism.

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TL;DR: The diagnosis of myofascial pain can be a difficult task since it can simulate different masticatory system pain, from a toothache to a trigeminal neuropathic pain, which can be minimized with proper history taking and clinical examination involving muscle palpation.
Abstract: BACKGROUND AND OBJECTIVES: Dry needling is an interventionist, minimally invasive technique, used in the treatment of myofascial pain. The objective of this study was to describe the use of dry needling and to perform a critical literature analysis about the technical aspects of its use by qualified health care professionals. CONTENTS: A search in the literature was carried out for books in English, review articles, randomized controlled or quasi-randomized clinical trials, blind or double-blind and published case studies series in Portuguese or in English. The following databases were used: Cochrane, LILACS, and Pubmed. Articles published from September 1996 to January 2017 were selected according to the following keywords: dry needling versus myofascial pain syndrome versus temporomandibular joint dysfunction syndrome) versus trigger points versus musculoskeletal manipulations versus trapezius muscle, superficial back muscles versus masseter muscle versus secular muscle versus pterygoid muscles versus digastric muscle, neck muscles. Reports of clinical cases, “open-label” studies, studies with animal models and articles not related to DN were excluded. After the matching descriptors and the implementation of inclusion and exclusion criteria, we selected six articles. CONCLUSION: The diagnosis of myofascial pain can be a difficult task since it can simulate different masticatory system pain, from a toothache to a trigeminal neuropathic pain. This can be minimized with proper history taking, clinical examination involving muscle palpation, as well as the own experience and professional training. The deactivation of myofascial trigger points should be a priority in myofascial pain therapy since there is a significant improvement of local and referred pain when we use this approach. Despite the favorable results of studies about the use of dry needling in myofascial pain treatment related to temporomandibular joint dysfunction and the cervical region, the literature still lacks studies with a high level of evidence proving the effectiveness and efficacy of this technique. This is a minimally invasive, low cost, and safe therapy that provides local, segmental, extra segmental and placebo effects. Therefore, its use should be recommended by different health professionals in cases of myofascial pain.

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TL;DR: Six months intervention with supervised physical exercises may improve flexibility levels of fibromyalgia females, with significant improvement from beginning of intervention to completion.
Abstract: BACKGROUND AND OBJECTIVES: Fibromyalgia is characterized by chronic diffuse musculoskeletal pain The syndrome, of still unknown etiology, predominantly affects females Considering that aerobic, resisted and flexibility exercises may help improving the negative impact of fibromyalgia on quality of life, this study aimed at observing the effect of supervised physical exercise on the flexibility of female patients with fibromyalgia treated in the Extension Project "Interdisciplinary treatment of fibromyalgia patients", developed in the Universidade do Rio de Janeiro METHODS: The study consisted in a program of supervised physical exercises lasting six months Training frequency was equal to two weekly sessions lasting one hour each Flexibility evaluation tool was the sit and reach test, which was applied in the beginning, three months and six months after intervention RESULTS: Sample was made up of 29 females (age: 486±103 years) diagnosed with fibromyalgia No significant changes in flexibility were observed after three months of intervention ANOVA one-way has shown significant improvement (p<005) from beginning of intervention to completion (Δ=2277%) CONCLUSION: Six months intervention with supervised physical exercises may improve flexibility levels of fibromyalgia females

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TL;DR: O objetivo deste estudo foi relacionar o nivel de dor em pessoas que vivem com o virus da imunodeficiencia humana, com variaveis socio-demograficas e clinicas.
Abstract: JUSTIFICATIVA E OBJETIVOS: A dor e um sintoma comum em pessoas que vivem com a sindrome da imunodeficiencia adquirida, sendo bastante subnotificada e nao tratada. Por esse motivo, existe a necessidade de estudos que discutam a tematica na tentativa de esclarecer os fatores envolvidos nesse processo e buscar tratamentos adequados e eficazes. Dentro dessa perspectiva, o objetivo deste estudo foi relacionar o nivel de dor em pessoas que vivem com o virus da imunodeficiencia humana, com variaveis socio-demograficas e clinicas. METODOS: Pesquisa descritiva com carater transversal, com 261 individuos vivendo com o virus da imunodeficiencia humana. Foi aplicada a escala analogica visual para a intensidade da dor e entrevista semiestruturada como anamnese. RESULTADOS: Foi encontrado um total de 47,5% individuos referindo dor leve/sem dor; 24,1% com dor moderada e 28,4% com dor intensa. Foi encontrada relacao significativa entre a dor e o sexo (p=0,02), estado de saude (p=0,001), percepcao da saude, quanto a se sentir doente ou nao (p=0,001) e o estagio da infeccao (p=0,005). A dor foi caracterizada em lancinante (69%), perfurante (55%) e em queimacao (41%), sendo encontrada relacao significativa entre essas variaveis (p<0,001). Foi possivel encontrar tambem uma associacao significativa com relacao a intensidade da dor (p<0,001) e o tempo (p<0,001). Quando aplicado o modelo de regressao logistica, o fato de ser mulher representou um risco de 7,256 (p<0,001) para a dor moderada e de 5,329 (p<0,004) para dor intensa. Com relacao a idade, as faixas etarias de 21 a 30 anos (0,073; p<0,046), 41 a 50 anos (0,068; p<0,023) e 51 a 60 anos (0,063; p<0,030), apresentaram-se como fator de protecao para a presenca de dor moderada. Com relacao ao estado de saude, esta variavel apresentou-se como fator de risco para a presenca de dor moderada (8,13; p<0,038) e intensa (11,73; p<0,005). CONCLUSAO: A dor foi um sintoma prevalente entre as pessoas que vivem com o virus da imunodeficiencia humana.