Terapia manipulativa ortopédica na dor vertebral crônica: uma revisão sistemática
DOI:
https://doi.org/10.11606/issn.2317-0190.v17i4a103389Palavras-chave:
Manipulação Ortopédica, Manipulação da Coluna, Exercício, RevisãoResumo
Objetivo: Analisar a eficácia da Terapia Manipulativa Ortopédica (TMO) nos casos de dores vertebrais crônicas. Métodos: Uma busca sistematizada foi realizada nas bases de dados PEDro, Medline e Science Direct no mês de junho de 2010, reunindo ensaios clínicos randomizados recentes que documentassem os efeitos da TMO na Dor Vertebral Crônica. Resultados: Foram revisados oito artigos sobre dor cervical crônica e onze sobre dor lombar crônica. Quanto a dor cervical crônica, seis estudos mostraram que a TMO associada a exercícios são eficazes, mantendo a melhora dos sintomas por até 24 meses. Um estudo mostrou que a TMO (sem exercícios) é superior à massagem e outro estudo mostrou que a TMO proporciona alívio imediato da dor. Quanto a dor lombar crônica, cinco ensaios clínicos mostraram que a TMO associada a exercícios são eficazes a curto e longo prazo; dois trabalhos mostraram que a TMO é mais eficaz do que analgésicos e anti-inflamatórios. Três estudos mostram que a TMO como único tratamento é eficaz, um estudo mostra que a manipulação não é mais eficaz que exercícios de extensão. Conclusão: As técnicas de TMO (exceto osteopatia) são recursos eficazes nos casos de dores crônicas da coluna. Entretanto, seus efeitos de redução da dor ocorrem somente a curto prazo, sendo necessário a associação de exercícios terapêuticos para um resultado eficaz a longo prazo. Mais estudos devem ser feitos para comparar diferentes técnicas de TMO e diferentes técnicas de exercícios entre si nos casos de dores crônicas da coluna.
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