Efeito da libertação suboccipital versus mobilização de tecidos moles assistida por instrumentos na cefaleia de tensão: um ensaio clínico randomizado controlado

Autores

  • Nada Gamal Saad PhD Candidate, Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Physical therapy specialist, National Institute of Neuromotor System Giza, Egypt.
  • Neveen Abdel Latif Abdel Raoof Professor of Physical Therapy, Basic Science Department, Vice Dean for Education and Student Affairs, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
  • Amr Azzam Consultant of Orthopedic Surgery, Former Dean of the National Institute of Neuromotor System, Giza, Egypt. ORCID ID: 0000-0003-1293-8752.
  • Nouran A. Ibrahim Lecturer of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
  • Rania Reda Mohamed Assistant Professor of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

DOI:

https://doi.org/10.47197/retos.v78.119027

Palavras-chave:

Cefaleia de tensão, libertação suboccipital, mobilização de tecidos moles assistida por instrumentos, fisioterapia, terapia manual

Resumo

Enquadramento: A cefaleia de tensão é a forma mais comum de cefaleia primária associada ao aumento da tensão muscular. Este estudo teve como objetivo comparar os efeitos da libertação suboccipital e da mobilização de tecidos moles assistida por instrumentos (IASTM) na cefaleia de tensão.

Métodos: Cinquenta e seis mulheres com idades compreendidas entre os 20 e os 40 anos, com cefaleia de tensão e índice de massa corporal (IMC) entre 18,5 e 24,9, foram aleatoriamente alocadas a três grupos. O Grupo A (controlo) (n=18) recebeu fisioterapia convencional, incluindo compressas quentes e um programa de exercício. O Grupo B (experimental) (n=19) recebeu libertação suboccipital para além da fisioterapia convencional, e o Grupo C (experimental) (n=19) recebeu IASTM para além da fisioterapia convencional. As medidas de resultados incluíram a intensidade da dor avaliada pela Escala Numérica de Avaliação da Dor, o limiar de dor à pressão medido com um algómetro de pressão, o impacto da cefaleia avaliado pelo Teste de Impacto da Cefaleia, a incapacidade funcional cervical avaliada pelo Índice de Incapacidade Cervical e a frequência da cefaleia medida pelo número de dias com cefaleia por semana. As medições foram registadas no início do estudo e após quatro semanas de tratamento.

Resultados: A MANOVA mostrou que os Grupos B e C apresentaram resultados significativamente melhores do que o Grupo A em todas as medidas (p < 0,001). Não foram encontradas diferenças significativas entre os Grupos B e C na intensidade da dor, no limiar da dor à pressão, no impacto da cefaleia ou na frequência da cefaleia. No entanto, o Grupo C apresentou uma maior melhoria da capacidade funcional cervical em comparação com o Grupo B (p = 0,001).

Conclusão: Tanto a libertação suboccipital como a IASTM estiveram associadas a melhorias na intensidade da dor, no limiar da dor à pressão, no impacto da cefaleia e na frequência da cefaleia em mulheres com cefaleia de tensão. A IASTM demonstrou uma maior melhoria da função cervical.

Biografias do Autor

  • Nada Gamal Saad, PhD Candidate, Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Physical therapy specialist, National Institute of Neuromotor System Giza, Egypt.

    PhD Candidate, Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Physical therapy specialist, National Institute of Neuromotor System Giza, Egypt.

  • Neveen Abdel Latif Abdel Raoof, Professor of Physical Therapy, Basic Science Department, Vice Dean for Education and Student Affairs, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

    Professor of Physical Therapy, Basic Science Department, Vice Dean for Education and Student Affairs, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

  • Amr Azzam, Consultant of Orthopedic Surgery, Former Dean of the National Institute of Neuromotor System, Giza, Egypt. ORCID ID: 0000-0003-1293-8752.

    Consultant of Orthopedic Surgery, Former Dean of the National Institute of Neuromotor System, Giza, Egypt. ORCID ID: 0000-0003-1293-8752. 

  • Nouran A. Ibrahim, Lecturer of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

    Lecturer of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

  • Rania Reda Mohamed, Assistant Professor of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

    Assistant Professor of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

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Publicado

01-05-2026

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Vol. 78 (2026)

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Artigos de caráter científico: trabalhos de pesquisas básicas e/ou aplicadas.

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Direitos de Autor (c) 2026 Nada Gamal Saad, Neveen Abdel Latif Abdel Raoof, Amr Azzam, Nouran A. Ibrahim, Rania Reda Mohamed

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Como Citar

Saad, N. G., Abdel Raoof, N. A. L., Azzam, A., Ibrahim, N. A., & Mohamed, R. R. (2026). Efeito da libertação suboccipital versus mobilização de tecidos moles assistida por instrumentos na cefaleia de tensão: um ensaio clínico randomizado controlado. Retos, 78, 934-947. https://doi.org/10.47197/retos.v78.119027