Mobilização translacional cervical superior versus técnica de energia muscular suboccipital em doentes com dor cervical mecânica e postura da cabeça anteriorizada

Autores

  • Reda Kotb Abdelrazik Assistant Professor, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Qaluybia, Egypt.
  • Waleed Talat Mansour Professor, Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Benha, Egypt.
  • Ahmed Salim Mohmed Salim Lecturer, Department of Physical Therapy for Pediatrics and its Surgery, Faculty of Physical Therapy, Elsalam University, Khafr El-Zayat, Egypt.
  • Mohamed Nabil Fiaad Lecturer, Department of Basic Science, Faculty of Physical Therapy, Modern University for Information and Technology, Cairo, Egypt.
  • Ali Essawy Ali Mostafa Lecturer, Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Al Salam University, Khafr El-Zayat, Egypt.
  • Ahmed Abd El-Moneim Abd El-Hakim Lecturer, Department of Basic Science, Faculty of Physical Therapy, Beni-Suef University, Beni-Suef, Egypt.
  • Sarah Mohamed Samir Assistant Professor, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt & Assistant Professor, Department of Physical Therapy, Faculty of Allied Medical Sciences, Najran University, Najran, Kingdom of Saudi Arabia

DOI:

https://doi.org/10.47197/retos.v80.119229

Palavras-chave:

Postura da cabeça para a frente, mobilização translacional cervical superior, técnica de energia muscular suboccipital, dor mecânica no pescoço

Resumo

Contexto: A dor cervical mecânica (DCM) está frequentemente associada à postura da cabeça para a frente (PCF), mas o tratamento ideal ainda é debatido. Objectivos: Comparar os efeitos da mobilização translacional cervical superior (MTCS) versus a técnica de energia muscular suboccipital (TEM), quando combinada com a fisioterapia convencional, em doentes com DCM e PCF.

Sujeitos e Métodos: Quarenta e quatro doentes com idades compreendidas entre os 25 e os 40 anos foram aleatoriamente alocados a três grupos: o Grupo A (n=15) recebeu MTCS em adição à terapêutica convencional, o Grupo B (n=15) recebeu TEM suboccipital em adição à terapêutica convencional e o Grupo C (n=14) recebeu apenas terapêutica convencional. O tratamento foi administrado três vezes por semana, durante quatro semanas. As medidas de resultados avaliadas antes e após o tratamento incluíram a intensidade da dor (Escala Visual Analógica), a amplitude de movimento (dispositivo CROM), a incapacidade cervical (Índice de Incapacidade Cervical) e o ângulo craniocervical (análise fotográfica através do software Surgimap).

Resultados: As características basais foram comparáveis ​​entre os grupos (p > 0,05). Todos os grupos demonstraram melhorias significativas intragrupo após o tratamento em relação à dor, incapacidade, amplitude de movimento e ângulo craniocervical (p < 0,05). No entanto, o Grupo A apresentou reduções significativamente maiores na dor e na incapacidade, e uma melhoria mais pronunciada do ângulo craniocervical em comparação com os Grupos B e C (p < 0,05). Não foram observadas diferenças significativas entre os grupos na amplitude de movimento cervical (p > 0,05).

Conclusão: A adição da Terapia de Movimento Suboccipital (UC-TSM) à fisioterapia tradicional produz resultados superiores no alívio da dor, na redução da incapacidade e na correção da postura da cabeça para a frente em comparação com a Terapia de Movimento Suboccipital (MET) ou a terapia convencional isoladamente em doentes com dor cervical mecânica e postura da cabeça para a frente.

Biografias do Autor

  • Reda Kotb Abdelrazik, Assistant Professor, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Qaluybia, Egypt.

    Assistant Professor, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Qaluybia, Egypt.

  • Waleed Talat Mansour, Professor, Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Benha, Egypt.

    Professor, Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Benha, Egypt.

  • Ahmed Salim Mohmed Salim, Lecturer, Department of Physical Therapy for Pediatrics and its Surgery, Faculty of Physical Therapy, Elsalam University, Khafr El-Zayat, Egypt.

    Lecturer, Department of Physical Therapy for Pediatrics and its Surgery, Faculty of Physical Therapy, Elsalam University, Khafr El-Zayat, Egypt.

  • Mohamed Nabil Fiaad, Lecturer, Department of Basic Science, Faculty of Physical Therapy, Modern University for Information and Technology, Cairo, Egypt.

    Lecturer, Department of Basic Science, Faculty of Physical Therapy, Modern University for Information and Technology, Cairo, Egypt.

  • Ali Essawy Ali Mostafa, Lecturer, Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Al Salam University, Khafr El-Zayat, Egypt.

    Lecturer, Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Al Salam University, Khafr El-Zayat, Egypt.

  • Ahmed Abd El-Moneim Abd El-Hakim, Lecturer, Department of Basic Science, Faculty of Physical Therapy, Beni-Suef University, Beni-Suef, Egypt.

    Lecturer, Department of Basic Science, Faculty of Physical Therapy, Beni-Suef University, Beni-Suef, Egypt.

  • Sarah Mohamed Samir, Assistant Professor, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt & Assistant Professor, Department of Physical Therapy, Faculty of Allied Medical Sciences, Najran University, Najran, Kingdom of Saudi Arabia

    Assistant Professor, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt & Assistant Professor, Department of Physical Therapy, Faculty of Allied Medical Sciences, Najran   University, Najran, Kingdom of Saudi Arabia

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Publicado

12-05-2026

Edição

Vol. 80 (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 Reda Kotb Abdelrazik, Waleed Talat Mansour, Ahmed Salim Mohmed Salim, Mohamed Nabil Fiaad, Ali Essawy Ali Mostafa, Ahmed Abd El-Moneim Abd El-Hakim, Sarah Mohamed Samir

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Como Citar

Abdelrazik, R. K., Mansour, W. T., Salim, A. S. M., Fiaad, M. N., Mostafa, A. E. A., Abd El-Hakim, A. A. E.-M., & Samir, S. M. (2026). Mobilização translacional cervical superior versus técnica de energia muscular suboccipital em doentes com dor cervical mecânica e postura da cabeça anteriorizada. Retos, 80, 736-746. https://doi.org/10.47197/retos.v80.119229