Efeito dos deslizamentos apofisários naturais sustentados versus técnica integrada de inibição neuromuscular na dor cervical inespecífica

Autores

  • Hajar M. Edris Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.
  • Mohammed E. Abdulalim Researcher of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
  • Ahmed Salim Mohamed Salim Profesor del Departamento de Fisioterapia Pediátrica y Cirugía, Facultad de Fisioterapia, Universidad Al Salam, Khafr El-Zayat, Egipto
  • Khaled Alaa Eldin Fetouh Lecturer of Physical Therapy for Orthopedic Department, Faculty of Physical Therapy, King Salman International University, South Sinai, Egypt.
  • Nagwa Sayed Abdelwahed Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.
  • Maha Samir Younis Ahmed Lecturer of Physical Therapy for Internal Medicine and Geriatric Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.
  • Doaa Mohammed El Ghazally El Zawhry Lecturer of Physical Therapy for Burn and Surgery Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.
  • Mennatallah M. Abdellatif Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt.

DOI:

https://doi.org/10.47197/retos.v79.119235

Palavras-chave:

Dor no pescoço, compressão isquémica, deslizamentos apofisários naturais sustentados

Resumo

Enquadramento: A dor cervical inespecífica (DCI) pode ser definida como dor mecânica originada entre o occipital e a terceira vértebra torácica, sem uma causa específica.

Objectivo: Diferenciar os efeitos dos deslizamentos apofisários naturais sustentados (DANS) versus a técnica de inibição neuromuscular integrada (INIT) em doentes com dor cervical inespecífica (DCI).

Métodos: Sessenta indivíduos foram divididos aleatoriamente em três grupos equivalentes. O tratamento fisioterapêutico convencional foi administrado a todos os grupos (A, B e C), enquanto o Grupo B recebeu DANS e o Grupo C recebeu também a abordagem INIT. As avaliações foram realizadas através de uma escala visual analógica (EVA), algómetro de pressão, amplitude de movimento cervical (ADM) e índice de incapacidade cervical.

Resultados: As análises estatísticas (MANOVA, ANOVA e testes post-hoc) indicaram diferenças estatisticamente significativas (P = 0,001) na Dor, Rotação à Direita, Rotação Lateral e Dor Postural Total (DPT), e (P = 0,0001) na Flexão, Extensão, Flexão Lateral Direita, Flexão Lateral e Distúrbios Neuromusculares Involuntários (DNMI), indicando que os Grupos C e B foram mais eficazes do que o Grupo A na melhoria dos resultados. Os resultados para os Grupos B e C não foram significativamente diferentes. O Grupo C apresentou a melhoria mais significativa, seguido do Grupo B e, por último, do Grupo A.

Conclusão: A adição de medidas para aliviar o desconforto ou de agentes bloqueantes neuromusculares não invasivos (ANNI) ao programa convencional é benéfica na gestão dos bloqueios neuromusculares não simpáticos (BNNS).

Biografias do Autor

  • Hajar M. Edris, Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

    Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

  • Mohammed E. Abdulalim, Researcher of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.

    Researcher of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.

  • Khaled Alaa Eldin Fetouh, Lecturer of Physical Therapy for Orthopedic Department, Faculty of Physical Therapy, King Salman International University, South Sinai, Egypt.

    Lecturer of Physical Therapy for Orthopedic Department, Faculty of Physical Therapy, King Salman International University, South Sinai, Egypt.

  • Nagwa Sayed Abdelwahed, Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

    Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

  • Maha Samir Younis Ahmed, Lecturer of Physical Therapy for Internal Medicine and Geriatric Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

    Lecturer of Physical Therapy for Internal Medicine and Geriatric Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

  • Doaa Mohammed El Ghazally El Zawhry, Lecturer of Physical Therapy for Burn and Surgery Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

    Lecturer of  Physical Therapy for Burn and Surgery Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

  • Mennatallah M. Abdellatif, Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt.

    Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt.

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Publicado

01-06-2026

Edição

Vol. 79 (2026)

Secção

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

Licença

Direitos de Autor (c) 2026 Hajar M. Edris, Mohammed E. Abdulalim, Heba Allah Samy, Khaled Alaa Eldin Fetouh, Nagwa Sayed Abdelwahed, Maha Samir Younis Ahmed, Doaa Mohammed El Ghazally El Zawhry, Mennatallah M. Abdellatif

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Como Citar

Edris, H. M., Abdulalim, M. E., Salim, A. S. M., Fetouh, K. A. E., Abdelwahed, N. S., Ahmed, M. S. Y., El Zawhry, D. M. E. G., & Abdellatif, M. M. (2026). Efeito dos deslizamentos apofisários naturais sustentados versus técnica integrada de inibição neuromuscular na dor cervical inespecífica. Retos, 79, 852-861. https://doi.org/10.47197/retos.v79.119235