Correlación de la punción seca y fisioterapia convencional en el tratamiento del síndrome miofascial cervical
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El síndrome miofascial cervical se caracteriza por dolor que se origina a partir de los
puntos gatillo miofasciales en el músculo esquelético de la región cervical. La evaluación
y el manejo apropiados del dolor miofascial son una parte importante de la rehabilitación
musculoesquelética y los síndromes regionales de dolor axial y de extremidades.
Objetivo: Correlacionar la punción seca y la fisioterapia convencional en el tratamiento
del síndrome miofascial cervical. Metodología: Es un estudio de tipo observacional,
analítico, prospectivo y de corte longitudinal, conformado por 100 pacientes
seleccionados de manera aleatoria, distribuidos en dos grupos, de 50 pacientes tratados
con fisioterapia convencional y otro grupo de 50 pacientes tratados con punción seca
profunda de la consulta externa de Rehabilitación física del Hospital Regional IESS
Teodoro Maldonado Carbo durante el periodo del 1 de diciembre del 2017 hasta el 31 de
marzo del 2018. La información fue procesada en Microsoft Excel 2010 y el análisis
estadístico en el programa SPSS 21. Resultados: El sexo femenino fue el predominante con
el 67%, especialmente en adultos jóvenes de 41-60 años con el 48%. Los oficinistas (19%) y amas
de casa (15%) fueron los más afectados, lo cual refleja que esta patología afecta principalmente
a la población activa. Los resultados demuestran que el valor promedio del IDC antes de la
rehabilitación es de 34,38 puntos que indica discapacidad moderada y después de la misma es
de 11,04 puntos que indica discapacidad leve. El análisis estadístico demostró un p-valor inferior
al nivel de significancia (0,05) cuando se compararon ambos valores, lo cual demuestra una
disminución significativa de los valores del IDC mediante los dos tipos de tratamiento
rehabilitador permitiendo demostrar que la rehabilitación física tiene un impacto favorable en
los pacientes con síndrome miofascial cervical. Conclusiones: en los pacientes estudiados con
síndrome de dolor miofascial cervical se encontró que la población más afectada fue el sexo
femenino, el grupo etario fue de 41-60 años, la fisioterapia convencional y la punción seca
proporcionan buenos resultados funcionales y disminución del dolor, con un resultado a corto
y mediano plazo respectivamente.
The cervical myofascial syndrome is characterized by pain originating from the myofascial trigger points in the skeletal muscle of the cervical region. The appropriate assessment and management of myofascial pain is an important part of musculoskeletal rehabilitation and regional syndromes of axial and extremity pain. Objective: To correlate dry needling and conventional physiotherapy in the treatment of cervical myofascial syndrome. Methodology: It is an observational, analytical, prospective and longitudinal-type study, consisting of 100 randomly selected patients, divided into two groups, of 50 patients treated with conventional physiotherapy and another group of 50 patients treated with deep dry needling. the outpatient clinic of Physical Rehabilitation of IESS Teodoro Maldonado Carbo Regional Hospital during the period from December 1, 2017 to March 31, 2018. The information was processed in Microsoft Excel 2010 and the statistical analysis in the SPSS 21 program. Results: The female sex was predominant with 67%, especially in young adults of 41-60 years with 48%. The clerks (19%) and housewives (15%) were the most affected, which reflects that this pathology affects mainly the active population. The results show that the average value of the IDC before rehabilitation is 34.38 points indicating moderate disability and after that it is 11.04 points indicating mild disability. The statistical analysis showed a pvalue lower than the level of significance (0.05) when both values were compared, which shows a significant decrease in the IDC values by means of the two types of rehabilitative treatment allowing to demonstrate that physical rehabilitation has a favorable impact in patients with cervical myofascial syndrome. Conclusions: in the patients studied with cervical myofascial pain syndrome, it was found that the female population was the most treated, the age group was 41-60 years, conventional physiotherapy and dry needling. with a short and medium term result respectively.
The cervical myofascial syndrome is characterized by pain originating from the myofascial trigger points in the skeletal muscle of the cervical region. The appropriate assessment and management of myofascial pain is an important part of musculoskeletal rehabilitation and regional syndromes of axial and extremity pain. Objective: To correlate dry needling and conventional physiotherapy in the treatment of cervical myofascial syndrome. Methodology: It is an observational, analytical, prospective and longitudinal-type study, consisting of 100 randomly selected patients, divided into two groups, of 50 patients treated with conventional physiotherapy and another group of 50 patients treated with deep dry needling. the outpatient clinic of Physical Rehabilitation of IESS Teodoro Maldonado Carbo Regional Hospital during the period from December 1, 2017 to March 31, 2018. The information was processed in Microsoft Excel 2010 and the statistical analysis in the SPSS 21 program. Results: The female sex was predominant with 67%, especially in young adults of 41-60 years with 48%. The clerks (19%) and housewives (15%) were the most affected, which reflects that this pathology affects mainly the active population. The results show that the average value of the IDC before rehabilitation is 34.38 points indicating moderate disability and after that it is 11.04 points indicating mild disability. The statistical analysis showed a pvalue lower than the level of significance (0.05) when both values were compared, which shows a significant decrease in the IDC values by means of the two types of rehabilitative treatment allowing to demonstrate that physical rehabilitation has a favorable impact in patients with cervical myofascial syndrome. Conclusions: in the patients studied with cervical myofascial pain syndrome, it was found that the female population was the most treated, the age group was 41-60 years, conventional physiotherapy and dry needling. with a short and medium term result respectively.
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Síndrome miofascial cervical, Indice de discapacidad cervical, Escala visual analógica, Medicina Física y Rehabilitación, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Punción seca, Fisioterapia convencional