Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180064
Brazilian Journal of Pain
Artigo Original

Comparison of the application of elastic bandage and medical tape in pain reduction in primary and secondary teachers

Comparação da aplicação de bandagem elástica e esparadrapo na redução da dor em professores de ensino fundamental e médio

Debora Mottin; Cássio Preis; Luiz Bertassoni Neto

http://dx.doi.org/10.5935/2595-0118.20180064 BrJP, vol.1, n4, p.339-344, 2018
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Abstract

BACKGROUND AND OBJECTIVES: The convolutions generated on the patient’s skin with the application of the elastic bandage reduce the pressure on the mechanoreceptors and thus, the nociceptive stimulus. The objective of this study was to compare the effect of the elastic bandage application with the application of the medical tape in myofascial pain in the region of the upper fibers of the trapezius muscle in teachers.

METHODS: Participants were assessed using the McGill-Melzack Pain questionnaire and the numeric pain rating scale, palpation for the detection of trigger points, goniometry for shoulder abduction and lateral neck flexion, and the upper trapezius muscle strength test. Participants were randomly divided into two groups. In the first moment, the participants of group A received an application of elastic bandage, with the “Y” technique, and those belonging to group B received the application of the same technique, however, using the medical tape. Both groups were reassessed after teaching class and after 24 hours. Two weeks later, there was the inversion of the materials used.

RESULTS: The sample consisted of 16 teachers. Group A had a significant statistical pain reduction, according to the numeric pain rating scale, between the initial assessment and post-application at the first moment (p=0.00) and at the second moment (p=0.02). A similar result was found in group B, according to the numeric pain rating scale, both at the first moment (p=0.01) and at the second moment (p=0.03). In both groups, there was pain attenuation with no significance on the effect of the elastic bandage or the medical tape.

CONCLUSION: The application of elastic bandage has the same effect that the medical tape in reducing pain.

Keywords

Faculty, Myofascial pain syndromes, Pain, Physical therapy, Physical therapy modalities

Resumo

JUSTIFICATIVA E OBJETIVOS: As circunvoluções geradas na pele do paciente com a aplicação da bandagem elástica reduzem a pressão dos mecanorreceptores e assim, o estímulo nociceptivo. O objetivo deste estudo foi comparar o efeito da aplicação da bandagem elástica com a aplicação de esparadrapo na dor miofascial na região das fibras superiores do músculo trapézio de professores.

MÉTODOS: Os participantes foram avaliados através do questionário da dor de McGill-Melzack e a escala numérica, palpação para detecção de pontos-gatilho, goniometria de abdução do ombro e láteroflexão de cervical e teste de força no músculo trapézio superior. Aleatoriamente foram divididos em dois grupos. No primeiro momento, os participantes do grupo A, receberam a aplicação de bandagem elástica, com a técnica em “Y” e, os pertencentes ao grupo B, receberam a aplicação da mesma técnica, entretanto com esparadrapo. Ambos os grupos foram reavaliados após ministrar aula e após 24 horas. Duas semanas após, ocorreu a inversão dos materiais utilizados.

RESULTADOS: A amostra foi constituída por 16 professores. O grupo A apresentou redução estatisticamente significativa da dor na escala numérica entre a avaliação inicial e pós-aplicação no primeiro momento (p=0,00) e no segundo momento (p=0,02). Resultado semelhante foi encontrado no grupo B na escala numérica, tanto no primeiro momento (p=0,01) quanto no segundo momento (p=0,03). Em ambos os grupos a dor atenuou sem haver significância para o efeito da bandagem elástica ou esparadrapo.

CONCLUSÃO: A aplicação de bandagem elástica apresenta o mesmo efeito da aplicação de esparadrapo para a redução do quadro álgico.

Palavras-chave

Dor, Fisioterapia, Modalidades de fisioterapia, Professores, Síndromes da dor miofascial

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Submetido em:
01/05/2018

Aceito em:
17/09/2018

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