Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.63231/2595-0118.202665-en
Brazilian Journal of Pain
Artigo Original

Randomized crossover clinical trial protocol to evaluate the immediate effects of electromassage on pain in hemato-oncological patients

Protocolo de ensaio clínico randomizado cruzado para avaliar os efeitos imediatos da eletromassagem na dor em pacientes hemato-oncológicos

Giovanne Pereira da Costa; Maria Eduarda Somariva Rochi; Mariana Gabriela Figueira Farinhaque Maderna Leite; Rodrigo de Barros Zannata; Natália Boneti Moreira; Raciele Ivandra Guarda Korelo

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Abstract

BACKGROUND AND OBJECTIVES: Electromassage combines electrical stimulation and therapeutic massage through conductive gloves and is considered a promising approach for pain management. However, its effects in individuals with hematologic cancer remain unknown. This protocol aims to evaluate the immediate effects of a single electromassage session on pain, muscle tension, and fatigue in patients with hematologic neoplasms.

METHODS: This is a randomized, crossover, single-blind clinical trial with two parallel groups and a pre- and post-intervention design. Individuals of both genders, aged over 18 years, diagnosed with hematologic cancer and presenting cancer-related pain intensity ≥ 4 on the visual numeric scale (0-10), will be recruited. Participants (n=50) will receive either one electromassage session applied to the cervico-thoraco-lumbar region (combined with transcutaneous electrical nerve stimulation (TENS), for 20 minutes or will maintain their usual care routine (Control), without additional intervention, separated by a 7- to 21 -day washout period. Primary outcome: pain. Secondary outcomes: fatigue; nausea, vomiting, and queasiness; muscle tension; stress and anxiety; analgesic and opioid consumption; satisfaction with the intervention; and the occurrence of adverse events.

RESULTS: The results may contribute to understanding the potential of electromassage as a non-pharmacological intervention in pain management in hematological-oncological patients.

CONCLUSION: This protocol may contribute to expanding the evidence on electromassage as a non-pharmacological approach for pain management in hemato-oncological patients.

Supplementary material

Keywords

Cancer pain; Hematologic neoplasms; Massage; Physical therapy modalities; Transcutaneous electrical nerve stimulation

Resumo

JUSTIFICATIVA E OBJETIVOS: A eletromassagem combina estimulação elétrica e massagem terapêutica por meio de luvas condutoras, sendo promissora no controle da dor. No entanto, ainda não são conhecidos os seus efeitos em portadores de câncer hematológico. Este protocolo visa avaliar o efeito imediato de uma única intervenção de eletromassagem sobre a dor, tensão muscular e fadiga em pacientes com neoplasias hematológicas.

MÉTODOS: Ensaio clínico randomizado, cruzado e simples-cego, com dois grupos paralelos, pré e pós-intervenção. Serão recrutados portadores de câncer hematológico, de ambos os sexos, com idade acima de 18 anos, que apresentem intensidade de dor oncológica ≥ 4 na escala visual numérica n(0-10). Os participantes (n=50) receberam uma única intervenção de eletromassagem na região de coluna cérvico-toracolombar (associada ao estímulo elétrico por meio da corrente elétrica nervosa transcutânea (TENS), durante 20 minutos) ou manterão sua rotina de cuidados habituais (Controle), sem intervenção adicional, separados por um período de washout de 7 a 21 dias. Desfecho primário: dor. Desfechos secundários: fadiga; episódios de enjoo, náusea, vômito; tensão muscular; estresse e ansiedade; consumo de analgésicos e opioides; satisfação com o recurso e presença de eventos adversos.

RESULTADOS: Os resultados poderão contribuir para o entendimento do potencial da eletromassagem como intervenção não farmacológica no manejo da dor em pacientes hemato-oncológicos.

CONCLUSÃO: Este protocolo poderá contribuir para ampliar as evidências sobre o uso da eletromassagem como intervenção não farmacológica no manejo da dor em pacientes hemato-oncológicos.

Material suplementar

Palavras-chave

Dor do câncer; Estimulação elétrica nervosa transcutânea; Massagem; Modalidades de Fisioterapia; Neoplasias hematológicas

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Submetido em:
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