Aplicação do questionário QVWOQOL Bref antes e após tratamento manipulativo osteopático / Application of WHOQOL Bref questionnaire before and after osteopathic manipulative treatment

Introdução: A dor é uma experiência sensorial ou emocional desagradável, associada a um dano real ou potencial dostecidos. Dentre os tratamentos indicados para minimizar esta condição, está a osteopatia, que avalia e trata o indivíduoglobalmente. Objetivo: avaliar a qualidade de vida por meio do questionário QVWOQOL-Bref antes e após o tratamentomanipulativo osteopático. Metodologia: 20 pacientes com dor crônica inscritos para tratamento no ambulatório de osteopatiado Instituto Brasileiro de Osteopatia do Hospital Universitário de Santa Catarina foram randomizados em GrupoEstudo (GE) (n=10) e Grupo Controle (GC) (n=10). Os pacientes responderam o questionário de QVWOQOL-Bref antese no final do tratamento osteopático. O GE recebeu seis atendimentos de osteopatia e o GC permaneceu dois meses semintervenção. Resultados: as médias dos percentuais de qualidade de vida não mostraram diferença significativa (p<0.05)entre os grupos na avaliação final e inicial. A comparação das médias inicial e final no mesmo grupo não apresentoudiferença significativa, apesar das médias finais do GE serem superiores. Conclusão: não houve diferença significativa naqualidade de vida entre o GC e o GE, nos aspectos físico, psicológico, social e ambiental porém as médias do GE em todosos domínios mostrou-se superior na avaliação final.(AU)

Introduction: Pain is an unpleasant sensory or emotional experience associated with an actual or potential damage tissue.Among the treatments given to minimize this condition is osteopathy, which evaluates and treats individuals globally.Objective: Evaluate the quality of life through the WHOQOL-Bref questionnaire before and after manipulative osteopathictreatment. Method: 20 patients with chronic pain enrolled for treatment in osteopathy clinic on the outpatient of the OsteopathyBrazilian Institute from the University Hospital of Santa Catarina were randomized in Study Group (SG) (n = 10)and control group (CG) (n = 10). Patients answered the questionnaire QVWOQOL-Bref before and at the end of osteopathictreatment. SG has received six osteopathic treatments and the CG remained two months without intervention. Results: themean percentage of QOL showed no significant difference (p>0.05) between the groups in the initial and final evaluation.The comparison of the initial and final means in the same group showed no significant difference, despite the final meansof the SG being higher. Conclusion: There was no significant difference between GC and SG; however, SG’s means in allareas were higher in the final evaluation.(AU)

Immediate changes in electroencephalography activity in individuals with nonspecific chronic low back pain after cranial osteopathic manipulative treatment: study protocol of a randomized, controlled crossover trial.

BACKGROUND: Osteopathic medicine is based on a diagnostic and therapeutic system to treat tissue mobility/ motility dysfunctions in general, using different approaches (depending on the target tissue) known as osteopathic manipulative treatment. Among the available techniques those ones addressed to the cranial field are the most questioned because of the lack of scientific evidence; but the compression of the 4th ventricle technique has been largely studied in clinical trials. Studies have shown that the technique may affect both central and autonomous nervous system, modulating some reflexes (Traube-Hering baro signal), and modifying brain cortex electrical activity through central sensitization in subjects with chronic low back pain. Thus, investigators hypothesize that the compression of the 4th ventricle may modulate peak alpha frequency (eletroencephalographic assessment) and promote physical relaxation in subjects in vigil. METHODS/DESIGN: A randomized, controlled crossover trial with blinded assessor was designed to test the hypothesis. A total of 81 participants will be assigned to three treatment conditions, with seven days of washout: (I) compression of the 4th ventricle; (II) sham compression of the fourth ventricle; (III) control (no intervention). The (I) power amplitude and the (II) frequencies of the dominant peak in the alpha band will be the primary outcome measures of the study. All participants will be recruited at the Outpatient Rehabilitation Service of the University Hospital of Brasília-University of Brasília. All the electroencephalographic exams will be conducted by a blinded assessor. DISCUSSION: The investigators hypothesize that patients with chronic low back pain submitted to the technique would have the peak alpha frequency modulated and, thus, would experience physical relaxation. TRIAL REGISTRATION: NCT02111382.

Aplicação do questionário QVWOQOL Bref antes eapós tratamento manipulativo osteopático / Application of WHOQOL Bref questionnaire before and after osteopathicmanipulative treatment

Introdução: A dor é uma experiência sensorial ou emocional desagradável, associada a um dano real ou potencial dostecidos. Dentre os tratamentos indicados para minimizar esta condição, está a osteopatia, que avalia e trata o indivíduoglobalmente. Objetivo: avaliar a qualidade de vida por meio do questionário QVWOQOL-Bref antes e após o tratamentomanipulativo osteopático. Metodologia: 20 pacientes com dor crônica inscritos para tratamento no ambulatório de osteopatiado Instituto Brasileiro de Osteopatia do Hospital Universitário de Santa Catarina foram randomizados em GrupoEstudo (GE) (n=10) e Grupo Controle (GC) (n=10). Os pacientes responderam o questionário de QVWOQOL-Bref antese no final do tratamento osteopático. O GE recebeu seis atendimentos de osteopatia e o GC permaneceu dois meses semintervenção. Resultados: as médias dos percentuais de qualidade de vida não mostraram diferença significativa (p<0.05)entre os grupos na avaliação final e inicial. A comparação das médias inicial e final no mesmo grupo não apresentoudiferença significativa, apesar das médias finais do GE serem superiores. Conclusão: não houve diferença significativa naqualidade de vida entre o GC e o GE, nos aspectos físico, psicológico, social e ambiental porém as médias do GE em todosos domínios mostrou-se superior na avaliação final.

Introduction: Pain is an unpleasant sensory or emotional experience associated with an actual or potential damage tissue.Among the treatments given to minimize this condition is osteopathy, which evaluates and treats individuals globally.Objective: Evaluate the quality of life through the WHOQOL-Bref questionnaire before and after manipulative osteopathictreatment. Method: 20 patients with chronic pain enrolled for treatment in osteopathy clinic on the outpatient of the OsteopathyBrazilian Institute from the University Hospital of Santa Catarina were randomized in Study Group (SG) (n = 10)and control group (CG) (n = 10). Patients answered the questionnaire QVWOQOL-Bref before and at the end of osteopathictreatment. SG has received six osteopathic treatments and the CG remained two months without intervention. Results: themean percentage of QOL showed no significant difference (p>0.05) between the groups in the initial and final evaluation.The comparison of the initial and final means in the same group showed no significant difference, despite the final meansof the SG being higher. Conclusion: There was no significant difference between GC and SG; however, SG’s means in allareas were higher in the final evaluation.