Efeitos da utilização da pompage isolada ou em associação a terapia por fotobiomodulação na dor, amplitude de movimento e qualidade de vida na cervicalgia: estudo controlado, randomizado e duplo cego

Abstract

Cervicalgia, the term attributed to painful conditions related to the spine, is a syndrome that affects the cervical region, causing pain and movement limitation. In the management of cervicalgia, manual therapies are widely used and have shown positive results in many cases through an approach that involves both passive and active interventions, aiming to reduce pain, improve function, movement, and motor control, as well as decrease inflammatory processes. The use of lasers and light-emitting diodes (LEDs) for photobiomodulation therapy presents remarkable advantages for the treatment of cervicalgia. In addition to its potential therapeutic efficacy, as demonstrated in the literature, these resources are non-invasive and easy to apply, making them an attractive option for both patients and healthcare professionals. Thus, the objective of the present study was to evaluate the effects of pompage, with or without photobiomodulation therapy, on pain and quality of life in patients with cervicalgia using a cluster of light-emitting diodes. This was a randomized, controlled, double-blind clinical study in which participants of both sexes, aged between eighteen and sixty-two years, with nonspecific chronic cervicalgia, were included. After screening, eight participants completed the study protocol and were randomly assigned to two groups: Pompage Group (n=5): In this group, only manual therapy was performed using the pompage technique. Pompage and Photobiomodulation Therapy Group (n=3): In this group, the same procedures as in the Pompage Control Group were performed, with the addition of photobiomodulation therapy using an LED panel applied to the cervical region for ten minutes after the pompage session. The participants underwent ten treatment sessions, performed twice a week, excluding weekends. For the application of photobiomodulation therapy, a panel with two hundred and sixty-four light-emitting diodes (eight milliwatts; four point eighty-nine joules; nine point six joules per square centimeter; sixteen milliwatts per square centimeter per LED) was used, with one hundred and thirty-two LEDs in the red spectrum (six hundred and sixty nanometers) and one hundred and thirty-two LEDs in the infrared spectrum (eight hundred and fifty nanometers). Pain, using the Visual Analog Scale was assessed in all sessions, range of motion, using a goniometer, functional disability, using The Neck Pain Disability questionare and quality of life, using The WHOQOL-100 questionnaire; were assessed before the intervention and after the ten treatment sessions . The data were subjected to statistical analysis considering an alpha value of zero point zero five. The results showed an increase in the range of motion for extension and left lateral rotation at the end of the treatment compared to the beginning of the treatment in the Pompage group, with a p-value of zero point zero two and a decrease in the degree of .functional disability In the LED group, no statistically significant difference was observed, although a difference was noted in the mean values. Statistically significant intergroup differences were found only before treatment for the quality-of-life outcomes .. Conclusion: The treatment brought improvements in the evaluated outcomes, including cervical range of motion, , quality of life and at the end of the treatment in the Pompage group.There is no staatisticlly significant difference in the Pompage + LED group.