Fibromialgia y síndrome de dolor miofascial abordadas desde la liberación miofascial y la punción seca
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Autores
Liseth Yurany Betancur RojasLisethbetancur18@gmail.com
Maria Paula Ovalle Vivas
paw_2711@hotmail.com
Resumen
La terapia manual es un área de la fisioterapia que utiliza técnicas con finalidades terapéuticas sobre tejidos musculares, óseos, conjuntivos y nerviosos, para favorecer reacciones fisiológicas que promueven la disminución del dolor. Objetivo: Describir, mediante revisión los efectos reportados en la literatura científica, las técnicas de liberación miofascial y punción seca en pacientes con Fibromialgia y Síndrome de Dolor Miofascial. Método: Se realizó una revisión a de Ensayos Clínicos Controlados en materia de intervención con técnicas de liberación miofascial y punción seca en pacientes con diagnóstico de fibromialgia y síndrome de dolor miofascial. Se excluyeron estudios en participantes con trastornos psiquiátricos y neurológicos, o con participación en otro tipo de tratamiento. La consulta se realizó en diferentes bases de datos: Pubmed, Elsevier, Ebscohost, Proquest, Pedro mediante términos DeCS. Resultados: El análisis de resultados se realizó a partir de la clasificación de los documentos según las técnicas de liberación miofascial (masaje, inducción miofascial, presión manual o isquémica) y la punción seca. Las medidas efecto varían de acuerdo a los diferentes protocolos de intervención, con un valor p< 0.001 y 0.005. Discusión: Se demuestra que tanto las técnicas de liberación miofascial como la punción seca, logran disminuir el dolor, mejorar rangos de movimiento y la funcionalidad principalmente en pacientes con Fibromialgia y Síndrome de Dolor Miofascial
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