Physiotherapeutic approach on the late phase of chikungunya: a case report
Abstract Introduction: in April of 2016, the epidemiological bulletin reported 39,017 suspected cases of chikungunya fever in Brazil. The main symptoms of the disease in the acute phase are: high fever, polyarthralgia, back pain, headache and fatigue; while in the late phase present polyarthralgia or musculoskeletal pain which often has prolonged duration. Description: in the late phase, the patient presented complaints mainly of: severe pain on the ankle joints wrists, elbows and shoulders. The medical handling consisted of continuous ultrasound sessions with the frequency of 1 MHz. The infrared laser with a dosage of 4J and 3s per point; TENS-burst with a pulse width of 250 us and the frequency of 2Hz, carried out for 10 days. The physiotherapeutic treatment proposal was an innovation, however there are no medical literatures for completementary medication for the treatment which could reduce the use of analgesics and could cause prolonged comfort to the patient ratified by EVA and the SF-36. Discussion: the use of ultrasound and low intensity laser are performed on the signs of chronic articular treatment in order to reduce inflammation, pain and joint stiffness. Therefore, a remarkable reduction of the algic state and the improvement of the patient's life along the r ten consecutive sessions of a proposed protocol in this study, thus there is a need for further researches on this issue so it is possible to perform a medical handling based on evidences on the theme.
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Instituto de Medicina Integral Prof. Fernando Figueira
2016
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oai:scielo:S1519-382920160008000052016-11-25Physiotherapeutic approach on the late phase of chikungunya: a case reportRibeiro,Aileciram Monialy Barros MarinhoPimentel,Claudluce MarquesGuerra,Ana Clara Carvalho GonçalvesLima,Marcela Raquel de Oliveira Chikungunya fever Arthralgia Arbovirus infections Abstract Introduction: in April of 2016, the epidemiological bulletin reported 39,017 suspected cases of chikungunya fever in Brazil. The main symptoms of the disease in the acute phase are: high fever, polyarthralgia, back pain, headache and fatigue; while in the late phase present polyarthralgia or musculoskeletal pain which often has prolonged duration. Description: in the late phase, the patient presented complaints mainly of: severe pain on the ankle joints wrists, elbows and shoulders. The medical handling consisted of continuous ultrasound sessions with the frequency of 1 MHz. The infrared laser with a dosage of 4J and 3s per point; TENS-burst with a pulse width of 250 us and the frequency of 2Hz, carried out for 10 days. The physiotherapeutic treatment proposal was an innovation, however there are no medical literatures for completementary medication for the treatment which could reduce the use of analgesics and could cause prolonged comfort to the patient ratified by EVA and the SF-36. Discussion: the use of ultrasound and low intensity laser are performed on the signs of chronic articular treatment in order to reduce inflammation, pain and joint stiffness. Therefore, a remarkable reduction of the algic state and the improvement of the patient's life along the r ten consecutive sessions of a proposed protocol in this study, thus there is a need for further researches on this issue so it is possible to perform a medical handling based on evidences on the theme.info:eu-repo/semantics/openAccessInstituto de Medicina Integral Prof. Fernando FigueiraRevista Brasileira de Saúde Materno Infantil v.16 suppl.1 20162016-11-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000800005en10.1590/1806-9304201600s100005 |
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Ribeiro,Aileciram Monialy Barros Marinho Pimentel,Claudluce Marques Guerra,Ana Clara Carvalho Gonçalves Lima,Marcela Raquel de Oliveira |
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Ribeiro,Aileciram Monialy Barros Marinho Pimentel,Claudluce Marques Guerra,Ana Clara Carvalho Gonçalves Lima,Marcela Raquel de Oliveira Physiotherapeutic approach on the late phase of chikungunya: a case report |
author_facet |
Ribeiro,Aileciram Monialy Barros Marinho Pimentel,Claudluce Marques Guerra,Ana Clara Carvalho Gonçalves Lima,Marcela Raquel de Oliveira |
author_sort |
Ribeiro,Aileciram Monialy Barros Marinho |
title |
Physiotherapeutic approach on the late phase of chikungunya: a case report |
title_short |
Physiotherapeutic approach on the late phase of chikungunya: a case report |
title_full |
Physiotherapeutic approach on the late phase of chikungunya: a case report |
title_fullStr |
Physiotherapeutic approach on the late phase of chikungunya: a case report |
title_full_unstemmed |
Physiotherapeutic approach on the late phase of chikungunya: a case report |
title_sort |
physiotherapeutic approach on the late phase of chikungunya: a case report |
description |
Abstract Introduction: in April of 2016, the epidemiological bulletin reported 39,017 suspected cases of chikungunya fever in Brazil. The main symptoms of the disease in the acute phase are: high fever, polyarthralgia, back pain, headache and fatigue; while in the late phase present polyarthralgia or musculoskeletal pain which often has prolonged duration. Description: in the late phase, the patient presented complaints mainly of: severe pain on the ankle joints wrists, elbows and shoulders. The medical handling consisted of continuous ultrasound sessions with the frequency of 1 MHz. The infrared laser with a dosage of 4J and 3s per point; TENS-burst with a pulse width of 250 us and the frequency of 2Hz, carried out for 10 days. The physiotherapeutic treatment proposal was an innovation, however there are no medical literatures for completementary medication for the treatment which could reduce the use of analgesics and could cause prolonged comfort to the patient ratified by EVA and the SF-36. Discussion: the use of ultrasound and low intensity laser are performed on the signs of chronic articular treatment in order to reduce inflammation, pain and joint stiffness. Therefore, a remarkable reduction of the algic state and the improvement of the patient's life along the r ten consecutive sessions of a proposed protocol in this study, thus there is a need for further researches on this issue so it is possible to perform a medical handling based on evidences on the theme. |
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Instituto de Medicina Integral Prof. Fernando Figueira |
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2016 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000800005 |
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