Electromyography function, disability degree, and pain in leprosy patients undergoing neural mobilization treatment

Author:

Véras Larissa Sales Téles1,Vale Rodrigo Gomes de Souza2,Mello Danielli Braga de3,Castro José Adail Fonseca de4,Lima Vicente2,Trott Alexis5,Dantas Estélio Henrique Martin2

Affiliation:

1. Universidade Estadual do Piauí; Universidade Federal do Estado do Rio de Janeiro; Hospital Getúlio Vargas

2. Universidade Federal do Estado do Rio de Janeiro

3. Universidade Federal do Estado do Rio de Janeiro; Escola de Educação Física do Exército Brasileiro

4. Universidade Estadual do Piauí; Fundação Oswaldo Cruz

5. Universidade do Oeste de Santa Catarina; Universidade Federal do Rio Grande do Sul

Abstract

INTRODUCTION: This study aimed to evaluate the effect of the neural mobilization technique on electromyography function, disability degree, and pain in patients with leprosy. METHODS: A sample of 56 individuals with leprosy was randomized into an experimental group, composed of 29 individuals undergoing treatment with neural mobilization, and a control group of 27 individuals who underwent conventional treatment. In both groups, the lesions in the lower limbs were treated. In the treatment with neural mobilization, the procedure used was mobilization of the lumbosacral roots and sciatic nerve biased to the peroneal nerve that innervates the anterior tibial muscle, which was evaluated in the electromyography. RESULTS: Analysis of the electromyography function showed a significant increase (p<0.05) in the experimental group in both the right (Δ%=22.1, p=0.013) and the left anterior tibial muscles (Δ%=27.7, p=0.009), compared with the control group pre- and post-test. Analysis of the strength both in the movement of horizontal extension (Δ%right=11.7, p=0.003/Δ%left=27.4, p=0.002) and in the movement of back flexion (Δ%right=31.1; p=0.000/Δ%left=34.7, p=0.000) showed a significant increase (p<0.05) in both the right and the left segments when comparing the experimental group pre- and post-test. The experimental group showed a significant reduction (p=0.000) in pain perception and disability degree when the pre- and post-test were compared and when compared with the control group in the post-test. CONCLUSIONS: Leprosy patients undergoing the technique of neural mobilization had an improvement in electromyography function and muscle strength, reducing disability degree and pain.

Publisher

FapUNIFESP (SciELO)

Subject

Infectious Diseases,Microbiology (medical),Parasitology

Reference41 articles.

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