Agentes eletrofísicos na prática clínica de fisioterapeutas ortopédicos e esportivos no Brasil
DOI:
https://doi.org/10.1590/1809-2950/19019727022020Palavras-chave:
Fisioterapia;, Terapia por Estimulação Elétrica, Terapia por UltrassomResumo
Estudos têm descrito a utilização de agentes eletrofísicos (AE) por fisioterapeutas ao redor do mundo. No entanto, o uso de AE por fisioterapeutas brasileiros permanece inexplorado. O objetivo deste estudo é descrever o acesso, a utilização e a percepção sobre os AE de fisioterapeutas ortopédicos e esportivos no Brasil. Os profissionais foram convidados a responder um questionário on-line. Foram solicitados dados demográficos e informações sobre o acesso, utilização e percepção dos profissionais sobre os AE na prática clínica. Dentre os 376 fisioterapeutas incluídos, 89% declararam ser usuários de AE na prática clínica. Eletroterapia sensorial com corrente pulsada (TENS), ultrassom terapêutico, eletroterapia excitomotora com corrente pulsada (FES/NMES) e crioterapia são acessíveis para mais de 3/4 dos participantes. Artigos científicos e experiência clínica são os fatores de maior influência na escolha por AE. O ultrassom é o AE mais frequentemente utilizado, seguido por Tens, crioterapia, fotobiomodulação, bolsas quentes e FES/NMES. Os cinco AE elencados pelos fisioterapeutas como mais úteis na prática clínica são: (1) ultrassom; (2) fotobiomodulação; (3) TENS; (4) crioterapia; e (5) FES/NMES. Em conclusão, os AE são largamente usados pelos fisioterapeutas ortopédicos e esportivos no Brasil. Ultrassom terapêutico, TENS, FES/NMES, fotobiomodulação, crioterapia e bolsas quentes são os AE mais usados na prática clínica desses fisioterapeutas.
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Referências
World Confederation for Physical Therapy subgroups. International
Society for Electrophysical Agents in Physical Therapy (ISEAPT)
[Internet]. Milwaukee: Marquette University; 2017 [cited 2017
Oct 13]. Available from: http://www.wcpt.org/iseapt
Canadian Physiotherapy Association. Electrophysical Agents:
contraindications and precautions: an evidence-based approach
to clinical decision making in physical therapy. Physiother Can.
;62(5):1-80. doi: 10.3138/ptc.62.5
Cameron M. Physical agents in rehabilitation: from research
to practice. Sant Louis: Elsevier; 2003.
Robertson VJ, Chipchase L, Laakso E, Whelan K, McKenna,
L. Guidelines for the clinical use of electrophysical agents.
Melbourne: Australian Physiotherapy Association; 2001.
Watson T. The role of electrotherapy in contemporary
physiotherapy practice. Man Ther. 2000;5(3):132-41. doi:
1054/math.2000.0363
Chipchase L. Is there a future for electrophysical agents in
musculoskeletal physiotherapy? Man Ther. 2012;17(4):265-6.
doi: 10.1016/j.math.2012.04.001
Crosbie J, Gass E, Jull G, Morris M, Rivett D, Ruston S,
et al. Sustainable undergraduate education and professional
competency. Aust J Physiother. 2002;48(1):5-7. doi: 10.1016/
S0004-9514(14)60276-2
Laakso EL, Robertson VJ, Chipchase LS. The place of
electrophysical agents in Australian and New Zealand entry-level
curricula: is there evidence for their inclusion? Aust J Physiother.
;48(4):251-4. doi: 10.1016/S0004-9514(14)60164-1
Lindsay D, Dearness J, Richardson C, Chapman A, Cuskelly G.
A survey of electromodality usage in private physiotherapy
practices. Aust J Physiother. 1990;36(4):249-6. doi: 10.1016/
S0004-9514(14)60527-4
Robertson VJ, Spurritt D. Electrophysical agents: implications
of their availability and use in undergraduate clinical
placements. Physiotherapy. 1998;84(7):335-44. doi: 10.1016/
S0031-9406(05)63462-1
Chipchase L, Williams MT, Robertson V. A national study of
the availability and use of electrophysical agents by Australian
physiotherapists. Physiother Theor Pract. 2009;25(4):279-6.
doi: 10.1080/09593980902782611
Taylor E, Humphry R. Survey of physical agent modality use.
Am J Occup Ther. 1991;45(10):924-31. doi: 10.5014/ajot.45.10.924
Greco J, Lamberg EM, McKenna RF, Muratori LM. Trends
in availability and usage of biophysical agents among
physical therapists in the United States. Phys Ther Rev.
;23:(2);116-23. doi: 10.1080/10833196.2018.1449921
Lindsay D, Dearness J, McGinley C. Electrotherapy usage
trends in private physiotherapy practice in Alberta. Physiother
Can. 1995;47(1):30-4.
Pope GD, Mockett SP, Wright JP. A survey of electrotherapeutic
modalities: ownership and use in the NHS in England. Physiotherapy.
;81(2):82-91. doi: 10.1016/S0031-9406(05)67050-2
Cooney M, Gallen C, Mullins G. A survey of ownership and
use of electrotherapeutic modalities in public outpatient
departments and private practice in the Republic of Ireland.
Physiother Irel. 2000;21:3-8.
Springer S, Laufer Y, Elboim-Gabyzon M. Clinical decision
making for using electro-physical agents by physiotherapists,
an Israeli survey. Isr J Health Policy Res. 2015;4:14-9. doi:
1186/s13584-015-0015-x
Abe Y, Goh A, Kei Miyoshi K. Availability, usage, and factors
affecting usage of electrophysical agents by physical
therapists: a regional cross-sectional survey. J Phys Ther Sci.
;28(11):3088-94. doi: 10.1589/jpts.28.3088
Shah SGS, Farrow A. Trends in the availability and usage
of electrophysical agents in physiotherapy practices from
to 2010: a review. Phys Ther Rev. 2012;17(4):207-26. doi:
1179/1743288X12Y.0000000007
CoFFiTO-Conselho Federal de Fisioterapia e Terapia
Ocupacional. Perguntas mais frequentes: quantitativo de
profissionais [Internet]. Brasília, DF: Coffito, 2018 [cited 2019
Jan 20]. Available from: http://www.coffito.gov.br
Silva TM, Costa LC, Garcia AN, Costa LO. What do
physical therapists think about evidence-based practice?
A systematic review. Man Ther. 2015;20(3):388-401. doi:
1016/j.math.2014.10.009
Herbert R, Jamtvedt G, Hagen KB, Mead J. Practical evidencebased physiotherapy. 2nd ed. Oxford: Elsevier, 2011.
Wu Y, Zhu S, Lv Z, Kan S, Wu Q, Song W, et al. Effects of
therapeutic ultrasound for knee osteoarthritis: a systematic
review and meta-analysis. Clin Rehabil. 2019;33(12):1863-75.
doi: 10.1177/0269215519866494
Zhu Y, Feng Y, Peng L. Effect of transcutaneous electrical
nerve stimulation for pain control after total knee arthroplasty:
a systematic review and meta-analysis. J Rehabil Med.
;49(9):700-4. doi: 10.2340/16501977-2273
Griffin XL, Parsons N, Costa ML, Metcalfe D. Ultrasound
and shockwave therapy for acute fractures in adults.
Cochrane Database Syst Rev. 2014;23;(6):CD008579. doi:
1002/14651858.CD008579.pub3
Ebadi S, Henschke N, Nakhostin Ansari N, Fallah E, van
Tulder MW. Therapeutic ultrasound for chronic low-back
pain. Cochrane Database Syst Rev. 2014;(3):CD009169. doi:
1002/14651858.CD009169.pub2
Brosseau L, Casimiro L, Welch V, Milne S, Shea B, Judd M,
et al. WITHDRAWN: Therapeutic ultrasound for treating
patellofemoral pain syndrome. Cochrane Database Syst Rev.
;(2):CD003375. doi: 10.1002/14651858.CD003375.pub2
Gibson W, Wand BM, O’Connell NE. Transcutaneous
electrical nerve stimulation (TENS) for neuropathic pain in
adults. Cochrane Database Syst Rev. 2017;(9):CD011976. doi:
1002/14651858.CD011976.pub2
Khadilkar A, Odebiyi DO, Brosseau L, Wells GA. Transcutaneous
electrical nerve stimulation (TENS) versus placebo for
chronic low-back pain. Cochrane Database Syst Rev.
;(4):CD003008. doi: 10.1002/14651858.CD003008.pub3
Gibson W, Wand BM, Meads C, Catley MJ, O’Connell NE.
Transcutaneous electrical nerve stimulation (TENS) for chronic
pain – an overview of Cochrane Reviews. Cochrane Database Syst
Rev. 2019;2019(4):CD011890. doi: 10.1002/14651858.CD011890.pub3
French SD, Cameron M, Walker BF, Reggars JW, Esterman AJ.
Superficial heat or cold for low back pain. Cochrane Database Syst
Rev. 2006;(1):CD004750. doi: 10.1002/14651858.CD004750.pub2
Dubois B, Esculier JF. Soft-tissue injuries simply need PEACE
and LOVE. Br J Sports Med. 2019;54(2):72-3. doi: 10.1136/
bjsports-2019-101253
Alves AN, Fernandes KP, Deana AM, Bussadori SK, MesquitaFerrari RA. Effects of low-level laser therapy on skeletal
muscle repair: a systematic review. Am J Phys Med Rehabil.
;93(12):1073-85. doi: 10.1097/PHM.0000000000000158
Chow RT, Johnson MI, Lopes-Martins RA, Bjordal JM. Efficacy
of low-level laser therapy in the management of neck pain: a
systematic review and meta-analysis of randomised placebo or
active-treatment controlled trials. Lancet. 2009;374(9705):1897-
doi: 10.1016/S0140-6736(09)61522-1
Yamaura M, Yao M, Yaroslavsky I, Cohen R, Smotrich M,
Kochevar IE. Low level light effects on inflammatory cytokine
production by rheumatoid arthritis synoviocytes. Lasers Surg
Med. 2009;41(4):282-90. doi: 10.1002/lsm.20766
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Copyright (c) 2020 Francine Pereira da Silva, Lucas Severo-Silveira, Rodrigo Della Méa Plentz, João Luiz Quagliotti Durigan, Bruno Manfredini Baroni
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