1. Universidade Federal da Bahia
  2. Instituto Multidisciplinar de Reabilitação e Saúde (IMRS)
  3. Programa de Pós-Graduação em Ciências da Reabilitação (PPGREAB)
  4. Dissertação (PPGREAB)
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dc.creatorFerreira, Bruno César de Carvalho-
dc.date.accessioned2023-07-28T14:27:41Z-
dc.date.available2023-07-28T14:27:41Z-
dc.date.issued2023-04-27-
dc.identifier.urihttps://repositorio.ufba.br/handle/ri/37464-
dc.description.abstractContextualization: Knee surgeries lead to tissue repair processes that culminate in pain, edema and higher medicine consumption. To alleviate these repercussions, it is recommended to use cryotherapy, a non-pharmacological resource with positive effects on intra-articular temperature control, inflammatory control and premature restoration of muscle strength. Local compression can be added to cryotherapy by expanding the therapeutic potential of this conduct. Although this combination is widely practiced, scientific evidence is not conclusive regarding the therapeutic superiority of the associated use of cryotherapy and compression compared to cryotherapy alone. Objective: To verify that compression has an additive effect to cryotherapy on pain, edema and drug consumption in individuals who underwent knee surgery. Materials and methods: A systematic review of randomized clinical trials (RCT) with meta-analysis that compared cold compression with isolated cryotherapy in pain, edema and consumption of drugs after knee surgeries. The review followed the Preferred Reporting Items for Systematic Reviews and Meta- Analyses (PRISMA) guidelines, with protocol registered in PROSPERO, No. CRD42022321200. The search for major databases was based on the PICO strategy by independent researchers. Meta -analysis was performed with the aid of the Review Manager - Revman 5.4 software for outcomes in the first and second week of postoperative (P.O.) and the average differences with 95% confidence intervals are calculated. Results: Five RCTs were selected that met the inclusion criteria, with 267 individuals (male: 156, female: 111) and the age ranging from 24.2 to 71.7 years. Meta-analysis has shown no additional benefits of compression when associated with isolated cryotherapy in pain in the first week (average difference (MD) -0.71 (95%CI: -1.68 to 0.26; p <0.15), in pain in the second week: (MD: 0.13, CI: 95%: -057 to 0.31; p <0.57) and edema in the first week (MD: -0.32, (IC: 95%, -0.89 and 0.25; p <0.27). Discussion: This meta-analysis has found no difference in short-term pain and edema. It is not possible to state that cold-compression is superior to isolated cryotherapy. Despite the questionable methodological quality of the 5 RCTs, the results are similar like those of Song et al. (2016). Data from other systematic reviews are insufficient to determine a consistent way on the superiority of cold- compression on isolated cryotherapy. Furthermore, Cold-Compression devices are of high costs compared to isolated cryotherapy. Conclusion: This review directs to knowledge gaps that need to be supplied so that there is robust clinical evidence of duality between cold-compression x isolated cryotherapy. Based on these findings, additional costs and resources must be taken into consideration, and it is not possible to determine which modality is clinically superior.pt_BR
dc.languageporpt_BR
dc.publisherUniversidade Federal da Bahiapt_BR
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/br/*
dc.subjectJoelhopt_BR
dc.subjectCrioterapiapt_BR
dc.subjectCuidados pós operat´riopt_BR
dc.subjectDorpt_BR
dc.subjectEdemapt_BR
dc.subject.otherKneept_BR
dc.subject.othercryotherapypt_BR
dc.subject.otherPostoperative Carept_BR
dc.subject.otherpainpt_BR
dc.subject.otheredemapt_BR
dc.titleEfeito aditivo da compressão à crioterapia na dor, edema e no consumo de medicamentos em sujeitos pós cirurgias de joelho: uma revisão sistemática com metanálisept_BR
dc.typeDissertaçãopt_BR
dc.publisher.programPrograma de Pós Graduação em Ciências da Reabilitação (PPGREAB)pt_BR
dc.publisher.initialsUFBApt_BR
dc.publisher.countryBrasilpt_BR
dc.subject.cnpqCNPQ::CIENCIAS DA SAUDEpt_BR
dc.contributor.advisor1Santos, Cleber Luz-
dc.contributor.referee1Santos, Cleber Luz-
dc.contributor.referee2Kons, Rafael Lima-
dc.contributor.referee3Lopes, Tiago da Silva-
dc.creator.Latteshttp://lattes.cnpq.br/5930116958159343pt_BR
dc.description.resumoContextualização: As cirurgias do joelho ocasionam processos de reparação tecidual que culminam em dor, formação de edema e maior consumo de medicamentos. Para amenizar estas repercussões é recomendado o uso da crioterapia, sendo um recurso não farmacológicos com efeitos positivos no controle da temperatura intra-articular, no controle inflamatório e no restabelecimento precoce da força muscular. A compressão local pode ser adicionada à crioterapia ampliando o potencial terapêutico desta conduta. Apesar desta combinação ser amplamente praticada, as evidências científicas não são conclusivas quanto a superioridade terapêutica do uso associado de crioterapia e compressão quando comparado à crioterapia isoladamente. Objetivo: Verificar se a compressão exerce efeito aditivo à crioterapia na dor, edema e no consumo de medicamento em indivíduos que realizaram procedimentos cirúrgicos no joelho. Materiais e métodos: Foi realizada uma revisão sistemática de ensaios clínicos randomizados (ECR) com metanálise que comparou a crio-compressão com a crioterapia isolada na dor, edema e consumo de medicamentos no pós-operatório de cirurgias de joelho. A revisão seguiu as diretrizes do Preferred Reporting Items for Systhematic Reviews and Meta-analyses (Prisma), com protocolo registrado no PROSPERO sob o n° CRD42022321200. A busca nos principais bancos de dados foi baseada na estratégia PICOS por pesquisadores independentes. A metanálise foi realizada com auxílio do software Review Manager – RevMan 5.4, para os desfechos na primeira e segunda semana de pós-operatório (P.O.), sendo calculadas as diferenças médias com intervalos de confiança de 95%. Resultados: Foram selecionados 5 ECR que preencheram os critérios de inclusão, com 267 indivíduos (Masculino: 156, feminino: 111) e a idade variando entre 24,2 a 71,7 anos. A metanálise mostrou não haver benefícios adicionais da compressão quando associada à crioterapia isolada na Dor na primeira semana (diferença de média (MD) -0,71 (IC 95%: -1,68 a 0,26; p<0,15), na Dor na segunda semana: (MD: 0,13, IC:95%: -057 a 0,31; P<0,57) e no edema na primeira semana (MD: -0,32, (IC: 95%, -0,89 e 0,25; p<0,27). Discussão: A presente metanálise não encontrou diferença para os desfechos dor e edema a curto prazo. Não sendo possível afirmar que a crio-compressão é superior à crioterapia isolada. Apesar da questionável qualidade metodológica dos 5 ECR, os resultados estão parecidos com os de SONG e colaboradores (2016). Os dados de outras revisões sistemáticas são insuficientes para determinar um caminho consistente sobre a superioridade da crio-compressão sobre a crioterapia isolada. além disso, os dispositivos de crio-compressão são de alto custos comparados à crioterapia isolada. Conclusão: A presente revisão direciona para lacunas de conhecimentos que precisam ser supridas para que haja uma evidência clínica robusta da dualidade entre crio-compressão x crioterapia isolada. Baseando-se nesses achados, os custos e recursos adicionais têm que ser levados em consideração, não sendo possível determinar qual modalidade é clinicamente superior.pt_BR
dc.publisher.departmentInstituto Multidisciplinar de Reabilitação e Saúde (IMRS)pt_BR
dc.relation.referencesADIE, S., J. M. Naylor, and I. A. Harris. 2010. 'Cryotherapy after total knee arthroplasty a systematic review and meta-analysis of randomized controlled trials', J Arthroplasty, 25: 709-15. ANGEOLES L., Duarte,V. e Borges, G. 2015. 'Crioterapia: Métodos e Aplicações em Pesquisas Brasileiras uma Revisão Sistemática', Saúde e Pesquisa, 8. BELLON, M., CARRARA, M. GADSOU, V. MAZDA, I. Ferrero, A. Simon, F. Julien- M., E. Daghmani, E. 2019. 'Efficacy of the Game Ready((R)) cooling device on postoperative analgesia after scoliosis surgery in children', Eur Spine J, 28: 1257-64. BLEACKLEY, C., S. McDonough, and MacAuley, D. 2004. 'The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials', Am J Sports Med, 32: 251-61 BLEAKLEY, C. Glasgow, P., MacAuley, D. 2012. 'PRICE needs updating, should we call the POLICE?', Br J Sports Med, 46: 220-1. CARVALHO, A. Silva, V. Grande, A. 2013. 'Avaliação do risco de viés de ECR pela ferramenta da colaboração Cochrane', Diagn Tratamento, 18 (1): 38-44. CHEN, M. C., C. C. Lin, J. Y. Ko, and F. C. Kuo. 2020. 'The effects of immediate programmed cryotherapy and continuous passive motion in patients after computer- assisted total knee arthroplasty: a prospective, randomized controlled trial', J Orthop Surg Res, 15: 379. CHUGHTAI, M., R. D. Elmallah, J. B. Mistry, A. Bhave, J. J. Cherian, T. L. McGinn, S. F. Harwin, and M. A. Mont. 2016. 'Nonpharmacologic Pain Management and Muscle Strengthening following Total Knee Arthroplasty', J Knee Surg, 29: 194-200. CHUGHTAI, M. Nipun Sodhi, Michael Jawad, Jared M. Newman, Anton Khlopas, Anil Bhave, and Michael A. Mont. 2017. 'Cryotherapy Treatment After Unicompartmental and Total Knee Arthroplasty: A Review', The Journal of Arthroplasty, 32: 3822-32. COVIELLO, M., A. Abate, F. Ippolito, V. Nappi, R. Maddalena, G. Maccagnano, G. Noia, e V. Caiaffa. 2022. 'Continuous Cold Flow Device Following Total Knee Arthroplasty: Myths and Reality', Medicina (Kaunas) DRAHOTA, A. Beller Elaine. Revman calculator. https://training.cochrane.org. Disponível em: https://training.cochrane.org/resource/revman-calculator. Acesso em: 12, dez de 2022. DEMOULIN, C., M. Brouwers, S. Darot, P. Gillet, J. M. Crielaard, and M. Vanderthommen. 2012. 'Comparison of gaseous cryotherapy with more traditional forms of cryotherapy following total knee arthroplasty', Ann Phys Rehabil Med, 55: 229-40. GATEWOOD, C. T., A. A. Tran, and J. L. Dragoo. 2017. 'The efficacy of post- operative devices following knee arthroscopic surgery: a systematic review', Knee Surg Sports Traumatol Arthrosc, 25: 501-16. GLENN, R. E., Jr., K. P. Spindler, T. A. Warren, E. C. McCarty, and M. Secic. 2004. 'Cryotherapy decreases intraarticular temperature after ACL reconstruction', Clin Orthop Relat Res: 268-72. GOODMAN, S. M., B. Springer, G. Guyatt, M. P. Abdel, V. Dasa, M. George, O. Gewurz-Singer, J. T. Giles, B. Johnson, S. Lee, L. A. Mandl, M. A. Mont, P. Sculco, S. Sporer, L. Stryker, M. Turgunbaev, B. Brause, A. F. Chen, J. Gililland, M. Goodman, A. Hurley-Rosenblatt, K. Kirou, E. Losina, R. MacKenzie, K. Michaud, T. Mikuls, L. Russell, A. Sah, A. S. Miller, J. A. Singh, and A. Yates. 2017. '2017 American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty', Arthritis Care Res (Hoboken), 69: 1111-24. HIGGINS JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions version (updated February 2022). Cochrane, 2022. Available from www.training.cochrane.org/handbook. HIGGINS, J. P., D. G. Altman, P. C. Gotzsche, P. Juni, D. Moher, A. D. Oxman, J. Savovic, K. F. Schulz, L. Weeks, J. A. Sterne, Group Cochrane Bias Methods, and Group Cochrane Statistical Methods. 2011. 'The Cochrane Collaboration's tool for assessing risk of bias in randomized trials', BMJ, 343: d5928. INGHAM, S. L., W. Zhang, S. A. Doherty, D. F. McWilliams, K. R. Muir, and M. Doherty. 2011. 'Incident knee pain in the Nottingham community: a 12-year retrospective cohort study', Osteoarthritis Cartilage, 19: 847-52. KOLASINSKI, S. L., T. Neogi, M. C. Hochberg, C. Oatis, G. Guyatt, J. Block, L. Callahan, C. Copenhaver, C. Dodge, D. Felson, K. Gellar, W. F. Harvey, G. Hawker, E. Herzig, C. K. Kwoh, A. E. Nelson, J. Samuels, C. Scanzello, D. White, B. Wise, R. D. Altman, D. DiRenzo, J. Fontanarosa, G. Giradi, M. Ishimori, D. Misra, A. A. Shah, A. K. Shmagel, L. M. Thoma, M. Turgunbaev, A. S. Turner, and J. Reston. 2020. '2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee', Arthritis Care Res (Hoboken), 72: 149-62. KULLENBERG, B., S. Ylipaa, K. Soderlund, and S. Resch. 2006. 'Postoperative cryotherapy after total knee arthroplasty: a prospective study of 86 patients', J Arthroplasty, 21: 1175-9. KURTZ, S. M., K. L. Ong, E. Lau, and K. J. Bozic. 2014. 'Impact of the economic downturn on total joint replacement demand in the United States: updated projections to 2021', J Bone Joint Surg Am, 96: 624-30. LIU, M. M., M. Tian, C. Luo, S. Wang, and L. Shao. 2022. 'Continuous cryotherapy vs. traditional cryotherapy after total knee arthroplasty: A systematic review and meta-analysis of randomized controlled trials', Front Surg, 9: 1073288. MAHER, C., Sherrington, C. Herbert, R. Moseley, A. Elkins, M. 2003. 'Reliability of the PEDro Scale for Rating Quality of Randomized Controlled trial', Physical Therapy, 83: 713 - 21. MEYER-MARCOTTY, M., O. Jungling, B. Vaske, P. M. Vogt, and K. Knobloch. 2011. 'Standardized combined cryotherapy and compression using Cryo/Cuff after wrist arthroscopy', Knee Surg Sports Traumatol Arthrosc, 19: 314-9. MISTRY, J. B., R. D. Elmallah, A. Bhave, M. Chughtai, J. J. Cherian, T. McGinn, S. F. Harwin, and M. A. Mont. 2016. 'Rehabilitative Guidelines after Total Knee Arthroplasty: A Review', J Knee Surg, 29: 201-17. MOHER, D., A. Liberati, J. Tetzlaff, D. G. Altman, and Prisma Group. 2009. 'Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement', PLoS Med, 6: e1000097. MURGIER, J., J. Cailliez, M. Wargny, P. Chiron, E. Cavaignac, and J. M. Laffosse. 2017. 'Cryotherapy with Dynamic Intermittent Compression Improves Recovery From Revision Total Knee Arthroplasty', J Arthroplasty, 32: 2788-91. MURGIER, J., and X. Cassard. 2014. 'Cryotherapy with dynamic intermittent compression for analgesia after anterior cruciate ligament reconstruction. Preliminary study', Orthop Traumatol Surg Res, 100: 309-12. OSBAHR, D. C., P. W. Cawley, and K. P. Speer. 2002. 'The effect of continuous cryotherapy on glenohumeral joint and subacromial space temperatures in the postoperative shoulder', Arthroscopy, 18: 748-54. PABINGER, C., H. Lothaller, and A. Geissler. 2015. 'Utilization rates of knee- arthroplasty in OECD countries', Osteoarthritis Cartilage, 23: 1664-73. PAGE, M. J., J. E. McKenzie, P. M. Bossuyt, I. Boutron, T. C. Hoffmann, C. D. Mulrow, L. Shamseer, J. M. Tetzlaff, E. A. Akl, S. E. Brennan, R. Chou, J. Glanville, J. M. Grimshaw, A. Hrobjartsson, M. M. Lalu, T. Li, E. W. Loder, E. Mayo-Wilson, S. McDonald, L. A. McGuinness, L. A. Stewart, J. Thomas, A. C. Tricco, V. A. Welch, P. Whiting, and D. Moher. 2021. 'The PRISMA 2020 statement: an updated guideline for reporting systematic reviews', BMJ, 372: n71. PAOLONI, J. A., C. Milne, J. Orchard, and B. Hamilton. 2009. 'Non-steroidal anti- inflammatory drugs in sports medicine: guidelines for practical but sensible use', Br J Sports Med, 43: 863-5. PEREIRA, M.; Galvão, T. 2014. 'Heterogeneidade e viés de publicação em revisões sistemáticas', Epidemiologia e Serviços de Saúde, 23: 775-78. PETER, W. F., R. G. Nelissen, and T. P. Vlieland. 2014. 'Guideline recommendations for post-acute postoperative physiotherapy in total hip and knee arthroplasty: are they used in daily clinical practice?', Musculoskeletal Care, 12: 125-31. RAYNOR, M ; Pietrobon, R; Guller, U; Higgins, L. 2005. 'Cryotherapy After ACL Reconstruction: A Meta-analysis', The Journal of knee surgery, 18: 123-29. SADOGHI, P., S. Hasenhutl, G. Gruber, L. Leitner, A. Leithner, G. Rumpold- Seitlinger, N. Kastner, R. W. Poolman, and M. Glehr. 2018. 'Impact of a new cryotherapy device on early rehabilitation after primary total knee arthroplasty (TKA): a prospective randomised controlled trial', Int Orthop, 42: 1265-73. SCHINSKY, M. F., C. McCune, and J. Bonomi. 2016. 'Multifaceted Comparison of Two Cryotherapy Devices Used After Total Knee Arthroplasty: Cryotherapy Device Comparison', Orthop Nurs, 35: 309-16. SCHRODER, D; PASSLER, H. 1994. 'Combination of cold and compression after knee surgery. A prospective randomized study', Knee Surg, Sports Traumatol, ArthroscopY, 2: 158-65. SHIWA, S., Costa, L., Moser, A., Oliveira, L., Aguiar, I. 2011. 'PEDro: a base de dados de evidências em fisioterapia', Fisioter. Mov., 24: 523 - 33. SONG, M., X. Sun, X. Tian, X. Zhang, T. Shi, R. Sun, and W. Dai. 2016. 'Compressive cryotherapy versus cryotherapy alone in patients undergoing knee surgery: a meta-analysis', Springerplus, 5: 1074. SONNERY-COTTET, B., A. Saithna, B. Quelard, M. Daggett, A. Borade, H. Ouanezar, M. Thaunat, and W. G. Blakeney. 2019. 'Arthrogenic muscle inhibition after ACL reconstruction: a scoping review of the efficacy of interventions', Br J Sports Med, 53: 289-98. STE ́HANIE S. Martin, MD; Kurt P. Spindler, MD;, and MD; and Ken B. Detwiler Jeremy W. Tarter, MS. 2002. 'Does cryotherapy affect intraarticular temperature after knee arthroscopy', Clinical Orthopaedics and Related Research, 400: 184-89. TEDESCO, D., D. Gori, K. R. Desai, S. Asch, I. R. Carroll, C. Curtin, K. M. McDonald, M. P. Fantini, and T. Hernandez-Boussard. 2017. 'Drug-Free Interventions to Reduce Pain or Opioid Consumption After Total Knee Arthroplasty: A Systematic Review and Meta-analysis', JAMA Surg, 152: e172872. THIENPONT, E. 2014. 'Does advanced cryotherapy reduce pain and narcoticconsumption after knee arthroplasty?', Clin Orthop Relat Res, 472: 3417-23. THIJS, E., M. G. M. Schotanus, Y. F. L. Bemelmans, and N. P. Kort. 2019. 'Reduced opiate use after total knee arthroplasty using computer-assisted cryotherapy', KneeSurg Sports Traumatol Arthrosc, 27: 1204-12. VAN DER, A. J., P. J. Becker, J. Morkel, and J. A. Roelse. 2005. 'A randomized observer blind comparison of bilateral facial ice pack therapy with no ice therapy following third molar surgery', Int J Oral Maxillofac Surg, 34: 281-6. VAZ, L. Lessard; Roger A. Scudds; Annunziato Amendola; Margaret D. 1997. 'The efficacy of cryotherapy following arthroscopic knee surgery', Journal of Orthopaedic & Sports Physical Therapy, 26: 1: 14-22. VIEIRA, A., A. B. Oliveira, J. R. Costa, E. Herrera, and T. F. Salvini. 2013. 'Cold modalities with different thermodynamic properties have similar effects on muscular performance and activation', Int J Sports Med, 34: 873-80. WATERMAN, B., J. J. Walker, C. Swaims, M. Shortt, M. S. Todd, S. M. Machen, and B. D. Owens. 2012. 'The efficacy of combined cryotherapy and compression compared with cryotherapy alone following anterior cruciate ligament reconstruction', J Knee Surg, 25: 155-60. WOOLF, S; Barfield, W.; Merrill, K. McBryde, A. 2008. 'Comparison of a continuous temperature-controlled cryotherapy device to a simple icing regimen following outpatient knee arthroscopy', The Journal of Knee Surgery, 21: 15-19. YASUMITSU O.; Megumi Ohkoshi; Shinya Nagasaki, Aki Ono; Tomoyuki Hashimoto; Shigeru Yamane. 1999. 'The effect of cryotherapy on intraarticular temperature and postoperative care after anterior cruciate ligament reconstruction', The American journal of sports medicine, 27: 3: 357-62.pt_BR
dc.type.degreeMestrado Acadêmicopt_BR
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