Analysis of the influence of Visceral Manual Therapy associated with Dry Needling on affections of the upper limbs.

Abstract

Introduction: The viscera play a key role in the accommodation of recurring forces of their own weight, being influenced by the membranes that surround them. Analysis of the outermost membranes demonstrates that its anatomy makes direct connections with the membranes and fasciae that form the joint capsule of the shoulder. The functionality of this region is maintained through the synergism between these various membranes. One of the major causes of shoulder dysfunction is the lack of muscle flexibility and fascial adhesions that may interfere with the functionality of the shoulder joint. Objective: This study aims to compare the efficacy of visceral manipulation and dry needling and propose a therapeutic protocol for the capsular ligament affections of the shoulders. Method: Experimental study of pre and post cohort type, composed of 30 subjects with pain and decreased range of motion in the shoulder, performed from December 2016 to November 2017. Data collection was performed by electromyography, goniometry and visual analog scale (VAS) and immediately after was applied the visceral manipulation or dry needling or both and were reassessed. The data were submitted to a statistical analysis in which was used the software GraphPad Prism 4 with level of significance of 95% (p˂0.05). Results: It was verified that there was a higher prevalence in the liver, it was also observed in post-application electromyography of the visceral mobilization and Dry Needling that the deltoid presented superior performance. Conclusion: The method mobilization and dry needling showed benefit for the glenohumeral joint, which may be others form of treatment.