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The Synergy of Photobiomodulation and Myofascial Release in Upper Limb Injuries - Case Series

Ana Carolina Negraes Canelada, Antonio Eduardo de Aquino Junior, Fernanda Mansano Carbinatto, Vitor Hugo Panhóca, Gabriel Simão, Letícia Zangotti, Vanderlei Salvador Bagnato

The increase in repetitive strain injuries in recent years has led to the emergence of an epidemic character, which has become a very prevalent health problem in the contemporary world. This increase in cases comes from factors related to these pathologies directly linked to the modernization of work. As a means of intervention, this work presents the synergy of photobiomodulation and myofascial release. The myofascial release technique, which consists of a type of massage, which applies a deep slide, muscle compressions and frictions on the skin that act by mobilizing the muscle fascia. Photobiomodulation has direct action with analgesic and anti-inflationary emphasis, as well as the formation of greater amounts of energy, helping diseased cells and organisms to return to homeostasis. Five patients were treated with pain in the cervical spine, shoulder, trapeze, elbow and carpal tunnel regions. The protocol used consisted of 10 treatment sessions, twice a week, for 15 minutes each session, using an 808nm therapeutic laser. The Disabilities of the arm, shoulder and hand questionnaire (DASH) and Visual Analogue Scale (VAS) were used. There was a great evolution in the values of The Disabilities of the arm, shoulder and hand questionnaire and Visual Analogue Scale, showing that the proposed treatment is an efficient, non-invasive and non-pharmacological form of treatment.