•Myofascial trigger points (MTrPs) are hyperirritable spots in skeletal muscle, commonly in hypermobile people.•Musculoskeletal interfiber counterirritant stimulation (MICS) is used through ischemic ...compression.•Autonomic nervous system (ANS) activity caused an increase in vagal tone and a decrease in sympathetic tone.•MICS technique reduces the pain perception intensity in MTrPs modulates the ANS activity, and increase heart rate variability (HRV).
Joint hypermobility (JH) conditions suggest dysfunction in the autonomic nervous system (ANS) (dysautonomia), associated with multifactor non-articular local musculoskeletal pain, and remains a complex treatment. This study aims to determine the effects of musculoskeletal interfiber counterirritant stimulation (MICS) as an innovative treatment of myofascial trigger points (MTrPs) on the upper trapezius muscle in JH patients. We evaluate the ANS activity by wavelet transform spectral analysis of heart rate variability (HRV) in sixty women, equally divided: MTrP, MTrP + general joint hypermobility (GJH), and MTrP + joint hypermobility syndrome (JHS). The protocol phases were rest, stimulation, and recovery, with clinical and home treatment for three-days. All groups show a significantly decreased in pain perception during and post-treatment, and an increased parasympathetic ANS activity under MICS in the GJH and JHS groups. The variables low-frequency (LF) vs. high-frequency (HF) showed significant differences during the protocol phases, and the LF/HF ratio maintained a predominance of sympathetic activity (SA) throughout the protocol. The new MICS technique reduces the pain perception and modulates the ANS activity by an increase in vagal tone, and a decrease in sympathetic tone. This modulation was followed by an increase in the HRV in JH patients after treatment with MICS. Clinical Trials: RBR-88z25c5.
Since World War II, there has been a concern related to the quality standard of industrial production. Adapting to the reality of the health sector, it sought to improve the management of the quality ...of its services, aiming, in addition to satisfying its internal and external customers, the safety of its patients. The objective was to settle how technologies influence the quality management of the health sector today. Thus, this article presents as a methodology a bibliographic research in which a literature review of the last five years was carried out in scientific articles, analyzed in the months of November and December 2021, using the following descriptors: technology, health and quality. As a result, it can be seen that technologies are important allies of management in health services, providing patient safety, systematization, organization and agility in processes, reducing workload and reducing costs for the organization. However, it is essential that managers are attentive to develop training and adherence strategies for professionals responsible for feeding the computerized systems, in order to guarantee the quality of information and the achievement of the intended results.
