Effect of segmental stabilization and manual therapy versus isolated segmental stabilization in patients with non-specific chronic low back pain: a randomized controlled trial

Revista da Faculdade de Ciências Médicas de Sorocaba

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Title Effect of segmental stabilization and manual therapy versus isolated segmental stabilization in patients with non-specific chronic low back pain: a randomized controlled trial
Efeito da estabilização segmentar e terapia manual versus estabilização segmentar isolada em pacientes com dor lombar crônica não específica: estudo controlado aleatorizado
 
Creator Magalhães, Alexandre Oliveira
Hubner, Thessie Andrade
Jordão, Gabriela Stofer
Costa, Mariana Pessoa da
França, Fábio Jorge Renovato
 
Subject
spine; low back pain, physical therapy specialty; exercise therapy

Fisioterapia
coluna vertebral; dor lombar; fisioterapia; terapia por exercício
coluna vertebral; dor lombar; fisioterapia; terapia por exercício.
 
Description Introduction: Low back pain (LBP) can be defined as pain or discomfort in the region of the lumbar and sacral vertebrae of the spine. Segmental stabilization consists of performing isometric exercises, mainly of the transverse abdominal muscles and the lumbar multifidus. Manual therapy based on mobilizations and passive joint manipulations has moderate to low level of evidence on its effectiveness in chronic LBP when compared to other types of interventions. Objective: To compare the effectiveness of segmental stabilization and manual therapy versus segmental stabilization in patients with nonspecific chronic low back pain. Methodology: This is a randomized clinical trial, the subjects were divided into two groups: Segmental Stabilization and Manual Therapy Group (GESTM), and Segmental Stabilization Group (GES). We attempted to perform intragroup comparison, pre- and post- intervention analysis and verification of interaction between groups. Forty-two individuals with nonspecific chronic low back pain, aged between 18 and 50 years, with persistent pain for more than three months, were treated. Results: improvements in pain intensity and quality, functional disability, quality of life, and perception of overall effect were observed for both groups, however, with no differences between them. Conclusion: Results indicate that individuals with non-specific chronic low back pain treated with segmental stabilization, with or without the combination of manual therapy, showed similar improvements in pain intensity, pain quality, functional disability, quality of life, and perception of the overall effect.
Introdução: A dor lombar (DL) pode ser definida como dor ou desconforto na região das vértebras lombares e sacrais da coluna vertebral. A estabilização segmentar consiste na execução de exercícios isométricos, principalmente dos músculos transverso do abdome e multífido lombar. A terapia manual baseada em mobilizações e manipulações articulares passivas possui nível moderado a baixo de evidências sobre sua eficácia na DL crônica, quando comparada a outros tipos de intervenções. Objetivo: Comparar a efetividade da estabilização segmentar e da terapia manual versus estabilização segmentar em pacientes com DL crônica inespecífica. Metodologia: Trata-se de um ensaio clínico randomizado; os sujeitos foram divididos em dois grupos: grupo estabilização segmentar e terapia manual (GESTM) e grupo estabilização segmentar (GES). Pretendeu-se realizar comparação intragrupo, análise pré e pós-intervenção e verificação da interação entre os grupos. Foram tratados 42 indivíduos com DL crônica inespecífica, com idades entre 18 e 50 anos, com dor persistente havia mais de três meses. Resultados: Foram observadas melhoras na intensidade da dor, qualidade da dor, incapacidade funcional, qualidade de vida e percepção do efeito global para os dois grupos, contudo, sem diferenças entre eles. Conclusão: Os resultados obtidos indicam que indivíduos com DL crônica inespecífica tratados com estabilização segmentar, com ou sem a associação de terapia manual, apresentaram melhora semelhante na intensidade da dor, qualidade da dor, incapacidade funcional, qualidade de vida e percepção do efeito global.
 
Publisher Pontifícia Universidade Católica de São Paulo
 
Contributor
PIBIC - CEPE
 
Date 2019-12-09
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

Avaliado pelos pares
 
Format application/pdf
 
Identifier http://revistas.pucsp.br/RFCMS/article/view/39096
10.23925/1984-4840.2019v21i3a7
 
Source Revista da Faculdade de Ciências Médicas de Sorocaba; v. 21, n. 3 (2019); 130-136
1984-4840
1517-8242
 
Language por
 
Relation http://revistas.pucsp.br/RFCMS/article/view/39096/pdf
http://revistas.pucsp.br/RFCMS/article/downloadSuppFile/39096/5869
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Rights Direitos autorais 2019 Revista da Faculdade de Ciências Médicas de Sorocaba
http://creativecommons.org/licenses/by/4.0
 

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