EFFECTS OF MUSCULAR STRETCHING AND SEGMENTAL STABILIZATION ON FUNCTIONAL DISABILITY AND PAIN IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED, CONTROLLED TRIAL
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95
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article
Data de publicação
2012
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MOSBY-ELSEVIER
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JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, v.35, n.4, p.279-285, 2012
Resumo
Objective: The purpose of this study was to compare the effects of 2 exercise programs, segmental stabilization exercises (SSEs) and stretching of trunk and hamstrings muscles, on functional disability, pain, and activation of the transversus abdominis muscle (TrA), in individuals with chronic low back pain. Methods: A total of 30 participants were enrolled in this study and randomly assigned to 1 of 2 groups as a function of intervention. In the segmental stabilization group (SS), exercises focused on the TrA and lumbar multifidus muscles, whereas in the stretching group (ST), exercises focused on stretching the erector spinae, hamstrings, and triceps surae. Severity of pain (visual analog scale and McGill pain questionnaire) and functional disability (Oswestry disability questionnaire) and TrA muscle activation capacity (Pressure Biofeedback Unit, or PBU) were compared as a function of intervention. Interventions lasted 6 weeks, and sessions happened twice a week (30 minutes each). Analysis of variance was used for intergroup and intragroup comparisons. Results: As compared with baseline, both treatments were effective in relieving pain and improving disability (P < .001). Those in the SS group had significantly higher gains for all variables. The stretching group did not effectively activate the TrA (P = .94). Conclusion: Both techniques improved pain and reduced disability. In this study, SS was superior to muscular stretching for the measured variables associated with chronic low back pain. (J Manipulative Physiol Ther 2012;35:279-285)
Palavras-chave
Low Back Pain, Pressure, Biofeedback, Neurofeedback, Muscle Stretching Exercises, Abdominal Muscles
Referências
- Airaksinen O, 2006, EUR SPINE J, V15, pS192, DOI 10.1007/s00586-006-1072-1
- Cairns MC, 2000, PHYSIOTHERAPY, V86, P127, DOI 10.1016/S0031-9406(05)61155-8
- Chan SP, 2001, SCAND J MED SCI SPOR, V11, P81, DOI 10.1034/j.1600-0838.2001.011002081.x
- Costa LOP, 2004, ACTA FISIATRICA, V11, P101
- Coutinho EL, 2004, BRAZ J MED BIOL RES, V37, P1853, DOI 10.1590/S0100-879X2004001200011
- Danneels LA, 2000, EUR SPINE J, V9, P266, DOI 10.1007/s005860000190
- De Vitta A, 1996, REV BRAS FISIOTER, V1, P67
- Demirel R, 2008, J BACK MUSCULOSKELET, V21, P263
- DIXON JS, 1981, ANN RHEUM DIS, V40, P87, DOI 10.1136/ard.40.1.87
- Ebenbichler GR, 2001, MED SCI SPORT EXER, V33, P1889, DOI 10.1097/00005768-200111000-00014
- Ferreira GNT, 2007, CLIN J SPORT MED, V17, P276, DOI 10.1097/JSM.0b013e3180f60b26
- Ferreira PH, 2010, BRIT J SPORT MED, V44, P1166, DOI 10.1136/bjsm.2009.061515
- GOTTLIEB GL, 1988, EXP BRAIN RES, V73, P436
- Halbertsma JPK, 1999, ARCH PHYS MED REHAB, V80, P407, DOI 10.1016/S0003-9993(99)90277-0
- Hayden JA, 2005, ANN INTERN MED, V142, P765
- Hides J, 2006, SPINE, V31, P175
- Hides J A, 2001, Spine (Phila Pa 1976), V26, pE243, DOI 10.1097/00007632-200106010-00004
- Hides JA, 1996, SPINE, V21, P2763, DOI 10.1097/00007632-199612010-00011
- Hodges PW, 1996, SPINE, V21, P2640, DOI 10.1097/00007632-199611150-00014
- Kisner C, 2007, THERAPEUTIC EXERCISE
- Kuukkanen T, 2000, Physiother Res Int, V5, P46, DOI 10.1002/pri.183
- Lawrence JP, 2006, J AM ACAD ORTHOP SUR, V14, P726
- Liddle SD, 2004, PAIN, V107, P176, DOI 10.1016/j.pain.2003.10.017
- Martins Roseny Flávia, 2005, Rev. Bras. Ginecol. Obstet., V27, P275, DOI 10.1590/S0100-72032005000500008
- McDonald DA, 2006, MAN THER, V11, P254
- McGregor AH, 1995, PHYSIOTHERAPY, V81, P632, DOI 10.1016/S0031-9406(05)66651-5
- O'Sullivan PB, 1997, SPINE, V22, P2959, DOI 10.1097/00007632-199712150-00020
- Patla AE, 2002, EXP BRAIN RES, V143, P318, DOI 10.1007/s00221-001-0968-6
- Varoli Fernando Kurita, 2006, Braz Dent J, V17, P328, DOI 10.1590/S0103-64402006000400012
- Richardson C, 1999, THERAPEUTIC EXERCISE
- Richardson C, 2004, THERAPEUTIC EXERCISE
- Richardson C A, 1995, Man Ther, V1, P2, DOI 10.1054/math.1995.0243
- Rozemberg S., 2008, REV PRATICIEN, V15, P265
- Sihawong R, 2011, J MANIP PHYSIOL THER, V34, P62, DOI 10.1016/j.jmpt.2010.11.005
- Slade SC, 2006, J MANIP PHYSIOL THER, V29, P163, DOI 10.1016/j.jmpt.2005.12.011
- Snijders CJ, 1998, J ELECTROMYOGR KINES, V8, P205, DOI 10.1016/S1050-6411(98)00005-4
- Taylor DC, 1997, MED SCI SPORT EXER, V29, P1619, DOI 10.1097/00005768-199712000-00011
- Teyhen DS, 2005, J ORTHOP SPORT PHYS, V35, P346
- Thomas E, 1998, SPINE, V23, P343, DOI 10.1097/00007632-199802010-00011
- Vigatto R, 2007, SPINE, V32, P481, DOI 10.1097/01.brs.0000255075.11496.47
- [Anonymous], 2002, STABILIZER PRESSURE