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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(05): e698-e705
DOI: 10.1055/s-0043-1768625
Estudo Original | Original Study
Coluna

A melhora da mobilidade e da força isométrica do tronco se correlacionam com a melhora da dor e da incapacidade após a reabilitação multimodal para dor lombar?

Article in several languages: português | English
Shikha Jain 
1   Fisioterapeuta sênior, QI Spine Clinic, Delhi, Índia
,
Gautam M. Shetty 
2   Cirurgião ortopédico, chefe de Pesquisa e Excelência Clínica, QI Spine Clinic, Mumbai, Maharashtra, Índia
,
Sanya Linjhara 
1   Fisioterapeuta sênior, QI Spine Clinic, Delhi, Índia
,
Neha Chutani
1   Fisioterapeuta sênior, QI Spine Clinic, Delhi, Índia
,
C. S. Ram 
3   Professor, Faculdade de Fisioterapia I.T.S, Ghaziabad, Índia
› Author Affiliations Suporte Financeiro Não houve apoio financeiro de fontes públicas, comerciais ou sem fins lucrativos.
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Resumo

Objetivo Determinar a correlação entre a amplitude de movimento (ADM) do tronco pós-tratamento e a força isométrica do tronco (FIT) e a dor e a incapacidade em pacientes submetidos à reabilitação multimodal para dor lombar (DL).

Métodos Neste estudo de coorte prospectiva, 122 pacientes submetidos à reabilitação multimodal para DL foram analisados. Foram comparados os escores de escala numérica de dor pré- e pós-tratamento (END) e do índice de incapacidade Oswestry (Oswestry disability index – ODI), a ADM do tronco e a FIT. A correlação de Pearson foi utilizada para determinar a correlação entre desfechos clínicos e a ADM e a FIT pós-tratamento.

Resultados Ao final do tratamento, as médias de ADM (p < 0,0001) e ODI (p < 0,0001), as ADMs médias de extensão (p < 0,0001) e a flexão (p < 0,0001) do tronco melhoraram significativamente. Da mesma forma, a FIT pós-tratamento, as FITs médias de extensão (p < 0,0001) e flexão (p < 0,0001) melhoraram significativamente. Houve uma correlação fraca entre o escore do END e a ADM de extensão (r = -0,24, p = 0,006) e força de flexão (r = -0,28, p = 0,001) pós-tratamento, assim como entre o escore de ODI e FIT de extensão (r = -0,30, p = 0,0007) e flexão (r = -0,28, p = 0,001) pós-tratamento.

Conclusão Apesar da melhora significativa da dor, capacidade, ADM do tronco e FIT com tratamento multimodal, houve uma fraca correlação entre dor pós-tratamento e função e ADM e FIT de tronco. A melhora da dor e da função com o tratamento de reabilitação física para DL é um fenômeno complexo e precisa de uma investigação mais aprofundada.

Palavras-chave

coluna vertebral - dor lombar - tratamento multimodal - flexibilidade

Estudo conduzido da Clínica QI Spine, Delhi, Índia.




Publication History

Received: 07 June 2022

Accepted: 18 October 2022

Article published online:
30 October 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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