Low back pain or pain in the sacral region are the main complaints in the modern world, where people are increasingly sedentary and seated. Various invasive or noninvasive treatments are used with these patients. Nowadays, a treatment that has been much sought after is chiropractic instrumental manipulation. Objective: To evaluate the results of treatment with the instrumental manipulation chiropractic for lower back pain. Methods: Three databases searched: PubMed, Embase, and BVS/LILACS with the search terms "Chiropractic Manipulation", "Instrumental Chiropractic Technique", "Low back pain", "Chiropractic" in English, Portuguese and Spanish, from October 2021 to November 2021. Results: Two hundred and two published articles were found, and four randomized studies were selected for this systematic review with 204 patients. Conclusion: There is high-quality evidence that instrumental chiropractic therapy reduces pain and improves the function of patients with pain in the low back spine without adverse effects.
with LBP, cannot make a specific diagnosis and therefore patients are classified as having 'non-specific' low back pain (NLBP) [2]. The pain caused by NLBP produces a functional incapacity in the lives of these patients [3], generating a negative effect on their quality of life (QoL) [4]. According to the World Health Organization (WHO) [5], QoL is "the individual's perception of their insertion in life, in
Introduction: Coronavirus disease 2019 (COVID-19) is an acute respiratory infection caused by the SARS-CoV-2 coronavirus. Symptoms usually appear mildly and gradually, and many patients can recover without the need for special treatment. However, some people may experience a worsening of the disease, developing breathing difficulties that can progress and lead to complications.Objective: To evaluate the effectiveness of instrumental chiropractic manipulation in improving dyspnea in post-COVID patients.Methods: Three patients with functional dyspnea underwent a four-week session of instrumental chiropractic manipulation. The assessment was performed before and after each session with spirometry, a 6-minute walk test. The following were obtained before and at the end of each test: SpO2, maximum HR, and Borg scale scores for dyspnea and leg fatigue. Conclusion:The values of the scales scores and measurements showed a decrease in dyspnea in patients with post-COVID.
Chronic obstructive pulmonary disease (COPD) is a chronic disease related to various systemic manifestations including dyspnea, exercise intolerance and peripheral muscular dysfunction, with a direct impact on functional capacity. Objectives: To describe a whole body vibration exercises (WBVE) protocol to verify the clinical benefits, and the potential of exacerbation of the disease. Methods: Individuals diagnosed with COPD, aged ≥ 40 years, will be randomly distributed into 4 groups: control group (CG) who will not undergo WBVE, with their normal daily routine; group who will be exposed to WBVE in the sitting position in an auxiliary chair once a week (GS1) and twice a week (GS2); and WBVE group twice a week in the standing position with knee flexion (GP2). The protocol will last 6 weeks, each session will have 5 sets of 1 min vibration with 1 min rest, frequency 25 Hz and peak-to-peak displacement 2.5 mm. Muscle strength and function will be assessed through manual dynamometry and surface electromyography and dyspnea using the Modified Borg Scale (MBS) and the Medical Research Council (MRC) Scale. Discussion: WBVE, due to the various effects already described, seem to be a promising exercise modality for individuals with COPD, potentially being used as an instrument for pulmonary rehabilitation. Previous result showed that the WBVE program can improve the physical performance , the neuromuscular function and the quality of life of individuals with COPD, without the exacerbation of the disease.
Chronic obstructive pulmonary disease (COPD) is a chronic disease related to various systemic manifestations including dyspnea, exercise intolerance and peripheral muscular dysfunction, with a direct impact on functional capacity. Objectives: To describe a whole body vibration exercises (WBVE) protocol to verify the clinical benefits, and the potential of exacerbation of the disease. Methods: Individuals diagnosed with COPD, aged ≥ 40 years, will be randomly distributed into 4 groups: control group (CG) who will not undergo WBVE, with their normal daily routine; group who will be exposed to WBVE in the sitting position in an auxiliary chair once a week (GS1) and twice a week (GS2); and WBVE group twice a week in the standing position with knee flexion (GP2). The protocol will last 6 weeks, each session will have 5 sets of 1 min vibration with 1 min rest, frequency 25 Hz and peak-to-peak displacement 2.5 mm. Muscle strength and function will be assessed through manual dynamometry and surface electromyography and dyspnea using the Modified Borg Scale (MBS) and the Medical Research Council (MRC) Scale. Discussion: WBVE, due to the various effects already described, seem to be a promising exercise modality for individuals with COPD, potentially being used as an instrument for pulmonary rehabilitation. Previous result showed that the WBVE program can improve the physical performance , the neuromuscular function and the quality of life of individuals with COPD, without the exacerbation of the disease.
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