Assessment of pain in patients with chronic low back pain before and after application of the isostreching method

Abstract

Introduction : Chronic low back pain is defined as a painful disorder located between the first and the fifth lumbar vertebra and it is considered to be an important public health problem. In Brazil, approximately 10 million people are disabled as a result of this condition. Objective : To assess pain intensity and functional disability in patients with chronic low back pain before and after application of the Isostreching method. Case studies and methods : In this randomized, controlled experimental trial, 14 female individuals with chronic low back pain, aged 45-60 years, divided into control group (CG) and experimental group (EG), with 7 individuals each, twelve 45-minute sessions were held, in which 9 postures of Isostreching method were carried out in the experimental group. The control group did not undergo intervention. A sociodemographic questionnaire, the visual analogue pain scale (VAS) and the Oswestry disability questionnaire were used before and after the study period in both groups. Results : The assessment of pain and disability in the pre-evaluation period showed no statistically significant difference, whereas scores of pain and disability in the post-evaluation period between the two groups showed a statistically significant difference. The CG also showed no statistical difference for the VAS and Oswestry scores between the pre- and post-evaluation periods, in which it was observed an increase in the pain and disability mean scores between those periods and the experimental group showed significant difference between the scores obtained in these two different periods, before and after collection. Conclusion : it is suggested that the method was effective for the group studied and proved to be suitable for the treatment of chronic low back pain.

Effect of the isostretching method on lumbar pain and flexibility of the lumbar spine in elderly women.

“…Other studies, however, corroborate our results, with the treatment reducing pain already after the first interventions and with this result also being repeated in the second evaluation [24]. Silva and Inumaru concluded that Isostreching method can be an effective tool for the treatment of patients with chronic low back pain and in order to reduce disability and pain [25]. An important point regarding the positive effect of the method on pain is the fact that another important symptom observed in patients with lower back pain is also influenced, namely depression.…”

“…These muscles are weakened in patients with lower back pain [8]. Methods that promote the stretching and strengthening of the paravertebral muscles, therefore, seem to have positive results in the treatment of lower back pain [25]. In addition to the effects of isostretching on lumbar pain, its influence on the flexibility was also addressed in this study.…”

“…The relationship between aging, pain intensity and greater muscle deficiency is explained by the fact that aging can result in progressive degenerative changes of the spine. In this case, could result in weakness of the musculoskeletal system, causing painful episodes, since these tissues have nociceptors that are capable of generating noxious stimuli, suggesting that the oldest individuals are most vulnerable to problems associated with the lumbar spine [25]. The low impact characteristics and the safety of the The muscles of the trunk are responsible for the stability of the spinal column through the coordinated action of their flexors and extensors.…”

Effect of Interventions for Improving Lumbar Motor Control on Low Back Pain in Sedentary Office Workers: A Randomized Controlled Trials

“…SOWs with low back pain living in Toyama and Ishikawa prefectures, Japan, were recruited between July and August 2020. The number of recruits was determined using a previous study for guidance 12) . The eligibility criteria for this study were as follows: (1) low back pain without organic factors 13) , (2) low back pain lasting for more than 3 months 14) , and (3) SOWs who spent more than 80% of their working hours in a sitting posture 15) .…”

Efeitos da técnica isostretching em pacientes com escoliose: uma revisão sistemática

“…Trata-se de um método postural pois os exercícios são realizados respeitando as curvas fisiológicas da coluna vertebral. Os alongamentos e contrações são incluídos em cada postura trabalhando globalmente o corpo em cada exercício 11,12 . Dessa maneira o método busca trazer um aperfeiçoamento da consciência corporal, controle neuromucular 13 , flexibilidade muscular, motilidade articular, melhora do tônus e força de contração muscular 10 e principalmente o controle respiratório, já que todos os exercícios são realizados em sincronia com a respiração 13 .…”