Disfunção da articulação sacro-ilíaca em jovens com dor lombar

Ramírez, Carolina Ramírez; Lemus, Diana Marina Camargo

doi:10.1590/s0103-51502010000300009

Cited by 7 publications

(7 citation statements)

References 28 publications

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“…A study carried out in three health centers and one private hospital from Campinas, with 34 nulliparous pregnant women divided in two groups (one with 17 pregnant women submitted to Global Postural Reeducation (RPG) and the other group following routine guidance for low back pain control, with gestational age between 20 and 25 weeks and low back pain complaint, has found that 10 women from the RPG group and seven from the control group had pain at lumbar muscles palpation 21 . In a study by Ramírez & Lemus 22 , with 67 students of the second year of a physiotherapy course, from March to August 2010, 6.3% of students have referred pain at lumbar palpation. It is possible to state that low back pain is directly related to muscle strength loss, because according to Conceição & Karolczak 23 , people with low back pain in general have muscle unbalance, such as weakness or shortening, characterized by intra-articular regions of hypomobility and hypermobility.…”

Section: Discussionmentioning

confidence: 99%

Socio-demographic and physical-functional profile of low back pain patients assisted in Manaus/AM

Santos¹,

Júnior²,

Souza³

et al. 2015

Revista Dor

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BACKGROUND AND OBJECTIVES:Low back pain is a common pathological condition in the social environment, especially in industrialized societies, and is a frequent cause of morbidity and incapacity, being overcome only by headache in the scale of painful disorders which affect people. This study aimed at establishing the socio-demographic and physical-functional profile of patients with acute, sub-acute and chronic low back pain of specific and nonspecific origin, treated in a private physiotherapy institution of the city of Manaus/AM. METHODS: This is a retrospective and descriptive study with quantitative approach, which has evaluated 151 medical charts, of which two were excluded for having less than 18 years of age, generating a database of 149 participants. Results were presented by descriptive statistics through central trend and variability measures, as well as by absolute and relative distribution. RESULTS: The prevalence of low back pain was 17.3%, primarily affecting males (55%) and industrial production workers (25.2%) with mean age of 40.7±13.2 years. There were associated diseases in 51.6% (n=33). When submitted to palpation, 77.6% (n=85) have referred pain. According to body mass index calculation, 57.1% (n=28) of patients were considered overweighed; 90.0% (n=45) had abnormal postural pattern, 82.5% (n=80) had decreased lumbar spine-related movement amplitude and 55.3% (n=26) had decreased lumbar spine-related muscle strength. CONCLUSION: Socio-demographic profile was characterized by male patients, as from the third decade of life and industrial production workers. Physical-functional profile was primarily characterized by patients with overweight and postural changes, pain at palpation and decreased lumbar region joint amplitude.

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Section: Discussionmentioning

confidence: 99%

Socio-demographic and physical-functional profile of low back pain patients assisted in Manaus/AM

Santos¹,

Júnior²,

Souza³

et al. 2015

Revista Dor

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“…O segundo avaliador aplicou os quatro testes ortopédicos: distração, thigh thrust, compressão e thrust sacral, 4,20 escolhidos por apresentarem altos valores de sensibilidade e especificidade. 4,7,8,10,[20][21][22] Foi considerado um diagnóstico positivo para DASI quando pelo menos três dos quatro testes aplicados deram positivo. 7,[10][11][12] Logo em seguida, o terceiro avaliador, fisioterapeuta com formação em osteopatia e nos métodos da CA, aplicou o teste manual de força da CA para DASI, utilizando o desafio mecânico para o piriforme (músculo com origem nesta articulação escolhido para o estudo).…”

Section: Metodologiaunclassified

“…3 A articulação sacroilíaca é aceita como uma fonte potencial de lombalgia e/ou dor na região glútea num percentual que varia entre 10% e 27% dos indivíduos afetados. [4][5][6] A disfunção da articulação sacroilíaca (DASI) ocorre devido a um mau alinhamento ou movimento anormal dos ossos do ilíaco e do sacro, gerando dor na articulação ou em torno dela. 4 O teste diagnóstico tido como padrão ouro para a DASI é o bloqueio articular por meio de injeção de anestésico intraarticular, guiado por fluoroscopia.…”

Section: Introductionunclassified

“…[4][5][6] A disfunção da articulação sacroilíaca (DASI) ocorre devido a um mau alinhamento ou movimento anormal dos ossos do ilíaco e do sacro, gerando dor na articulação ou em torno dela. 4 O teste diagnóstico tido como padrão ouro para a DASI é o bloqueio articular por meio de injeção de anestésico intraarticular, guiado por fluoroscopia. Porém, este é um procedimento invasivo, que expõe o indivíduo a radiação e apresenta alto grau de dificuldade na aplicação.…”

Section: Introductionunclassified

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Acurácia do teste de força muscular da cinesiologia aplicada para disfunção sacroilíaca

Estrázulas

Bueno²,

Lombardi³

et al. 2020

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Investigar a acurácia do teste de força muscular da cinesiologia aplicada para disfunção sacroilíaca, comparando-o com quatro testes ortopédicos validados. Métodos Trata-se de uma pesquisa transversal de acurácia desenvolvida em uma clínica particular da cidade de Manaus no mês de fevereiro de 2017. A amostra teve 20 indivíduos, com mediana de idade 33,5 anos. Foram aplicados quatro testes: distração, thigh thrust, compressão e thrust sacral, e o diagnóstico foi confirmado quando três destes testes deram positivo. Logo após, foi aplicado o teste da cinesiologia aplicada para o músculo piriforme. Resultados A prevalência de disfunção da articulação sacroilíaca observada foi de 45%, tendo o teste thigh thrust alta especificidade, e o teste thrust sacral, alta sensibilidade. O teste da cinesiologia aplicada obteve bons resultados (sensibilidade: 0,89; especificidade: 0,82; valor preditivo positivo: 0,80; valor preditivo negativo: 0,82; acurácia: 0,85; área abaixo da curva de característica de operação do receptor [COR]: 0,85). Conclusão O teste de força muscular da cinesiologia aplicada, de grande viabilidade clínica, mostrou ter boa acurácia no diagnóstico da disfunção da articulação sacroilíaca, e maior poder discriminatório da disfunção existente, em comparação aos demais testes.

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“…They were divided into two groups by means of a simple random selection process: the Pilates Group (PG) and the Control Group (CG). In terms of eligibility criteria, it was stipulated that the volunteers must be at least 60 years of age; have an angle of at least 40 degrees in the curvature of their spines at the thoracic height of the sagittal plane; be present for at least 75% of the training sessions and lectures; and not present neurological or motor sequelae, cognitive deficits, 16 signs of nerve compression, 17 ankylosing spondylitis, rheumatoid arthritis, vertebral tumors, vertebral fractures or cauda equina syndrome. 18 …”

Section: Participantsmentioning

confidence: 99%

Effect of the Mat Pilates method on postural balance and thoracic hyperkyphosis among elderly women: a randomized controlled trial

Navega

Furlanetto

Lorenzo

et al. 2016

Rev. bras. geriatr. gerontol.

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Objective: To evaluate the influence of the Mat Pilates method on thoracic hyperkyphosis and postural balance among elderly women. Method: A randomized longitudinal study was performed involving 31 elderly women who were divided into two groups: the Control Group (n=17) and the Pilates Group (n=14). The Pilates Group underwent training while the Control Group attended lectures. Evaluation consisted of specific balance (one-leg right and left) and thoracic kyphosis (computed biophotogrammetry) tests. The subjects were reassessed at the end of eight weeks. Data was analyzed by the Shapiro-Wilk test for normality, and the paired Student's t, the unpaired Student's t, the Wilcoxon, and the Mann-Whitney statistical tests, with a significance level of 5% ( p<0.05). Results: The Pilates group maintained balance levels ( p>0.05) and had a mean thoracic kyphosis reduction of 6 degrees ( p<0.001). There was no significant difference ( p>0.005) in any of the variables in the Control Group. Conclusion: The present study found that the Mat Pilates method contributed to a reduction in thoracic kyphosis and the maintenance of balance in the elderly women investigated. REBEC: RBR-6jd8nq

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Disfunção da articulação sacro-ilíaca em jovens com dor lombar

Cited by 7 publications

References 28 publications

Socio-demographic and physical-functional profile of low back pain patients assisted in Manaus/AM

Socio-demographic and physical-functional profile of low back pain patients assisted in Manaus/AM

Acurácia do teste de força muscular da cinesiologia aplicada para disfunção sacroilíaca

Effect of the Mat Pilates method on postural balance and thoracic hyperkyphosis among elderly women: a randomized controlled trial

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