Comparação do equilíbrio postural estático entre sujeitos saudavéis e lombálgicos

Braga, Alice Bernardi; Rodrigues, Ana Carolina de Mello Alves; Lima, Giliane Vanessa Moraes Pereira de; Melo, Larissa Rabello de; Carvalho, Alberito Rodrigo de; Bertolini, Gladson Ricardo Flor

doi:10.1590/s1413-78522012000400003

Cited by 15 publications

(12 citation statements)

References 15 publications

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“…Seu impacto socioeconômico e coletivo torna-se mais expressivo ao envolver populações em idade economicamente ativa, podendo gerar incapacidade e consequentes afastamentos das atividades laborativas 2,3 . Para diferenciar lombalgia de lombociatalgia é necessário saber se a dor ultrapassa o joelho com indício de envolvimento de uma raiz nervosa, que quase sempre envolve L5 ou S1, denotando irradiação para os membros inferiores, correspondendo assim a um quadro de lombociatalgia 4 .…”

Section: Introductionunclassified

Avaliação da funcionalidade e da força dinamométrica lombar de mineiros do carvão

Marcelo

Martins

Longen

2015

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<p>O objetivo do estudo foi avaliar a força dinamométrica lombar de mineiros que atuam no subsolo de mina de carvão, correlacionando com Dor, Força e Funcionalidade. O estudo realizado foi uma pesquisa transversal quantitativa de levantamento de campo em uma mina de carvão. A amostra foi composta por 40 mineiros. Foi realizada uma avaliação física funcional com o questionário Owestry Low Back Pain para avaliar a funcionalidade e um dinamômetro lombar japonês da marca Takei<sup>®</sup>. Os resultados obtidos foram de 77,5% com fraqueza lombar, pouca alteração na funcionalidade com 97,5% dos mineiros apresentando grau de incapacidade mínima. Pode-se concluir que os mineiros do subsolo de carvão apresentaram fraqueza lombar, independente da presença ou não de lombalgia mecânica. Esta fraqueza não mostrou correlação estatística com queda da funcionalidade e presença e intensidade de dor. Os achados apontam para a necessidade de acompanhamento destas populações trabalhadoras visando a manutenção plena de suas condições funcionais e livres de afecções musculoesqueléticas da coluna lombar, que podem iniciar-se por sinais como redução da força.</p>

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Section: Introductionunclassified

Avaliação da funcionalidade e da força dinamométrica lombar de mineiros do carvão

Marcelo

Martins

Longen

2015

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“…LBP can change and deteriorate sensory information for postural control originating from the paraspinal muscle. This may be related to an increase in presynaptic inhibition of the muscle afferent due to pain 12 . Acute LBP (ALBP) is perceived as interference, which can lead to an increase in the threshold of nociceptive afferents in the lower back, further causing interference on the spinal motor via and the motor cortex.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, individuals with LBP have higher postural sway and greater displacement of their center of pressure 24 , compared to those without this dysfunction. The factors causing these changes are: limitations in the ability to use the hip strategy due to pain; reduced muscle strength and flexibility of the lumbopelvic region 12 . Moreover, patients with LBP may use postural control strategies that differ from healthy subjects, e.g., greater use of co-contraction of the triceps surae to maintain a standing balance when compared to subjects without LBP 25 .…”

Section: Discussionmentioning

confidence: 99%

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Risk of falls in Brazilian elders with and without low back pain assessed using the Physiological Profile Assessment: BACE study

Rosa¹,

Queiroz²,

Lopes³

et al. 2016

Braz. J. Phys. Ther.

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BackgroundLow back pain (LBP) is a common musculoskeletal condition among elders and is associated with falls. However, the underlying biological risk factors for falling among elders with LBP has been poorly investigated. The Physiological Profile Assessment (PPA) is a validated fall-risk assessment tool that involves the direct assessment of sensorimotor abilities and may contribute to the understanding of risk factors for falls among elders with LBP.ObjectiveTo assess fall risk using the PPA in elders with and without LBP.MethodThis is an observational, comparative, cross-sectional study with elders aged ≥65 years. The present study was conducted with a subsample of participants from the Back Complaints in the Elders (BACE) - Brazil study. Fall risk was assessed using the PPA, which contains five tests: visual contrast sensitivity, hand reaction time, quadriceps strength, lower limb proprioception, and postural sway.ResultsStudy participants included 104 individuals with average age of 72.3 (SD=4.0) years, divided into two groups: GI) 52 participants with LBP; GII) 52 participants without LBP. The participants with LBP had a significantly higher fall risk (1.10 95% CI 0.72 to 1.48), greater postural sway (49.78 95% CI 13.54 to 86.01), longer reaction time (58.95 95% CI 33.24 to 84.65), and lower quadriceps strength (–4.42 95% CI –8.24 to –0.59) compared to asymptomatic participants. There was no significant difference for vision and proprioception tests between LBP and non-LBP participants.ConclusionElders with LBP have greater risk for falls than those without LBP. Our results suggest fall-risk screening may be sensible in elders with LBP.

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“…According to Khouri et al 17 , prevalence increases with age, affecting a larger number of individuals during the sixth decade of life, and affecting approximately 80% of the world population. Braga et al 18 have reported that low back pain affects the economically active population causing major impact on their health, thus being a reason for absenteeism. Among observed professions, production had the highest prevalence, which is different from the study by Hoffman 19 who, in evaluating the prevalence of back pain in elderly patients submitted to physiotherapy in a clinic in the city of Concórdia/SC, has observed prevalence of pain both in females and males, in agriculture and general services workers.…”

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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Comparação do equilíbrio postural estático entre sujeitos saudavéis e lombálgicos

Cited by 15 publications

References 15 publications

Avaliação da funcionalidade e da força dinamométrica lombar de mineiros do carvão

Avaliação da funcionalidade e da força dinamométrica lombar de mineiros do carvão

Risk of falls in Brazilian elders with and without low back pain assessed using the Physiological Profile Assessment: BACE study

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

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