Correlação entre um questionário de desempenho funcional e capacidade física em pacientes com lombalgia

Abstract

© Revista Brasileira de FisioterapiaCorrelation between a functional performance questionnaire and physical capability tests among patients with low back pain Correlação entre um questionário de desempenho funcional e testes de capacidade física em pacientes com lombalgia Ocarino JM 1,2 , Gonçalves GGP 2 , Vaz DV 2 , Cabral AAV 3 , Porto JV 3 , Silva MT 3 AbstractContextualization: Low back pain is a set of painful manifestations that may cause limitations to several aspects of an individual's life. The model of the International Classification of Functioning, Disability and Health (ICF) proposed by the World Health Organization provides a structure for understanding the functioning and disability associated with health conditions, thus enabling significant descriptions of an individual's health. The ICF uses the terms "capacity" and "performance" to refer to different aspects of function and to differentiate between patients' functional status. In clinical practice, it is necessary to determine whether there is any association between these different aspects. Objectives: To analyze the correlation between the Roland Morris functional performance questionnaire and physical capacity tests (sit-to-stand and 50-foot walk) among patients with low back pain. Methods: Thirty patients of mean age 43.16 years, with a diagnosis of low back pain, were assessed using the Roland Morris questionnaire and the capacity tests. Results: Analysis using Pearson's correlation showed a significant but weak correlation between the Roland Morris score and the sit-to-stand test (r=0.38; p=0.0388). No significant correlation was observed between the questionnaire score and the 50-foot walk test (r=0.24; p=0.1862). Conclusion:The results indicate the need to use instruments that evaluate both aspects of function (capacity and performance) among patients with low back pain, so that a more complete functional profile of such individuals can be defined. Palavras-chave: lombalgia; Classificação Internacional de Funcionalidade; incapacidade e saúde; função.

The use of the International Classification of Functioning, Disability and Health in Brazil

“…8,11,[16][17][18][19][20] There is diversity in the samples studied and dysfunctions involved, as much in relation to the quantity as to the quality of the cases involved. Dysfunctions such as spinal cord injury, cerebral palsy, stroke, encephalic cranial trauma, and Parkinson's, as well as chronic low back pain, fibromyalgia, diabetes mellitus, AIDS, and urinary incontinence, 8,9,[11][12][13][14][15][17][18][19][20][21] have been classified via the ICF in Brazil.…”

“…Three studies applied the Core Sets for low back pain, generalized chronic pain, and diabetes mellitus. 10,13,21 One study proposed the preparation of a Core Set to encompass the essential items in the classification of AIDS. 14 The use of the ICF in tandem with evaluation instruments was also analyzed.…”

Correlations between low back pain and functional capacity among the elderly

“…According to Ocarino et al 24 , low back pain can lead to a deficiency in both functional and physical performance.…”

Effects of Pilates and Classical Kinesiotherapy on chronic low back pain: a case study

“…The clinical picture of low back pain consists of pain and inability to move or work, bringing about limitations in the lifestyles and activities of individuals Several conditions may trigger low back pain, such as degenerative or traumatic injury to the intervertebral disc or vertebral body, high work overload, excessive body movement, psychological factors, physical inactivity, obesity, and reduced flexibility and strength (8,9).…”