Abstract:Fisioter Mov. 2010 out/dez;23(4):627-39 ISSN 0103-5150 Fisioter. Mov., Curitiba, v. 23, n. 4, p. 627-639, out./dez. 2010 Licenciado sob uma Licença Creative Commons
[T]Dor lombar crônica e dor nos membros inferiores em idosas: etiologia em revisão [I] Low back pain and pain in the lower extremity in aged: etiology in reviewRenata Maraschin [a] , Péricles Saremba Vieira [b] , Camila Pereira Leguisamo
“…Lower back pain is common in women, primarily in the postmenopausal period, due to the changes that occur in this phase, higher fat concentration and lower lean mass (3).…”
Introduction: Flexibility is an essential component of physical aptitude that reduces the incidence of muscle distention and improves movement efficiency and posture. Objective: To analyze posterior chain flexibility and lower back pain (LBP) in farm workers from a city in western Santa Catarina state, Brazil. Methods: Quantitative and cross-sectional study conducted with 185 rural workers, average age of 44.24 (±10.83) years. The Rural Worker Health Questionnaire, containing individual issues related to work; sit and reach box, goniometer, visual analog scale (VAS) and Oswestry and Roland-Morris questionnaires were used to evaluate posterior chain flexibility, hamstring muscle length, pain and lumbar spine dysfunction, respectively. Flexibility was compared with the degree of dysfunction using one-way ANOVA followed by the Bonferroni post hoc test. Results: 181 (97.8%) workers reported LBP symptoms: 100% of the women and 95.2% of the men. The average Oswestry score was 7.09 (±8.25), Roland-Morris 1.22 (±1.63), and VAS 5.81 (±2.5). Average flexibility by the sit and reach test (SRT) was 23.91cm (±18.81); straight leg raise (SLR), 66° (±11.77) and popliteal angle 123.21° (±12.45). There was a significant difference in the popliteal angle (p = 0.003) and SLR (0.001) when compared with the degree of dysfunction. Women showed significant differences in all tests; however, the post hoc test showed a significant difference only in the SRT (p = 0.013), and women with minimal dysfunction had
“…Lower back pain is common in women, primarily in the postmenopausal period, due to the changes that occur in this phase, higher fat concentration and lower lean mass (3).…”
Introduction: Flexibility is an essential component of physical aptitude that reduces the incidence of muscle distention and improves movement efficiency and posture. Objective: To analyze posterior chain flexibility and lower back pain (LBP) in farm workers from a city in western Santa Catarina state, Brazil. Methods: Quantitative and cross-sectional study conducted with 185 rural workers, average age of 44.24 (±10.83) years. The Rural Worker Health Questionnaire, containing individual issues related to work; sit and reach box, goniometer, visual analog scale (VAS) and Oswestry and Roland-Morris questionnaires were used to evaluate posterior chain flexibility, hamstring muscle length, pain and lumbar spine dysfunction, respectively. Flexibility was compared with the degree of dysfunction using one-way ANOVA followed by the Bonferroni post hoc test. Results: 181 (97.8%) workers reported LBP symptoms: 100% of the women and 95.2% of the men. The average Oswestry score was 7.09 (±8.25), Roland-Morris 1.22 (±1.63), and VAS 5.81 (±2.5). Average flexibility by the sit and reach test (SRT) was 23.91cm (±18.81); straight leg raise (SLR), 66° (±11.77) and popliteal angle 123.21° (±12.45). There was a significant difference in the popliteal angle (p = 0.003) and SLR (0.001) when compared with the degree of dysfunction. Women showed significant differences in all tests; however, the post hoc test showed a significant difference only in the SRT (p = 0.013), and women with minimal dysfunction had
“…Dentre as enfermidades crônicas que acometem as mulheres idosas, uma das mais comuns é a dor lombar, principalmente no período pós--menopausa, já que nessa fase há uma alteração na composição corporal, com maior presença de gordura e menor massa magra, o que pode contribuir para a intensidade dos quadros álgicos 3 . A dor crônica se destaca entre os principais fatores que diminuem o índice de qualidade de vida em idosos e nível de independência nas atividades de vida diária (AVD's) 4 .…”
ResumoIntrodução: Nas últimas décadas o Brasil envelheceu e a maior parte dessa população carrega consigo doenças próprias do envelhecimento. Dentre as doenças crônicas que mais acometem os idosos, destaca-se a lombalgia crônica, que é um quadro de dor que gera desconforto. Objetivo: Identificar o itinerário terapêutico de idosas com lombalgia crônica. Materiais e métodos: Pesquisa qualitativa que utilizou entrevista com questões norteadoras na coleta de dados. Foi realizada análise de conteúdo temática a partir de três etapas: pré-análise, exploração de material, tratamento dos resultados e interpretação. Resultados: Foram selecionadas 4 idosas com cognitivo preservado, média de idade de 63,5 anos e 8,75 anos de diagnóstico médico de lombalgia. Após análise, emergiram 5 categorias que detalharam o processo de busca por tratamento para a dor crônica lombar, desde os sintomas até a fase atual. Considerações finais: Conhecer o itinerário terapêutico de idosas com dor crônica lombar constituiu-se numa estratégia para ampliar as informações sobre as dificuldades enfrentados na busca pelo tratamento, e como estabelecer uma ação mais eficaz para a saúde destas pessoas.
Palavras-chaveDor lombar; Idosos; Terapêutica.Itinerário terapêutico de idosas com lombalgia crônica Debiasi L, Zeni JRO, Gauer APM, Ferretti F
Fisi enectusAno 4, n. 1 -Jan/Jun. 2016
13Abstract Introduction: In recent decades, Brazil ages and most of this population carries with it own diseases of aging. Among chronic diseases that most affect the elderly, there is chronic low back pain, which is a painful condition that causes discomfort. Objective: The study aims to identify the therapeutic itinerary of elderly with chronic low back pain. Materials and methods: Qualitative research used the interview with guiding questions to collect data. The thematic content analysis from three pre-analysis steps, exploitation material, processing of results and interpretation. Results: 4 elderly women with preserved cognitive, mean age of 63.5 years and 8.75 years of medical diagnosis were selected. After analysis, five categories emerged that detailed the search process by treatment for chronic low back pain. Final considerations: Knowing the therapeutic itinerary of elderly with low back pain is chronic in a strategy to expand the information on difficulties experienced in the process and a way to reflect on the care offered, and how to establish a more effective action for the health of these people.
“…The increasing life expectancy in the wordwide has demanded greater efficiency in elderly care (Valim-Rogatto et al, 2009;Avelar et al, 2010;2011;Tsonga et al, 2011). The demographic transition also causes significant changes in epidemiologic profile, changing the model of health characterized by infections contagious diseases to a higher proportion of chronic degenerative diseases (Valim-Rogatto et al, 2009;Gananca et al, 2010;Maraschin et al, 2010;Avelar et al, 2011;Falsarella et al, 2011;Kao et al, 2011). A requirement for maintaining a healthy aging is the maintenance of functional capacity, wich englobes individual independence and his active participation in society.…”
Section: Introductionmentioning
confidence: 99%
“…A requirement for maintaining a healthy aging is the maintenance of functional capacity, wich englobes individual independence and his active participation in society. Falls are factors that may contribute to reduce functional capacity and can cause significant consequences as disability, health impairment, changes in quality of life, imobility, restrictions of activities, institutionalization, psychological damage and death (Pedrinelli et al, 2009;Valim-Rogatto et al, 2009;Maraschin et al, 2010;Charansonney, 2011). A fall may be defined as an unintentional event that results in a change of individual's position to a lower level in relation to its initial position, without skilled time correction (Gine-Garriga et al, 2009;Queiroz et al, 2009;Alvares et al, 2010;Chen et al, 2010;Ferreira and Yoshitome, 2010;Ricci et al, 2010;Charansonney, 2011;Correa et al, 2012).…”
This study aimed identify which groups of elderly are at higher risk of falls, with osteoarthritis (OA), low back pain or both conditions. 29 elderly were distributed in three groups: OA of the Knee (OAK), Low Back Pain (LBP) and the two events concomitantly (OL). Evaluation tools applied were: Mini Mental State Examination (MMSE), Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Roland Morris Functional Performance Questionnaire, Gait Speed (GS), Timed Get Up and Go Test (TGUGT) and Berg Balance Scale (BBS). No differences were found in the three groups for assessment by GS, TGUGT and BBS instruments. A significative difference was found by RMQ in groups LPB and OL, WOMAC found difference in pain domain between groups OL and OAK and VAS analysis showed significative difference between group OL to the others groups. No significative difference was found between groups by the assessment of balance.
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