Relationship Between the Ischiotibial and Paravertebral Muscles and Low Back Pain

Abstract

Low back pain or lumbago is a painful condition that affects an increasing number of people around the world and has numerous causal factors. Among these factors, the most distinctive are muscle imbalances, weakness of paravertebral muscles and shortening of ischiotibial muscles. The role of these muscle groups is still controversial and not fully explained in the literature. Thus, a survey was conducted in the SciELO, LILACS, MEDLINE, and PubMed databases in the last decade (2003-2013), using as keywords: hamstrings, low back pain, lumbago, and paravertebral. The works found confirm that, according to the methodology, weakness in paravertebral muscles is of great importance to the development of low back pain as well as the shortening of the ischiotibial muscles, which are directly related to this factor.

Electromyography in muscle activation lumbar region in a comparison between manual therapy and photobiomodulation associated with kinesiotherapy in individuals with low back pain

“…Around 10 million people present some deficiency associated with lumbar pain in Brazil, and data suggest that at least 70% of the population will have a painful episode throughout life 5 . The etiology of LBP is considered multifactorial, highlighting occupational factors (heavy physical work, rotation movements, inclination, and vibrations) and others such as for overweight, muscle weakness, postural changes, shortening, and imbalance of the muscle chain 2,6,7 . Thus, musculoskeletal injuries have an important role in the LBP symptoms by leading to changes in the control of the deep musculature, failure of the activation of the trunk muscles, and consequently spinal instability 8 .…”

Prevalência De Cinesiofobia E Fatores Associados Em Indivíduos Com Dor Lombar

“…Considerada a principal causa de incapacidade em países industrializados, a DLC representa uma condição de difícil resolução, uma vez que estratégias efetivas para o seu tratamento permanecem indefinidas, com intervenções fisioterapêuticas como a cinesioterapia e terapia manual apresentando eficácia somente a curto prazo 5,6 . Esse fato é justificado pela ausência de uma abordagem de tratamento mais complexa, que consiga suprir os diferentes fatores envolvidos no ciclo vicioso da DLC, tanto fatores físicos e de estilo de vida, incluindo posturas provocativas, descondicionamento físico, desequilíbrios musculares, diminuição da flexibilidade do tronco e quadril, padrões de movimento alterados e sedentarismo, mas principalmente os fatores psicossociais, como estratégias de enfrentamento mal adaptativas, catastrofização e crenças negativas diante da dor, dentre elas a cinesiofobia 7,8,9 .…”