Tratamento de pacientes com dor lombar crônica inespecífica por fisioterapeutas: um estudo transversal

Desconsi, Marcele Bueno; Bartz, Patrícia Thurow; Fiegenbaum, Taís Regina; Candotti, Cláudia Tarragô; Vieira, Adriane

doi:10.1590/1809-2950/17003626012019

Cited by 18 publications

(20 citation statements)

References 22 publications

(21 reference statements)

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“…Most treatment strategies for CLBP are still based on the biomedical model, that is, structural-anatomicalmechanical [10]. However, the biopsychosocial model is based on a dynamic relationship between the biological changes, psychological status, and social context, emphasizing that these factors have different roles in chronic pain, disability, and emotional maladjustment [11].…”

Section: Introductionmentioning

confidence: 99%

The genetic influence of the brain-derived neurotrophic factor Val66Met polymorphism in chronic low back pain

et al. 2021

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Background The Val66Met polymorphism of the brain-derived neurotrophic factor (BDNF) gene is a potential biomarker of vulnerability to pain. Thus, the present study aimed to investigate the association of this polymorphism with clinical and biopsychosocial factors in patients with chronic low back pain (CLBP). Methods A total of 107 individuals with CLBP answered questionnaires that were validated and adapted for the Brazilian population, including the Brief Inventory of Pain, the Central Sensitization Inventory, the Roland Morris Disability Questionnaire, the Tampa Scale for Kinesiophobia, the Pain Catastrophizing Scale, the Survey of Pain Attitude-Brief, and the Hospital Anxiety and Depression Scale. All of the subjects were genotyped for the BDNF Val66Met polymorphism. Results The sample showed moderate scores of disability, central sensitization, and kinesiophobia, in addition to mild anxiety, hopelessness, and ruminant thoughts. No significant association was observed between the Val66Met polymorphism and the variables analyzed. Besides, there was no relationship between the BDNF Val66Met polymorphism with CSI, catastrophization, or disabilities that were generated by CLBP. Conclusion The results showed that the Val66Met polymorphism of the BDNF gene was not associated with clinical and biopsychosocial characteristics of CLBP in the sample studied.

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Section: Introductionmentioning

confidence: 99%

The genetic influence of the brain-derived neurotrophic factor Val66Met polymorphism in chronic low back pain

et al. 2021

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“…Nesses casos, a resolutividade pode ser menor. Desta forma, os profissionais de saúde devem estar preparados para atender os pacientes com SM, tendo uma visão ampliada tanto durante a avaliação quanto no tratamento, pois as dores, em especial as crônicas, sofrem influências de aspectos orgânicos, psicológicos e sociais 17 . Assim, é fundamental a análise do contexto em que as mulheres estão inseridas.…”

Section: Discussionunclassified

“…Em uma revisão sistemática de determinação dos fatores de busca por serviços de saúde, descobriu-se que menos de 60% das pessoas que apresentam dor lombar procuram tratamento 18 , sendo esses resultados similares aos do presente estudo. Essa é uma região de alta prevalência de dor, tanto no Brasil como no mundo, e corresponde à maior causa de incapacidade e de afastamento das atividades laborais no mundo 17 . Já no Brasil, informações da Pesquisa Nacional de Saúde de 2013 mostram que 18,5% da população brasileira referiram dor crônica na coluna, sendo 15,5% em homens e 21,1% em mulheres 17,19,20 .…”

Section: Discussionunclassified

“…Essa é uma região de alta prevalência de dor, tanto no Brasil como no mundo, e corresponde à maior causa de incapacidade e de afastamento das atividades laborais no mundo 17 . Já no Brasil, informações da Pesquisa Nacional de Saúde de 2013 mostram que 18,5% da população brasileira referiram dor crônica na coluna, sendo 15,5% em homens e 21,1% em mulheres 17,19,20 . O fato de as mulheres apresentarem maior prevalência tem sido explicado pela realização de tarefas domésticas em maior intensidade, maior exposição aos trabalhos repetitivos, posição não ergonômica e trabalho em grande velocidade, além das características anatomofuncionais como menor estatura, menor massa muscular, menor massa óssea, articulações mais frágeis e menos adaptadas ao esforço físico extenuante, que podem acarretar mais sobrecarga na coluna.…”

Section: Discussionunclassified

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Musculoskeletal symptoms and sociodemographic characteristics in women

Marcacine¹,

Emílio²,

Lima³

et al. 2020

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Este é um estudo quantitativo realizado em 2014 com 1.486 mulheres e com o objetivo de investigar os sintomas musculoesquelético e sua associação com as características sociodemográficas em mulheres. Foram analisadas características sociodemográficas, presença de síndrome musculoesquelética, limitações nas atividades e necessidade de consultas a profissional de saúde devido aos mesmos. Foi identificado que 62,45% das mulheres relatou a síndrome musculoesquelética em pelo menos uma região do corpo. No entanto, 73,69% não apresentou limitações nas atividades e 66,35% não consultou profissional da saúde em função. Maior número de regiões com sintomas, limitações e consulta a profissional foi observado nas mais jovens e que não tinham união estável. A alta prevalência de síndrome musculoesquelética em mulheres é um desafio ao o sistema público de saúde.

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“…(2) Thus, placing greater emphasis on the concept of low back pain (LBP), it is defined as a multifactorial musculoskeletal disorder that involves the presence pain, tension or stiffness in the region anatomically located between the last ribs and the gluteal line and which can be classified as specific when the is caused by already determined clinical conditions, or as nonspecific, when the pain-causing mechanism is not notably understood. (3)(4)(5) This painful syndrome is one of the most frequent complaints found in physical therapy practice, reaching high epidemic levels where it is expected that approximately 80% of the world's population at some time of life will present with LBP, and about 40% of cases pain persists and becomes chronic. (3) Its high prevalence explains the worrying condition that low back pain fits the public health aspect, as it is associated with a high rate of absenteeism in the work activity, disability and regular use of health services, generating high costs with treatment of patients with this condition and influencing aspects socioeconomic.…”

mentioning

confidence: 99%

Individuals progressive tension protocol in the application of elastic bandage in nonspecific chronic low back pain: a case study

Oliveira

Antonio²,

Stocco³

et al. 2021

mtprehabjournal

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Introduction: Low back pain is a disorder of musculoskeletal origin of multifactorial character, which can become chronic when it persists for more than 3 months. It is expected that 80% of the world's population will present with low back pain at some stage of life, characterizing it as a serious public health condition that requires specific interventions for treatment. Given the context, elastic banding arises, a resource that can be useful to these patients, however, its effectiveness requires that the bandage be of quality that the therapist has experience and that its application is standardized, the latter being scarce in the current literature. Thus, the present study sought to observe what would be the application of a progressive tension protocol with elastic bandage in an individual with nonspecific chronic low back pain. Methods: A 47-year-old female, caregiver of the elderly and diagnosed with nonspecific chronic low back pain participated in the study. The treatment protocol lasted 10 weeks, where the elastic bandage was applied to the participant and in the first and last session, in addition to the report of the level of pain obtained through the Numerical Pain Scale (END), the following questionnaires were used to evaluate: Oswestry Disability Index (ODI), Survey of Pain Attitude (SOPA-B) and Fear Avoidance Beliefs Questionnaire (FABQ). Conclusion: The findings suggest that the application of elastic bandage following the progressive tension protocol promoted a reduction in disability index, pain and fear of movement, such outcomes can be considered clinically relevant, given the constant search for therapeutic techniques that provide improvement in the quality of life of patients with chronic low back pain.

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Tratamento de pacientes com dor lombar crônica inespecífica por fisioterapeutas: um estudo transversal

Cited by 18 publications

References 22 publications

The genetic influence of the brain-derived neurotrophic factor Val66Met polymorphism in chronic low back pain

The genetic influence of the brain-derived neurotrophic factor Val66Met polymorphism in chronic low back pain

Musculoskeletal symptoms and sociodemographic characteristics in women

Individuals progressive tension protocol in the application of elastic bandage in nonspecific chronic low back pain: a case study

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