Dor lombar crônica inespecífica e nível de incapacidade : influência no desempenho da caminhada (original) (raw)
Related papers
Nonspecific chronic low back pain and incapacity level: influence of walking performance
Revista Dor, 2017
BACKGROUND AND OBJECTIVES: Chronic low back pain syndrome promotes several functional losses which impact quality of life of patients, and walking is one of the most impaired functions. Being chronic low back pain a syndrome with multiple etiologies, efforts to understand the relation between functional losses and etiologic factors are justified. This study aimed at correlating walking speed with pain perception, incapacity level (I) and condition of having or not chronic low back pain (group). METHODS: Sample was made up of volunteers with nonspecific low back pain (LG/n=8) and healthy subjects (CG/n=8). Incapacity level was obtained by Oswestry Incapacity Index during evaluation. Tests battery was divided in three sessions according to walking intensity, as follows: preferred self-selected speed (VP) and faster and slower speeds as compared to VP. In each session, volunteers walked for five minutes and at every minute pain was quantified by the analog scale. Kendal Tau test was used with p=0.05. RESULTS: Walking speed was not correlated with pain intensity, with incapacity level or with the group. However, group versus incapacity level, group versus pain, incapacity level versus pain were correlated with one another. CONCLUSION: Walking performance was not influenced by nonspecific chronic low back pain and by incapacity level.
European Journal of Applied Physiology, 2015
Results PWS was slower in cLBP [1.17 (SD = 0.13) m s −1 ] than in CTR group [1.33 (SD = 0.11) m s −1 ; P = 0.002]. No significant d ifference w as o bserved between groups in mechanical work (P ≥ 0.44), spatiotemporal parameters (P ≥ 0.16) and energy cost of walking (P ≥ 0.36). At the end of the treadmill protocol, perceived exertion was significantly h igher i n c LBP [11.7 (SD = 2.4)] than in CTR group [9.9 (SD = 1.1); P = 0.01]. Pain intensity did not significantly i ncrease over time (P = 0.21). Conclusions These results do not support the hypothesis of a less efficient walking pattern in patients with cLBP and imply that high walking speeds are well tolerated by patients with moderately disabling cLBP.
International Journal of Physiotherapy and Research
We report a 38 yrs old patient with a previously diagnosed Chronic Low Back Pain who became severely functionally impaired as evidenced by the Oswestry Disability Questionnaire (56%). The aim of this study was to introduce changes in functional gait parameters as an assessment tool before and after a single session of Kinesiotape application in a patient with chronic LBP. We introduced, for the first time, gait parameters including the 10-meter walk test and the 6-minute walk test as the functional gait parameters of interest. There was (1) a 25% & 36% increase in normal walking speed and fast walking speed, respectively as evidenced by the 10MWT with 72% decrease in pain and (2) a 86% increase in walking tolerance as evidenced by the 6MWT with 88% decrease in pain. Our data demonstrated for the first time the possible effective use of gait assessment as objective motor performance measures to assess the therapy-induced improvement following therapeutic intervention in patient with chronic low back pain. We hope that these data will act as a starting point for further research to test the potential gait assessment measures to provide a more in-depth objective assessment in response to rehabilitation therapies in chronic low back pain patients.
Journal of Clinical Gerontology and Geriatrics, 2015
Background/purpose: Chronic pain is commonly associated with disability and poor quality of life (QOL). This condition has a significant impact on the physical, psychological, and social well-being of older adults. However, the studies carried out in Brazil are insufficient to represent the multicultural characteristics of the country. It is believed that cultural/environmental differences may influence health management quality, with implications for older adults' health and QOL. Therefore, the aim of this study was to assess the factors related to bodily pain in older female participants in a recreational program in Brazil. Methods: This study used a cross-sectional design. The participants were community-dwelling women (60 years or older, n ¼ 99), categorized by low (n ¼ 68) or high (n ¼ 31) bodily pain. They answered questionnaires regarding their general health and lifestyle, and performed several physical tests. Data were analyzed with Chi-square test or Fisher's exact test for categorical variables and ManneWhitney U test for continuous variables. Logistic regression was performed to identify confounding factors. Results: A fully adjusted logistic regression analysis demonstrated that walking at maximum speed [odds ratio (OR), 0.03; 95% confidence interval (CI), 0.003e0.35; p ¼ 0.005], one leg stand (OR, 0.93; 95% CI, 0.88e0.99; p ¼ 0.03), and the QOL physical functioning domain (OR, 0.92; 95% CI, 0.87e0.98; p ¼ 0.01) were all associated with bodily pain. Conclusion: In summary, bodily pain is significantly associated with poor maximum walking speed, balance, and QOL physical functioning; these findings are reflective of poor QOL. Assessing bodily pain is simple and can help diagnose further problems. Moreover, improvements in physical conditioning may promote greater health and QOL in this population.
Journal of Pain Research
This study aimed to compare functional capacity tests between individuals with and without chronic non-specific low back pain and to investigate the effects of demographic data on functional capacity tests. Methods: Thirty individuals with chronic non-specific low back pain (CNSLBP) and thirty healthy individuals underwent three functional capacity tests comprising functional reach test (FRT), five-time sit to stand test (5 TSST), and two-minute step test (2 MST). CNSLBP were assessed in pain intensity using a visual analog scale (VAS) and disability level using the modified Oswestry disability questionnaire (MODQ) Thai version. Results: The results found significant differences in five-time sit to stand and two-minute step tests between individuals with chronic non-specific low back pain and healthy individuals. The mean differences between healthy and CNSLBP for the 5 TSST were −3.24 seconds (95% CI=−4.47-−2.02) and for the 2 MST they were 13.13 steps (95% CI=2.62-23.64). Age significantly influenced the 5 TSST (P=0.004) and 2 MST (P=0.008), while gender (P=0.028) and height (P=0.002) affected the FRT. Conclusion: Individuals with chronic non-specific low back pain had lower functional capacity assessed by five-time sit to stand and 2-minute step tests compared to healthy individuals, and the therapeutic programs were emphasized. With increasing age, the 5 TSST and 2 MST would both be declined.
Nigerian Journal of Medical Rehabilitation
Background: Physiotherapy clinical assessment has traditionally relied on clinical tests of impairment. These tests correlate poorly with patients’ pain and dysfunction, especially in the case of chronic pain. This study was designed to investigate the correlation between some of these tests in patients with chronic low back pain. Methodology: Twenty-three patients (16 males, 7 females) with chronic low back pain participated in the study. Roland- Morris Disability Questionnaire (R-MDQ), Visual Analogue Scale (VAS) and Physical Performance Battery (PPB) were used to collect data. The spinal range of motion was assessed using a tape measure and a goniometer. Data analysis was done using Pearson Moment Product correlation coefficient and Spearman’s Rank. Results: Statistical analysis showed that there was a significant inverse correlation between repeated trunk flexion and anterior trunk flexion (r = -0.488, p
Functionality of Individuals with Low Back Pain: Cross-Sectional Study with Icf Core Set
Coluna/Columna
Objective: Characterize the functionality and disability of individuals complaining of low back pain at a physiotherapy service. Method: The study included individuals who complained of low back pain, treated at a physical therapy school clinic, over the age of 18. An online questionnaire was applied, with sociodemographic questions and questions corresponding to the codes of the brief “International Classification of Functioning, Disability, and Health” (ICF) for low back pain. Results: The total sample was 47 individuals, with an average of 65.31 ± 3.8 years, the majority were women (n = 40; 85.1%). The categories: pain functions (b280) and functions related to joint mobility (b710) had a higher prevalence of reports of severe to complete disabilities (89.5% and 55.3%, respectively). The other categories, in general, had a higher prevalence of mild to moderate dysfunction, with a greater report of dysfunction for the categories energy and impulse functions (b130), sleep functions ...
2021
Background: In chronic low back pain (CLBP) due to the phenomenon of central sensitization there might be persistent pain and flare-ups. Further due to its lasting periodicity in nature, it also results in significant economic burden. However, the mechanisms for chronicity in low back pain have not been established. Objectives: The purpose of this study is to investigate whether there are differences in spatio-temporal parameters in subjects with chronic low back pain compared with the healthy controls subjects during the gait cycle. Methods: The methodology used for the systematic review follows the PRISMA guidelines. A literature search was performed in PubMed, EMBASE, Scopus and Medline. Twelve articles comparing spatio-temporal parameters (speed, stride length and step length) in people with CLBP and healthy controls during walking or running were selected. Two persons independently performed the data extraction and quality assessment. Results: The results showed that among ten ...