Isokinetic performance, functionality, and pain level before and after lumbar and pelvic estabilization exercise in individuals with chronic low back pain
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Fisioterapia em Movimento |
Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/21686 |
Resumo: | Introduction: Chronic low back pain with a mechanical and degenerative origin is among the most common symptoms experienced by people all over the world. Objective: To analyze the effects of a protocol for lumbar and pelvic segmental stabilization with regard to isokinetic variables, functionality, and pain in patients with low back pain. Materials and methods: The sample consisted of 21 subjects, 8 female and 13 male, with a mean age of 42.6 ± 12.5 years. We used tests for mobility (modified Schober index), flexibility (finger-floor distance), functionality (Roland-Morris questionnaire), pain (Visual Analog Scale of Pain), and the isokinetic variables torque peak, work, flexors/extensors ratio before and after application of a protocol for segmental stabilization in subjects with chronic low back pain with a mechanical and degenerative origin. This protocol was used for two months, being applied twice a week. The data were statistically tested by means of the software Statistica, version 8.0. Results: There were significant improvements for the variables flexibility (p = 0.014), functionality (p < 0.001), pain level (p < 0.001), torque peak flexion (p = 0.008), torque peak range (p < 0.001), torque flexion (p = 0.001), torque range (p < 0.001), and flexors/extensors ratio (p = 0.001). Conclusion: Even with the improved levels of trunk muscles strength, both flexors and extensors, it was not possible to rebalance the segment according to data available in the literature. It is believed that there is a need for a protocol with a longer application period, maintaining the recruitment of extensor muscles. Regarding mobility of the lumbar segment, the protocol showed no significant differences in post-treatment (p = 0.520). This may be attributed to improved muscle control, providing the increased passive stiffness required to promote stability. |
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Fisioterapia em Movimento |
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Isokinetic performance, functionality, and pain level before and after lumbar and pelvic estabilization exercise in individuals with chronic low back painIntroduction: Chronic low back pain with a mechanical and degenerative origin is among the most common symptoms experienced by people all over the world. Objective: To analyze the effects of a protocol for lumbar and pelvic segmental stabilization with regard to isokinetic variables, functionality, and pain in patients with low back pain. Materials and methods: The sample consisted of 21 subjects, 8 female and 13 male, with a mean age of 42.6 ± 12.5 years. We used tests for mobility (modified Schober index), flexibility (finger-floor distance), functionality (Roland-Morris questionnaire), pain (Visual Analog Scale of Pain), and the isokinetic variables torque peak, work, flexors/extensors ratio before and after application of a protocol for segmental stabilization in subjects with chronic low back pain with a mechanical and degenerative origin. This protocol was used for two months, being applied twice a week. The data were statistically tested by means of the software Statistica, version 8.0. Results: There were significant improvements for the variables flexibility (p = 0.014), functionality (p < 0.001), pain level (p < 0.001), torque peak flexion (p = 0.008), torque peak range (p < 0.001), torque flexion (p = 0.001), torque range (p < 0.001), and flexors/extensors ratio (p = 0.001). Conclusion: Even with the improved levels of trunk muscles strength, both flexors and extensors, it was not possible to rebalance the segment according to data available in the literature. It is believed that there is a need for a protocol with a longer application period, maintaining the recruitment of extensor muscles. Regarding mobility of the lumbar segment, the protocol showed no significant differences in post-treatment (p = 0.520). This may be attributed to improved muscle control, providing the increased passive stiffness required to promote stability.Editora PUCPRESS2017-09-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2168610.1590/0103-5150.027.003.AO16Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 27 No. 3 (2014)Fisioterapia em Movimento; v. 27 n. 3 (2014)1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRenghttps://periodicos.pucpr.br/fisio/article/view/21686/20807Copyright (c) 2022 PUCPRESSinfo:eu-repo/semantics/openAccessMelo Filho, JarbasCercal Eduardo, Fernanda MariaDuarte de Lima Moser, Auristela2022-03-07T19:01:11Zoai:ojs.periodicos.pucpr.br:article/21686Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2022-03-07T19:01:11Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Isokinetic performance, functionality, and pain level before and after lumbar and pelvic estabilization exercise in individuals with chronic low back pain |
title |
Isokinetic performance, functionality, and pain level before and after lumbar and pelvic estabilization exercise in individuals with chronic low back pain |
spellingShingle |
Isokinetic performance, functionality, and pain level before and after lumbar and pelvic estabilization exercise in individuals with chronic low back pain Melo Filho, Jarbas |
title_short |
Isokinetic performance, functionality, and pain level before and after lumbar and pelvic estabilization exercise in individuals with chronic low back pain |
title_full |
Isokinetic performance, functionality, and pain level before and after lumbar and pelvic estabilization exercise in individuals with chronic low back pain |
title_fullStr |
Isokinetic performance, functionality, and pain level before and after lumbar and pelvic estabilization exercise in individuals with chronic low back pain |
title_full_unstemmed |
Isokinetic performance, functionality, and pain level before and after lumbar and pelvic estabilization exercise in individuals with chronic low back pain |
title_sort |
Isokinetic performance, functionality, and pain level before and after lumbar and pelvic estabilization exercise in individuals with chronic low back pain |
author |
Melo Filho, Jarbas |
author_facet |
Melo Filho, Jarbas Cercal Eduardo, Fernanda Maria Duarte de Lima Moser, Auristela |
author_role |
author |
author2 |
Cercal Eduardo, Fernanda Maria Duarte de Lima Moser, Auristela |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Melo Filho, Jarbas Cercal Eduardo, Fernanda Maria Duarte de Lima Moser, Auristela |
description |
Introduction: Chronic low back pain with a mechanical and degenerative origin is among the most common symptoms experienced by people all over the world. Objective: To analyze the effects of a protocol for lumbar and pelvic segmental stabilization with regard to isokinetic variables, functionality, and pain in patients with low back pain. Materials and methods: The sample consisted of 21 subjects, 8 female and 13 male, with a mean age of 42.6 ± 12.5 years. We used tests for mobility (modified Schober index), flexibility (finger-floor distance), functionality (Roland-Morris questionnaire), pain (Visual Analog Scale of Pain), and the isokinetic variables torque peak, work, flexors/extensors ratio before and after application of a protocol for segmental stabilization in subjects with chronic low back pain with a mechanical and degenerative origin. This protocol was used for two months, being applied twice a week. The data were statistically tested by means of the software Statistica, version 8.0. Results: There were significant improvements for the variables flexibility (p = 0.014), functionality (p < 0.001), pain level (p < 0.001), torque peak flexion (p = 0.008), torque peak range (p < 0.001), torque flexion (p = 0.001), torque range (p < 0.001), and flexors/extensors ratio (p = 0.001). Conclusion: Even with the improved levels of trunk muscles strength, both flexors and extensors, it was not possible to rebalance the segment according to data available in the literature. It is believed that there is a need for a protocol with a longer application period, maintaining the recruitment of extensor muscles. Regarding mobility of the lumbar segment, the protocol showed no significant differences in post-treatment (p = 0.520). This may be attributed to improved muscle control, providing the increased passive stiffness required to promote stability. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-09-18 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/21686 10.1590/0103-5150.027.003.AO16 |
url |
https://periodicos.pucpr.br/fisio/article/view/21686 |
identifier_str_mv |
10.1590/0103-5150.027.003.AO16 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/21686/20807 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 PUCPRESS info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 PUCPRESS |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora PUCPRESS |
publisher.none.fl_str_mv |
Editora PUCPRESS |
dc.source.none.fl_str_mv |
Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 27 No. 3 (2014) Fisioterapia em Movimento; v. 27 n. 3 (2014) 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
instname_str |
Pontifícia Universidade Católica do Paraná (PUC-PR) |
instacron_str |
PUC_PR |
institution |
PUC_PR |
reponame_str |
Fisioterapia em Movimento |
collection |
Fisioterapia em Movimento |
repository.name.fl_str_mv |
Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
repository.mail.fl_str_mv |
rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
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1799138747180122112 |