Efectividade de exercícios de estabilidade em adultos com dor cervical crónica: Revisão sistemática

• Autor(a) principal: Freitas, Tiago Valente
• Data de Publicação: 2010
• Outros Autores: Serpa, Rui Alexandre, Simão, Daniel Filipe, Jardim, Marco
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.26/8695

Introduction: Chronic Neck Pain is described as the second most frequent musculoskeletal pathology. The dynamic stability theory as a fundamental concept in these dysfunctions has increased its scientific support in the last years. Objective: To analyze and evaluate the effectiveness of the stability exercises and its influence in the outcomes: pain and/or function. Data Base: Pubmed (Medline), Cochrane Library and PEDro until February 2009. Review Methods: The inclusion criteria were Randomized Control Trials (RCT’s), in English language, published in the last 10 years, with PEDro Scores ≥ 6, non athlete adults, (≥19 years), the intervention must had stabilization exercises applied to the cervical spine and must had as outcomes pain and/or function. After the systematic search the articles that weren’t classified were evaluated by PEDro score. Results: 7 articles were selected for this review; only 5 had as outcome both pain and function simultaneously. It seems to exist some evidence that the specific training of the craneo-flexors muscles immediately reduces neck pain. However there isn’t evidence of significative differences between stabilization exercises and progressive resistance training, proprioceptive training, strengthening and education. Conclusion: The effectiveness of stability exercises on the improvement of pain and function in adults with Chronic Neck Pain is not conclusive, as there is no evidence that supports that it is more effective than other approaches.