Impact of a treatment program on patients with spine alterations

• Autor(a) principal: Trindade, Ana Paula Nassif Tondato da
• Data de Publicação: 2018
• Outros Autores: Borges, Ritta de Cássia Canedo Oliveira, Bittar, Cléria Maria Lobo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira em Promoção da Saúde
• Texto Completo: https://ojs.unifor.br/RBPS/article/view/8748
• topic: Health Promotion; Back Pain; Posture; Promoción de la Salud; Dolor de Espalda; Postura; Promoção de Saúde; Dor nas Costas; Postura.

Objective: To evaluate the impact of a physiotherapy treatment program on patients with spine alterations. Methods: This is an experimental, longitudinal, quantitative study carried out in the city of Araxá, Minas Gerais, Brazil. Participants were 81 patients from the Back School project, between May 2016 and April 2017, who should present some spine pathology, with specific medical referral, and agree to participate in the project. The participants were submitted to Pilates or global postural reeducation sessions twice a week during the three-month treatment, in a group, with an average duration of 50 minutes. Initial and final evaluation of musculoskeletal disorders was performed through the Nordic Musculoskeletal Questionnaire and the level of disability was assessed with use of the Oswestry index. At the end of the program the patients answered a questionnaire for assessment of their satisfaction with the results obtained. Results: The participants’ mean age was 49.7±12.34 years. The mean Oswestry index was 16.65±8.08, before the intervention, and 11.63±7.89 after the intervention. Moderate disabling pain was found in highest proportion (50.6%, n=41) before treatment, changing to 100% of mild disabling pain. Regarding the results obtained by the Nordic Musculoskeletal Questionnaire, the majority (76.5%, n=62) presented pain in the lumbar region, followed by the neck and dorsal region, both with 49.4%, n=40. Conclusion: The physiotherapy treatment program, by means of the Back School project, gave rise to an overall improvement in the patients' clinical status, particularly in functionality, limitation and pain.