Exercícios de estabilização lombar e terapia manual no tratamento da dor lombar crônica inespecíï¬ca
DOI:
https://doi.org/10.33233/fb.v10i6.1584Abstract
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A dor lombar crônica representa hoje um grande problema em todas as sociedades do mundo. Isso se deve ao grande gasto que ela acarreta para os setores de saúde e por ser uma das causas mais freqüentes de incapacidade entre os indivíduos. Por ser de origem multifatorial a dor lombar crônica apresenta várias abordagens de tratamento. A terapia manual e os exercícios de estabilização são tratamentos freqüentemente utilizados. A evidência desses métodos é muito discutida e dúvidas com relação í melhor abordagem a ser selecionada para o tratamento da dor lombar crônica não específica são freqüentes. Com base nessa revisão bibliográfica conclui-se que não há uma intervenção melhor que outra, entretanto ambas trazem algum tipo de benefício para os indivíduos com dor lombar crônica. A chave para o sucesso do tratamento da dor lombar crônica é a realização de uma avaliação criteriosa do paciente para definir qual a melhor intervenção a ser utilizada.
Palavras-chave: exercícios de estabilização, dor lombar crônica, terapia manual.
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References
Cairns MC, Foster NE, Wright C. Randomized controlled trial of specific spinal stabilization exercises and conventional physiotherapy for recurrent low back pain. Spine 2006;31(19)670-81.
Kolber MJ, Beekhuizen K. Lumbar stabilization: an evidence-based approach for the athlete with low back pain. Strength and Conditioning Journal 2007;29(2):26-37.
McKenzie RA, May S. The lumbar spine: mechanical diagnosis and therapy. Waikance: Spinal Publications New Zeland; 2003.
Cole MH, Grimshaw PN. Low back pain and lifting: a review of epidemiology and aetiology. Work 2003;21(2):173-84.
Barr KP, Griggs M, Cadby T. Lumbar stabilization: core concepts and current literature, parte 1. Am J Phys Med Rehabil 2005;84:473-80.
Cholewicki J, Silfies SP, Shah RA, Greene HS, Reeves NP, Alvi K, et al. Delayed trunk muscle reflex responses increases the risk of low back injuries. Spine 2005;30:2614-20.
Lewis JS, Hewitt JS, Billington L, Cole S, Byng J, Karayiannis S. A randomized clinical trial comparing two physiotherapy interventions for chronic low back pain. Spine 2005; 30(7):711-21.
Standaert CJ, Herring SM. Expert opinion and controversies in musculoskeletal and sports medicine: core stabilization as a treatment for low back pain. Arch Phys Med Rehabil 2007;88:1734-36.
Bergmark A. Stability of the lumbar spine: a study in mechanical engineering. Acta Orthop Scand Suppl1989;230:1-54.
Panjabi M. The stabilizing system of the spine: part 1 function, dysfunction, adaptation and enhancement. J Spine Disord 1992;5:383-9.
Hicks GE, Fritz JM, Delitto A, McGill SM. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil 2005;86:1753-62.
Pool-Goudzwaard AL, Vleeming A, Stoeckart R, Snijders CJ, Mens JMA. Insufficient lumbopelvic stability: a clinical, anatomical and biomechanical approach to “a-specific†low back pain. Man Ther 1998;3(1):12-20.
Levin SM. Biotensegrity [online]. [citado 2008 Set 17]. DisponÃvel em URL: http://www.biotensegrity.com
Chicurel ME, Chen CS, Ingber DE. Cellular control lies in the balance of forces. Curr Opin Cell Biol 1998;10:232-9.
McGill SM, Grenier S, Kavcic N, Cholewicki J. Coordination of muscle activity to assure stability of the lumbar spine. J Electromyogr Kinesiol 2003;13:353-9.
Bronfort G, Haas M, Evans R, Kawchuk G, Dagenais S. Evidence-informed management of chronic low back pain with spinal manipulation and mobilization. Spine J 2008;8:213-25.
Fritz JM, Whitman JM, Childs JD. Lumbar spine segmental mobility assessment: an examination of validity for determining intervention strategies in patients with low back pain. Arch Phys Med Rehabil 2005;86(9):1745-52.
Ferreira ML, Ferreira PH, Latimer J, Herbert RD, Hodges PW, Jennings MD et al. Does spinal manipulative therapy help people with chronic low back pain? Aust J Physiother 2002;48:277-84.
Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffet J, Kovacs F et al. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006;15(4):192-300.
Ferreira ML, Ferreira PH, Latimer J, Herbert RD, Hodges PW, Jennings MD et al. Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: a randomized trial. Pain 2007;131:31-7.
Goldby LJ, Moore AP, Doust J, Trew ME. A randomized controlled trial investigating the efficiency of musculoskeletal physiotherapy on chronic low back disorder. Spine 2006;31(10):1083-1093.
Standaert CJ, Weinstein SM, Rumpeltes J. Evidence-informed management of chronic low back pain with lumbar stabilization exercises. Spine J 2008;8:114-20.
Hayden JA, Tulder MW, Malmivaara A, Koes BW. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev 2005;20(3):335.
Flynn T, Fritz J, Whitman J, Wainner R, Magel J, Rendeiro D, et al. A clinical prediction rule for classifying patients with low back pain who demonstrate short term improvement with spinal manipulation. Spine 2002;27:2835-43.
Childs JD, Fritz JM, Flynn TW, Irrgang JJ, Johnson KK, Majkowski GR, Dellito A. A clinical prediction rule to identify patients with low back pain who will benefit from spinal manipulation: a validation study. Ann Intern Med 2004;141(12):920-8.
Assendelft WJJ, Morton SC, Yu EI, Suttorp MJ, Shekelle PG. Spinal manipulative therapy for low back pain: a meta analysis of effectiveness relative to other therapies. Ann Inter Med 2003;138(11):871-81.
VanTulder MW, Ostelo R, Vlaeyen JW, Linton SJ, Morley SJ, Assendelft WJ. Behavioral treatment for chronic low back pain: a systematic review within the framework of the Cochrane collaboration back review group. Spine 2000b;25:2688-99.
Ferreira PH, Ferreira ML, Maher CG, Herbert RD, Refshauge K. Specific stabilization exercise for spine and pelvic pain: a systematic review. Austr J Physiother 2006;52:79-88.
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