Influence of patient protagonism in the physical therapy treatment of chronic pain in the spine
DOI:
https://doi.org/10.33233/fb.v22i5.4775Keywords:
chronic pain; physical therapy; spineAbstract
This study aimed to describe the sociodemographic profile of physical therapy patients with spine chronic pain (CP) and the psychosocial relation after physical exercise. Exploratory-descriptive and interventional study, with quantitative analysis of data, performed at the Clínica Escola de Fisioterapia (CEF) of the University of Vale do Taquari - Univates, Lajeado, RS, Brazil. Data was carried out by means of a questionnaire and the protocols Start Back Screening Tool (SBST), Fear Avoidance Belief Questionnaire (FABQ), SF-36 Quality of Life Questionnaire and Oswestry Disability Index (ODI). Nine patients with spine CP participated, being allocated in groups: intervention, participated in a health promotion group for four weeks, twice a week, to perform exercises in the CEF; control, received a booklet with the same exercises to be performed at home for the same period. Both groups showed improvement in SF-36, SBST and ODI. In FABQ, they showed improvement in the physical activity item and worsening at work. We concluded that the exercise program used in patients with CP in spine is positive in improving the prognosis and quality of life, reduction of disabilities and beliefs. Even more, home exercises encourage the protagonism of patients.
References
Knoplich J. Enfermidades da coluna vertebral [E-book]. 4th ed. Barueri: Manole; 2015. 435 p.
Magee DJ. Avaliação musculoesquelética [E-book]. 5th ed. Barueri: Manole; 2010. 1225 p.
Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain 2020;161:1976-82. doi: 10.1097/j.pain.0000000000001939
Almeida DC, Kraychete DC. Dor lombar - uma abordagem diagnóstica. Rev Dor 2017;18:173-7. doi: 10.5935/1806-0013.20170034
Feitosa ASA, Lopes JB, Bonfa E, Halpern ASR. Estudo prospectivo de fatores prognósticos em lombalgia crônica tratados com fisioterapia: papel do medo-evitação e dor extraespinal. Rev Bras Reumatol 2016;56:384-90. doi: 10.1016/j.rbre.2016.03.002
Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. Lancet 2018;391:2356-67. doi: 10.1016/S0140-6736(18)30480-X
Kroll HR. Exercise therapy for chronic pain. Phys Med Rehabil Clin N Am 2015; 26:263-81. doi: 10.1016/j.pmr.2014.12.007
Abreu AM, Faria CDCM, Cardoso SMV, Teixeira-Salmela LF. Versão brasileira do Fear Avoidance Beliefs Questionnaire. Cad. Saúde Pública 2008;24:615-23. doi: 10.1590/S0102-311X2008000300015
Pilz B, Vasconcelos RA, Marcondes FB, Lodovichi SS, Mello W, Mello DB. The Brazilian version of STarT Back Screening Tool - translation, cross-cultural adaptation and reliability. Braz J Phys Ther 2018;18:453-61. doi: 10.1590/bjpt-rbf.2014.0028
Vigatto R, Alexandre NMC, Correa Filho HR. Development of a Brazilian Portuguese version of the Oswestry Disability Index: cross-cultural adaptation, reliability, and validity. Spine 2007;32:481-6. doi: 10.1097/01.brs.0000255075.11496.47
Sangalli EG, Johann L, Koetz LCE, Grave MTQ, Sehnem E. Cenário de atuação profissional e qualidade de vida do fisioterapeuta no Vale do Taquari. Caderno Pedagógico [Internet]. 2015[cited 2021 Oct 1];12:163-75. Available from: http://www.univates.br/revistas/index.php/cadped/article/view/977
Santos FAA, Souza JB, Antes DL, D’OrsiI E. Prevalência de dor crônica e sua associação com a situação sociodemográfica e atividade física no lazer em idosos de Florianópolis, Santa Catarina: estudo de base populacional. Rev Bras Epidemiol 2015. doi: 10.1590/1980-5497201500010018
Vasconcelos FH, Araújo GC. Prevalência de dor crônica no Brasil: estudo descritivo. Br J Pain 2018. doi: 10.5935/2595-0118.20180034
Oliveira MM, Andrade SSCA, Souza CAV, Ponte JN, Szwarcwald CL, Malta DC. Problema crônico de coluna e diagnóstico de distúrbios osteomusculares relacionados ao trabalho (DORT) autorreferidos no Brasil: Pesquisa Nacional de Saúde. Epidemiol Serv Saúde 2015;24:1679-4974. doi: 10.5123/S1679-49742015000200011
Zanuto EAC. Custos relacionados a dor lombar no Sistema Único de Saúde e o papel protetor da atividade física [Internet] [Tese]. Presidente Prudente: Universidade Estadual Paulista; 2017. 101 p. [cited 2021 Oct 1]. Available from: http://hdl.handle.net/11449/152128
Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012;64:2028-37. doi: 10.1002/art.34347
Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis 2014;73:968-74. doi: 10.1136/ annrheumdis-2013-204428
Malta DC, Oliveira MM, Andrade SSCA, Caiaffa WT, Souza MFM, Bernal RTI. Fatores associados à dor crônica na coluna em adultos no Brasil. Rev Saúde Pública 2017;51:9s. doi: 10.1590/S1518-8787.2017051000052
Romero DE, Santana D, Borges P, Marques A, Castanheira D, Rodrigues JM, et al. Prevalência, fatores associados e limitações relacionados ao problema crônico de coluna entre adultos e idosos no Brasil. Cad Saúde Pública 2018;34(2). doi: 10.1590/0102-311x00012817
Camargo EM, Añez CRR. Diretrizes da OMS para Atividade Física e Comportamento Sedentário [Internet]. 2020, 24 p. [cited 2021 Oct 1]. Available from: https://apps.who.int/iris/bitstream/handle/10665/337001/9789240014886-por.pdf?sequence=102&isAllowed=y
Salvetti MG, Pimenta CAM, Braga PE, Corrêa CF. Incapacidade relacionada à dor lombar crônica: prevalência e fatores associados. Rev Esc Enferm 2012;46:16-23. doi: 10.1590/S0080-62342012000700003.
Meziat Filho NM, Silva GA. Invalidez por dor nas costas entre segurados da Previdência Social do Brasil. Rev Saúde Pública 2011;45:494-502. doi: 10.1590/S0034-89102011000300007.
Donzeli MA, Magalhães LF, D’Oliveira GVA, Dias AA, Gasparini ALP, Bertoncello D. Nível de incapacidade e qualidade de vida em mulheres com dor lombar crônica. REFACS 202;8:261-6. doi: 10.18554/refacs.v8i2.4529.
Son Ho-Hee. The effects of stabilization exercise with abdominal breath on balance and oswestry disability index for low back pain patients. J Korean Soc Phys Med 2015;10:107-13. doi: 10.13066/kspm.2015.10.1.107
Valenza MC, Rodríguez-Torres, J, Cabrera-Martos I, Díaz-Pelegrina A, Aguilar-Ferrándiz ME, Castellote-Caballero Y. Results of a Pilates exercise program in patients with chronic non-specific low back pain: a randomized controlled trial. Clin Rehabil 2017;31:753-60. doi: 10.1177/0269215516651978
Kong Yong-Soo, Jang Gwon-Uk, Park Seol. The effects of prone bridge exercise on the Oswestry disability index and proprioception of patients with chronic low back pain. J Phys Ther Sci 2015;27:2749-52. doi: 10.1589/jpts.27.2749
Medeiros FC, Costa LOP, Added MAN, Salomão EC, Costa LCM. Longitudinal monitoring of patients with chronic low back pain during physical therapy treatment using the STarT back screening tool. J Orthop Sports Phys Ther 2017;47:314-23. https://www.jospt.org/doi/10.2519/jospt.2017.7199
Kroska EB. A meta-analysis of fear-avoidance and pain intensity: The paradox of chronic pain. Scand J Pain 2016;13:43-58. doi: 10.1016/j.sjpain.2016.06.011
Panhale VP, Gurav RS, Nahar SK. Association of physical performance and fear-avoidance beliefs in adults with chronic low back pain. Ann Med Health Sci Res 2016;6:375-9. doi: 10.4103/amhsr.amhsr_331_15
Husky MH, Farin FF, Compagnone P, Compagnone C, Kovess-Masfety V. Chronic back pain and its association with quality of life in a large French population survey. Health Qual Life Outcomes 2018;16. doi: 10.1186/s12955-018-1018-4
Craner JR, Sperry JA, Evans MM. The relationship between pain catastrophizing and outcomes of a 3-week comprehensive pain rehabilitation program. Pain Med 2016;17:2026-35. doi: 10.1093/pm/pnw070
Published
Issue
Section
License
Copyright (c) 2021 Bruna Maria Melz, Lydia Koetz Jaeger, Magali Teresinha Quevedo Grave
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
