Assessment of the durability of the effects of segmental stabilization and muscle stretching exercise programs on pain levels in individuals with chronic low back pain: experimental study

Authors

DOI:

https://doi.org/10.62827/fb.v25i1.f791

Keywords:

muscle stretching exercises; low back pain; muscle contraction.

Abstract

Objective: To assess the durability of the effects of segmental stabilization (SS) and muscle stretching (MS) exercise programs on pain levels in individuals with chronic low back pain. Methods: A quantitative experimental study of a cross-sectional nature, involving 33 participants of both sexes, aged 18 to 75 years, diagnosed with low back pain. Participants were distributed in two groups SS and MS and underwent an assessment of low back pain levels before and after treatment, as well as six months after the interventions. The study was approved by the Ethics and Research Committee of the Federal University of Amapá. Data were analyzed using descriptive and inferential statistics with the assistance of the SPSS Statistics software. Results: Participants presented significant overweight indices. A reduction in mean pain intensity was observed in the AM group from 6.58 ± 2.06 to 2.11 ± 1.44, and in the ES group, a reduction from 6.54 ± 1.98 to 2.23 ± 2.09. Conclusion: Both physiotherapeutic interventions appear to be effective in reducing pain in individuals with low back pain for immediate post-treatment as measured by the VAS. The effects over pain persisted for up to 6 months.

Author Biographies

  • José Ribeiro da Silva Neto, UNIFAP

    Graduado em Fisioterapia e Mestrando em Ciências da Saúde pela Universidade Federal do Amapá, UNIFAP, Especialista em Saúde Coletiva pela Universidade do Estado do Pará, UEPA, Pós-graduado (Especialização) em Fisioterapia Intensiva pela Faculdade Inspirar, Campus Belém, PA, Brasil 

  • André Alonso Cárdenas Celis, UNIFAP

    Fisioterapeuta Graduado e Mestrando em Ciências da Saúde pela Universidade Federal do Amapá (UNIFAP), Campus Marco Zero,  Amapá, AP, Brasil 

  • Demilto Yamaguchi da Pureza, UNIFAP

    Professor de Educação Física pela Universidade Estadual do Pará, Mestre em Educação Física e Doutor em Ciências, Professor na Universidade Federal do Amapá, Macapá, AP, Brasil 

  • Amanda Alves Fecury , UNIFAP

    Biomédica Graduada pela Universidade Federal do Pará, Especialista em Microbiologia , Mestra, Doutora e Profª em Doenças Tropicais da Universidade Federal do Amapá, Macapá, AP, Brasil 

  • Rosemary Ferreira de Andrade, UNIFAP

    Enfermeira com Habilitação em Saúde Pública pela Universidade do Estado do Pará (UEPA), Enfermeira Sanitarista pela FIOCRUZ, Mestre em Enfermagem pela Universidade Federal do Pará (UFPA) e Doutora em Ciências na área de Desenvolvimento Socioambiental pelo Núcleo de Altos Estudos Amazônicos (NAEA/UFPA), Professora Titular do Curso de Bacharelado em Enfermagem e do Programa de Mestrado em Ciências da Saúde da Universidade Federal do Amapá (UNIFAP), Macapá, AP, Brasil 

  • Anneli Mercedes Celis de Cárdenas, UNIFAP

    Enfermeira Graduada pela Universidad Nacional del Callao, Lima, Perú, Mestra e Doutora em Enfermagem pela Escola de Enfermagem da Universidade de São Paulo EEUSP-Brasil, Professora Associada IV do Curso de Bacharelado em Enfermagem e do Programa de Mestrado em Ciências da Saúde da Universidade Federal do Amapá, Macapá, AP, Brasil 

  • Wellison Gomes de Lira, UNIFAP

    Fisioterapeuta Graduado pela Universidade Federal da Paraíba, Especialização em Fisioterapia Cardiorrespiratória pela UFPE, e Neurologia Integrada pela UNIFAP, Macapá, AP, Brasil 

  • Areolino Pena Matos , UNIFAP

    Graduado em Fisioterapia pela Universidade do Estado do Pará, Especialista em Fisioterapia Traumato-Ortopédica Ambulatorial e Hospitalar, Mestre em Reabilitação pela Universidade Federal de São Paulo UNIFESP, EPM, Doutor em Engenharia Biomédica Unicastelo,  São José dos Campos, SP, Professor Associado ao Nível IV do Curso de Bacharelado de Fisioterapia na Universidade Federal do Amapá (UNIFAP) e do Programa de Mestrado em Ciências da Saúde da UNIFAP, Macapá, AP, Brasil 

References

Raja SN, Carr DB, Cohen M, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020;161:1976–1982.

Furtado RNV, Ribeiro LH, de Arruda Abdo B, et al. Dor lombar inespecífica em adultos jovens: fatores de risco associados. Rev Bras Reumatol. 2014;54:371–377.

Ho CHung S, Youl You Y, Jin lee Hy, et al. Effects of stabilization exercise using flexi-bar on functional disability and transverse abdominis thickness in patients with chronic low back pain.

Exercises for treatment of nonspecific low back pain. Brazilian Journal of Anesthesiology. 2012;62:838–846.

Franca FR, Burke TN, Hanada ES, et al. Segmental stabilization and muscu-lar strengthening in chronic low back pain - a comparative study. Clinics. 2010;65:1013–1017.

Pinheiro VF de O, Magalhães JR. A influência da estabilização segmentar na dor lombar específica e não específica: Revisão integrativa. Brazilian Journal of Development. 2022;8:72637–72645.

Kisner C, Colby L. Exercícios terapêuticos: Fundamentos e técnicas. 5th ed. 2009.

França FR, Burke TN, Caffaro RR, et al. Effects of muscular stretching and segmental stabilization on functional disability and pain in patients with chronic low back pain: A randomized, controlled trial. J Manipulative Physiol Ther. 2012;35:279–285.

Lewis A, Morris M, Walsh C. Are physiotherapy exercises effective in reduc-ing chronic low back pain? 1st ed. 2008.

Petreça D, Sandreschi P, Rodrigues F, et al. Viva bem com a coluna que vo-cê tem: ação multidisciplinar no tratamento da lombalgia. Revista Brasileira de Atividade Física & Saúde. 2017;22:413–418.

Fernandes IM da C, Pinto RZ, Ferreira P, et al. Low back pain, obesity, and in-flammatory markers: Exercise as potential treatment. Journal of Exercise Re-habilitation. 2018;14:168–174.

Ibrahimi-Kaçuri D, Murtezani A, Rrecaj S, et al. Low back pain and obesity. Med Arch. 2015;69:114–116.

Qaseem A, Wilt TJ, McLean RM, et al. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017;166:514.

Leite AAA de S, Santos LDS, De Araújo MO, et al. DOR LOMBAR E EXER-CÍCIO FÍSICO: UMA REVISÃO SISTEMÁTICA. Revista Baiana de Saúde Pú-blica. 2015;39:442.

Feitosa ASA, Lopes JB, Bonfa E, et al. A prospective study predicting the out-come of chronic low back pain and physical therapy: The role of fear-avoidance beliefs and extraspinal pain. Rev Bras Reumatol. 2016;56:384–390.

Lawand P, Lombardi Júnior I, Jones A, et al. Effect of a muscle stretching program using the global postural reeducation method for patients with chronic low back pain: A randomized controlled trial. Joint Bone Spine. 2015;82:272–277.

Ferreira MA, Puppin L, Pasqual Marques A, et al. Fisioterapia e Pesquisa. 2011;18:116–137.

Menezes Costa LDC, Maher CG, Hancock MJ, et al. The prognosis of acute and persistent low-back pain: A meta-analysis. CMAJ Canadian Medical As-sociation Journal. 2012;184:Epub ahead of print 7 August. DOI: 10.1503/cmaj.111271.

Calvo-Muñoz I, Gómez-Conesa A, Sánchez-Meca J. Prevalence of low back pain in children and adolescents: a meta-analysis. BMC Pediatr. 2013;13:14.

George SZ, Fritz JM, Silfies SP, et al. Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021. Journal of Orthopaedic & Sports Physical Therapy. 2021;51:CPG1–CPG60.

Rackwitz B, de Bie R, Limm H, et al. Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized con-trolled trials. Clin Rehabil. 2006;20:553–567.

Volpato CP, Fernandes SW, Carvalho NAA, et al. Exercícios de estabilização segmentar lombar na lombalgia: revisão sistemática da literatura The effecti-veness of lumbar segmental stabilizing exercises in low back pain: a syste-matic review. 2012.

Menezes Costa L da C, Maher CG, Hancock MJ, et al. The prognosis of acute and persistent low-back pain: a meta-analysis. Can Med Assoc J. 2012;184:E613–E624.

Published

2024-05-14

How to Cite

Assessment of the durability of the effects of segmental stabilization and muscle stretching exercise programs on pain levels in individuals with chronic low back pain: experimental study. (2024). Fisioterapia Brasil, 25(1), 1072-1083. https://doi.org/10.62827/fb.v25i1.f791

Most read articles by the same author(s)