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Efetividade da técnica Sustained Natural Apophyseal Glides de Mulligan no tratamento da lombalgia crónica não específica: uma revisão da literatura
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Abstract(s)
Introdução: As lombalgias crónicas não especificas estão associadas a dor forte, mobilidade reduzida da coluna e diminuição da força muscular global. A técnica Sustained Natural Apophyseal Glides (SNAGs) é uma técnica de terapia manual desenvolvida por Mulligan usada frequentemente em lombalgias. Objetivo: Analisar a efetividade da técnica SNAGs de Mulligan no tratamento das lombalgias crónicas não específica. Metodologia: Foi realizada uma pesquisa eletrónica nas bases de dados Pubmed, Physiotherapy Evidence Database (PEDro) e Web of Science para identificar estudos de tipo randomizado controlado que avaliam os efeitos da técnica SNAGs sobre a lombalgia não específica. Resultados: Foram selecionados cinco artigos, que incluíam um total de 193 indivíduos, com uma idade média de 35,2 anos que examinaram todos o efeito da técnica na dor. A função e a amplitude do movimento foram avaliadas em quatro artigos. A rigidez muscular, a velocidade de movimento e a cinesiofobia foram avaliadas em apenas um. Com exceção de dois estudos que realizaram um protocolo de uma sessão, a duração variou entre quatro semanas a um mês. Todos os estudos mostraram melhorias significativas nos parâmetros avaliados. Conclusão: A técnica SNAGs parece ter um efeito positivo na dor, amplitude de movimento e função em pacientes que apresentam lombalgias cronicas não específicas.
Introduction: Chronic low back pain is associated with severe pain, reduced mobility of the spine and decreased overall muscle strength. Sustained Natural Apophyseal Glides (SNAGs) is a manual therapy technique developed by Mulligan frequently used in low back pain. Aim: To analyse the effectiveness of Mulligan's SNAGs technique in the treatment of chronic non-specific low back pain. Methodology: A search in Pubmed, Physiotherapy Evidence Database (PEDro) and Web of Science to identify randomised controlled trials evaluating the effects of SNAGs technique on non-specific low back pain. Results: Five articles were selected, which included a total of 193 individuals, with a mean age of 35.2 years. All studies examined the effect of the SNAGs technique on pain. Function and range of motion were assessed in four articles. Muscle stiffness, speed of movement and kinesiophobia were assessed in one. Except for two studies that performed a one-session protocol, the duration ranged from four weeks to one month. All studies showed significant improvements in the parameters evaluated. Conclusion: SNAGs technique seems to have a positive effect on pain, range of motion and function in patients with chronic non-specific low back pain.
Introduction: Chronic low back pain is associated with severe pain, reduced mobility of the spine and decreased overall muscle strength. Sustained Natural Apophyseal Glides (SNAGs) is a manual therapy technique developed by Mulligan frequently used in low back pain. Aim: To analyse the effectiveness of Mulligan's SNAGs technique in the treatment of chronic non-specific low back pain. Methodology: A search in Pubmed, Physiotherapy Evidence Database (PEDro) and Web of Science to identify randomised controlled trials evaluating the effects of SNAGs technique on non-specific low back pain. Results: Five articles were selected, which included a total of 193 individuals, with a mean age of 35.2 years. All studies examined the effect of the SNAGs technique on pain. Function and range of motion were assessed in four articles. Muscle stiffness, speed of movement and kinesiophobia were assessed in one. Except for two studies that performed a one-session protocol, the duration ranged from four weeks to one month. All studies showed significant improvements in the parameters evaluated. Conclusion: SNAGs technique seems to have a positive effect on pain, range of motion and function in patients with chronic non-specific low back pain.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
SNAGs Lombalgias não especificas Dor Amplitude de movimento Funcionalidade Non-specific low back pain Pain Range of motion Functionality