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Padrões de ativação dos músculos do tronco durante a marcha em adultos com dor lombar inespecífica: revisão bibliográfica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PG_29701 | 319.14 KB | Adobe PDF |
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Advisor(s)
Abstract(s)
Objetivo: Esta revisão teve como propósito comparar a ativação muscular do tronco durante a marcha no adulto com e sem dor lombar inespecífica, perceber se existem adaptações durante a marcha em resposta às mudanças de velocidade. Metodologia: Foi efetuado uma pesquiza computorizada na base de dados Pubmed, Medline, Science direct e Google scholar para identificar estudos que investiguem paciente com dor lombar, recorrendo a eletromiografia de superfície (EMG) para análise da ativação dos músculos do tronco durante a marcha, com publicações entre 2006 e 2017. Resultados: Nesta revisão foram incluídos 5 estudos caso controlo envolvendo 129 adultos com dor lombar e 82 indivíduos assintomáticos. Todos os estudos utilizaram como protocolo a marcha numa passadeira em diferentes velocidades obtiveram como resultado no grupo de dor lombar (GDL) um aumento do nível de atividade do músculo eretor da espinha (EE), do eretor da espinha iliocostal (EEI), do reto abdominal (RA), do multífidus (MF), em comparação com o grupo de controlo (GC). Conclusão: Os indivíduos com dor lombar apresentam maior atividade muscular global, no entanto durante a marcha a ativação parece variar. A mudança súbita da velocidade da marcha provoca uma instabilidade na coluna vertebral alterando o padrão muscular.
Objective: The purpose of this review was to compare the muscular activation of the trunk during gait in adults with and without nonspecific low back pain, to see if there are adaptations during gait in response to changes in velocity. METHODS: A computerized search was conducted in the Pubmed, Medline, Science direct and Google scholar databases to identify studies investigating patients with low back pain, using surface electromyography (EMG) to analyze the activation of the trunk muscles during gait, with publications between 2006 and 2017. Results: Five control case studies involving 129 adults with low back pain and 82 asymptomatic individuals were included in this review. All studies used as a protocol the gait in a treadmill at different speeds resulted in an increase in the level of activity of the erector spinae (EE), external oblique (EO), erector spinae longissimus (EE/LG), erector spinae iliocostalis (EEI), abdominal rectus muscle (RA), multifidus muscle (MF), in the lumbar pain group (GDL) compared to the control group (CG). Conclusion: Individuals with low back pain have a greater global muscular activity, however, during gait activation seems to vary. Depending on the gait velocity, it causes instability of the spine altering the muscular pattern to promote greater stability.
Objective: The purpose of this review was to compare the muscular activation of the trunk during gait in adults with and without nonspecific low back pain, to see if there are adaptations during gait in response to changes in velocity. METHODS: A computerized search was conducted in the Pubmed, Medline, Science direct and Google scholar databases to identify studies investigating patients with low back pain, using surface electromyography (EMG) to analyze the activation of the trunk muscles during gait, with publications between 2006 and 2017. Results: Five control case studies involving 129 adults with low back pain and 82 asymptomatic individuals were included in this review. All studies used as a protocol the gait in a treadmill at different speeds resulted in an increase in the level of activity of the erector spinae (EE), external oblique (EO), erector spinae longissimus (EE/LG), erector spinae iliocostalis (EEI), abdominal rectus muscle (RA), multifidus muscle (MF), in the lumbar pain group (GDL) compared to the control group (CG). Conclusion: Individuals with low back pain have a greater global muscular activity, however, during gait activation seems to vary. Depending on the gait velocity, it causes instability of the spine altering the muscular pattern to promote greater stability.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Músculos do tronco Músculos do core EMG Dor lombar Andar Marcha Trunk muscles Core muscles EMG Low back pain Walking Gait