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O impacto da intervenção no diafragma na dor lombar crónica: uma revisão bibliográfica
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Abstract(s)
Introdução: A lombalgia é um dos problemas de saúde mais comuns em adultos e afeta mais de 70% dos indivíduos e a sua prevalência está a aumentar de forma constante hoje em dia. É definida como dor e desconforto localizados abaixo do rebordo costal e acima da linha glútea superior, com ou sem dor referida no membro inferior, sendo crónica se persistir por mais de três meses. Objetivo: Rever e sumariar a literatura sobre as diferentes intervenções no diafragma na dor das lombalgias crónicas. Metodologia: A pesquisa foi feita em três bases de dados (PUBMed, Scopus, PEDro). Foram incluídos apenas estudos randomizados controlados, sendo critérios de inclusão: ensaios clínicos randomizados controlados, em inglês, português ou francês, com amostras constituídas por adultos, com dores crónicas lombares. Como critérios de exclusão: adulto sénior, fatores pessoais que predisponham a dor crónica em geral. Resultados: Foram selecionados cinco artigos com diferentes intervenções no diafragma que variaram entre 4 e 8 semanas: fortalecimento dos músculos inspiratórios, manipulação osteopática no diafragma, terapia respiratória guiada e fisioterapia. Conclusão: As intervenções apresentaram resultados significativos em relação à dor, à estabilidade e mobilidade lombar e à capacidade respiratória e ventilatória.
Introduction: Low back pain is one of the most common health problems in adults and affects more than 70% of individuals and its prevalence is steadily increasing today. It is defined as pain and discomfort located below the rib cage and above the upper gluteal line, with or without referred pain in the lower limb, and is chronic if it persists for more than three months. Objective: To review and summarise the literature on the different interventions on the diaphragm in chronic low back pain. Methodology: The search was performed in three databases (PUBMed, Scopus, PEDro). Only randomised controlled studies were included, inclusion criteria: randomised controlled clinical trials, in English, Portuguese or French, with samples consisting of adults, with chronic low back pain. As criteria for exclusion: senior adult, personal factors predisposing to chronic pain in general. Results: Five articles with different interventions on the diaphragm ranging from 4 to 8 weeks were selected: strengthening of the inspiratory muscles, osteopathic diaphragmatic manipulation, guided respiratory therapy and physiotherapy. Conclusion: The interventions showed significant results regarding pain, lumbar stability and mobility, and respiratory and ventilatory capacity.
Introduction: Low back pain is one of the most common health problems in adults and affects more than 70% of individuals and its prevalence is steadily increasing today. It is defined as pain and discomfort located below the rib cage and above the upper gluteal line, with or without referred pain in the lower limb, and is chronic if it persists for more than three months. Objective: To review and summarise the literature on the different interventions on the diaphragm in chronic low back pain. Methodology: The search was performed in three databases (PUBMed, Scopus, PEDro). Only randomised controlled studies were included, inclusion criteria: randomised controlled clinical trials, in English, Portuguese or French, with samples consisting of adults, with chronic low back pain. As criteria for exclusion: senior adult, personal factors predisposing to chronic pain in general. Results: Five articles with different interventions on the diaphragm ranging from 4 to 8 weeks were selected: strengthening of the inspiratory muscles, osteopathic diaphragmatic manipulation, guided respiratory therapy and physiotherapy. Conclusion: The interventions showed significant results regarding pain, lumbar stability and mobility, and respiratory and ventilatory capacity.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Adultos Dores lombares crónicas Fisioterapia Diafragma Dor Adults Chronic low back pain Physiotherapy Diaphragm Pain