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Eficácia da terapia de manipulação vertebral lombar sobre alívio de dor crónica: uma revisão da literatura
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Abstract(s)
O presente estudo de revisão bibliográfica teve como objetivo avaliar a eficácia da manipulação vertebral lombar, mais concretamente da técnica de manipulação espinhal High Velocity Low Amplitude (HVLA-SM), no alívio de dor lombar crónica (DLC). Metodologia: Foi realizada uma pesquisa nas bases de dados Pubmed, PEDro e Web of Science usando palavras-chave previamente definidas. Após aplicação dos critérios de inclusão (estudos randomizados controlados em humanos com DLC, escritos em língua inglesa e com classificação na escala PEDro igual ou superior a 5) e exclusão (sem texto integral e não alinhados com o objetivo do presente estudo), foram selecionados 6 estudos compreendendo um total de 523 participantes,
e cuja classificação média na escala PEDro foi de 7. Em todos os estudos selecionados, a eficácia e os benefícios da técnica de HVLA-SM foram analisados em comparação com tratamentos placebo, exercício físico ou outras terapias manipulativas espinhais. Conclusão: a técnica de HVLA-SM parece oferecer um benefício modesto a curto prazo no alívio de dor e melhoria de função em determinados pacientes com DLC, nomeadamente numa faixa etária específica (≥ 60 anos). Contudo, a técnica de HVLA-SM aparenta não oferecer benefícios significativos sobre outras técnicas manipulativas.
The purpose of this bibliography revision study was to assess the efficacy of spinal manipulative therapy, namely a technique referred to as High Velocity Low Amplitude Spinal Manipulation (HVLA-SM), for the treatment of chronic low back pain. Methodology: it has been performed a search in the databases Pubmed, PEDro and Web of Science using preestablished keywords. After applying the inclusion (randomized controlled trials in patients with chronic low back pain, written in English and with a PEDro score equal to or higher than 5) and exclusion criteria, 6 studies have been selected comprising 523 participants, and with an average PEDro score of 7. All selected studies assessed the efficacy and benefits of HVLA-SM against placebo treatments, physical activity, or other spinal manipulative therapies. Conclusion: HVLA-SM seems to provide a modest, short-term effect in pain relief and improvement of function in certain patients suffering from chronic low back pain, namely those belonging to a specific age range (≥ 60 years). Nevertheless, HVLA-SM does not seem to offer significant benefits over other spinal manipulative techniques.
The purpose of this bibliography revision study was to assess the efficacy of spinal manipulative therapy, namely a technique referred to as High Velocity Low Amplitude Spinal Manipulation (HVLA-SM), for the treatment of chronic low back pain. Methodology: it has been performed a search in the databases Pubmed, PEDro and Web of Science using preestablished keywords. After applying the inclusion (randomized controlled trials in patients with chronic low back pain, written in English and with a PEDro score equal to or higher than 5) and exclusion criteria, 6 studies have been selected comprising 523 participants, and with an average PEDro score of 7. All selected studies assessed the efficacy and benefits of HVLA-SM against placebo treatments, physical activity, or other spinal manipulative therapies. Conclusion: HVLA-SM seems to provide a modest, short-term effect in pain relief and improvement of function in certain patients suffering from chronic low back pain, namely those belonging to a specific age range (≥ 60 years). Nevertheless, HVLA-SM does not seem to offer significant benefits over other spinal manipulative techniques.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Dor lombar Manipulação espinhal High velocity low amplitude Low back pain Spinal manipulation