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Publication
Qual deverá ser a intervenção da fisioterapia no tratamento da lombalgia? - uma revisão de orientações clínicas
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PG_36690 | 355.27 KB | Adobe PDF |
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Abstract(s)
Objetivo: Avaliar criticamente as Normas de Orientação Clínica (NOC) mais recentes, com o intuito de resumir
as recomendações e aferir a sua consistência no tratamento fisioterapêutico da lombalgia. Metodologia: Pesquisa nas bases de dados da PubMed, PEDro e Web of Science e o motor de busca Google Académico, recorrendo à expressão de pesquisa: (“Clinical Practice Guidelines” OR “Clinical Guidelines”) AND (“lumbar pain” OR “low back pain”). Também foram usados quatro repositórios de Guidelines online: Guidelines International Network (G-IN), National Health and Medical Research Council (NHMRC), National Guideline Clearinghouse of the Agency for Health Care Research and Quality (USA) e National Institute for Health and Care Excellence (NICE).
Critérios de elegibilidade: NOC publicadas com um limite temporal de 5 anos (2016 e 2021), escritas em português,inglês ou espanhol, com foco na intervenção fisioterapêutica em indivíduos com diagnóstico de lombalgia.
Resultados: Um total de 11 NOC atenderam aos critérios de elegibilidade e foram avaliadas. No geral, o domínio com maior classificação média foi Âmbito e Propósito (84%), seguido por Independência Editorial (83%), Clareza e Apresentação (81%), Rigor de Desenvolvimento (78%), Envolvimento das Partes Interessadas (75%) e Aplicabilidade (55%). Na avaliação geral das NOC, a média do item de Avaliação geral foi de 69% e a qualidade foi classificada na sua maioria como baixa. Foram identificadas 4 recomendações consistentes para o tratamento da lombalgia, nomeadamente, a favor da manipulação, aconselhamento e exercícios terapêuticos e contra a tração lombar. Conclusão: Foram encontradas limitações metodológicas que afetam a qualidade das NOC. Com base nas NOC revistas, o fisioterapeuta deverá intervir na lombalgia através de um programa multimodal que deve incluir a manipulação, o aconselhamento e os exercícios terapêuticos.
Objective: To critically evaluate the most recent Clinical Practice Guidelines (CPGs), in order to summarize the recommendations and assess their consistency in the physiotherapeutic treatment of low back pain. Methodology: Research in PubMed, PEDro and Web of Science databases and the search engine Google Academic, using the search expression: (“Clinical Practice Guidelines” OR “Clinical Guidelines”) AND (“lumbar pain” OR “low back pain”). Four online guidelines repositories were also used: Guidelines International Network (G-IN), National Health and Medical Research Council (NHMRC), National Guideline Clearinghouse of the Agency for Health Care Research and Quality (USA) e National Institute for Health and Care Excellence (NICE). Eligibility criteria: CPG’s published with a time limit of 5 years (2016 and 2021), written in portuguese, english or spanish, with a focus on physical therapy intervention in individuals diagnosed with low back pain. Results: Overall, the domain with the highest average rating was Scope and purpose (84%), followed by Editorial independence (83%), Clarity of presentation (81%), Rigour of development (78%), Stakeholder involvement (75%) and Applicability (55%). In the overall assessment of the guideline, the average for the Overall assessment item was 69% and the quality was mostly rated as low. Four consistent recommendations were identified for the treatment of low back pain, namely, in favor of manipulation, counseling and therapeutic exercises and against lumbar traction. Conclusion: Methodological limitations that affect CPGs quality have been found. Based on the revised CPG’s, the physiotherapist should intervene in low back pain through a multimodal program that should include manipulation, counseling and therapeutic exercises.
Objective: To critically evaluate the most recent Clinical Practice Guidelines (CPGs), in order to summarize the recommendations and assess their consistency in the physiotherapeutic treatment of low back pain. Methodology: Research in PubMed, PEDro and Web of Science databases and the search engine Google Academic, using the search expression: (“Clinical Practice Guidelines” OR “Clinical Guidelines”) AND (“lumbar pain” OR “low back pain”). Four online guidelines repositories were also used: Guidelines International Network (G-IN), National Health and Medical Research Council (NHMRC), National Guideline Clearinghouse of the Agency for Health Care Research and Quality (USA) e National Institute for Health and Care Excellence (NICE). Eligibility criteria: CPG’s published with a time limit of 5 years (2016 and 2021), written in portuguese, english or spanish, with a focus on physical therapy intervention in individuals diagnosed with low back pain. Results: Overall, the domain with the highest average rating was Scope and purpose (84%), followed by Editorial independence (83%), Clarity of presentation (81%), Rigour of development (78%), Stakeholder involvement (75%) and Applicability (55%). In the overall assessment of the guideline, the average for the Overall assessment item was 69% and the quality was mostly rated as low. Four consistent recommendations were identified for the treatment of low back pain, namely, in favor of manipulation, counseling and therapeutic exercises and against lumbar traction. Conclusion: Methodological limitations that affect CPGs quality have been found. Based on the revised CPG’s, the physiotherapist should intervene in low back pain through a multimodal program that should include manipulation, counseling and therapeutic exercises.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Clinical practice guidelines Clinical guidelines Lumbar pain Low back pain