Exercício funcional para adultos com lombalgia crônica inespecífica: ensaio clínico randomizado e controlado.

• Ano de defesa: 2019
• Autor(a) principal: Lima, Emilia Moreira Silva [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Dor Lombar; Dor Crônica; Exercício; Funcional; Reabilitação
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=7491305; https://repositorio.unifesp.br/handle/11600/59800

Objective: To assess the effectiveness of the functional exercise program for pain, functional capacity, quality of life, kinesiophobia, medication consumption, patient satisfaction and perceived exertion in adults with chronic nonspecific low back pain. Methods: A randomized, single-blind, controlled clinical trial with intention-to-treat analysis and 24-week follow-up was performed. Eighty-four patients were randomly assigned to an experimental (EG) or control group (CG). The EG patients participated in the functional exercise program performed twice a week for 12 weeks. The functional exercise program was composed by 12 global exercises that worked the group of muscles of the trunk and lower and upper limbs with progression every 4 weeks. The progression was done through an increase in the complexity of the exercise, weight or length in the maintenance of postures, and in the number of repetitions. The two groups received an informative class on the disease and were advised to use analgesic if necessary. The patients were evaluated with regard to low back pain (NRS), functional capacity (Oswestry and Roland Morris questionnaires, six minute walk, TUG tests and BORG), fear-avoidance (FABQ), quality of life (SF-36) at baseline (T0), after six weeks (T6), after 12 weeks (T12) and after 24 weeks by a blind evaluator. Results: The groups were homogeneous at baseline. GLM (Generalized Linear Models) revealed statistical differences between groups favoring the EG when the CG was compared regarding END (p<0,001), Oswestry (p<0,001), Roland Morris (p<0,001), Work-FABQ and Physical-FABQ (p<0,001), for most SF-36 domains, TUG test (p=0,005) and BORG (p=0,012). For the other parameters, we did not found a statistically difference between the groups. Conclusions: The functional exercise program was effective to improve pain, functional capacity, kinesiophobia, quality of life and perception of effort after the walking test in adults with chronic nonspecific low back pain.