Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942012000600008
Brazilian Journal of Anesthesiology
Review Article

Exercícios para tratamento de lombalgia inespecífica

Exercises for nonspecific low back pain treatment

Daniele Tatiane Lizier; Marcelo Vaz Perez; Rioko Kimiko Sakata

http://dx.doi.org/10.1590/S0034-70942012000600008 Braz J Anesthesiol, vol.62, n6, p.842-846, 2012
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Resumo

JUSTIFICATIVA E OBJETIVOS: A lombalgia é uma síndrome frequente e provoca incapacidade e perda no trabalho. Apesar de existirem diversas causas, o tipo de lombalgia mais frequente é a inespecífica. Os exercícios são frequentemente empregados para o tratamento da lombalgia porém existem controvérsias quanto a sua eficácia. O objetivo deste texto foi fazer uma revisão sobre exercícios para tratamento de lombalgia inespecífica. CONTEÚDO: Foram descritas a definição e a classificação das lombalgias. A incidência e os mecanismos da lombalgia inespecífica, e os exercícios empregados para seu tratamento foram relatados. CONCLUSÕES: Os tipos de exercícios terapêuticos para lombalgia crônica ou aguda que são mais eficazes, ainda são bastante controversos, contudo exercícios terapêuticos são provavelmente o tratamento conservativo mais usado no mundo todo.

Palavras-chave

DOR, Crônica, Dor Lombar, Exercícios de Alongamento Muscular

Abstract

BACKGROUND AND OBJECTIVES: Low back pain is a common syndrome that causes disability and absence from work. Although there are several causes, the most common type of back pain is nonspecific. Exercises are often used to treat back pain, but there is controversy regarding its effectiveness. The aim of this paper is to review exercises for nonspecific low back pain treatment. CONTENT: This paper provides a definition and classification of back pain. Incidence and mechanisms of nonspecific low back pain and exercises used for its treatment are hereby reported. CONCLUSION: The most effective types of exercise therapy for chronic or acute low back pain are still controversial; however, exercise therapy is probably the most widely used conservative treatment throughout the world.

Keywords

Exercise, Low Back Pain, Muscle Stretching Exercises

References

Krismer M, van Tulder M. Strategies for prevention and management of musculoskeletal conditions: Low back pain (non-specific). Best Pra ct Res Clin Rheumatol. 2007;21:77-91.

Fernández-de-las-Peñas C, Hernández-Barrera V, Alonso-Blanco C. Prevalence of neck and low back pain in community-dwelling adults in Spain: a population-based national study. Spine. 2011;36(3):213-9.

Van Middelkoop M, Rubinstein SM, Verhagen AP. Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Clin Rheumatol. 2010;24(2):193-204.

Winkelstein BA, Weinstein JN, DeLeo JA. The role of mechanical deformation in lumbar radiculopathy: an in vivo model. Spine. 2002;27(1):27-33.

Verbeek JH, van der Weide WE, van Dijk FJ. Early occupational health management of patients with back pain: a randomized controlled trial. Spine. 2002;27(17):1844-1851.

Bratton RL. Assessment and management of acute low back pain. Am Fam Physician. 1999;60(8):2299-308.

Stanton TR, Latimer J, Maher CG. How do we define the condition 'recurrent low back pain'?: A systematic review. Eur Spine J. 2010;19:533-539.

Deyo RA, Rainville J, Kent DL. What can the history and physical examination tell us about low back pain?. Jama. 1992;268(6):760-765.

Andrade SC, Araújo AG, Vilar MJ. Escola de Coluna: revisão histórica e sua aplicação na lombalgia crônica. Rev Bras Reumatol. 2005;45(4):224-248.

Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J. 2008;8(1):8-20.

Smith SJ, Keefe FJ, Caldwell DS. Gender differences in patient-spouse interactions: a sequential analysis of behavioral interactions in patients having osteoarthritic knee pain. Pain. 2004;112(1):183-187.

Schneider S, Randoll D, Buchner M. Why do women have back pain more than men?: A representative prevalence study in the federal republic of Germany. Clin J Pain. 2006;22(8):738-747.

Cecchi F, Debolini P, Lova RM. Epidemiology of back pain in a representative cohort of Italian persons 65 years of age and older: the InCHIANTI study. Spine. 2006;31(10):1149-1155.

Bassols A, Bosch F, Campillo M. Back pain in the general population of Catalonia (Spain): Prevalence, characteristics and therapeutic behavior. Gac Sanit. 2003;17(2):97-107.

Silva MC, Fassa AG, Valle NC. Chronic low back pain in a Southern Brazilian adult population: prevalence and associated factors. Cad Saude Publica. 2004;20(2):377-385.

Muehlbacher M, Nickel MK, Kettler C. Topiramate in treatment of patients with chronic low back pain: a randomized, double-blind, placebo-controlled study. Clin J Pain. 2006;22(6):526-531.

Heuch I, Hagen K, Heuch I. The impact of body mass index on the prevalence of low back pain: the HUNT study. Spine. 2010;35(7):764-768.

Meleger AL, Krivickas LS. Neck and back pain: musculoskeletal disorders. Neurol Clin. 2007;25(2):419-438.

Cheung KM, Karppinen J, Chan D. Prevalence and pattern of lumbar magnetic resonance imaging changes in a population study of one thousand forty-three individuals. Spine. 2009;34:934-940.

Endean A, Palmer KT, Coggon D. Potential of magnetic resonance imaging findings to refine case definition for mechanical low back pain in epidemiological tudies: a systematic review. Spine. 2011;36:160-169.

Chou R. Pharmacological management of low back pain. Drugs. 2010;70:387-402.

Keller K. Exercise therapy for low back pain: a narrative review of the literature. J Chiropr Med. 2006;5(1):38-42.

Huntoon MAS, Burgher AH. Back to the future: the end of the steroid century?. Pain Physician. 2008;11:713-716.

Artus M, van der Windt DA, Jordan KP. Low back pain symptoms show a similar pattern of improvement following a wide range of primary care treatments: a systematic review of randomized clinical trials. Rheumatology. 2010;49:2346-2356.

Van Middelkoop M, Rubinstein SM, Verhagen AP. Exercise therapy for chronic nonspecific low-back pain. Best Practice Res Clin Rheumatol. 2010;24:193-204.

Kuijpers T, van Middelkoop M, Rubinstein SM. A systematic review on the effectiveness of pharmacological interventions for chronic non-specific low-back pain. Eur Spine J. 2011;20(1):40-50.

Abenhaim L, Rossignol M, Valat JP. The role of activity in the therapeutic management of back pain: Report of the International Paris task force on back pain. Spine. 2000;25:1S-33S.

Ferreira P, Ferreira M, Maher C. Changes in recruitment of transversus abdominis correlate with disability in people with chronic low back pain. Br J Sports Med. 2010:605-614.

Norris C, Matthews M. The role of an integrated back stability program in patients with chronic low back pain. Complement Ther Clin Pract. 2008;14(4):255-263.

Van Tulder M, Malmivaara A, Esmail R. Exercise therapy for low back pain: a systematic review within the framework of the Cochrane collaboration back review group. Spine. 2000;25(21):2784-2796.

Kankaanpää M, Taimela S, Airaksinen O. The efficacy of active rehabilitation in chronic low back pain: Effect on pain intensity, self-experienced disability, and lumbar fatigability. Spine. 1999;24(10):1034-1042.

Ewert T, Limm H, Wessels T. The comparative effectiveness of a multimodal program versus exercise alone for the secondary prevention of chronic low back pain and disability. PM R. 2009;1(9):798-808.

Heymans MW, van Tulder MW. Back schools for non-specific low-back pain. Spine. 2005;30:2153-2163.

Ostelo RW, van Tulder MW, Vlaeyen JW. Behavioural treatment for chronic low-back pain. 2005.

Rainville J, Nguyen R, Suri P. Effective conservative treatment for chronic low back pain. Semin Spine Surg. 2009;21(4):257-63.

Tritilanunt T, Wajanavisit W. The efficacy of an aerobic exercise and health education program for treatment of chronic low back pain. J Med Assoc Thai. 2001;84(^s2):S528-S533.

Ferreira ML, Ferreira PH, Latimer J. Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: a randomized trial. Pain. 2007;131:31-37.

Yozbatiran N, Yildirim Y, Parlak B. Effects of fitness and aquafitness exercises on physical fitness in patients with chronic low back pain. Pain Clinic. 2004;16:35-42.

Harts CC, Helmhout PH, Bie RA. A high-intensity lumbar extensor strengthening program is little better than a low-intensity program or a waiting list control group for chronic low back pain: a randomised clinical trial. Aust J Physiother. 2008;54:23-31.

Keller A, Hayden J, Bombardier C. Effect sizes of non-surgical treatments of non-specific low back pain. Eur Spine J. 2007;16:1776-1788.

Hayden JA, van Tulder MW, Tomlinson G. Systematic review: strategies for usingexercise therapy to improve outcomes in chronic low back pain. Ann Intern Med. 2005;142(9):776-785.

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