Manipulação visceral na dor lombar crônica: um protocolo de ensaio clínico
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Arquivos
Data
2021
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso aberto
Editora
Autores
Souza, Laís Bruna Ávila de
Orientador
Oliveira, Ana Cristina Farias de
Coorientador
Rosas, Ralph Fernando
Resumo
INTRODUÇÃO: A dor lombar crônica (DLC) é uma dor que dura mais de 12 semanas, com sintomas principalmente localizados abaixo da borda costal, com ou sem irradiação para a perna. Havendo pouco consenso sobre o tratamento mais adequado, destaca-se a necessidade de desenvolver e testar novos tratamentos para DLC. OBJETIVO: Elaborar um protocolo de manipulação visceral (MV) para o alívio da DLC seguindo do protocolo padrão para ensaios clínicos randomizados SPIRIT. MÉTODOS: trata-se de um protocolo de estudo experimental, randomizado e controlado, que será realizado durante seis semanas, uma vez por semana. A amostra será composta por mulheres entre 18 e 55 anos com DLC que serão avaliadas pelo pesquisador. O grau da dor será obtido através da Escala Visual Analógica (EVA). O índice funcional e incapacidade sexual serão avaliados pelo Questionário Oswestry. A presença de sintomas psicossomáticos será analisada através do Questionário de Qualidade de Vida SF-36. Os sintomas gastrointestinais serão inquiridos através da Escala de Classificação de Sintomas Gastrointestinais (GSRS). ANÁLISE DE DADOS: Após a aplicação do tratamento, os dados deverão ser analisados pelo teste ANOVA two-way e pelo (α=0,05) e pelo teste de Shapiro-Wilk, para a análise estatística será utilizado o PAST®, versão 5.5 para o Windows®. RESULTADOS ESPERADOS: Os resultados deverão seguir as diretrizes dos padrões consolidados de ensaios clínicos (CONSORT). Espera-se que a MV possa contribuir para a diminuição da intensidade da DLC, assim como, influenciar de forma positiva na funcionalidade da coluna lombar, funcionalidade gastrointestinal, sexual; e sintomas psicossomáticos que possam estar relacionados com a DL. Este protocolo servirá de norte para que outros pesquisadores possam aplicá-lo e avaliar sua eficácia.
INTRODUCTION: Chronic low back pain (LBP) is a pain that lasts more than 12 weeks, with symptoms mainly located below the costal border, with or without irradiation to the leg. With little consensus on the most appropriate treatment, the need to develop and test new treatments for LBP stands out. OBJECTIVE: To develop a visceral manipulation protocol (VM) for the relief of LBP following the standard protocol for spirit randomized clinical trials. METHODS: this is a randomized and controlled experimental study protocol, which will be conducted for six weeks, once a week. The sample will consist of women between 18 and 55 years old with LBP who will be evaluated by the researcher. The degree of pain will be obtained through the Visual Analog Scale (VAS). The functional index and sexual disability will be evaluated by the Oswestry Questionnaire. The presence of psychosomatic symptoms will be analyzed through the Quality-of-Life Questionnaire SF-36. Gastrointestinal symptoms will be reported using the Gastrointestinal Symptom Classification Scale (GSRS). DATA ANALYSIS: After the application of the treatment, the data should be analyzed by the two-way ANOVA test and by the (α=0.05) and by the Shapiro-Wilk test, for the statistical analysis the PAST®, version 5.5 for Windows®. will be used. EXPECTED RESULTS: The results should follow the guidelines of the consolidated clinical trial standards (CONSORT). It is expected that MV can contribute to the decrease in the intensity of LBP, as well as positively influence lumbar spine functionality, gastrointestinal, sexual functionality; and psychosomatic symptoms that may be related to Ld. This protocol will serve as a guide for other researchers to apply it and evaluate its effectiveness.
INTRODUCTION: Chronic low back pain (LBP) is a pain that lasts more than 12 weeks, with symptoms mainly located below the costal border, with or without irradiation to the leg. With little consensus on the most appropriate treatment, the need to develop and test new treatments for LBP stands out. OBJECTIVE: To develop a visceral manipulation protocol (VM) for the relief of LBP following the standard protocol for spirit randomized clinical trials. METHODS: this is a randomized and controlled experimental study protocol, which will be conducted for six weeks, once a week. The sample will consist of women between 18 and 55 years old with LBP who will be evaluated by the researcher. The degree of pain will be obtained through the Visual Analog Scale (VAS). The functional index and sexual disability will be evaluated by the Oswestry Questionnaire. The presence of psychosomatic symptoms will be analyzed through the Quality-of-Life Questionnaire SF-36. Gastrointestinal symptoms will be reported using the Gastrointestinal Symptom Classification Scale (GSRS). DATA ANALYSIS: After the application of the treatment, the data should be analyzed by the two-way ANOVA test and by the (α=0.05) and by the Shapiro-Wilk test, for the statistical analysis the PAST®, version 5.5 for Windows®. will be used. EXPECTED RESULTS: The results should follow the guidelines of the consolidated clinical trial standards (CONSORT). It is expected that MV can contribute to the decrease in the intensity of LBP, as well as positively influence lumbar spine functionality, gastrointestinal, sexual functionality; and psychosomatic symptoms that may be related to Ld. This protocol will serve as a guide for other researchers to apply it and evaluate its effectiveness.
Palavras-chave
Dor lombar, Terapia manual, Peritônio