Benefícios do fortalecimento e estabilização do core abdominal em pacientes com dor lombar: uma revisão integrativa
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Data
2022-12-16
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
Seegert, Ana Paula Pedroso
Orientador
Graef, Patrícia Vaz
Coorientador
Resumo
INTRODUÇÃO: A dor lombar é uma das desordens musculoesqueléticas de maior prevalência entre a população mundial. O CORE abdominal é um grupo composto por diversos músculos, os estabilizadores da coluna lombar e a musculatura do assoalho pélvico (MAP). O fortalecimento deste grupo muscular tem se mostrado um importante aliado no tratamento das dores lombares tendo em vista que a melhora na estabilização lombar pode repercutir na melhora da postura, estabilização lombar, e, consequentemente, na redução da dor. OBJETIVO: Verificar os benefícios dos exercícios de fortalecimento e estabilidade do CORE para a resolução de dores lombares. MÉTODOS: Uma busca eletrônica foi realizada nas bases de dados Pubmed, SciELO, Lilacs e PeDro e nas referências dos artigos selecionados. Os termos utilizados foram: ("Low Back Pain"[Mesh]) AND ("Abdominal Core"[Mesh]). Para avaliar a qualidade metodológica dos estudos incluídos nesta revisão foi utilizada a escala Physiotherapy Evidence Database (PEDro). RESULTADOS: Foram incluídos na síntese 66 títulos. Os desenhos de estudo encontrados foram: três ensaios clínicos randomizados controlados e um ensaio clínico. Com relação aos desfechos avaliados nos estudos incluídos, foi possível verificar que a dor lombar e a incapacidade funcional em todos os estudos apresentaram melhora significativa no grupo intervenção. CONCLUSÃO: Observou-se que a aplicação de exercícios fortalecedores e estabilizadores da musculatura do CORE trouxeram resultados significativos em todos os estudos analisados para diferentes parâmetros motores e qualidade de vida.
INTRODUCTION: Low back pain is one of the most prevalent musculoskeletal disorders among the world's population. The abdominal CORE is a group composed of several muscles, the stabilizers of the lumbar spine and the pelvic floor musculature (PFM). The strengthening of this muscle group has been shown to be an important ally in the treatment of low back pain, considering that the improvement in lumbar stabilization can have repercussions on the improvement of posture, lumbar stabilization, and, consequently, on the reduction of pain. OBJECTIVE: To verify the benefits of CORE strengthening and stability exercises for the resolution of low back pain. METHODS: An electronic search was carried out in the Pubmed, SciELO, Lilacs and PeDro databases and in the references of the selected articles. The terms used were: ("Low Back Pain"[Mesh]) AND ("Abdominal Core"[Mesh]). To assess the methodological quality of the studies included in this review, the Physiotherapy Evidence Database (PEDro) scale was used. RESULTS: A total of 66 titles were included in the synthesis. The study designs found were: three randomized controlled clinical trials and one clinical trial. Regarding the outcomes evaluated in the included studies, it was possible to verify that low back pain and functional disability in all studies showed a significant improvement in the intervention group. CONCLUSION: It was observed that the application of exercises that strengthen and stabilize the CORE musculature brought significant results in all the analyzed studies for different motor parameters and quality of life.
INTRODUCTION: Low back pain is one of the most prevalent musculoskeletal disorders among the world's population. The abdominal CORE is a group composed of several muscles, the stabilizers of the lumbar spine and the pelvic floor musculature (PFM). The strengthening of this muscle group has been shown to be an important ally in the treatment of low back pain, considering that the improvement in lumbar stabilization can have repercussions on the improvement of posture, lumbar stabilization, and, consequently, on the reduction of pain. OBJECTIVE: To verify the benefits of CORE strengthening and stability exercises for the resolution of low back pain. METHODS: An electronic search was carried out in the Pubmed, SciELO, Lilacs and PeDro databases and in the references of the selected articles. The terms used were: ("Low Back Pain"[Mesh]) AND ("Abdominal Core"[Mesh]). To assess the methodological quality of the studies included in this review, the Physiotherapy Evidence Database (PEDro) scale was used. RESULTS: A total of 66 titles were included in the synthesis. The study designs found were: three randomized controlled clinical trials and one clinical trial. Regarding the outcomes evaluated in the included studies, it was possible to verify that low back pain and functional disability in all studies showed a significant improvement in the intervention group. CONCLUSION: It was observed that the application of exercises that strengthen and stabilize the CORE musculature brought significant results in all the analyzed studies for different motor parameters and quality of life.
Palavras-chave
Low back pain, Abdominal core