Pelvic suspension therapy as an auxiliary physical therapy resource in the treatment of low back pain: A pilot study

Authors

DOI:

https://doi.org/10.33448/rsd-v10i6.15666

Keywords:

Low Back Pain,; Physical Therapy Specialty; Orthopedics.

Abstract

Low back pain is a condition that can reach up to 65% of people annually and up to 84% of people at some point in life, being the second most prevalent health condition in Brazil (13.5%) among chronic pathologies. The aim of this study was to evaluate the effect of Pelvic Suspension on pain, spine mobility and functional capacity of individuals with low back pain. The study participants were 10 adult patients, of both sexes, diagnosed with low back pain. The participants were submitted to initial and final evaluation of trunk mobility, by the measurement of flexion range of motion, extension and lateral inclination, pain intensity by the visual analog scale and presence of functional disability by the Oswestry Disability Index. The intervention consisted of 10 sessions of Pelvic Suspension. Pain intensity showed an initial mean of 4 (moderate pain) and final mean of 0.8 (no pain). The evaluation of trunk mobility showed increased flexion of the spine in 6 individuals, 4 showed no modification. Increased spine extension in 6 individuals, 2 had reduction and 2 showed no alteration. Functional disability presented an initial mean index of 40% (moderate disability), while in the final evaluation the mean index was 18.87% (minimum disability). The study showed reduced pain perception, increased spine mobility and reduced functional disability of patients with low back pain who used pelvic suspension therapy.

References

Bilgilisoy, F. M., Kiliç, Z., Uçkun, A., Çakir, T., Koldaş, D. Ş., & Toraman, N. F. (2018). Mechanical Traction for Lumbar Radicular Pain: Supine or Prone? A Randomized Controlled Trial. Am J Phys Med Rehabil., 97(6), 433‐439. https://pubmed.ncbi.nlm.nih.gov/29309314/

Brandão, L. U., et al. (2015). Tratamento fisioterapêutico com tração na coluna vertebral, qual a direção que os estudos indicam? Rev. Varia Scientia - Ciências da Saúde, 1(1), 60- 65.

Cheng, Y. H., Hsu, C. Y., & Lin, Y. N. (2017). The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis. Clin Rehabil., 34(1), 13‐22. https://pubmed.ncbi.nlm.nih.gov/31456418/

Chetty, L. (2017). A Critical Review of Low Back Pain Guidelines. Workplace Health & Safety, 65(9), 388-394. https://doi.org/10.1177%2F2165079917702384

Chou, R., et al. (2017). Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline. Annals of Internal Medicine. https://www.acpjournals.org/doi/full/10.7326/M16-2459

Dezan, V. H., et al. (2006). A aplicação de diferentes estratégias de redução do estresse sobre a coluna vertebral: inversão gravitacional Versus posição de Fowler. Brazilian Journal of Biomechanics, 7(13), 69-76.

Darlan, C. A., & Durval, C. K. (2017). Low back pain – a diagnostic approach. Rev Dor. São Paulo, abr-jun; 18(2), 173-7.

Fritz, J. M., Magel, J. S., Mcfadden, M., et al. (2015). Early Physical Therapy vs Usual Care in Patients With Recent-Onset Low Back Pain: A Randomized Clinical Trial. JAMA, 314(14), 1459-1467. https://jamanetwork.com/journals/jama/fullarticle/2456165

Gomes-Neto, M., et al. (2017). Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: A systematic review and meta-analysis. Physical Therapy in Spor., 23, 136-142. https://www.sciencedirect.com/science/article/abs/pii/S1466853X16300712?via%3Dihub#abssec0020

Grande-Alonso, M., Muñoz-García, D., Cuenca-Martínez, F., Delgado-Sanz, L., Prieto-Aldana, M., L. A., Touche, R., & Gil-Martínez, A. (2020). Relação entre busca de assistência e expansão da dor em pacientes com lombalgia crônica inespecífica. PeerJ, 8: e8756. https://doi.org/10.7717/peerj.8756

Instituto Brasileiro de Geografia e Estatística. Um Panorama da saúde no Brasil: acesso e utilização dos serviços, condições de saúde e fatores de risco e proteção à saúde, 2008. Coordenação de Trabalho e Rendimento - IBGE, 2010. ttp://bvsms.saude.gov.br/bvs/publicacoes/pnad_panorama_saude_brasil.pdf.

Krekoukias, G., Gelalis, I. D., Xenakis, T., Gioftsos, G., Dimitriadis, Z., & Sakellari, V. (2017). Spinal mobilization vs conventional physiotherapy in the management of chronic low back pain due to spinal disk degeneration: a randomized controlled trial. J Man Manip Ther., 25(2), 66‐73. 10.1080/10669817.2016.1184435

Martinez, J. E., et al. (2011). Análise da aplicabilidade de três instrumentos de avaliação de dor em distintas unidades de atendimento: ambulatório, enfermaria e urgência. Rev Bras Reumatol.,51(4), 299-308.

Metin Ökmen, B., Koyuncu, E., Uysal, B., & Özgirgin, N. (2017). The effects of the number of physical therapy sessions on pain, disability,and quality of life in patients with chronic low back pain. Turk J Med Sci., 47(5), 1425‐1431. Published 2017 Nov 13. 10.3906/sag-1607-78.: https://pubmed.ncbi.nlm.nih.gov/29151313/

Ministério da Previdência Social. Registro de dados abertos de saúde e segurança do trabalhador da Previdência Social: Acompanhamento mensais dos benefícios auxílios-doença previdenciários, concedidos segundo os códigos da CID-10, janeiro a dezembro de 2016. http://www.previdencia.gov.br/dados-abertos/dados-abertos-sst/

Nascimento, P., & Costa, L. (2015). Prevalência da dor lombar no Brasil: uma revisão sistemática. Cad. Saúde Publica, 31, 1141-1155.

Ojoawo, A. O., Hassan, M. A., Olaogun, M. O. B., Johnson, E. O., & Mbada, C. E. (2017). Comparative effectiveness of two stabilization exercise positions on pain and functional disability of patients with low back pain. J Exerc Rehabil., 13(3), 363-371. 10.12965//jer.1734932.466

Palmer, M. L., & Epler, M. E. (2000). Fundamentos das técnicas de avaliação musculoesqueléticas. (2ª ed.) Guanabara Koogan, p. 232-233, Rio de Janeiro.

Pereira A. S., et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM.

Polli, G. R., et al. (2018). Atividade física e dor lombar em brasileiros: uma revisão sistemática. Rev. Bras. Ativ. Fís. Saúde, 23:e0047, 2018.

Satpute, K. H. T., Bisen, R., & Lokhande, P. (2019). The Effect of Spinal Mobilization With Leg Movement in Patients With Lumbar Radiculopathy-A Double-Blind Randomized Controlled Trial. Arch Phys Med Rehabil. 100(5), 828‐836. https://pubmed.ncbi.nlm.nih.gov/30521781/

Vigatto, R. (2006). Adaptação cultural do instrumento: The low back pain disability Oswestry questionnaire. Dissertação (Mestrado), Universidade de Campinas.

Published

31/05/2021

How to Cite

ALVES, J. C. da R. .; FALCÃO, L. F. M. .; OLIVEIRA, E. M. de .; MELO, V. S. Q. . Pelvic suspension therapy as an auxiliary physical therapy resource in the treatment of low back pain: A pilot study. Research, Society and Development, [S. l.], v. 10, n. 6, p. e33110615666, 2021. DOI: 10.33448/rsd-v10i6.15666. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/15666. Acesso em: 24 jun. 2021.

Issue

Section

Health Sciences