Search

Copyright of MR Giornale Italiano di Medicina Riabilitativa is the property of Springer Healthcare Italia Srl and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction Schwannoma is a Schwann cells neoplasm that can occur in various parts of the nervous system, including the medullar region of the cauda equina. Bone involvement is uncommon.

Introdução: A prática de musculação aparece ligada a benefícios para a saúde e bem-estar, mas também surge associada a queixas de dor musculoesquelética lombar (Scriven et al., 2004), podendo estas ter impacto na participação ocupacional e na qualidade de vida (QdV). A terapia ocupacional, tanto numa perspetiva de prevenção como de intervenção, visa a promoção da participação ocupacional e da qualidade de vida (Gomes et al., 2004). Objetivos: Comparar a Qualidade de vida (QdV) entre adultos praticantes de musculação com e sem queixas de dor lombar e, ainda, verificar se as variáveis, idade, IMC, sexo, duração do sono, hábitos tabágicos, bebidas alcoólicas e intensidade da dor lombar podem predizer o Domínio Físico da QdV, em praticantes de musculação. Material e Métodos: Estudo quantitativo analítico observacional transversal; a recolha de dados ocorreu através de um questionário online: WHOQOL-BREF e Questionário Nórdico-Musculoesquelético (QNM). Análise estatística com teste t student; Mann-Whitney; Qui-Quadrado ; regressão linear múltipla (stepwise). Resultados: A amostra (n = 80) é constituída principalmente pelo sexo feminino (80%), com idades compreendidas entre os 18 e os 40 anos. Verificou-se um número elevado de participantes com queixas de dor lombar e horas de sono abaixo do recomendado. Não foram encontradas diferenças estatisticamente significativas entre os scores da QdV dos participantes com e sem dores lombares (p > 0,05). A duração do sono (B=3,372; p =

Introdução: O sono tem um papel fundamental na saúde e no desempenho das atividades de vida diária, tal como o trabalho, e podem ser comprometidos pela dor. A dor lombar inespecífica tem sido referida como uma das maiores justificações para a incapacidade no trabalho. Objetivo: Comparar a qualidade do sono entre trabalhadores com e sem dor lombar (DL) dentro de um grupo de trabalhadores por turnos e dentro de outro grupo de trabalhadores que não trabalham por turnos; verificar se as variáveis idades, sexo, índice de massa corporal (IMC), tipo de trabalho (com e sem turnos) e DL podem predizer a qualidade de sono (QS). Métodos: Estudo observacional, analítico transversal. Recolha de dados mediante questionário online (sociodemográfico, questionário Nórdico Musculo Esquelético (QNM) e o Índice de Qualidade do Sono de Pittsburgh (IQSP). A análise estatística incluiu teste Mann-Whitney e regressão linear múltipla (método stepwise). Resultados: A amostra (n=99) maioritariamente feminina (71,7%) e com idade média de 29,69(±6,73) anos, apresentou pobre qualidade de sono (5,48±7,63). Existem diferenças significativas entre a qualidade de sono de trabalhadores com e sem queixas de dor lombar, tanto no grupo dos trabalhadores sem turnos (p=0,042), como no grupo com turnos (p=0,033), sendo que estes apresentam pior qualidade de sono. A variância da qualidade do sono pôde ser explicada em 18% (r quadrado ajustado=0,180; Durbin Watson=2,065; Z=7,865; p

Special environmental conditions such as microgravity, to which astronauts and highperformance military pilots are subjected, provide a unique example for understanding and studying specific biomechanical events that regulate the functioning of the human body. Among the potential risks of flight in both aviation and space, low back pain has a high incidence among astronauts and military pilots. Low back pain is often associated with degeneration of the intervertebral disc, resulting in the loss of structural and functional integrity and the creation of a proinflammatory environment. These causes contribute to the onset of pain symptoms. In the present work, the mechanisms of disc degeneration, microgravity conditions, and their association will be analysed in order to identify possible molecular mechanisms underlying disc degeneration and its clinical manifestations. The aim is to develop a prevention model and enhance the performance of pilots involved in both atmospheric and space flight. The focus on microgravity also makes it possible to develop new proof of concept with potential therapeutic implications. [ABSTRACT FROM AUTHOR]

Copyright of Fisioterapia Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The sacroiliac joint is recognized to be involved in chronic "low back pain" and "buttock pain". There is no diagnostic "gold standard" to evaluate the dysfunction, the diagnosis is essentially clinical and can be confirmed by infiltrative testing. If the non-invasive therapeutic approach, which should follow a codified specific algorithm, does not lead to clinical improvement, surgical treatment may be considered. The series of 126 minimally invasive surgeries for sacroiliac joint dysfunction performed at the Tuscan Surgical Center is described, the epidemiological and clinical characteristics of the treated population, the elements related to the surgical act, complications and remote outcomes are examined. [ABSTRACT FROM AUTHOR]

The bus driver and fare collector activities involve various risks to workers' health, including exposure to Whole-Body Vibration (WBV). This study aims quantify the exposure levels to the WBV, identify the significant variables associated with low back pain (LBP) and determine the prevalence of LBP in the last 12 months among these workers in the city of Itajubá, Brazil. Methods. A questionnaire was applied to 33 workers to get socio-demographic data, information related to the working environment and health. The WBV exposure assessment was conducted. The logistic regression was used to obtain the adjusted Odds Ratio (OR). The prevalence of low back pain was 18.2%. The highest values of the vibration acceleration referred to [A(8)z] value, for both groups of workers. For fare collectors, there are also relevant risk on the y direction [A(8)y]. In the multivariate analysis it were considered significant: weighted acceleration on the y axis - awy (OR = 1.18 95% CI 0.99-1.42) and occupation (bus driver) (OR = 0.013 95% CI 0.0003 to 0.61). These workers are exposed to important vibration levels. The fare collectors are subject to a greater low back pain risk. The results may contribute to the improvement in the workstation and the working process of the bus drivers and fare collectors. [ABSTRACT FROM AUTHOR]

Introduction: Low back pain is a clinical condition with a multifactorial etiopathogenesis, which has a high socioeconomic impact, especially in the economically active population, as it is associated with frequent absenteeism and reduced quality of life. Through intervertebral disc degeneration, a progressive instability of the compromised region is observed, triggering a harmful positive feedback mechanism that further promotes intervertebral disc disease. Built by the interaction between the predisposing biopsychosocial components, a multidisciplinary therapeutic proposition is suggested. In persistent low back pain, treatment involves surgical procedures such as Percutaneous Lumbar Discectomy. Objectives: to evaluate the scientific evidence regarding the clinical outcomes and safety of this surgery. Method: systematic review duly registered in Prospero (CRD42022370811), based on the PICOD question, elaborated from a Boolean search in different databases for scientific articles, evaluated and selected in a paired way based on the eligibility criteria. In addition to extracting data related to the proposed objectives, the articles included were evaluated in relation to their level of evidence and strength of recommendation. Results: among the 12 articles included, it was observed that it is a clinically effective and safe procedure. In the set of evidences gathered, they are of high and moderate level of evidence with respective strength of recommendation strong/good and weak/moderate. Conclusion: Percutaneous Lumbar Discectomy promotes significant reduction of pain and increase in body functionality, in addition to preserving local musculoskeletal structures and preventing post-surgical joint instability. It is, therefore, a safe and clinically effective minimally invasive procedure for patients with herniated discs. [ABSTRACT FROM AUTHOR]

Introdução: É comprovado que a obesidade compromete a qualidade de vida, gerando incapacidade e redução da longevidade. Entre as comorbidades mais comuns estão as alterações musculoesqueléticas, sobressaindo o diagnóstico de dor lombar crônica. Diante do insucesso do tratamento conservador da obesidade a cirurgia bariátrica se faz indicativa. Objetivo: Analisar os efeitos da cirurgia bariátrica na dor lombar crônica. Materiais e Métodos: Tratou-se de um estudo transversal descritivo analisando a dor e a qualidade de vida através da aplicação da Escala Visual Analógica (EVA) e do Questionário de Qualidade de Vida SF-36 em indivíduos, ambos os gêneros, idade acima de 18 anos, diagnóstico clínico de lombalgia crônica submetidos à cirurgia bariátrica, com tempo de pós-operatório superior a 12 meses. Resultados: Foram avaliados 32 indivíduos, 71,87% mulheres, idade média de 36,6 (±11,31) anos, média de tempo de pós-operatório de 32,4 (±12,82) meses, redução média de IMC de 46,4kg/m2 para 29,1kg/m2. Na análise da dor, através da aplicação da EVA, comprovou-se uma diminuição do sintoma de 7,25 (±1,45) para 2,46 (±1,74) no pós-operatório. Os resultados do Questionário SF-36, comparando pré e pós-operatório apontaram significância nos itens capacidade funcional (36,2 - 88,5), limitação por aspecto físico (23,4 - 89,8) dor (31,5 - 91,6), estado geral de saúde (39,6 - 87,9) e vitalidade (33,2 - 85,7). Conclusão: A obesidade está fortemente relacionada aos sintomas da lombalgia crônica, sendo a cirurgia bariátrica uma alternativa eficaz para perda de peso, redução da dor, se repercutindo em considerável melhora na qualidade de vida.

This study aims to identify the effect of reflexology based on Watson's Caring Model on lombalgia and quality of life in older adults. This study was conducted as a randomized-controlled study. The target population included 194 older patients who received outpatient physical therapy and rehabilitation service in a city located in the eastern part of Turkey between February 2020 and October 2020. The sample of the study was 68 patients who agreed to participate in the study and met the research criteria. Data were collected through the Socio-Demographic Form, the Visual Analogue Scale, the Geriatric Pain Measure, and the World Health Organization Quality of Life Instrument-Older Adults Module. The pre-test and post-test mean scores of the experimental group indicated a statistically significant decrease in the pain levels and a statistically significant increase in the quality-of-life mean scores (p < 0.01). A negative and statistically significant relationship was detected between the quality-of-life total mean score and the Geriatric Pain Measure mean score and the Visual Analogue Scale mean score (p < 0.01). No significant differences were detected between the experimental and control groups' Visual Analogue Scale, Quality of Life and Geriatric Pain Measure post-test mean scores. Reflexology based on Watson's Caring Model was found to have positive effects on lombalgia and quality of life in older adults. [ABSTRACT FROM AUTHOR]

Special environmental conditions such as microgravity, to which astronauts and highperformance military pilots are subjected, provide a unique example for understanding and studying specific biomechanical events that regulate the functioning of the human body. Among the potential risks of flight in both aviation and space, low back pain has a high incidence among astronauts and military pilots. Low back pain is often associated with degeneration of the intervertebral disc, resulting in the loss of structural and functional integrity and the creation of a proinflammatory environment. These causes contribute to the onset of pain symptoms. In the present work, the mechanisms of disc degeneration, microgravity conditions, and their association will be analysed in order to identify possible molecular mechanisms underlying disc degeneration and its clinical manifestations. The aim is to develop a prevention model and enhance the performance of pilots involved in both atmospheric and space flight. The focus on microgravity also makes it possible to develop new proof of concept with potential therapeutic implications. [ABSTRACT FROM AUTHOR]

Objetivo: avaliar os efeitos da prática do Pole Dance Fitness em pessoas que possuem lombalgia. Materiais e métodos: foram realizados: anamnese, avaliação antropométrica e de composição corporal, preenchimento do IPAQ, da EVAD, e a realização simultânea do Teste de Kendall (1995) e análise eletromiográfica dos músculos reto abdominal (RA), oblíquo externo (OE) e paravertebrais lombares (PL). A flexibilidade de coluna vertebral e membros inferiores foi avaliada pelo teste de sentar e alcançar de Wells. O aparelho Perina-Biofeedback foi utilizado para avaliação da força de contração dos músculos do assoalho pélvico (MAP). As sessões de treinamento foram realizadas por oito semanas. Resultados: Houve redução do peso corporal (1,4%), do percentual de gordura (3,72%), da circunferência abdominal (4,64%), do IMC (1,3%), da Razão cintura-quadril (13,54%) e da percepção de lombalgia (38,3%). A flexibilidade aumentou em (3,27%). A atividade eletromiográfica dos músculos RA e OE diminuiu (19,1% e 66,9%), respectivamente, enquanto dos PL aumentou (19%). O teste de Kendall (1995) revelou uma melhora na estabilização da coluna lombar. A avaliação da força dos MAP revelou melhora na coordenação de recrutamento. Conclusão: Conclui-se que oito semanas de treinamento na modalidade Pole Dance Fitness foram eficientes para a redução da percepção da dor lombar, do percentual de gordura corporal e da atividade mioelétrica dos músculos reto abdominal e oblíquo externo, aumento da força e da atividade mioelétrica dos músculos paravertebrais lombares.

Objetivo: investigar a influência do aconselhamento médico no comportamento de pacientes com dor lombar (DL) crônica. Materiais e Métodos: estudo transversal realizado em Montes Claros-MG, aprovado pelo Comitê de Ética e Pesquisa da FUNORTE, com Parecer nº 4.951.879. A amostra foi composta por 30 indivíduos com DL crônica. A avaliação do comportamento de medo-evitação (ME) foi através do Fear Avoidance Beliefs Questionnaire (FABQ), a intensidade de dor foi avaliada pela Escala Visual Analógica e aplicado um questionário semiestruturado para as demais variáveis. Para analisar as médias do FABQ dos indivíduos que receberam aconselhamento para repouso e dos que não receberam, foi utilizado o teste de Mann-Whitney; para a correlação entre intensidade de dor e os escores do FABQ, o teste de correlação de Spearman. O nível de significância adotado foi de 95%. Resultados: 66,7% dos indivíduos receberam aconselhamento médico para repouso, 60% desses foram aconselhados a se manterem em repouso por mais de sete dias e 50% foram orientados a se afastarem do trabalho. A média do escore do FABQ dos indivíduos que receberam aconselhamento para repouso foi superior à média daqueles que não receberam (p

As lombalgias acometem a maioria dos equinos atletas, sendo estas, importantes causas de claudicação e queda de performance nestes animais. Contudo, localizar a origem destas alterações e quantificar a intensidade da dor não é uma tarefa fácil, uma vez que somente o exame físico destes atletas muitas vezes não é o bastante para encontrar o foco da lesão. A eficácia e rapidez no diagnóstico das enfermidades da coluna reduz o impacto econômico que estas alterações podem trazer, uma vez que o tratamento requer grande investimento. Entre as principais lombalgias, podem-se destacar a desmite do ligamento supra-espinhoso e o contato ou sobreposição dos processos espinhosos, também conhecida como Kissing Spines. O diagnóstico definitivo dessas patologias só é alcançado por meio de exames complementares, como a radiografia e a ultrassonografia. O presente estudo tem por objetivo revisar a anatomia e biomecânica, bem como as principais alterações da coluna equina e seus meios diagnósticos complementares, a fim de esclarecer a importância destas ferramentas diagnósticas da medicina equina.

Introdução – Durante a gravidez, a mulher experiencia mudanças fisiológicas e biomecânicas, podendo resultar em lombalgia e diminuição da atividade física e capacidade funcional. Objetivos – Identificar os parâmetros do exercício na redução da lombalgia e da incapacidade funcional da gestante, sem complicações obstétricas. Método – Pesquisa de estudos publicados entre janeiro de 2013 e 26 de junho de 2018 nas bases de dados e motores de busca PubMed, Science Direct, Google Scholar, CINAHL Complete, MEDLINE Complete, Web of Science, SciELO, Cochrane Library e PEDro para identificar os artigos randomizados controlados que incluíssem os termos: physical exercise AND low back pain AND functional disability AND healthy pregnant AND randomized controlled trial. A análise e seleção dos artigos foi realizada por dois investigadores independentes, obtendo-se um consenso recorrendo a um terceiro investigador cego. Resultados – Foram identificados 26.012 artigos, tendo sido incluídos cinco artigos que tinham como outcome principal a dor lombar; destes, apenas três apresentaram a análise do outcome secundário de incapacidade funcional. A pontuação média do total de artigos analisados foi de 6,2 em 10 pontos, na escala PEDro. Nestes estudos participaram 817 gestantes, entre os 20 e os 40 anos e com idade gestacional entre a 12ª e a 35ª semanas. O treino aeróbio, o fortalecimento muscular e o relaxamento foram os tipos de exercício mais comuns. Os parâmetros do exercício variaram, entre estudos, na periodicidade (1 a 4 vezes/semana), duração da sessão (30 a 60 minutos/sessão), tempo de intervenção (4 a 12 semanas), com/sem supervisão e em grupo/individual. Após intervenção com exercício físico, a intensidade da dor lombar reduziu em 4/5 estudos e a incapacidade funcional reduziu em 2/3 estudos. Conclusões – A escassez de estudos não permitiu identificar os parâmetros do exercício na redução da lombalgia nem na incapacidade funcional da gestante. Contudo, parece que o exercício físico permite reduzir a lombalgia durante a gestação.

Copyright of Revista Brasileira de Medicina do Esporte is the property of Redprint Editora Ltda. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: To determine the prevalence of low back pain and to analyze the association with the individual, sociodemographic variables, electronic devices, habitual practice of physical activity, and mental health problems. Methods: Cross‐sectional study with 1,628 students in public schools in the city of Bauru, SP, Brazil. The following data were collected: 1. demographic and socioeconomic aspects; 2. Use of electronic devices; 3. habitual physical activity level (Baecke); 3. mental health (SDQ). 4. low back pain (Nordic Questionnaire). Descriptive analyzes and bivariate and multivariate logistic regression were used. Results: The overall prevalence of low back pain was 46.7% (95% CI: 44.27 to 49.11); men showed a prevalence of 42.0% (95% CI: 36.63 to 43.41) and women 58.0% (95% CI: 49.73 to 56.51), a statistically significant difference. The variables associated with pain in the low back region were: female gender (PR = 1.70), daily TV use for more than 3 hours (PR = 1.17), use of laptop computer (PR = 1.40), use of the cell phone in the supine position (PR = 1.23), use of the cell phone in semi‐supine position (PR = 1.49), daily cell phone use for more than 3 hours (PR = 1.36), use of tablet (PR = 1.67), daily tablet use for more than above 3 hours (PR = 1.46), and clinically important mental health problems (PR = 2.62). Conclusion: There is a high prevalence of low back pain in high school students and striking association with female sex, electronic devices, and mental health problems. Resumo: Objetivos: Determinar a prevalência de lombalgia e analisar a associação com variáveis individuais e sociodemográficas, dispositivos eletrônicos, prática habitual de atividade física e problemas de saúde mental. Métodos: Estudo transversal com 1.628 alunos matriculados em escolas públicas na cidade de Bauru/SP. Para a coleta de dados: 1. aspectos demográficos e socioeconômicos; 2. dispositivos eletrônicos; 3. nível habitual de atividade física (Baecke); 3. saúde mental (SDQ); 4. Lombalgia (Questionário Nórdico). Foram usadas análises descritivas e de regressão logística bivariada e multivariada. Resultados: A prevalência geral de lombalgia foi 46,7% (IC de 95%: 44,27 a 49,11), os homens mostraram uma prevalência de 42,0% (IC de 95%: 36,63 a 43,41) e as mulheres mostraram uma prevalência de 58,0% (IC de 95%: 49,73 a 56,51), com diferença significativa. As variáveis associadas a dor na região lombar inferior foram: sexo feminino (RP = 1,70), tempo de uso de TV acima de 3 horas por dia (RP = 1,17), uso de notebook (RP = 1,40), uso de celular na posição supina (RP = 1,23), uso de celular na posição semissupina (RP = 1,49), tempo de uso de celular acima de 3 horas por dia (RP = 1,36), uso de tablet (RP = 1,67), tempo de uso de tablet acima de 3 horas por dia (RP = 1,46) e problemas de saúde mental clinicamente importantes (RP = 2,62). Conclusão: Há alta prevalência de lombalgia em alunos do ensino médio e forte associação ao sexo feminino, dispositivos eletrônicos e problemas de saúde mental.

One of the most common health problems in the general population today is low back pain: in the management of this pathology, in addition to drug therapy, the most common conservative treatment is physiotherapy (therapeutic exercise and manual therapy). The most frequently used exercises are those for stabilization of the lumbar spine, but are they more effective than general exercises? [ABSTRACT FROM AUTHOR]

Low back pain may be related to obesity, incorrect posture, insufficient level of physical activity, inappropriate ergonomics at work, among others. The study attempted to identify functional disabilities and verify the effects of three instrumental techniques of myofascial release on the lumbar and paravertebral square muscles, related to the management of low back pain, in workers who remain seated for a long period. It is characterized as a study of multiple cases, of intervention, exploratory, descriptive, of quantitative analysis. Four university administrative employees, aged between 20 and 33 years (mean 23.5 years) with acute low back pain participated. An identification questionnaire, a visual analogue scale (VAS) and an Oswestry 2.0 disability index (IO) were applied. Each participant (P) received three sessions of manual and instrumental myofascial release through two techniques per week: Digital manual myofascial release (LMM) with deep gliding + instrumental myofascial release (LMI) with Racer in paravertebral (first day); Deep palm LMM + LMI with Racer in the quadratus lumbar (day one) and deep LMM with elbow and LMI with Handlebar in the quadratus lumbar and paravertebral muscles (day three). The participants 1showed a decrease in pain, regardless of the technique. P1, P2 and P3 obtained better results with the techniques applied in the second meeting; P3 and P4 with those of the first day. P1, P3 and P4 showed a reduction in IO and P2 maintained the percentage. LMM and LMI techniques contribute to reduce acute low back pain in workers who remain seated for a long period, helping to improve their functional capacity. [ABSTRACT FROM AUTHOR]

The objective was to compare the effects of Yoga Thai massage and conventional stretching on pain, functionality, muscle flexibility, mobility and quality of life in women with low back pain. We performed a controlled clinical trial, randomized and blind in which women with low back pain and aged between 20 and 40 years participated. We used Numerical Visual Scale for pain intensity, Owestry questionnaire for functionality and SF36 questionnaire for quality of life. Muscle flexibility and mobility were verified with the following tests: muscle length of the hamstrings and popliteal angle, Wells bench, 3rd finger on the ground, Thomas, Stibor and modified Schober. Twenty-one participants were randomized into three groups: Yoga Thai Group -- YTG (4 Yoga Thai massage sessions); Stretching Group -- SG (4 sessions of static active stretching) and Control Group -- CG (maintenance of usual activities). The YTG improved 65.9% intensity of pain, 17.7% flexibility of the posterior chain muscle and 56% "Limitation by physical aspects" and 85% "Pain", aspects of quality of life. The GA increased 15.5% muscle length of the hamstrings, 36.9% popliteal angle and 16.6% flexibility of the spine. It also improved the quality of life (300% "Limitation due to Physical Aspects", 58.2% "Social Aspects" and 57.5% "Mental Health"). We found no differences between groups. Yoga Thai massage was effective in improving pain and flexibility, contributing to quality of life. Stretching increased flexibility, also contributing to the quality of life of women with low back pain. [ABSTRACT FROM AUTHOR]

Copyright of Giornale Italiano di Medicina del Lavoro ed Ergonomia is the property of Giornale Italiano di Medicina del Lavoro ed Ergonomia Editorial Board and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: It is proven that obesity compromises the quality of life, generating disability and reducing longevity. Among the most common comorbidities are musculoskeletal disorders, with a diagnosis of chronic low back pain. In view of the failure of conservative treatment of obesity, bariatric surgery is indicative. Objective: To analyze the effects of bariatric surgery on chronic low back pain. Materials and Methods: This was a descriptive cross-sectional study analyzing pain and quality of life through the application of the Visual Analogue Scale (VAS) and the SF-36 Quality of Life Questionnaire in individuals, both genders, age over 18 years old, clinical diagnosis of chronic low back pain submitted to bariatric surgery, with a postoperative time greater than 12 months. Results: 32 individuals were assessed, 71.87% women, mean age of 36.6 (± 11.31) years, mean postoperative time of 32.4 (± 12.82) months, mean reduction in BMI from 46.4kg/m2 to 29.1kg/m2. In the analysis of pain, through the application of VAS, there was a decrease in the symptom from 7.25 (± 1.45) to 2.46 (± 1.74) in the postoperative period. The results of the SF-36 Questionnaire, comparing pre and postoperative periods, showed significance in the items functional capacity (36.2-88.5), limitation by physical aspect (23.4 - 89.8) pain (31.5 - 91, 6), general health status (39.6 - 87.9) and vitality (33.2 - 85.7). Conclusion: Obesity is strongly related to the symptoms of chronic low back pain, and bariatric surgery is an effective alternative for weight loss, pain reduction, resulting in considerable improvement in quality of life. [ABSTRACT FROM AUTHOR]

Introduction - During pregnancy, women experience physiological and biomechanical changes, that may result in low back pain and restrictions in physical and functional activity. Aim - To identify the parameters of physical exercise in low back pain and functional incapacity of the pregnant woman without obstetrical complications. Method - Computerized research of studies published between January 2013 and 26 June 2018 in databases and search engines, such as PubMed, Science Direct, Google Scholar, CINAHL Complete, MEDLINE Complete, Web of Science, SciELO, Cochrane Library, and PEDro to identify randomized controlled articles that included the following terms: 'physical exercise' AND 'low back pain' AND 'functional disability' AND 'healthy pregnant' AND 'randomized controlled trial'. The analysis and selection of articles were carried out by two independent researchers, obtaining a consensus through a third blind investigator. Results - A total of 26,012 articles were identified of which were included five articles that presented the had as principal outcome back pain, from this five only three presented the secondary outcome analysis functional incapacity. The mean of the totality of analyzed articles was 6.2 in 10 points on the PEDro scale. In these studies, participated 817 pregnant women, between the ages of 20 and 40 and with gestational age between the 12th and the 35th week. Aerobic training, muscle strengthening, and relaxation were the most common types of exercise. Exercise parameters varied between studies in frequency (1 to 4 times/week), duration of the session (30 to 60 minutes/session), and time of intervention (4 to 12 weeks), with/without supervision and in-group/individual. After intervention with physical exercise, low back pain intensity was reduced in 4/5 studies and functional disability was reduced in 2/3 studies. Conclusions - The lack of studies did not allow the identification of the parameters of the exercise to reduce low back pain either functional incapacity in pregnant women. However, exercise seems to reduce low back pain during pregnancy. [ABSTRACT FROM AUTHOR]

Copyright of Jornal de Pediatria is the property of Sociedade Brasileira de Pediatria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Brasileira de Prescrição e Fisiologia do Exercício is the property of Instituto Brasileiro de Pesquisa e Ensino em Fisiologia do Exercicio and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of MR Giornale Italiano di Medicina Riabilitativa is the property of Springer Healthcare Italia Srl and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Andaluza de Medicina del Deporte is the property of Centro Andaluza de Medicina del Deporte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The application of oxygen-ozone therapy is growing exponentially as an interventional procedure, with increasingly differentiated fields of application and new clinical indications. Numerous studies are underway involving the use of oxygen and ozone mixtures with intra articular injections in arthritic conditions (such as knee osteoarthritis) or as a support for new regenerative therapies. This article presents the infiltrative procedure and applications in the field of rickets, in particular for low back pain and back-related pathologies, the conditions for which this treatment is most indicated. [ABSTRACT FROM AUTHOR]

O objetivo foi avaliar o desempenho funcional e caracterização de indivíduos com queixas de lombalgia de um grupo de exercícios terapêuticos de uma Estratégia de Saúde da Família (ESF). Foi realizado estudo transversal descritivo com 17 indivíduos, de idade média de 59 anos de ambos os sexos. O desempenho funcional foi avaliado pelo Questionário Roland Morris (RM) e a caracterização dos participantes foram a partir da coleta de dados sociodemográficos, antropométricos, localização da dor lombar, intensidade da dor pela Escala Visual Analógica (EVA). No perfil sociodemográfico a renda média foi de 1,64 salário. O índice de massa corporal variou de 22,39 a 38,91 Kg/m2. O escore do RM variou de 9 a 24 pontos de incapacidade funcional. Os resultados da EVA demonstraram que 41,2% dos indivíduos caracterizaram a dor lombar como intensa. Conclui-se que o comprometimento funcional dos indivíduos avaliados foi grave, causado pela presença de dores na coluna, principalmente, na região lombar.

O objetivo deste estudo foi avaliar a correlação entre depressão e qualidade de vida em indivíduos com lombalgia. Participaram do estudo 51 indivíduos de ambos os sexos, com média de idade de 33,35 ± 12,34, sendo 90,2% do gênero feminino, submetidos à aplicação de ficha de avaliação e questionário (Inventário de Depressão de Beck, Whoqol-bref e Índice Funcional de Oswestry). Como resultado houve efeito significativo da Oswestry sobre as classificações de Beck (p=0,003) e um efeito significativo da classificação da depressão sobre os domínios da qualidade de vida (p=0,001). A média de Oswestry dos indivíduos com depressão foi moderada e significantemente maior que nos indivíduos sem depressão (p=0,002). Conclui-se com este trabalho que existe uma correlação positiva da depressão e o índice de qualidade de vida em indivíduos com lombalgia.

Copyright of Fisioterapia Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of La Medicina del Lavoro is the property of Mattioli 1885 SpA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The lumbar spine has a set of vertebrae and ligaments that can withstand loads of our body and also the gravitational forces. People with frequent complaints of low back pain may contain changes in vertebral mobility. These symptoms may be caused by loss of stability and joint disruption of the T12, L5 vertebrae and the sacroiliac joint (SIJ). The result is changes in the lumbar spine segment that can cause pain. The objective of this study is to verify the influence of SIJ dysfunctions on lumbar mobility. The methods used were field research, descriptive, exploratory, cross-sectional cohort, with a sample of 40 participants of both sexes. The evaluation of the lesion chain, seated flexion test (SFT), Gillet, Mitchell and modified Schober was performed. The results showed that the dysfunctions in SIJ verified in SFT1 and lumbar mobility through the Modified Schober test have statistical significance, but low correlation. The less sacroiliac dysfunction, the more stability the lumbar spine presents. The change in the mobility of T12 and L5 did not present a good correlation and significance with SIJ. Thus, it is not convenient to state that the mechanical alteration in SIJ generates hypermobility alone in the lumbar vertebrae. However, the SIJ dysfunction and the influence of other structures that have fixations in these vertebrae, lead to the alteration of the lumbar mobility or even of the whole. It was concluded that there was statistical significance, however, a low correlation between SIJ dysfunctions and lumbar spine mobility. However, changes in lumbar mobility do not arise from an isolated factor. [ABSTRACT FROM AUTHOR]

Low back pain is today one of the most common reasons for seeking a medical consultation and a potential factor of subsequent disability for the individual who is affected. Its high incidence is associated with huge direct and indirect costs that contribute to making this pathology a social and economic burden for national health systems. Aquatic therapy is a rehabilitative technique that has been used for many years in the management and treatment of numerous musculoskeletal problems. In the present issue of this section, we analyze its efficacy and some therapeutic strategies in patients with low back pain. [ABSTRACT FROM AUTHOR]

Abstract Introduction Prevalence of low back pain (LBP) is expected to increase worldwide with aging of the population but its prevalence in older people is not clear, mainly in developing countries. Objective To estimate the prevalence of LBP in older Brazilians. Methods Electronic searches on SciELO, LILACS, MEDLINE, EMBASE and CINAHL, as well as hand-searching identified studies investigating prevalence of LBP in older Brazilians aged 60 years or over. Two independent reviewers selected studies fulfilling the inclusion criteria, assessed risk of bias for each included study and extracted relevant data. Meta-analysis was conducted when enough homogeneity allowed and the GRADE system was used to summarize the overall quality of the evidence. Results Sixteen studies were included with a total of 28,448 participants. Data from point- and period-prevalence of LBP were obtained. Meta-analysis was conducted for 13 studies reporting point-prevalence. Pooled point-prevalence of LBP was 25.0% (95% CI 18.0–32.0). Other three studies investigated period-prevalence: one-week prevalence = 15.0% (95% CI 13.0–18.0); six-month prevalence = 43.0% (95% CI 42.0–44.0); and 12-month prevalence = 13.0% (95% CI 11.0–16.0). Sensitivity analyses were performed for point-prevalence and exclusion of studies with poorer methodological quality tended to increase the estimated prevalence of LBP. Conclusion Moderate-quality evidence showed that at any point in time one in four older Brazilians suffers from LBP. This was the first systematic review investigating nationwide data on the prevalence of LBP in older people and contributes important clinical and epidemiological evidence for policymakers.

Objetivos: Foi realizada uma revisão narrativa e compreensiva de estudos e pesquisas sobre o fenômeno da dor lombar e seu acometimento no processo do envelhecimento humano. Fonte de dados: Foram pesquisadas as seguintes bases de dados: MEDLINE, SciELO, Bireme e LILACS, através dos termos “lombalgia”, “lombalgia senil”, “dor lombar e idoso”; “lombalgia e idoso”; “dor lombar e envelhecimento”, referentes ao período de 1996 a 2012. Síntese dos dados: Foram selecionadas e analisadas 27 referências, que mostraram forte relação entre a lombalgia e declínio na qualidade de vida do indivíduo idoso, que resulta da interação de fatores sociodemográficos (idade, sexo, renda e escolaridade), comportamentais (tabagismo e sedentarismo), atividades cotidianas (trabalho físico pesado, vibração, posição viciosa e movimentos repetitivos) e outros (obesidade e morbidade psicológica). Conclusões: Apesar da magnitude do impacto social e econômico, apontada em estudos internacionais, no Brasil há escassez de estudos sobre prevalência de lombalgia em idosos. Esse fato dificulta a sensibilização de profissionais da área de saúde, a alocação de recursos humanos e materiais, e a criação de estratégias visando ao controle da dor lombar nessa população, tornando emergente a necessidade de estudos epidemiológicos com este enfoque

Epidemiological studies showed that about 50% to 90% of adults have low back pain at some point in their lives. The quality of life is the individual perception of physical well being, mental and social being influenced by the appearance of several changes in health conditions. The objective of this study was to inquire the Brazilian scientific literature on low back pain associated with quality of life. The search of theses and dissertations occurred in the database of CAPES from 1997 to 2007 and for articles in databases BVS, SCIELO, LILACS, BVS-PSI from 1987 to 2007. 32 researches studies were found for them and dissertations. The findings also showed that the Master degree surpassed the Doctorate Degree with 85% of the production. A total number of 23 articles were found. Since 2004, there has been a significant increase in the production of research papers, which amounts to 63% of the work. The instruments used, which where mostly internationals, were inventories, interviews and scales. Mostly of the research was done in the medical field. It was concluded that further studies should be conducted within this theme, including research on resilience and creativity in the quality of life of people with back pain and also that new instruments should be developed and adapted to the context of each country.

OBJECTIVE: To determine the prevalence and factors associated with low levels of lumbar strength in adolescents.METHOD: This was a cross-sectional study involving 601 adolescents, aged 14 to 17 years, enrolled in public schools in the western region of Santa Catarina State - Southern Brazil. Lumbar strength was analyzed by the lumbar extension test developed by the Canadian Society of Exercise Physiology, which proposes different cutoffs for boys and girls. Independent variables were sex, age, socioeconomic status, dietary habits, alcohol consumption, physical activity, and aerobic fitness. For data analysis, univariate and multivariate logistic regression were used, with significance level of 5%.RESULTS: The prevalence of low levels of lumbar strength was 27.3%. The population subgroups most likely to present low levels of lumbar strength were females (OR: 1.54, 95% CI : 1.06 to 2.23), adolescents with low levels of aerobic fitness (OR: 2.10, 95% CI: 1.41 to 3.11) and the overweight (OR: 2.28, 95% CI: 1.35 to 3.81).CONCLUSION: Almost one-third of the studied students have low levels of lumbar strength. Interventions in the school population should be taken with special attention to female adolescents, those with low levels of aerobic fitness, and those with overweight, as these population subgroups were most likely to demostrate low levels of lumbar strength.