Effects of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain: a protocol of a systematic review.

BACKGROUND: Chronic musculoskeletal pain affects the quality of life of older adults by interfering in their ability to perform activities of daily living. Aerobic exercise programs have been used in the treatment of various health conditions, including musculoskeletal disorders. However, there is still little evidence on the effects of aerobic exercise for the treatment of older adults with chronic musculoskeletal pain. Thus, the objective of this study is to assess the effects of aerobic exercise in improving pain and function of older adults with chronic pain as a consequence of different chronic musculoskeletal conditions. METHODS: The databases to be used in the search are PubMed, EMBASE, CINAHL, PEDro, and Cochrane Central Register of Controlled Trials (CENTRAL). Randomized controlled trials that used aerobic exercise in the treatment of older adults with chronic musculoskeletal pain will be included. Primary outcomes will be pain and function. We will use the PEDro scale to evaluate the methodological quality and statistical description of each included study, and the strength of the recommendations will be summarized using GRADE. DISCUSSION: The results of this systematic review will provide a synthesis of the current evidence on the effects of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain. In addition, this information can help health professionals in decision-making about the use of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain. ETHICS AND DISSEMINATION: This systematic review was recorded prospectively, and the results will be part of a doctoral thesis to be published in a peer-reviewed international journal and possibly presented at international conferences. SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42019118903.

Effects of aerobic exercise on pain and disability in patients with non-specific chronic low back pain: a systematic review protocol.

INTRODUCTION: Aerobic exercise programs have been used for various health conditions, including musculoskeletal disorders. However, the literature is still limited regarding the effect of aerobic exercise on pain and disability in patients with chronic non-specific low back pain. METHODS: Search strategies will be performed in the following databases: PubMed, EMBASE ( https://www.embase.com ), CINAHL, PEDro, Lilacs, and Cochrane Central Register of Controlled Trials (CENTRAL). We will include randomized controlled trials in any language or date of publication. The primary outcomes will be pain and disability. The methodological quality and statistical reporting of each eligible trial will be evaluated using the 11-item PEDro scale. The strength of the recommendations will be summarized using the using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. DISCUSSION: This systematic review will provide a synthesis of current evidence on the effects of aerobic exercise in patients with chronic low back pain on pain and disability outcomes. This information can help healthcare professionals in decision-making related to the use of aerobic exercise in patients with low back pain. Following the guidelines, this systematic review protocol was registered on the Prospective International Register of Systematic Reviews (PROSPERO) number CRD42017071945.

Upward squatting in individuals with and without patellofemoral pain syndrome: a biomechanical study.

The purpose of the study was to test the hypothesis on whether individuals with patellofemoral pain syndrome (PFPS) try to avoid knee position during upward squatting so as not to aggravate this syndrome. Also, we tested whether PFPS would generate changes in the kinetic and electromyographic (EMG) strategies used to perform this task. Eight healthy subjects and 8 subjects with PFPS, but without a history of pain for at least 30 days, took part in the experiment. They were asked to perform upward squatting with knees initially flexed at 60° (very flexed) until reaching an upright position. Angle, velocity, and acceleration (kinematic) were reconstructed for knee and ankle joints. The torques at these joints were calculated using inverse dynamics, taking into account anthropometric and inertial characteristics of each subject, including records from force data. Only activities of major muscles were recorded. The kinetic and EMG profiles were quantified during acceleration and deceleration phases of the upward squatting. Both healthy and PFPS subjects used the same kinetic and EMG strategies to perform the upward squatting, even though the magnitude of the muscle activities were decreased for the latter group. Compared to the control group, the PFPS subjects presented larger joint ankle torques and smaller knee joint torques. However, the subjects avoided keeping their knees very flexed at the initial position. Group differences in the kinetic and EMG strategies can be explained by differences in the initial position, suggesting a protective strategy used by subjects with PFPS. Therefore, for these subjects, coaches and therapists should avoid using this exercise when the knee is required to move above 40° flexion.

Efeitos da escola de postura em indivíduos com sintomas de lombalgia crônica / Effects of the school of posture in individuals with symptoms of lumbar pain

Introdução: A lombalgia crônica é um problema de saúde pública, com implicações sociais e financeiras. Escola de postura, recurso terapêutico que emprega uma metodologia preventiva e educativa, constitui-se numa alternativa eficaz de tratamento aos portadores de lombalgia crônica. Objetivo: Avaliar os efeitos do programa de escola de postura na melhoria da qualidade de vida dos indivíduos com lombalgia crônica na clínica de fisioterapia da FACIMED. Métodos: A amostra foi composta por voluntários com lombalgia crônica com idade média de 41 anos (± 5,35). Para coleta de dados, aplicou-se o questionário SF-36 e Escala Analógica de Dor, em dois momentos distintos. A análise estatística utilizou o programa Microsoft Excel Office XP e BIOESTAT 5.0. Resultados: Após o processamento dos dados, obteve-se melhora satisfatória com relação à dor e qualidade de vida. Conclusão: O programa Escola de Postura contribui para melhora da qualidade de vida de indivíduos com lombalgia crônica.

Introducion: Low back pain is a chronic public health problem with social and financial implications. School of posture, therapeutic resource that employs a preventive and educational methodology, it constitutes an effective alternative treatment for patients with chronic low back pain. Objective: To evaluate the effects of school program of posture on improving the quality of life of individuals with chronic low back pain in the physiotherapy of FACIMED. Methods: The sample consisted of volunteers with chronic LBP with average age of 41 years (± 5.35). To collect data, we applied the SF-36 and Analogue Scale of Pain, in two separate stages. The analysis used Microsoft Excel and Office XP BIOESTAT 5.0. Results: After processing the data, we obtained a satisfactory improvement with regard to pain and quality of life. Conclusion: School Program The program contributes to improved quality of life of individuals with chronic low back pain.