Funcionalidade e incapacidade em pacientes comprometimento musculoesquelético / Functionality and disability of musculoskeletal disorder patients

A intensidade da dor é considerada um dos fatores importantes na determinação da incapacidade em pacientes com dor musculoesquelética. O objetivo do presente estudo foi identificar as principais limitações das atividades e analisar o grau de incapacidade de pacientes com dores musculoesqueléticas. Foi realizado um estudo transversal com 160 pacientes com dores musculoesqueléticas encaminhados ao setor de fisioterapia do Hospital Universitário Gaffrée e Guinle, Rio de Janeiro. Os participantes preencheram questionários auto-aplicáveis para a identificação das características da dor e do nível de incapacidade por região anatômica no momento da avaliação fisioterapêutica. As atividades mais comprometidas foram permanecer sentado, elevar objetos, elevação do ombro acima da cabeça, carregar objetos pesados, correr, permanecer agachado, ler e dirigir, dependendo da região afetada. Houve discreta correlação entre o nível de incapacidade com a intensidade da dor (Rho=0,29; p<0,01) e a idade (Rho=0,21; p<0,02). O nível de incapacidade da coluna cervical, do ombro e da coluna lombar apresentaram correlação com a idade. A correlação entre incapacidade e idade foi alta para as regiões cervical, lombar e do ombro. Também houve correlação moderada entre intensidade da dor e incapacidade referente à região lombar. Em conclusão, foi observado que as atividades diárias comprometidas variam de acordo com a região corporal envolvida. O nível de incapacidade teve correlação com a idade e com a intensidade da dor. O grau de correlação variou com a região corporal acometida. O nível de incapacidade se correlacionou com a intensidade da dor lombar e com a idade nas regiões cervical,lombar e do omb...(AU)

Pain intensity is considered an important factor in determining disability in patients with musculoskeletal pain. The aim of this study was to identify the main limitations of activities and analyze the degree of disability of patients with musculoskeletal pain. A cross-sectional study was conducted with 160 patients with musculoskeletal pain referred to the physiotherapy department of the Gaffrée and Guinle University Hospital, Rio de Janeiro. Participants completed self-administered questionnaires to identify the characteristics of pain and level of disability by anatomical region at the time of physical therapy assessment. The most affected activities were remaining seated, lift objects, shoulder high above the head, carrying heavy objects, running, stay crouched, reading and driving, depending on the affected area. There was a slight correlation between the level of disability with the pain intensity (Rho = 0.29, p <0.01) and age (Rho = 0.21, p <0.02). The level of disability of the cervical spine, shoulder and lumbar spine was correlated with age. The correlation between disability and age was high for cervical, lumbar and shoulder. There was also a moderate correlation between pain intensity and disability related to the low back. In conclusion, it was observed that the impairment of the daily activities varies according to the body area involved. The level of disability was correlated with age and the pain intensity. The degree of correlation varied with the body part affected. The level of disability was correlated with the intensity of low back pain and with age in the cervical, lumbar and shoulder....(AU)

Chronic low back pain and disability in Brazilian jiu-jitsu athletes.

OBJECTIVES: To identify the prevalence of chronic low back pain (CLBP) and functional disability in Brazilian jiu-jitsu athletes. STUDY DESIGN: Cross-sectional, observational. SETTINGS: The study was conducted at jiu-jitsu training sites in the State of Rio de Janeiro. MAIN OUTCOME MEASURES: Presence of Chronic low back pain and Quebec Back Pain Disability Scale. RESULTS: The sample was composed of 72 athletes (mean age of 26.7), being 36 recreational and 36 professional. Chronic low back pain was present in 80.6% of athletes. Pain was present in 88.9% of professional and 72.2% of recreational athletes. In the professional jiu-jitsu group, the median of the Quebec Back Pain Disability Scale (QBPDS) was 10 (IQR = 16), and in the recreational group the QBPDS result was 6.0 (IQR = 12) (p = .001). Professional athletes had a marginally significant increased risk of developing CLBP [OR = 3.0; CI(95%) 0.8-10.9)]. CONCLUSION: The prevalence of low back pain in jiu-jitsu practice was high and professional athletes seem to have a high risk of developing CLBP.

Postural sway changes during pregnancy: a descriptive study using stabilometry.

OBJECTIVE: This study aims to analyse changes in body sway over the course of pregnancy. STUDY DESIGN: This is a descriptive study in which stabilometric tests were applied at three stages of pregnancy and with a combination of different visual conditions (eyes open/closed) and support base configuration (feet together/apart). Twenty healthy pregnant women participated in the study. Changes in postural control with pregnancy were analysed via the elliptical area of the stabilograms and spectral analysis of the displacements of the centre of pressure (COP) along the lateral and anterior/posterior directions. RESULTS: The elliptical area encompassing the COP significantly increased over the course of the pregnancy for the feet apart and eyes closed test protocols. The spectral analysis revealed a significant increase of COP oscillations along the anterior-posterior direction when subjects stood with the eyes open/feet together and feet apart. A reduction (significant) of the lateral oscillations of COP was observed for the eyes open/feet together protocol. CONCLUSION: Pregnancy induced significant changes in the postural control when pregnant women stood with a reduced support base or with eyes closed.