Efeitos do Programa Escola de Postura e Reeducação Postural Global sobre a amplitude de movimento e níveis de dor em pacientes com lombalgia crônica

Abstract

ObjectiveTo compare the effects of school‐based exercise program of posture (SPP) and global postural reeducation (GPR) on pain levels and range of motion in patients with chronic low back pain. MethodThe sample was divided into three groups of 10 subjects: group treated by SPP (age: 46.30±8.50 years) group subjected to treatment by GPR (age: 43.60±10.93 years) and control group (age: 44.30±10.68 years). The interventions were performed in 10 sessions. For assessment of pain was used pain subjective scale CR10‐Borg. For the analysis of range of motion, we used the protocol to goniometry LABIFIE in the movements of hip extension (HE) and flexion of the lumbar spine (FLS). ResultsThe Wilcoxon test showed a reduction in levels of pain scores in groups SPP and GPR (p<0.0001) of pre to post‐treatment. Comparisons between groups by the Kruskal‐Wallis test showed decreased levels of pain for SPP (p<0.0001) and GPR (p<0.0001) when compared to CG post‐treatment. Repeated measures ANOVA revealed an increase in range of motion for the SPP (HE: p=0.006; FLS: p=0.002) and GPR (HE: p=0.034; FLS: p=0.011) of pre to post‐treatment. Comparisons between groups showed greater range of motion for the SPP (HE: p=0.006; FLS: p=0.018) and GPR (HE: p=0.019; FLS: p=0.020) when compared to CG post‐treatment. There were no significant differences between the SPP and GPR. ConclusionsSPP and GPR treatments were effective for reducing chronic low back pain.