Abstract
Abstract Introduction: Low back pain is one of the most prevalent musculoskeletal disorders, but little is known about postural methods in its treatment. Objective: Analyze changes in muscle strength, flexibility, function and pain in patients with chronic low back pain that underwent isostretching and global posture reeducation (GPR). Methods: Thirty-nine patients, aged between 40 and 59 years, were evaluated before and after treatment protocols regarding: flexibility for sit and reach, muscle strength, functional capacity using the Rolland-Morris Questionnaire, and intensity of pain by Visual Analog Scale. The sample was randomized into two groups (1-GPR; 2-Isostretching), all of whom were treated individually through 12 sessions lasting 45 minutes each, twice a week. Results: After treatment, median reduction in pain intensity of 28 mm in group 1 and 32 mm in group 2 was observed, and a median improvement in functional capacity in group 1 of 8.5 points and 7 points in group 2 (p < 0,05). A mean improvement of severn repetitions in trunk extensor muscle strength was observed in group 1 and in group 2; by dynamometry of 10 kg / f in group 1 and 12.5 kg / f in group 2 of ten abdominal repetitions strength in group 1 and four repetitions in group 2 (p < 0.05).In the Sit and Reach, Group 1 had a total mean increase of 3cm, and group 2 had 1.6cm (p < 0.05). Conclusion: Both groups were effective in improvement of muscle strength, flexibility, pain and functional capacity.
Highlights
Low back pain is one of the most prevalent musculoskeletal disorders, but little is known about postural methods in its treatment
This study showed that the individuals of the global postural re-education (GPR) group had signi icant improvement in pain and functional capacity in relation to the spinal stabilization group
The aim of this research was to investigate changes in the lexibility, muscle strength, functional capacity and pain intensity in patients with chronic low back pain undergoing GPR and isostretching, and to compare the results obtained from these methods
Summary
Low back pain is one of the most prevalent musculoskeletal disorders, but little is known about postural methods in its treatment. Objective: Analyze changes in muscle strength, lexibility, function and pain in patients with chronic low back pain that underwent isostretching and global posture reeducation (GPR). Methods: Thirty-nine patients, aged between 40 and 59 years, were evaluated before and after treatment protocols regarding: lexibility for sit and reach, muscle strength, functional capacity using the Rolland-Morris Questionnaire, and intensity of pain by Visual Analog Scale. Conclusion: Both groups were effective in improvement of muscle strength, lexibility, pain and functional capacity. There is signi icant evidence supporting exercises in the treatment of non-speci ic low back pain (3). Despite the lack of scienti ic studies, indications of postural exercises are common in clinical practice, especially the isostretching method and global postural re-education (GPR) for treatment of patients with chronic low back pain
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