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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(05): e698-e705
DOI: 10.1055/s-0043-1768625
Artigo Original
Coluna

Do Improved Trunk Mobility and Isometric Strength Correlate with Improved Pain and Disability after Multimodal Rehabilitation for Low Back Pain?

Artikel in mehreren Sprachen: português | English
Shikha Jain 
1   Fisioterapeuta sênior, QI Spine Clinic, Delhi, Índia
,
Gautam M. Shetty 
2   Cirurgião ortopédico, chefe de Pesquisa e Excelência Clínica, QI Spine Clinic, Mumbai, Maharashtra, Índia
,
Sanya Linjhara 
1   Fisioterapeuta sênior, QI Spine Clinic, Delhi, Índia
,
Neha Chutani
1   Fisioterapeuta sênior, QI Spine Clinic, Delhi, Índia
,
C. S. Ram 
3   Professor, Faculdade de Fisioterapia I.T.S, Ghaziabad, Índia
› Institutsangaben Financial Support There was no financial support from public, commercial, or non-profit sources.
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Abstract

Objective To determine the correlation between posttreatment trunk range of motion (ROM) and isometric strength (TIS) and pain and disability in patients who underwent multimodal rehabilitation for low back pain (LBP).

Methods In this prospective cohort study, 122 patients undergoing multimodal rehabilitation for LBP were analyzed. The pre- and posttreatment numerical pain rating scale (NPRS) and the Oswestry disability index (ODI) scores, as well as trunk ROM and TIS were compared. The Pearson correlation was used to determine correlation between posttreatment clinical outcomes and ROM and TIS.

Results At the end of treatment, the mean NPRS (p < 0.0001) and ODI (p < 0.0001) scores, mean trunk extension (p < 0.0001), and flexion (p < 0.0001) ROMs improved significantly. Similarly, posttreatment, the mean extension (p < 0.0001) and flexion (p < 0.0001) TISs improved significantly. There was a weak correlation between the NPRS score and ROM extension (r = -0.24, p = 0.006) and flexion strength (r = -0.28, p = 0.001), as well as between the ODI score and TIS extension (r = -0.30, p = 0.0007) and flexion (r = -0.28, p = 0.001).

Conclusion Despite significant improvement in pain, disability, trunk ROM, and TIS with multimodal treatment, there was a weak correlation between posttreatment pain and function and trunk ROM and TIS. Improvement in pain and function with physical rehabilitation treatment for LBP is a complex phenomenon and needs further investigation.

Keywords

flexibility - low back pain - multimodal treatment - spine

Study conducted at QI Spine Clinic, Delhi, India




Publikationsverlauf

Eingereicht: 07. Juni 2022

Angenommen: 18. Oktober 2022

Artikel online veröffentlicht:
30. Oktober 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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