A influência dos pontos-gatilho latente na lombalgia aguda: um estudo prospectivo longitudinal
DOI:
https://doi.org/10.11606/issn.2317-0190.v30i2a209429Palavras-chave:
Pontos-Gatilho, Dor Lombar, ReabilitaçãoResumo
Pontos-gatilho são nódulos musculares que podem desenvolver dor. A dor lombar é um importante problema de saúde pública e estudos apontam que todas as pessoas que sofrem de dor na coluna apresentam ponto-gatilho. Objetivo: Analisar o nível dor de pacientes com dor lombar aguda que quando assintomáticos apresentava pontos-gatilho latente, comparado com os níveis de dor de pacientes com dor lombar aguda que quando assintomáticos não apresentava pontos-gatilho. Método: 96 indivíduos de ambos os sexos entre 18 - 60 anos participaram de um estudo transversal com avaliador cego. Foram analisados o nível de dor, função, atividade física, cinesiofobia, algometria e mensurada a força do músculo glúteo máximo e médio do membro dominante e não-dominante, no memento que os participantes estavam assintomáticos e após desenvolverem dor lombar aguda. Para análise estatística consideramos valores de significância igual ou menor que 0,05. Resultados: Foi observado diferenças significativas entre os grupos na intensidade da dor (p= 0,01), na funcionalidade (p= 0,02), na algometria (p= 0,00), na dinamometria do músculo glúteo máximo do membro não-dominante (p= 0,05) e da dinamometria do glúteo médio do membro dominante (p= 0,01) e não-dominante (p= 0,00). Conclusão: Indivíduos assintomáticos com pontos-gatilho latente nos músculos paravertebrais lombares apresentam pior intensidade da dor e outros desfechos quando evoluem dor lombar aguda, comparados com indivíduos que não apresentam pontos-gatilho no momento que estão assintomáticos.
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