A influência dos pontos-gatilho latente na lombalgia aguda e crônica: um estudo prospectivo longitudinal
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i1a214478Palavras-chave:
Pontos-gatilho, Dor lombar, ReabilitaçãoResumo
A dor lombar é um importante problema de saúde pública e estudos apontam que todas as pessoas que sofrem de dor na coluna apresentam pontos-gatilho. Objetivo: Analisar o nível dor de pacientes com dor lombar aguda e crônica que quando assintomáticos apresentava pontos-gatilho latente, comparado com os níveis de dor de pacientes com dor lombar aguda e crônica 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 momento que os participantes estavam assintomáticos e após desenvolverem dor lombar aguda e crônica. 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, funcionalidade, algometria, na dinamometria do músculo glúteo máximo do membro não dominante e da dinamometria do glúteo médio de ambos os membros na lombalgia aguda e diferença significativa da dinamometria do glúteo máximo de ambos os membros na lombalgia crônica. Conclusão: Indivíduos assintomáticos com pontos-gatilho latente nos músculos paravertebrais lombares apresentam pior intensidade da dor e outros desfechos quando desenvolvem dor lombar aguda comparados com indivíduos que não apresentam pontos-gatilho no momento que estão assintomáticos e na lombalgia crônica observamos diminuição da força do glúteo máximo quando comparado com indivíduos com lombalgia aguda.
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