Influence of latent trigger points in acute and chronic low back pain: a prospective longitudinal study
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i1a214478Keywords:
Trigger Points, Low Back Pain, RehabilitationAbstract
Low back pain is an important public health problem and studies show that everyone who suffers from back pain has a trigger points. Objective: To analyze the pain level of patients with acute and chronic low back pain who, when asymptomatic, presented a latent trigger point, compared with the pain levels of patients with acute and chronic low back pain who, when asymptomatic, did not present a trigger points. Method: 96 individuals of both sexes between 18 - 60 years old participated in a cross-sectional study with a blinded evaluator. The level of pain, function, physical activity, kinesiophobia, algometry was analyzed and the strength of the gluteus maximus and medius muscles of the dominant and non-dominant limbs was measured, at a time when the participants were asymptomatic and after developing acute and chronic low back pain. For statistical analysis, we considered significance values equal to or less than 0.05. Results: Significant differences were observed between the groups in pain intensity, functionality, algometry, in the dynamometry of the gluteus maximus muscle of the non-dominant limb and in the dynamometry of the gluteus medius of both limbs in acute low back pain and a significant difference in the dynamometry of the gluteus maximus of both limbs in chronic low back pain. Conclusion: Asymptomatic individuals with latent trigger points in the lumbar paraspinal muscles have worse pain intensity and other outcomes when they develop acute low back pain compared to individuals who do not have a trigger points when they are asymptomatic and in chronic low back pain we observe a decrease in the strength of the gluteus maximus when compared to individuals with acute low back pain.
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