Eficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizado
Ano de defesa: | 2018 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Nove de Julho
|
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Ciências da Reabilitação
|
Departamento: |
Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/2260 |
Resumo: | Objetives: The purpose of this study was to verify the effectiveness of osteopathic visceral manipulation in patients with functional constipation and non-specific chronic low back pain. Methods: The study was a prospectively registered, randomized controlled trial with a blinded assessor and it was conducted in the physical therapy clinic in Rondonópolis/MT. The study participants were 76 patients with functional constipation and non-specific chronic low back pain. They went randomized in two groups: OVM (osteopathic visceral manipulation) and placebo (osteopathic visceral manipulation sham). The 6-week treatment program (one session/week) was done in both groups. Primary outcome measures were pain intensity through Pain Numerical Rate Scale (NRS) and lumbar disability (Oswestry Disability Index (ODI) at the final of the treatment (6-week) and the follow-up 3 months after the randomization. Secondary outcome measures were T12-L1 paraspinal electromyographic signal, trunk flexibility during the full flexion motion and FABQ questionnaire (Fear Avoidance Beliefs Questionnaire) at the final of the treatment (6-week) and the follow-up 3 months after the randomization. A blinded assessor collected the data. Results: All the patients were treated in the groups that were allocated. The primary outcome was observed a statistically significant to the pain intensity and functional disability in the OVM group after the 6-weeks treatment and the 3-month follow-up. The secondary outcome was found only a statistically significant in the electromyography signal in dynamic phase (flexion and extension) of the cycle flexion-extension after 6-week treatment. No difference was found in the static phase (full flexion/rest) in the electromyographic signals. Regarding the fingertip-to-floor test and FABQ no statistically significant differences were found at any time. Conclusions: The patients in the OVM group reduced the pain intensity and improve the disability after 6-week treatment and 3-months follow-up. A statistically significant difference was found in the electromyographic signal during the flexion-extension motion after 6-week treatment. No statistically significant differences were found in the fingertip-to-floor test and FABQ. |
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Corrêa, João Carlos FerrariCorrêa, João Carlos FerrariGonzalez, Daniela Aparecida BiasottoCosta, Leonardo Oliveira Penahttp://lattes.cnpq.br/1517095881485642Fernandes, Walkyria Vilas Boas2020-10-26T21:34:18Z2018-10-29Fernandes, Walkyria Vilas Boas. Eficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizado. 2018. 102 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2260Objetives: The purpose of this study was to verify the effectiveness of osteopathic visceral manipulation in patients with functional constipation and non-specific chronic low back pain. Methods: The study was a prospectively registered, randomized controlled trial with a blinded assessor and it was conducted in the physical therapy clinic in Rondonópolis/MT. The study participants were 76 patients with functional constipation and non-specific chronic low back pain. They went randomized in two groups: OVM (osteopathic visceral manipulation) and placebo (osteopathic visceral manipulation sham). The 6-week treatment program (one session/week) was done in both groups. Primary outcome measures were pain intensity through Pain Numerical Rate Scale (NRS) and lumbar disability (Oswestry Disability Index (ODI) at the final of the treatment (6-week) and the follow-up 3 months after the randomization. Secondary outcome measures were T12-L1 paraspinal electromyographic signal, trunk flexibility during the full flexion motion and FABQ questionnaire (Fear Avoidance Beliefs Questionnaire) at the final of the treatment (6-week) and the follow-up 3 months after the randomization. A blinded assessor collected the data. Results: All the patients were treated in the groups that were allocated. The primary outcome was observed a statistically significant to the pain intensity and functional disability in the OVM group after the 6-weeks treatment and the 3-month follow-up. The secondary outcome was found only a statistically significant in the electromyography signal in dynamic phase (flexion and extension) of the cycle flexion-extension after 6-week treatment. No difference was found in the static phase (full flexion/rest) in the electromyographic signals. Regarding the fingertip-to-floor test and FABQ no statistically significant differences were found at any time. Conclusions: The patients in the OVM group reduced the pain intensity and improve the disability after 6-week treatment and 3-months follow-up. A statistically significant difference was found in the electromyographic signal during the flexion-extension motion after 6-week treatment. No statistically significant differences were found in the fingertip-to-floor test and FABQ.Objetivo: A proposta deste estudo foi verificar a eficácia do tratamento visceral osteopático na incapacidade e intensidade da dor lombar realizado em indivíduos com constipação funcional e dor lombar crônica inespecífica. Métodos: Este estudo foi registrado prospectivamente como ensaio clínico aleatorizado placebo-controlado com avaliador cego e realizado na clínica de fisioterapia na cidade de Rondonópolis/MT. Participaram 76 pacientes com constipação funcional e dor lombar crônica inespecífica que foram randomizados em dois grupos: OVM (manipulação visceral osteopática) e Placebo (manipulação visceral osteopática sham). Um programa de tratamento de 6 semanas (1 sessão/semana) foi realizado em ambos os grupos. Como desfecho clínico primário foi avaliado a intensidade da dor por meio da Escala Numérica Verbal da Dor (NRS) e a incapacidade lombar pelo Oswestry Disability Index (ODI) com 6 semanas e 3 meses da randomização. Como desfecho secundário foi avaliado a atividade muscular dos paravertebrais com eletromiografia ao nível de T12-L1, flexibilidade do tronco durante o movimento de flexão do tronco e questionário FABQ (Fear Avoidance Beliefs Questionnaire) com 6 semanas e 3 meses da randomização. Os dados foram coletados por um avaliador cego. Resultados: Todos os participantes receberam o tratamento de acordo com a foram alocação. No desfecho primário observou-se diferença estatisticamente significante para diminuição da dor e incapacidade a favor do grupo tratado com OVM após 6 semanas de tratamento e 3 meses de follow-up. Para os desfechos secundários foram encontradas somente diferenças estatisticamente significantes para a atividade muscular dos paravertebrais das fases dinâmicas (flexão e extensão) do ciclo de flexão/extensão após 6 semanas de tratamento. Na fase estática (flexão total/repouso) não foram encontradas alterações na atividade muscular. Em relação a distância dos dedos ao chão e o questionário FABQ não foram encontradas diferenças estatisticamente significantes em nenhum momento. Conclusão: Os pacientes que foram alocados no grupo tratado com OVM apresentaram diminuição da intensidade da dor e melhora da incapacidade após 6 semanas de tratamento e 3 meses de follow-up. Com relação a atividade muscular dos paravertebrais houveram diferenças estatisticamente significantes somente no grupo tratado com OVM nos movimentos de flexão e extensão após 6 semanas de tratamento. Não foram encontradas diferenças entre os grupos para flexibilidade do tronco e o questionário FABQ.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2020-10-26T21:34:17Z No. of bitstreams: 1 WALKYRIA VILAS BOAS FERNANDES.pdf: 3375864 bytes, checksum: 1676ac20088458ea9833d3ad9ec49ca4 (MD5)Made available in DSpace on 2020-10-26T21:34:18Z (GMT). No. of bitstreams: 1 WALKYRIA VILAS BOAS FERNANDES.pdf: 3375864 bytes, checksum: 1676ac20088458ea9833d3ad9ec49ca4 (MD5) Previous issue date: 2018-10-29application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúdeconstipação intestinaldor lombarmanipulação visceralmedicina osteopáticaeletromiografiaconstipationlow back painvisceral manipulationosteopathic medicineelectromyographyCIENCIAS DA SAUDEEficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizadoEffectiveness of osteopathic visceral manipulation in patients with functional constipation and non-specific chronic low back pain: randomized placebo-controlled clinical trialinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALWALKYRIA VILAS BOAS FERNANDES.pdfWALKYRIA VILAS BOAS FERNANDES.pdfapplication/pdf3375864http://localhost:8080/tede/bitstream/tede/2260/2/WALKYRIA+VILAS+BOAS+FERNANDES.pdf1676ac20088458ea9833d3ad9ec49ca4MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2260/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/22602020-10-26 19:34:18.389oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2020-10-26T21:34:18Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Eficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizado |
dc.title.alternative.eng.fl_str_mv |
Effectiveness of osteopathic visceral manipulation in patients with functional constipation and non-specific chronic low back pain: randomized placebo-controlled clinical trial |
title |
Eficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizado |
spellingShingle |
Eficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizado Fernandes, Walkyria Vilas Boas constipação intestinal dor lombar manipulação visceral medicina osteopática eletromiografia constipation low back pain visceral manipulation osteopathic medicine electromyography CIENCIAS DA SAUDE |
title_short |
Eficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizado |
title_full |
Eficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizado |
title_fullStr |
Eficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizado |
title_full_unstemmed |
Eficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizado |
title_sort |
Eficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizado |
author |
Fernandes, Walkyria Vilas Boas |
author_facet |
Fernandes, Walkyria Vilas Boas |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Corrêa, João Carlos Ferrari |
dc.contributor.referee1.fl_str_mv |
Corrêa, João Carlos Ferrari |
dc.contributor.referee2.fl_str_mv |
Gonzalez, Daniela Aparecida Biasotto |
dc.contributor.referee3.fl_str_mv |
Costa, Leonardo Oliveira Pena |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/1517095881485642 |
dc.contributor.author.fl_str_mv |
Fernandes, Walkyria Vilas Boas |
contributor_str_mv |
Corrêa, João Carlos Ferrari Corrêa, João Carlos Ferrari Gonzalez, Daniela Aparecida Biasotto Costa, Leonardo Oliveira Pena |
dc.subject.por.fl_str_mv |
constipação intestinal dor lombar manipulação visceral medicina osteopática eletromiografia |
topic |
constipação intestinal dor lombar manipulação visceral medicina osteopática eletromiografia constipation low back pain visceral manipulation osteopathic medicine electromyography CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
constipation low back pain visceral manipulation osteopathic medicine electromyography |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Objetives: The purpose of this study was to verify the effectiveness of osteopathic visceral manipulation in patients with functional constipation and non-specific chronic low back pain. Methods: The study was a prospectively registered, randomized controlled trial with a blinded assessor and it was conducted in the physical therapy clinic in Rondonópolis/MT. The study participants were 76 patients with functional constipation and non-specific chronic low back pain. They went randomized in two groups: OVM (osteopathic visceral manipulation) and placebo (osteopathic visceral manipulation sham). The 6-week treatment program (one session/week) was done in both groups. Primary outcome measures were pain intensity through Pain Numerical Rate Scale (NRS) and lumbar disability (Oswestry Disability Index (ODI) at the final of the treatment (6-week) and the follow-up 3 months after the randomization. Secondary outcome measures were T12-L1 paraspinal electromyographic signal, trunk flexibility during the full flexion motion and FABQ questionnaire (Fear Avoidance Beliefs Questionnaire) at the final of the treatment (6-week) and the follow-up 3 months after the randomization. A blinded assessor collected the data. Results: All the patients were treated in the groups that were allocated. The primary outcome was observed a statistically significant to the pain intensity and functional disability in the OVM group after the 6-weeks treatment and the 3-month follow-up. The secondary outcome was found only a statistically significant in the electromyography signal in dynamic phase (flexion and extension) of the cycle flexion-extension after 6-week treatment. No difference was found in the static phase (full flexion/rest) in the electromyographic signals. Regarding the fingertip-to-floor test and FABQ no statistically significant differences were found at any time. Conclusions: The patients in the OVM group reduced the pain intensity and improve the disability after 6-week treatment and 3-months follow-up. A statistically significant difference was found in the electromyographic signal during the flexion-extension motion after 6-week treatment. No statistically significant differences were found in the fingertip-to-floor test and FABQ. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-10-29 |
dc.date.accessioned.fl_str_mv |
2020-10-26T21:34:18Z |
dc.type.status.fl_str_mv |
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info:eu-repo/semantics/doctoralThesis |
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dc.identifier.citation.fl_str_mv |
Fernandes, Walkyria Vilas Boas. Eficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizado. 2018. 102 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2260 |
identifier_str_mv |
Fernandes, Walkyria Vilas Boas. Eficácia da manipulação visceral osteopática em pacientes com constipação funcional e dor lombar crônica inespecífica: ensaio clínico placebo-controlado aleatorizado. 2018. 102 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/2260 |
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