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Estudo comparativo entre exercicios com dinamometro isocinetico e bola terapeutica na lombalgia cronica de origem mecanica (Comparison between isokinetic dynamometer and therapeutic ball exercises in chronic low-back pain of mechanical origin) [Portuguese] |
Freitas CD, Greve JMD |
Fisioterapia e Pesquisa [Physical Therapy and Research] 2008 Oct-Dec;15(4):380-386 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
This study aimed at assessing the effects of trunk strengthening exercises on chronic, mechanical low-back pain and compare the use of isokinetic dynamometer and therapeutic ball. Nineteen patients with chronic low back pain were randomly divided into two groups of trunk muscle strengthening, namely the ball group (5 men and 5 women, mean age 31.2 +/- 8.2) and the dynamometer group (2 men and 7 women, mean age 37.9 +/- 11.2). Patients attended two weekly sessions during three months and were evaluated before and after treatment as to pain (visual analog scale), functional disability (Roland Morris questionnaire), mobility (Schober and fingertip-to-floor tests), and trunk concentric extensor and flexor muscles force (by the isokinetic dynamometer). The parameters selected to evaluate muscular performance were: peak torque, peak torque angle, power, work, acceleration time, and flexor/extensor ratio. Data were statistically analysed and the significance level set at 5%. A significant (p < 0.05) pain relief and improvement in mobility, functional disabilities and extensor force was found in both groups. The strengthening exercises relieved pain and improved functional disabilities, mobility and extensor force. Both techniques are equally effective.
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