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Lombalgia cronica: comparacao entre duas intervencoes na forca inspiratoria e capacidade funcional (Chronic low back pain: comparison of two interventions in inspiratory strength and functional capacity) [Portuguese]
Tome F, Ferreira CB, Cornelli RJB, de Carvalho AR
Fisioterapia em Movimento [Physical Therapy in Movement] 2012 Apr-Jun;25(2):263-272
clinical trial
1/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: Chronic low back pain has a high incidence, large social and personal costs and therapeutic efforts are often frustrating. Is necessary evaluated the physical therapy resources to understand better and substantiating scientifically then. OBJECTIVES: To compare the effects of two physical therapy interventions on respiratory muscle strength (RMS) and functional capacity (FC) in patients with chronic low back pain. MATERIALS AND METHODS: The sample (n = 10) was comprised of patients with chronic low back pain randomly divided into the control group (CG), which received conventional physical therapy (electroanalgesia, massage and stretching), and the experimental group (EG), which received the combined kinesiotherapy (composed of isostretching and aquatic sensoriomotor training). The measurement of the CF test performed by the six minute walk test (6MWT) and the RMS for inspiratory maximal pressure (IMP) and expiratory (MEP) by manovacuometry, which happened before (delta INI) and after (delta FIN) interventions, with the duration of seven weeks, three times a week. Comparisons were made by Mann-Whitney and Wilcoxon tests (alpha = 0.05). RESULTS: The EG showed improvements intra-group in IMP (p = 0.0164), EMP (p = 0.0227) and 6MWT (p = 0.0092), and in the CG, only on the 6MWT (p = 0.018). In inter-group comparisons, it was obtained similar IMP and EMP in delta INI, but different in delta FIN (p = 0.0166, p = 0.0045) and in the 6MWT, there was significant difference only in delta INI (p = 0.0484). CONCLUSION: Isostretching and sensoriomotor aquatic training were effective at improving the FMR and the CF, and conventional physical therapy was effective only in the improvement of CF.

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