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- Title
Efectividade dos cuidados de fisioterapia em doentes ambulatórios com problemas lombares não específicos.
- Authors
NEVES GIL, JOÃO ANTÓNIO; CABRI, JAN; FERREIRA, PEDRO LOPES
- Abstract
Physiotherapy is one of the most usual treatments for low-back pain. The study of its effectiveness could contribute for the improvement of the quality of care. The objectives of this study were (i) to identify health profile of no specific low back pain patients, (ii) to identify the patterns of physiotherapy treatment and (iii) to analyze its effectiveness. A longitudinal study, comparative and correlational, was performed in 529 individuals with non-specific low-back problems, evaluated in the beginning and at the end of the treatment, after three, six and twelve months. The battery of tests included the RMQ and the Shott 6 item Questionnaire, previously adapted and validated. It also included the MOS SF-36. There was a great variability of treatments. Significant improvements in the health status, between the beginning and end of the treatment, had been observed (p = 0.000) and posterior maintenance in the subsequent periods. Group therapies and physical agents are the modalities that predict worse results and the education/counselling the ones that predict better results. The procedures that were related with the mobilization of the soft tissues, with the stretching and with the vertebral manipulation/mobilization demonstrated to get better results and the massage and the heat got worse results. Conclusions: Due to the enormous variability found, it is urgent to have a larger spreading on the existing evidence and a deepening on the efficacy and the effectiveness of the available interventions.
- Subjects
PHYSICAL therapy; BACKACHE physical therapy; MEDICAL quality control; TREATMENT effectiveness; MANIPULATION therapy; MASSAGE
- Publication
Portuguese Journal of Public Health / Revista Portuguesa de Saúde Pública, 2009, p35
- ISSN
0870-9025
- Publication type
Article