PROGRAMA DE TRATAMENTO PARA DOR LOMBAR CRÔNICA: UMA SÉRIE DE CASOS

A dor lombar é um importante problema de saúde pública que afeta cerca de 70 a 80% da população adulta em algum momento da vida, possui alta prevalência em adultos jovens em fase economicamente ativa. O objetivo do estudo foi apresentar uma série de três casos de Dor Lombar Crônica (DLC) tratados com um programa de exercícios de Estabilização Segmentar associado aos princípios da Escola de Coluna. São descritos três casos clínicos de mulheres com diagnósticos diferenciados de DLC. Utilizou-se na avaliação a Dinamometria portátil para avaliar os músculos do tronco; a medida da pressão expiratória máxima pela Manuvacuometria; a medida do Ângulo Poplíteo; o Perfil de Saúde de Nottingham e o Questionário de Roland Morris. As pacientes realizaram 16 sessões, 2 vezes por semana durante 8 semanas. Com base nos instrumentos de medida utilizados foi observada importante melhora nos três casos. Destaque para a redução da dor, aumento da força muscular do tronco e da pressão expiratória máxima. O programa de tratamento elaborado é viável e promissor. Os três casos tratados com sucesso neste estudo piloto servirão para ajustar detalhes do protocolo de avaliação e tratamento, e assim, nortear a continuidade do estudo com um número maior de participantes

Use of visual feedback for balance training in hemiparetic Stroke patients

Introduction: Hemiparetic Stroke patients have their daily activities affected by the balance impairment. Techniques that used visual information for training this impairment it seems to be effective. Objective: To analyze the effects of the unstable balance board training and compare two ways of visual feedback: the biomechanical instrumentation and the mirror. Materials and methods: Eight chronic hemiparetic Stroke patients participated in the research, randomized in two groups. The first group (G1) accomplished the training with biomechanical instrumentation, and the second group (G2) trained in front of the mirror. Sixteen training sessions were done with feet together, and feet apart. The evaluation instruments that were used before and after the period of training were the Time Up and Go Test (TUGT), Berg Balance Scale (BBS) and the Instrumented Balance Board (IBB), that quantified the functional mobility, the balance and the posture control respectively. Results: The TUGT showed significant results (p elt; 0.05) favorable to G1. Despite the results of BBS were significant for G2, the intergroup comparison did not reveal statistical significance. Both groups obtained decrease in levels of IBB oscillation, what can indicate a higher stability, however the results did not indicate statistical significance (p > 0.05). A strong correlation between all the applied tests was observed in this research. Conclusion: Although the advantages found were different between the groups, in both it could be observed that the training brought benefits, with the transference to the functional mobility

Use of visual feedback for balance training in hemiparetic Stroke patients

Introduction Hemiparetic Stroke patients have their daily activities affected by the balance impairment. Techniques that used visual information for training this impairment it seems to be effective. Objective To analyze the effects of the unstable balance board training and compare two ways of visual feedback: the biomechanical instrumentation and the mirror. Materials and methods Eight chronic hemiparetic Stroke patients participated in the research, randomized in two groups. The first group (G1) accomplished the training with biomechanical instrumentation, and the second group (G2) trained in front of the mirror. Sixteen training sessions were done with feet together, and feet apart. The evaluation instruments that were used before and after the period of training were the Time Up and Go Test (TUGT), Berg Balance Scale (BBS) and the Instrumented Balance Board (IBB), that quantified the functional mobility, the balance and the posture control respectively. Results The TUGT showed significant results (p 0.05). A strong correlation between all the applied tests was observed in this research. Conclusion Although the advantages found were different between the groups, in both it could be observed that the training brought benefits, with the transference to the functional mobility