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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(03): 392-401
DOI: 10.1055/s-0041-1736199
Artigo Original

Variações baseadas em gênero no movimento e na força isométrica do tronco em jovens adultos com dor lombar: Um estudo de caso-controle prospectivo

Article in several languages: português | English
Shikha Jain 
1   Departmento de Fisioterapia, QI Spine Clinic, Deli, Índia
,
Gautam Shetty 
2   Departmento de Cirurgia Ortopédica, Knee & Orthopaedic Clinic, Mumbai; Diretor de Pesquisa, QI Spine Clinic, Mumbai, Índia
,
Pratiksha Munje 
3   Departmento de Fisioterapia da Coluna, QI Spine Clinic, Deli, Índia
,
Anita Bhan 
3   Departmento de Fisioterapia da Coluna, QI Spine Clinic, Deli, Índia
,
Sanya Linjhara 
1   Departmento de Fisioterapia, QI Spine Clinic, Deli, Índia
,
CS Ram 
4   Departamento de Fisioterapia, I.T.S Faculdade de Fisioterapia, Ghaziabad, Uttar Pradesh, Índia
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Resumo

Objetivo Determinar as variações na amplitude de movimento (ADM) do tronco e na força isométrica do tronco (FIT) em jovens adultos sintomáticos e assintomáticos baseadas no gênero dos indivíduos.

Métodos Neste estudo caso-controle prospectivo, 73 indivíduos com dor lombar (DL) e 80 indivíduos assintomáticos foram analisados. As medidas de ADM do tronco e FIT de extensão, flexão e rotação foram comparadas em ambos os grupos e em subgrupos organizados por gênero. A análise multivariada foi usada para determinar os fatores que influenciam a ADM do tronco e a FIT.

Resultados Indivíduos do sexo masculino sintomáticos tiveram ADM de extensão e FIT de extensão, flexão e rotação significativamente menor (p < 0,0001) em comparação com indivíduos do sexo masculino assintomáticos, enquanto nenhuma diferença significativa foi encontrada entre indivíduos do sexo feminino assintomáticos e sintomáticos. No entanto, as relações médias da ADM de extensão-flexão e de FIT de extensão-flexão em indivíduos do sexo feminino foram significativamente menores (p = 0,04) em indivíduos do sexo feminino assintomáticos em comparação com indivíduos do sexo feminino sintomáticos. O sexo feminino foi significativamente associado com menor FIT de extensão e flexão em indivíduos de ambos os grupos assintomáticos e sintomáticos.

Conclusão Indivíduos do sexo masculino com DL apresentaram significativa fraqueza global relacionada à FIT quando comparados com indivíduos do sexo masculino assintomáticos. Apesar de não haver diferença significativa de FIT em indivíduos do sexo feminino sintomáticos versus assintomáticos, a DL impactou a ADM e a FIT de extensão-flexão em indivíduos do sexo feminino. Essas variações de ADM do tronco e FIT baseadas no sexo, especialmente o desequilíbrio extensor-flexor de força isométrica em indivíduos do sexo feminino, devem ser consideradas ao projetar-se protocolos de tratamento de reabilitação para lombalgia.

Palavras-chave

dor lombar - força muscular - amplitude de movimento articular - contração isométrica - coluna vertebral

Estudo conduzido na QI Spine Clinic, Índia.




Publication History

Received: 04 March 2021

Accepted: 02 June 2021

Article published online:
11 November 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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