Proprioceptive neuromuscular facilitation applied to dairy factory workers with low back pain
DOI:
https://doi.org/10.56183/iberojhr.v4i2.689Palavras-chave:
exercícios de alongamento muscular; dor nas costas; terapia por exercícios; equilíbrio postural; saúde ocupacional.Resumo
Background: Low back pain is considered a frequent musculoskeletal disorder, generating limitations to perform daily activities and states of disability. The objective is to establish the effectiveness of the Proprioceptive Neuromuscular Facilitation (PNF) technique in reducing lumbar pain of workers in dairy factories. Methods: a comparative study among longitudinal cohort groups was carried out. 25 participants were divided into two groups. PNF was applied to group A (n=13) and group B that was the control group (n=12). An initial evaluation was done and 12 weeks after the intervention a final evaluation was done. Pain intensity, the index of disability associated with back pain (BP) and quality of life were measured. Results: after 12 weeks of application of the protocol, the PNF technique significantly decreased pain intensity, improved functional disability associated with lumbar pain and quality of life with respect to health (p<0.005). For the control group there were no differences in the variables before and after the protocol was applied. Conclusions: The application of FNP in dairy factory workers is effective in reducing pain, disability associated with non-specific lumbar pain and improving the quality of life.
Referências
Aguilera, A., & Herrera, A. (2013). Low back pain: a very popular and at the same time unknown ailment. Community and Health. Community and Health, 11(2), 80-89. Available in: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S1690-32932013000200010
Álvarez, G., & Guadalupe, M. (2016). Sedentary lifestyle and physical activity in administrative workers in the public sector. Unemi Science Magazine, 9(21), 116-124. Available in: https://www.redalyc.org/journal/5826/582661267010/582661267010.pdf
Areeudomwong, P., & Buttagat, V. (2019). Proprioceptive neuromuscular facilitation training improves pain-related and balance outcomes in working-age patients with chronic low back pain: a randomized controlled trial. Braz J Phys Ther, 23(5), 428-436. doi:10.1016/j.bjpt.2018.10.005
Asensio, J., Quesada, M., Fabregat, G., López, M., & De Andrés, J. (2021). Practical recommendations for the management of the patient with chronic pain during the pandemic of COVID-19. Rev Esp Anestesiol Reanim, 68(9), 495-503. doi:10.1016/j.redare.2020.08.013
Bazan, C., & Ventura, A. (2021). Lumbar pain related to anxiety and depression in police officers at a police station in Lima. Rev. Fac. Med. Hum., 21(2), 75 - 81. doi:http://dx.doi.org/10.25176/rfmh.v21i1.3229
Bleda, A., & Meseguer, A. (2020). Proprioceptive neuromuscular facilitation in people with chronic low back pain: systematic review. Physiotherapy, 42(2), 85-97. doi:10.1016/j.ft.2019.11.002
Brooks, R. (1996). EuroQol: the current state of play. Health Policy, 37(1) 53 - 72. doi:10.1016/0168-8510(96)00822-6
Caicedo, I., Barbosa, M., Cruz, W., & Sanabria, J. (2013). Muscular strength, flexibility and posture in the prevalence of low back pain in helicopter crew members of the Colombian National Army. Rev. Fac. Med., 6(4), 357-363. Available in: http://www.scielo.org.co/pdf/rfmun/v61n4/v61n4a4.pdf
Covarrubias, A. (2010). Low back pain: A public health problem. Pain Clinic, 33(Suppl 1), 106-109. Available in: https://www.medigraphic.com/pdfs/rma/cma-2010/cmas101y.pdf
Dada, M., Zarnowski, A., & Salazar, A. (2021). Update on low back pain in primary care. Rev.méd.sinerg, 6(8), 696. Available in: https://revistamedicasinergia.com/index.php/rms/article/view/696
Del Pozo, B., Gusi, N., Adsuar, J., Del Pozo, J., Parraca, J., & Hernandez, M. (2013). Musculoskeletal fitness and health-related quality of life characteristics among sedentary office workers affected by sub-acute, non-specific low back pain: a cross-sectional study. Physiotherapy, 99(3), 194-200. doi:10.1016/j.physio.2012.06.006
Dìas, M., & Gérvas, J. (2002). Low back pain. Family Medicine. SEMERGEN, 28(1), 21-41. Available in: https://www.sciencedirect.com/science/article/abs/pii/S1138359302744018
García, A., Martínez, N., Saturno, P., & López, F. (2015). Clinical approach to chronic low back pain: synthesis of recommendations based on evidence from existing clinical practice guidelines. An. Syst. Sanit. Navar., 38(1).117-130. https://dx.doi.org/10.4321/S1137-66272015000100012.
GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. (2018). Global, regional, and national, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 392(10159), 1789 –1858. doi:10.1016/S0140-6736(18)32279-7
George, A., Kumar, D., & Nikhil, N. (2013). Effectiveness of trunk proprioceptive neuromuscular facilitation training in mechanical low back pain. International Journal of Current Research, 5(7), 1965-1968. Available in: http://journalcra.com/sites/default/files/issue-pdf/Download%203707.pdf
Herdman, M., Badia, X., & Berra, S. (2002). The EuroQol-5D: a simple alternative for measuring health-related quality of life in primary care. Aten Primary, 28(6), 425-429. Available in: https://core.ac.uk/download/pdf/82225711.pdf
Hernando, J., Pérez, D., Sánchez, M., & Beltrán, H. (2021). Therapeutic exercise as a treatment for chronic spinal pain: systematic review of randomized clinical trials. Rehabilitation, 55(1), 49 - 66. doi:10.1016/j.rh.2020.06.005
Hill, K., Robinson, K., Cuchna, J., & Hoch, M. (2017). Immediate Effects of Proprioceptive Neuromuscular Facilitation Stretching Programs Compared With Passive Stretching Programs for Hamstring Flexibility: A Critically Appraised Topic. J Sport Rehabil, 26(6), 567–572. doi:10.1123/jsr.2016-0003
IESS. (2018). Statistical bulletin, General occupational risk insurance. Ecuadorian Institute of Social Security. Available in: https://www.iess.gob.ec/documents/10162/51889/Boletin_estadistico_2018_nov_dic.pdf
Jakosen, M., Sundstrup, E., Brandt, M., Jay, K., Aagaard, P., & Andersen, L. (2015). Physical exercise in the workplace prevents deterioration in work ability among healthcare workers: a cluster randomized controlled trial. BMC Public Health volume, 15(1174), e15. doi: https://doi.org/10.1186/s12889-015-2448-0
Kersten, P., White, P., & Tennant, A. (2014). Is the pain visual analogue scale linear and responsive to change? An exploration using Rasch analysis. PLoS One, 9(6), e99485. doi:10.1371/journal.pone.0099485
Kim, B., & Lee, H. (2017). Effects of proprioceptive neuromuscular facilitation-based abdominal muscle strengthening training on pulmonary function, pain, and functional disability index in chronic low back pain patients. J Exerc Rehabil, 13(3), 486–490.doi:10.12965/jer.1735030.515
Koutarapu, S., & Ghumare, D. (2022). Proprioceptive neuromuscular facilitation exercises versus lumbar stabilization exercises for chronic low back pain patients: A randomized interventional study. Indian J Occup Ther, 54(1), (23-28). doi:10.4103/ijoth.ijoth_18_21
Kovacs, F. (2005). The use of the Roland-Morris questionnaire in patients with low back pain treated in Primary Care. Family Medicine, SEMERGEN, 31(7), 333-335. doi:10.1016/S1138-3593(05)72944-0
Kovacs, F., Llobera, J., Gil Del Real, M., Abraira, V., Gestoso, M., Fernández, C., & Primaria Group, K. (2002). Validation of the Spanish version of the Roland-Morris questionnaire. Spine (Phila Pa 1976), 27(5), 538–542. doi:10.1097/00007632-200203010-00016
Llanos, C. (2020). Treatment for chronic low back pain through invasive physiotherapy in myofascial pain syndrome after high intensity exercise. Case report / Treatment for chronic low back pain through invasive physiotherapy in myofascial pain syndrome. Physiotherapy, 42(3), 157-160. Available in: https://pesquisa.bvsalud.org/portal/resource/pt/ibc-191005
Michishita, R., Jiang, Y., Ariyoshi, D., Yoshida, M., Moriyama, H., & Yamato, H. (2017). The practice of active rest by work units improves personal relationships, mental health and physical activity of workers. Journal of Occupational Health, 59(2), 122-130. doi:10.1539/joh.16-0182-OA
National Guideline Center (UK). (2016). Low Back Pain and Sciatica in Over 16s: Assessment and Management. London: National Institute for Health and Care Excellence (NICE). Available in: https://pubmed.ncbi.nlm.nih.gov/27929617/
Oliveira, M., & Dal Berto, V. &. (2004). Revalence of low back pain in seamstresses and correlation with quality of life and disability. Archives of Health Sciences of UNIPAR, 8(2), 111-119. Available in: https://ojs.revistasunipar.com.br/index.php/saude/article/view/225/198
Sánchez-Pinilla, RO (2020). What are the exercises indicated for chronic low back pain and herniated discs? FMC - Continuing Medical Education in Primary Care, 27(1), 34–46. https://doi.org/10.1016/J.FMC.2019.06.007
Santiago, C., K., P., & Castro, N. (2018). Low back pain and its relationship with the disability index in a rehabilitation hospital. Rev Cient Cienc Méd, 21(2), 13-20. Available in: http://www.scielo.org.bo/scielo.php?script=sci_arttext&pid=S1817-74332018000200003#:~:text=El%20dolor%20lumbar%20es%20uno,prevalencia%20de%20incapacity1%2C2.
Smedes, F., Heidmann, M., Schäfer, C., Fischer, N., & Stępień, A. (2016). The proprioceptive neuromuscular facilitation concept; the state of the evidence, a narrative. Physical Therapy Reviews 21, 17-31. doi:10.1080/10833196.2016.1216764
Van Vilsteren, M., Van Oostrom, S., De Vet, H., Franche, R., Boot, C., & Anema, J. (2015). Workplace interventions to prevent work disability in workers on sick leave. Cochrane Database Syst Rev, 2015(10), 10(CD006955). doi:10.1002/14651858.CD006955.pub3
Vicente, T., López, A., Ramírez, V., Capdevila, L., Terradillos, M., & Aguilar, E. (2015). Pain in workers: prevalence and intensity. Impact of sociodemographic and labor variables. Rev Asoc Esp Espec Med Trab, 24(4), 158-168. Available in: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-62552015000400003
Vilchez, M., & Hernán, G. (2020). Efficacy of muscle energy techniques in musculoskeletal pain syndromes: a systematic review. Physiotherapy, 42(3), 145-156. Available in: https://pesquisa.bvsalud.org/portal/resource/pt/ibc-191004
Zambrano, C., Samaniego, G., Pesantez, M., & Granda, M. (2019). Low back pain (Lumbalgia), a disease that does not discriminate: Classification, Diagnosis and treatment. Scientific Journal World of Research and Knowledge, 3(2), 610-627. doi:10.26820/recimundo/3.(2).abril.2019.610-627
Zaworski, K., & Latosiewicz, R. (April 2021). The effectiveness of manual therapy and proprioceptive neuromuscular facilitation compared to kinesiotherapy: a four-arm randomized controlled trial. Eur J Phys Rehabil Med, 57(2), 280-287. doi:10.23736/S1973-9087.21.06344-9
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Copyright (c) 2024 Cemira Michelle Pérez Castro, Paola Gabriela Ortiz Villalba, Gerardo Fernando Fernández Soto, Diana Veronica Flores Farinango, Verónica Lucía Molina Andrade
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