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ANALYSIS OF FUNCTIONAL CAPACITY IN INDIVIDUALS WITH AND WITHOUT CHRONIC LOWER BACK PAIN.

Abstract：

OBJECTIVE:The objective of this study was to analyze the functional status of adult and older adult individuals with lower back pain . METHODS:Eighty-three individuals were recruited, 42 older adults (20 with lower back pain and 22 control group) and 41 younger adults (21 with lower back pain and 20 control group). Functional capacity was assessed using the following tests: Timed Up and Go (TUG), Five Times Sit-to-Stand (FTSTS), six-minute walking test (SMWT), and sitting-rising test (SRT) . RESULTS:In the younger adults, there was no difference in functional capacity between the groups (p>0.05). On the other hand, when statistical analysis was adjusted using body mass index (BMI) as a covariate, the lower back pain group performed more poorly on the SRT (p<0.004). Furthermore, poorer physical capacity was seen in the older adults with back pain via the SRT test (p=0.001), and when the BMI was adjusted, a statistical difference was seen in the SRT as well as the SMWT (p<0.05) . CONCLUSION:Older individuals with lower back pain have poorer physical performance, and the sitting-rising test is the most discerning for assessment of functional status in individuals with lower back pain. Level of Evidence III, Retrospective Comparative Study. OBJETIVO:Avaliar a funcionalidade de indivíduos idosos e jovens com dor lombar crônica. MÉTODO:Foram avaliados 83 indivíduos, sendo 42 idosos (Grupo controle: 22 e Grupo dor lombar: 20) e 41 jovens (Grupo controle: 20 e Grupo dor lombar: 21). Para avaliação da capacidade funcional, foram utilizados os testes Timed Up and Go (TUG), sentar e levantar de uma cadeira 5 vezes (Five Times Sit-to-Stand - FTSTS), o teste da caminhada dos seis minutos (TC6min) e sentar e levantar do solo (TSL). RESULTADOS:Não houve diferença na capacidade funcional dos jovens entre os grupos (p > 0,05). Contudo, quando a análise é ajustada para a covariável “IMC”, o Grupo dor lombar apresentou pior desempenho no teste TSL (p = 0,004). No grupo de idosos, foi observado pior desempenho no Grupo dor lombar no teste TSL (p = 0,001). Após o ajuste pela variável “IMC”, observou-se diferença estatística nas condições do teste TSL, assim como no TC6min (p < 0,05) . CONCLUSÃO:Idosos com dor lombar crônica apresentaram pior desempenho funcional e o teste TSL foi o mais discriminativo para avaliação funcional de indivíduos com dor lombar crônica. Nível de Evidência III, Estudo Retrospectivo Comparativo.

journal_name

Acta Ortop Bras

journal_title

Acta ortopedica brasileira

authors

Rodrigues CP,da Silva RA,Nasrala E Neto,Andraus RAC,Fernandes MTP,Fernandes KBP

doi

10.1590/1413-785220172504156564

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

143-146

issue

eissn

1413-7852

issn

1809-4406

journal_volume

pub_type

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ANALYSIS OF FUNCTIONAL CAPACITY IN INDIVIDUALS WITH AND WITHOUT CHRONIC LOWER BACK PAIN.