Effect of muscle strengthening on pain, functionality, muscle endurance and postural control in women with greater trochanter pain syndrome: a randomized clinical trial
Efeito do fortalecimento muscular na dor, funcionalidade, resistência muscular e controle postural em mulheres com síndrome de dor do trocânter maior: ensaio clínico randomizado
Marieli Araujo Rossoni Marcioli; Amanda Paula Ricardo Rodrigues da Cunha; Christiane de Souza Guerino Macedo
Abstract
Keywords
Resumo
JUSTIFICATIVA E OBJETIVOS: O tratamento para a síndrome da dor no grande trocanter (SDGT) é conservador. No entanto, existem poucos estudos que comprovam esses resultados. O objetivo deste estudo foi analisar o efeito do aumento da força muscular do quadril e do tronco na dor, capacidade funcional, resistência muscular do core e controle postural de mulheres com SDGT.
MÉTODOS: Este estudo é um ensaio clínico. Vinte e seis mulheres com SDGT foram divididas em Grupo 1 (G1, n=12, exercícios de fortalecimento do quadril) e Grupo 2 (G2, n=14, exercícios de fortalecimento do quadril e core) e foram avaliadas antes do início, após o protocolo de intervenção e após 12 semanas (Follow-Up). Dor, capacidade funcional, resistência do core e controle postural foram avaliados. O Prone Bridge Test (PBT) e o Supine Bridge Test (SBT) estabeleceram a resistência do core.
RESULTADOS: A dor diminuiu após as intervenções e follow-up (p=0,001), com forte efeito (1,62≤d≤2,35), sem diferenças entre os grupos (p=0,29). A capacidade funcional melhorou após as intervenções efollow-up (p=0,03), com efeito ruim (0,19≤d≤0,27), sem diferenças entre os grupos (p=0,61). O tempo no PBT aumentou para ambos os grupos (p=0,62), com efeito forte no G2 (d=1,02). O SBT estabeleceu que o G2 foi melhor após a intervenção efollow-up (p=0,04; d=0,20), sem diferenças entre os momentos (p=0,95). O controle postural não apresentou diferenças.
CONCLUSÃO: Exercícios de fortalecimento somente dos músculos do quadril ou para o quadril e core diminuíram a dor e melhoraram a capacidade funcional e a resistência do core no SDGT.
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References
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Submitted date:
04/10/2024
Accepted date:
08/16/2024
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