Motor control exercises and pain education in individuals with chronic nonspecific low back pain: randomized clinical feasibility trial
Exercícios de controle motor e educação em dor em indivíduos com dor lombar crônica inespecífica: ensaio clínico randomizado de viabilidade
Suendi Stifft Nörnberg; Gabriela Rodrigues Costa; Ana Júlia da Rosa Decker; Francisco Xavier de Araújo; Guilherme Torres Vilarino; Maíra Junkes-Cunha
Abstract
BACKGROUND AND OBJECTIVES: To investigate the feasibility of an intervention program in the context of Primary Health Care in the southern region of Brazil, through exercises and pain education, focusing on the management of chronic low back pain, and thus identify possible modifications that may be necessary before a definitive intervention.
METHODS: Randomized clinical feasibility study. 20 individuals with chronic low back pain were recruited. Participants were allocated into three distinct groups: 1) motor control exercises; 2) pain education approach; 3) the combination of these two interventions. The quantitative outcomes were: recruitment rate, acceptance to participate in the interventions and retention. In addition, the following criteria were assessed qualitatively or by online questionnaire: barriers to interventions, adherence to treatment, satisfaction with treatment, logistics, financial viability and human and material resources.
RESULTS: The total recruitment, acceptance and retention rates were 100%, 50% and 80% intra-group, respectively; acceptance and retention were 57% and 50% in group 1 and 85% and 100% in group 2. The satisfaction and logistics rated as “excellent” by the participants were: the content covered (66.7%), the availability of timetables (55.6%) and the material resources (66.7%). The main barriers encountered were work schedule compatibility, a greater number of sessions and inclement weather.
CONCLUSION: This research concluded that a clinical trial to evaluate the effectiveness of an intervention program using exercises and pain education in the management of chronic low back pain is feasible and justified, although some modifications are necessary.
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Resumo
JUSTIFICATIVA E OBJETIVOS: Investigar a viabilidade de um programa de intervenção no contexto da Atenção Primária à Saúde na região sul do Brasil, por meio de exercícios e educação em dor, com foco no manejo da dor lombar crônica, e assim identificar possíveis modificações que possam ser necessárias antes de uma intervenção definitiva.
MÉTODOS: Estudo clínico randomizado de viabilidade. Foram recrutados 20 indivíduos com dor lombar crônica. Os participantes foram alocados em três grupos distintos: 1) exercícios de controle motor; 2) abordagem educação em dor; 3) a combinação das duas intervenções. Os desfechos quantitativos foram: taxa de recrutamento, aceitação para participar das intervenções e retenção. Além disso, os seguintes critérios foram avaliados de maneira qualitativa ou pelo questionário online: barreiras nas intervenções, adesão ao tratamento, satisfação com o tratamento, logística, viabilidade financeira e recursos humanos e materiais.
RESULTADOS: As taxas totais de recrutamento, aceitação e retenção obtiveram como resultado, respectivamente: 100%, 50% e 80% intragrupos; aceitação e retenção tiveram como resultado no grupo 1: 57% e 50%; no grupo 2: 85% e 100%. Sobre a satisfação e logística, avaliadas como “ótimo” pelos participantes estão: o conteúdo abordado (66,7%), a disponibilidade de horários (55,6%) e os recursos materiais (66,7%). As principais barreiras encontradas foram compatibilidade de horário com o trabalho, número maior de sessões e intempéries climáticas.
CONCLUSÃO: Esta pesquisa chegou à conclusão de que um ensaio clínico para avaliar a eficácia de um programa de intervenção por meio de exercícios e educação em dor no manejo da dor lombar crônica é viável e justificado, embora sejam necessárias algumas modificações.
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References
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Submitted date:
04/01/2024
Accepted date:
11/12/2024
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