Ontology type: schema:ScholarlyArticle Open Access: True
2017-09
AUTHORSRaíssa Sudré Cezarino, Jefferson Rosa Cardoso, Kedma Neves Rodrigues, Yasmin Santana Magalhães, Talita Yokoy de Souza, Lícia Maria Henrique da Mota, Ana Clara Bonini‐Rocha, Joseph McVeigh, Wagner Rodrigues Martins
ABSTRACTResumoObjetivoDeterminar a prevalência de lombalgia crônica (LBC) e os preditores de força muscular nas costas (FMC) em pacientes com lúpus eritematoso sistêmico (LES).MétodosEstudo transversal. Selecionaram‐se 96 pacientes ambulatoriais com LES por amostragem não probabilística, entrevistados e testados durante consultas médicas. As medidas de desfecho foram: prevalência ocasional de LBC, Índice de Incapacidade de Oswestry, Escala Tampa para Cinesiofobia, Escala de Gravidade da Fadiga e contrações isométricas voluntárias máximas (CIVM) de preensão manual e dos músculos das costas. Usaram‐se o coeficiente de correlação e a regressão linear múltipla na análise estatística.ResultadosDos 96 indivíduos entrevistados, 25 apresentavam LBC, o que indicou uma prevalência circunstancial de 26% (92% mulheres). A correlação entre o Índice de Incapacidade de Oswestry e a contração isométrica voluntária máxima dos músculos das costas foi de r=‐0,4, IC 95% [‐0,68; ‐0,01] e entre a CIVM de preensão manual e dos músculos das costas foi de r=0,72, IC 95% [0,51; 0,88]. O modelo de regressão apresentou o maior valor de R2 observado quando a CIVM dos músculos das costas foi testada com cinco variáveis independentes (63%). Nesse modelo, a força de preensão manual foi a única variável preditiva (ß=0,61, p=0,001).ConclusõesA prevalência de LBC em indivíduos com LES foi de 26%. A CIVM dos músculos das costas foi 63% prevista por cinco variáveis de interesse. No entanto, apenas a força de preensão manual foi uma variável preditiva estatisticamente significativa. A CIVM dos músculos das costas apresentou uma relação linear diretamente proporcional à força de preensão manual e inversamente proporcional ao Índice de Incapacidade de Oswestry (ou seja, músculos das costas mais fortes estão associados a menores pontuações de incapacidade).AbstractObjectiveTo determine the prevalence of Chronic Low Back Pain (CLBP) and predictors of Back Muscle Strength (BMS) in patients with Systemic Lupus Erythematosus (LES).MethodsCross‐sectional study. Ninety‐six ambulatory patients with LES were selected by non‐probability sampling and interviewed and tested during medical consultation. The outcomes measurements were: Point prevalence of CLBP, Oswestry Disability Index, Tampa Scale of Kinesiophobia, Fatigue Severity Scale and maximal voluntary isometric contractions (MVIC) of handgrip and of the back muscles. Correlation coefficient and multiple linear regression were used in statistical analysis.ResultsOf the 96 individuals interviewed, 25 had CLBP, indicating a point prevalence of 26% (92% women). The correlation between the Oswestry Index and maximal voluntary isometric contraction of the back muscles was r=‐0.4, 95% CI [‐0.68;‐0.01] and between the MVIC of handgrip and of the back muscles was r=0.72, 95% CI [0.51;0.88]. The regression model presented the highest value of R2 being observed when MVIC of the back muscles was tested with five independent variables (63%). In this model handgrip strength was the only predictive variable (ß=0.61, P=0.001).ConclusionsThe prevalence of CLBP in individuals with LES was 26%. The MVIC of the back muscles was 63% predicted by five variables of interest, however, only the handgrip strength was a statistically significant predictive variable. The MVIC of the back muscles presented a linear relation directly proportional to handgrip and inversely proportional to Oswestry Index i.e. stronger back muscles are associated with lower disability scores. More... »
PAGES438-444
http://scigraph.springernature.com/pub.10.1016/j.rbr.2017.03.001
DOIhttp://dx.doi.org/10.1016/j.rbr.2017.03.001
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"description": "ResumoObjetivoDeterminar a preval\u00eancia de lombalgia cr\u00f4nica (LBC) e os preditores de for\u00e7a muscular nas costas (FMC) em pacientes com l\u00fapus eritematoso sist\u00eamico (LES).M\u00e9todosEstudo transversal. Selecionaram\u2010se 96 pacientes ambulatoriais com LES por amostragem n\u00e3o probabil\u00edstica, entrevistados e testados durante consultas m\u00e9dicas. As medidas de desfecho foram: preval\u00eancia ocasional de LBC, \u00cdndice de Incapacidade de Oswestry, Escala Tampa para Cinesiofobia, Escala de Gravidade da Fadiga e contra\u00e7\u00f5es isom\u00e9tricas volunt\u00e1rias m\u00e1ximas (CIVM) de preens\u00e3o manual e dos m\u00fasculos das costas. Usaram\u2010se o coeficiente de correla\u00e7\u00e3o e a regress\u00e3o linear m\u00faltipla na an\u00e1lise estat\u00edstica.ResultadosDos 96 indiv\u00edduos entrevistados, 25 apresentavam LBC, o que indicou uma preval\u00eancia circunstancial de 26% (92% mulheres). A correla\u00e7\u00e3o entre o \u00cdndice de Incapacidade de Oswestry e a contra\u00e7\u00e3o isom\u00e9trica volunt\u00e1ria m\u00e1xima dos m\u00fasculos das costas foi de r=\u20100,4, IC 95% [\u20100,68; \u20100,01] e entre a CIVM de preens\u00e3o manual e dos m\u00fasculos das costas foi de r=0,72, IC 95% [0,51; 0,88]. O modelo de regress\u00e3o apresentou o maior valor de R2 observado quando a CIVM dos m\u00fasculos das costas foi testada com cinco vari\u00e1veis independentes (63%). Nesse modelo, a for\u00e7a de preens\u00e3o manual foi a \u00fanica vari\u00e1vel preditiva (\u00df=0,61, p=0,001).Conclus\u00f5esA preval\u00eancia de LBC em indiv\u00edduos com LES foi de 26%. A CIVM dos m\u00fasculos das costas foi 63% prevista por cinco vari\u00e1veis de interesse. No entanto, apenas a for\u00e7a de preens\u00e3o manual foi uma vari\u00e1vel preditiva estatisticamente significativa. A CIVM dos m\u00fasculos das costas apresentou uma rela\u00e7\u00e3o linear diretamente proporcional \u00e0 for\u00e7a de preens\u00e3o manual e inversamente proporcional ao \u00cdndice de Incapacidade de Oswestry (ou seja, m\u00fasculos das costas mais fortes est\u00e3o associados a menores pontua\u00e7\u00f5es de incapacidade).AbstractObjectiveTo determine the prevalence of Chronic Low Back Pain (CLBP) and predictors of Back Muscle Strength (BMS) in patients with Systemic Lupus Erythematosus (LES).MethodsCross\u2010sectional study. Ninety\u2010six ambulatory patients with LES were selected by non\u2010probability sampling and interviewed and tested during medical consultation. The outcomes measurements were: Point prevalence of CLBP, Oswestry Disability Index, Tampa Scale of Kinesiophobia, Fatigue Severity Scale and maximal voluntary isometric contractions (MVIC) of handgrip and of the back muscles. Correlation coefficient and multiple linear regression were used in statistical analysis.ResultsOf the 96 individuals interviewed, 25 had CLBP, indicating a point prevalence of 26% (92% women). The correlation between the Oswestry Index and maximal voluntary isometric contraction of the back muscles was r=\u20100.4, 95% CI [\u20100.68;\u20100.01] and between the MVIC of handgrip and of the back muscles was r=0.72, 95% CI [0.51;0.88].\u00a0The regression model presented the highest value of R2 being observed when MVIC of the back muscles was tested with five independent variables (63%). In this model handgrip strength was the only predictive variable (\u00df=0.61, P=0.001).ConclusionsThe prevalence of CLBP in individuals with LES was 26%. The MVIC of the back muscles was 63% predicted by five variables of interest, however, only the handgrip strength was a statistically significant predictive variable. The MVIC of the back muscles presented a linear relation directly proportional to handgrip and inversely proportional to Oswestry Index i.e. stronger back muscles are associated with lower disability scores.",
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"name": "Lombalgia cr\u00f4nica em pacientes com l\u00fapus eritematoso sist\u00eamico: preval\u00eancia e preditores da for\u00e7a muscular de extens\u00e3o de tronco e sua correla\u00e7\u00e3o com a incapacidade",
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