Lombalgia crônica em pacientes com lúpus eritematoso sistêmico: prevalência e preditores da força muscular de extensão de tronco e sua ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-09

AUTHORS

Raíssa 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

ABSTRACT

ResumoObjetivoDeterminar 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... »

PAGES

438-444

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1016/j.rbr.2017.03.001

DOI

http://dx.doi.org/10.1016/j.rbr.2017.03.001

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1084804524


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