Sensitivity to change of the Quebec Back Pain Disability Scale and the Dallas Pain Questionnaire

Object For the treatment of lumbar spinal stenosis, less invasive procedures, which preserve maximal bony and ligamentous structures, have been recommended to reduce associated morbidity. The authors examined the outcome after decompression of spinal stenosis in the elderly by comparing 3 different surgical approaches. Their focus was whether a unilateral microsurgical decompression provided sufficient outcomes in the elderly population. Methods The authors investigated 108 elderly patients (age ≥ 60 years) with lumbar spinal stenosis (mean age 71 years [range 60–93 years]) who underwent surgery between 2004 and June 2006 at the authors' institution. Three different modes of decompression were analyzed in this study: a unilateral partial hemilaminectomy, a hemilaminectomy, and a laminectomy. The outcome was assessed 12 months postoperatively using the Quebec Back Pain Disability Scale and the Hannover Functional Back Pain Questionnaire. Results The authors performed a unilateral partial hemilaminectomy in 53 patients (49%). Patients who underwent unilateral partial hemilaminectomies achieved favorable results of at least 80% as assessed using the Quebec Back Pain Disability Scale and Hannover Functional Back Pain Questionnaire. Hemilaminectomies were performed in 45 patients (41.7%), and laminectomies were performed in 10 patients (9.3%). However, there was no statistically significant difference between the various techniques regarding the postoperative results (p < 0.05). Conclusions Laminectomies did not show any advantage when compared with unilateral transmedian approaches. A unilateral partial hemilaminectomy combined with a transmedian decompression sufficiently treated the stenosis. This method seemed advantageous in minimizing the procedure and associated morbidity in this elderly population. Further investigations with long-term results (> 5 years) are still necessary.

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Prevalência de lombalgia em praticantes de musculação

Fisioterapia Brasil ◽

10.33233/fb.v9i3.1643 ◽

2017 ◽

Vol 9 (3) ◽

pp. 189

Author(s):

Sergio Medeiros Pinto

Keyword(s):

Back Pain ◽

Rio De Janeiro ◽

Pain Disability ◽

Disability Scale

O propósito deste estudo foi estimar a prevalência de dor lombar entre praticantes de musculação, bem como estratificar aqueles que acusam este sintoma quanto ao grau de intensidade da dor (severa, moderada e suave). A amostra foi composta de 260 indivíduos do sexo masculino, com idade média de 27,6 anos (± 6,8), praticantes de musculação em academias do bairro do Méier do Rio de Janeiro. O estudo é do tipo descritivo transversal e utilizou como variável discricionária a presença de dor lombar. Os dados foram coletados através do Quebec Back Pain Disability Scale. Como resultado, encontramos que a prevalência de lombalgia entre os participantes foi de 47,3% (n = 123), variando quanto à sua intensidade entre suave (39,8% dos praticantes), moderada (51,2%), severa (8,9%) e apresentando mensalmente (36,6%) as maiores freqüências de queixa da dor. Entre aqueles que alegaram sentir dor 57,7 % disseram não sentir dor enquanto praticam musculação. Outro dado importante revela que 68,3% dos que sentem dor não perderam nenhum dia de trabalho devido a esta algia.Palavras-chave: musculação, prevalência, lombalgia.

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