Programa de Pós-Graduação em Ciências do Movimento Humano - PPGCMH/ICS
URI Permanente desta comunidadehttps://repositorio.ufpa.br/handle/2011/15816
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Navegando Programa de Pós-Graduação em Ciências do Movimento Humano - PPGCMH/ICS por Orientadores "MAGALHÃES, Maurício Oliveira"
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Item Acesso aberto (Open Access) Associação entre características clínicas, funcionais e psicossociais com o risco de cronicidade dos sintomas em pacientes com dor lombar crônica não específica(Universidade Federal do Pará, 2024-10-20) SILVA, Lucas Yuri Azevedo da; MAGALHÃES, Maurício Oliveira; http://lattes.cnpq.br/7766377002832983; https://orcid.org/0000-0002-7857-021XBackground: Low back pain is considered the leading cause of disability worldwide. Central sensitization is one of the mechanisms that explains how dysregulation in the central nervous system can modulate the chronicity of low back pain; however, it is unclear how clinical, functional, and psychosocial variables are associated with the risk stratification of low back pain chronification. Objective: To verify the association between low and high risk of symptom chronicity and clinical, functional, and psychosocial findings in patients with non specific chronic low back pain. Methods: This is a cross-sectional study applied to individuals with non-specific chronic low back pain, following the recommendations of The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE), conducted between April 2023 and June 2024. The Numerical Pain Rating Scale (NPRS) and the INSTRUTHERM DD2000 20K pressure algometer were used to assess pain intensity and threshold; the Roland-Morris Disability Questionnaire (QRM) to assess functional disability; the Start Back Screening Tool (SBST) for chronicity risk stratification; the Pain Catastrophizing Scale (PCS), the Tampa Scale for Kinesiophobia (TSK), and the Hospital Anxiety and Depression Scale (HADS). Descriptive statistics were performed, and correlation tests were conducted between SBST stratifications of chronicity and the scores from the evaluation instruments. Additionally, multinomial regression analyses were employed. Results: A total of 150 participants were included in the analysis. The correlation between low chronicity risk and clinical, functional, and psychosocial parameters showed statistically significant and moderate negative correlations for the QRM (r = -0.40) and PCS (r = -0.48). Significant, positive, and moderate correlations with high chronicity risk were observed for the QRM (r = 0.40) and PCS (r = 0.48), while positive and weak correlations were found for TSK (r = 0.39) and HADS (r = 0.27). Moreover, the multinomial regression analysis between high and low chronicity risk identified functional disability as a significant predictor for the elevated chronicity risk. For each one-unit increase in the disability questionnaire, the odds of being in the high-risk group increased by 8.8% (OR = 1.088, 95% CI: 1.003 - 1.181, p = 0.043). Additionally, catastrophizing was also a significant predictor. Each additional unit in the catastrophizing score increased the odds of being classified in the high-risk chronicity group by 10.0% (OR = 1.100, 95% CI: 1.049 - 1.154, p < 0.001). The model presented a significant intercept (β = -4.621, p < 0.001), indicating that, in the absence of predictor factors, the probability of being in the high-risk chronicity group is extremely low (OR = 0.009, 95% CI: 0.002 - 0.043). Conclusion: These findings suggest that the probability of being at high risk of chronicity compared to low risk was 36.8%, explained by functional disability and pain catastrophizing.Item Acesso aberto (Open Access) Dor Musculoesquelética na Coluna Vertebral em Crianças e Adolescentes: uma análise de rede(Universidade Federal do Pará, 2024-08-27) GOMES, Marcella Veronnica Pereira; MAGALHÃES, Maurício Oliveira; http://lattes.cnpq.br/7766377002832983; https://orcid.org/0000-0002-7857-021XIntroduction: Musculoskeletal pain is common in children and adolescents, with prevalence ranging from 4% to 40%. Back pain-related symptoms rank 5th in terms of years lived with disability among children aged 10 to 19 years, affecting approximately 2.443 million people. Additionally, it is associated with high healthcare costs and can lead to persistent pain in adulthood. Objective: To analyze the relationship between musculoskeletal pain in the spine in children and adolescents through a network approach. Methods: The study population consists of children and adolescents of both genders, who are regularly enrolled in elementary and high school. Children and adolescents of both genders aged between 10 and 16 years were included. The Back Pain and Body Posture Assessment Instrument (BackPEI-CA) and the Instrutherm pressure algometer, model DD-500, were used to assess pain intensity and threshold, respectively. Data were tabulated, and JASP was used for statistical analysis. A network analysis was conducted to investigate descriptive relationships between individual and contextual factors with self-reported symptoms of back and neck pain. Results: 185 participants were included in the analysis. The network analysis observed that the variable 'Lower Back Pain' was negatively correlated with 'Family Pain History' (-0.14) and positively correlated with 'Sex' (0.19) and 'Neck Pain' (0.12). The 'Sitting Position When Using Cell Phone/ tablet' showed a negative correlation with 'Neck Pain' (-0.19). A negative correlation was observed between 'Sex' and 'Physical Activity Outside School'. Centrality metrics indicated that 'Age' (betweenness = 1.420) and 'Sex' (betweenness = 1.278) had the highest betweenness values. Conclusion: The study concludes that sex is a significant variable in back pain among children and adolescents, with a higher prevalence among girls, possibly due to sexual maturation and lower levels of physical activity compared to boys, who are more active. Additionally, the pain is influenced by poor posture while writing at school and using electronic devices. However, the results should be interpreted with caution due to the limitations of the analysis.Item Acesso aberto (Open Access) Eficácia da terapia manual aos exercícios para melhora da intensidade da dor e incapacidade funcional em pacientes com dor lombar crônica inespecífica: Revisão sistemática e metanálise(Universidade Federal do Pará, 2025-02-27) SANTOS, Emmanuele Celina Souza dos; MAGALHÃES, Maurício Oliveira; http://lattes.cnpq.br/7766377002832983; https://orcid.org/0000-0002-7857-021XLow back pain is among the main causes of global disability, with symptoms lasting more than 12 weeks. Manual therapy is a recommended treatment strategy, in addition to therapeutic exercises, which have shown beneficial neurophysiological effects. However, it is still unclear whether there are benefits of manual therapy and exercises compared to isolated exercises. Objectives: To evaluate the effectiveness of manual therapy combined with exercises versus isolated exercises for improving pain intensity and functional disability in patients with chronic nonspecific low back pain. Methods: This is a systematic review. Searches were performed in the following databases: PubMed, PEDro, Cochrane, Library, EMBASE, Web of Science and CINAHL. Two independent reviewers selected randomized clinical trials that verified improvement in pain intensity and/or functional disability in patients with chronic nonspecific low back pain undergoing manual therapy and exercises compared to isolated exercises. Results: In the end, five randomized clinical trials were included, totaling 260 participants. It was possible to conduct a meta- analysis, which demonstrated that manual therapy associated with exercises compared to isolated exercises was not effective in the pain outcome (SMD = -0.87, CI: -1.87; 0.12, I2 = 90%), but the disability outcome showed statistically significant results in the short term (SMD = -0.73, CI: -1.05 to -0.42, I2 = 0%) and long term (SMD = -1.13, CI: -2.06; -0.19, I2 = 80%). However, these findings were classified as having moderate to low GRADE evidence. Conclusion: Patients who performed one therapy associated with the other compared to isolated therapy did not obtain improvement in pain intensity, but the functional disability outcome obtained statistically significant results in the short and long term; these findings proved to be beneficial. Although the overall quality of evidence in the studies was moderate to very low, these findings represent an important field of research that should be guided by studies with more participants and homogeneous methods of analysis and this can guide the management of low back pain.Item Acesso aberto (Open Access) Mensuração das propriedades do Spinal Appearance Questionnaire em adolescentes com escoliose idiopática: uma revisão sistemática(Universidade Federal do Pará, 2023-03-01) MALAQUIAS, Lorenna Costa; MAGALHÃES, Maurício Oliveira; http://lattes.cnpq.br/7766377002832983; https://orcid.org/0000-0002-7857-021XObjective: to systematically examine the clinical properties of the Spinal Appearance Questionnaire (SAQ) in its cross-cultural adaptations in different languages. Methods: The databases Medline (PubMed), CINAHL, EMBASE, Science Direct, PsycINFO and WorldWideScience.org. Used for screening studies until July 16, 2022. Records on the development, evaluation and translations of the SAQ instrument with adolescents in idiopathic scoliosis were included in this review. In addition, two reviewers defined whether the studies were eligible, as well as analyzed their psychometric properties of Internal Consistency, Reliability, Content Validity, Cross-cultural Validity, Construct Validity and Structural Validity, according to Consensus-based Standards for the Selection of health Measurement Instruments (COSMIN). The Grading of Recommendations Assessment, Development, and Evaluation (GRADE), recommendation of modified quality classification was applied for evidence synthesis. Results: 95 articles were selected by title and abstract. After the removal of duplicates, complete reading and search in the references, there were 13 studies in this review. The original version of the SAQ was described in English and its analysis was made in 2 articles and the instrument was translated into Polish, Canadian French, Simple Chinese, Spanish (Europe), Danish, Traditional Chinese, Portuguese (Brazil), Korean, German, Turkish and Persian. The evidence was moderate for construct validity, low for internal consistency, very low for reliability and cross-cultural validity; the properties of content and structural validity did not present minimum data for classification. Conclusion: The quality of the clinical properties of the SAQ instrument for patients with Adolescent Idiopathic Scoliosis was low, due to the absence of clinical analysis properties or doubtful methodological quality. However, we recommend the instrument for the evaluation of the self-perception of the column in adolescents for its own organizational characteristics, its most current translation in the language if before the others by their sample and organization of statistical tests clearly described, compatible with the general proposal of the research and strengthening the exposures of the studied measurement properties.