Enfoque funcional cognitiva para manejar el dolor de espalda baja en remeros varones adolescentes: un ensayo controlado aleatorio / Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial

Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/25618890
http://bjsm.bmj.com/content/early/2015/01/23/bjsports-2014-093984.long
http://www.anatomia-fisioterapia.es/es/es/component/content/article/33-articles/systems/musculoskeletal/spine/lumbar/1051-aproximacion-cognitiva-funcional-a-la-lumbalgia-en-remeros
De:
Ng L1, Cañeiro JP2, Campbell A1, Smith A1, Burnett A3, O'Sullivan P2.
Br J Sports Med. 2015 Jan 24. pii: bjsports-2014-093984. doi: 10.1136/bjsports-2014-093984. [Epub ahead of print]
Todos los derechos reservados para:
Copyright © 2015 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine

Abstract

BACKGROUND:

Low back pain (LBP) is prevalent among adolescent rowers. This study evaluated the efficacy of a cognitive functional approach to reduce LBP in this population.

METHODS:

Thirty-six adolescent male rowers reporting LBP participated. Nineteen were randomly allocated to the intervention group to receive a cognitive functional approach targeting cognitions, movement patterns, conditioning and lifestyle factors relevant to each rower for 8 weeks. The active control group (n=17) received usual care from their coaches (rowing skills and conditioning exercises). The primary outcome of the study waspain intensity as measured by the Numeric Pain Rating Scale during a 15 min ergometer trial preintervention and postintervention. Disability (Patient Specific Functional Scale and Roland Morris Disability Questionnaire) was measured preintervention/postintervention and at 12 weeks follow-up. Isometric muscle endurance of the back extensors and lower limb muscles, usual sitting posture and regional lumbar kinematic data during a 15 min ergometer row were measured preintervention/postintervention.

RESULTS:

Compared with the control group, the intervention group reported significantly less pain during ergometer rowing (Numeric Pain Rating Scale -2.4, p=0.008) and reduced disability (Patient Specific Functional Scale (4.1, p=0.01); Roland Morris Disability Questionnaire (-1.7, p=0.003)) following the intervention, and at 12 weeks follow-up. They also demonstrated greater lower limb muscle endurance (20.9 s, p=0.03) and postured their lower lumbar spine in greater extension during static sitting (-9.6°, p=0.007). No significant differences were reported in back muscle endurance and regional lumbar kinematics during ergometer rowing.

CONCLUSION:

Cognitive functional approach was more effective than usual care in reducing pain and disability in adolescent male rowers.

CLINICAL TRIAL REGISTRY NUMBER:

Australian and New Zealand Clinical Trial Registry Number 12609000565246.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

KEYWORDS:

Adolescent; Lumbar spine; Physiotherapy; Randomised controlled trial; Rowing

PMID:

 

25618890

 

[PubMed - as supplied by publisher]

Aproximación cognitiva funcional a la lumbalgia en remeros

La lumbalgia es común entre los remeros adolescentes, y ha sido reconocida incluso por la federación internacional de remo como una causa frecuente de retirada en remeros. El siguiente RCT investigó la eficacia de una aproximación funcional cognitiva comparada con los cuidados habituales en un grupo masculino de remeros adolescentes.

19 remeros se distribuyeron de manera aleatoria en el grupo de intervención, consistente en una aproximación cognitiva funcional hacia la cognición, patrones de movimiento, acondicionamiento y estilos de vida relativos a cada remero durante 8 semanas. El resto de remeros (17) recibieron los cuidados habituales consistentes en habilidades de remo y ejercicios de acondicionamiento. El grupo de intervención informó de menos dolor y discapacidad de manera significativa durante una ergometría remando al final de las 8 y a las 12 semanas de seguimiento comparado con el grupo de control activo. También mostraron mayor resistencia en miembros inferiores y un aumento de la extensión lumbar en la sedentación.

Estos hallazgos demuestran los beneficios de una aproximación cognitiva funcional en el manejo de la lumbalgia y la discapacidad entre remeros adolescentes masculinos.

> De: Ng et al., Br J Sports Med (2015) (Publ. antes de impresión). Todos los derechos reservados: BMJ Publishing Group Ltd. .Pincha aquí para acceder al resumen de Pubmed.. Traducido por Francisco Jimeno Serrano