BENEFITS OF ASSISTED WEIGHT TRAINING IN PATIENTS WITH CHRONIC LOW BACK PAIN

Melissa Alves Aires Marques; Bianca Gabriella De Oliveira; João Pedro Alves Xavier; Lucas Dias Borges Peres; Thaís Simões De Oliveira Borges; Hussien Ali Mustapha; Fabricio Negreiros Holtz; Ravi Cavalcanti Mendes; Marcella Rodrigues Costa Simões

doi:10.37547/TAJMSPR/Volume06Issue01-09

Authors

Melissa Alves Aires Marques
Medical Student At The University Iguaçu - Unig, Itaperuna, Rj, Brazil
Bianca Gabriella De Oliveira
Medical Student At The University Salvador - Unifacs, Salvador, Ba, Brazil
João Pedro Alves Xavier
Medical Student At The Universidade Federal De Alagoas - Ufal, Maceió, Al, Brazil
Lucas Dias Borges Peres
Medical Student At The Unesp, Botucatu, Sp, Brazil
Thaís Simões De Oliveira Borges
Medical Student At The University Salvador - Unifacs, Salvador, Ba, Brazil
Hussien Ali Mustapha
Resident Medical At The Fundação Municipal De Foz Do Iguaçu, Foz De Iguaçu, Pr, Brazil
Fabricio Negreiros Holtz
Doctor Orthopedist And Traumatologist No Hospital Universitário De Nova Iguaçú(Unig), Rio De Janeiro, Rj
Ravi Cavalcanti Mendes
Doctor Orthopedist And Traumatologist No Hospital Das Clínicas Da Universidade Federal Da Bahia, Salvador, Ba, Brazil
Marcella Rodrigues Costa Simões
Doctor Orthopedist And Traumatologist No Hospital Da Baleia, Belo Horizontes, Mg; Hand And Microsurgery Surgeon No Hospital Maria Amélia Lins(Fhemig), Belo Horizonte, Mg, Brazil

DOI:

https://doi.org/10.37547/TAJMSPR/Volume06Issue01-09

Keywords:

Pain Osteoarticular pain Chronic pain

Abstract

Pain is an individual experience that is affected by psychological, social and physical factors and should be treated as a pathology in itself. Low back pain is a mechanical pain located in the lumbar region and gluteal fold, which may or may not generate stiffness and consequently reduced functionality. Lumbosciatalgia, on the other hand, is when this pain and discomfort radiates to the limb, to one or two buttocks and/or to the posterior region of the thigh. This study is a literature review, with searches in the following databases: PubMed, Lilacs and Scielo, using descriptors such as "low back pain", "physical training", "strength training" and "low back pain". Low back pain is one of the most common causes of disability in modern society, with a prevalence of 60-85%; it is the second leading cause of seeking medical attention.Strength training and core stability improves the balance and endurance of the lumbar muscles, as well as activating the deeper muscle groups, reinforcing the fixity of the spine and reducing the stimulation of pain receptors in the tissues. This is why free weight training with higher intensity loads, or not, provides wide-ranging benefits for prevention and improved quality of life due to significant reductions in pain, improved posture, flexibility and strength endurance.

References

ACSM., BRAMBILLA, L. S., PULZATTO, F. Exercício físico em portadores de lesões da coluna vertebral. Revista Saúde UniToledo. v.4, n.1, p. 45-59, 2020.

Aasa, B., Berglund, L., Michaelson, P., & Aasa, U. (2015). Individualized low-load motor control exercises and education versus a high-load lifting exercise and education to improve activity, pain intensity, and physical performance in patients with low back pain: a randomized controlled trial. Journal of orthopaedic & sports physical therapy, 45(2), 77-85.

Berglund, L., Aasa, B., Hellqvist, J., Michaelson, P., & Aasa, U. (2015). Which patients with low back pain benefit from deadlift training?. The Journal of Strength & Conditioning Research, 29(7), 1803-1811.

Brazil, A. V., Ximenes, A. C., Radu, A. S., Fernades, A. R., Appel, C., Maçaneiro, C. H., ... & Stump, X. M. G. (2004). Diagnóstico e tratamento das lombalgias e lombociatalgias. Revista brasileira de reumatologia, 44, 419-425

FREIRE, RS et al. Prática regular de atividade física: estudo de base populacional no norte De Minas Gerais, Brasil. Revista Brasileira de Medicina do Esporte, v.20, n.5, p.345-349, 2014.

Gordon, R., & Bloxham, S. (2016, April). A systematic review of the effects of exercise and physical activity on non-specific chronic low back pain. In Healthcare (Vol. 4, No. 2, p. 22). MDPI.

Haff, G. G. (2000). Roundtable discussion: machines versus free weights. Strength & Conditioning Journal, 22(6), 18.

Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional por Amostra de Domicílios. Um panorama da saúde no Brasil: acesso e utilização dos serviços, condições de saúde e fatores de risco e proteção à saúde, 2008. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2010.

Krismer M, Van Tulder M, Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Res Clin Rheumatol. 2007. 21(1)77-91.

MELO FILHO, J et al. Análise da musculatura estabilizadora lombopélvica em jovens com e sem dor lombar. Revista Fisioterapia em movimento, v.26, n.3, p.587-594, 2013.

Ministério da Previdência Social. Anuário Estatístico de Acidentes do Trabalho - AEAT. Brasil; 2020[atualização 2022 mar 31].

Natour, J. (2004). Coluna vertebral: conhecimentos básicos. In Coluna vertebral: conhecimentos básicos (pp. 244-244).

Oliveira, M. A. S. D., Fernandes, R. D. S. C., & Daher, S. S. (2014). Impacto do exercício na dor crônica. Revista Brasileira de Medicina do Esporte, 20, 200-203.

PETREÇA, DR; et al. Viva bem com a coluna que você tem: ação multidisciplinar no tratamento da lombalgia. Revista Brasileira de Atividade Física & Saúde, v.22, n4, p. 413-418, 2017.

Stump, P. R. N. A. G., Kobayashi, R., & Campos, A. W. D. (2016). Lombociatalgia. Revista Dor, 17, 63-66.

Swinton, P. A., Lloyd, R., Keogh, J. W., Agouris, I., & Stewart, A. D. (2012). A biomechanical comparison of the traditional squat, powerlifting squat, and box squat. The Journal of Strength & Conditioning Research, 26(7), 1805-1816.

Thomas, J. S., & France, C. R. (2007). Pain-related fear is associated with avoidance of spinal motion during recovery from low back pain. Spine, 32(16), E460-E466.

Van Dillen, L. R., Maluf, K. S., & Sahrmann, S. A. (2009). Further examination of modifying patient-preferred movement and alignment strategies in patients with low back pain during symptomatic tests. Manual therapy, 14(1), 52-60.

Welch, N., Moran, K., Antony, J., Richter, C., Marshall, B., Coyle, J., ... & Franklyn-Miller, A. (2015). The effects of a free-weight-based resistance training intervention on pain, squat biomechanics and MRI-defined lumbar fat infiltration and functional cross-sectional area in those with chronic low back. BMJ Open Sport—Exercise Medicine, 1(1).