Assessment of the quality of life through the SF-36 questionnaire in patients with chronic nonspecific low back pain

Marta Lúcia Guimarães Resende Adorno, Joaquim Pereira Brasil-Neto, Marta Lúcia Guimarães Resende Adorno, Joaquim Pereira Brasil-Neto

Abstract

The objective of this study was to evaluate the quality of life (QL) with the use of the SF-36 Questionnaire in patients with chronic nonspecific low back pain (CNLBP). Thirty patients with CNLBP were randomly assigned to one of three groups (Iso group (Isostretching), GPR group (Global Postural Reeducation), and the Iso+GPR group. Patients underwent physical therapy assessment with the use of the Vertebral Spine Assessment, the Visual Analog Scale of Pain (VASP), and the SF-36 life quality questionnaire before the first session (first assessment), after three months of treatment (second assessment) and reassessed two months after the final session in the follow-up (third assessment). The results indicated that both physical therapy techniques reduced pain (p<0.001); when the techniques (Iso+GPR) were combined, the reduction in pain was significantly greater; and, in the follow-up assessment, the GPR method was more efficient. As for the QL, physical therapy techniques were effective after the interventions (p<0.001), and the Iso method was more effective when patients were reassessed in the follow-up. We conclude that the physical therapy techniques used in this study were efficient to treat CNLBP in the patients since they reduced pain and increased QL according to the results of the SF-36 questionnaire. Level of Evidence II, Randomized Controlled Clinical Trial.

Keywords: Low back pain; Physical therapy specialty; Quality of life.

Conflict of interest statement

All the authors declare that there is no potential conflict of interest referring to this article.

Figures

Figure 1. Comparison of mean measures of…
Figure 1. Comparison of mean measures of pain (VAS) in the first assessment, after treatment (second assessment) and two months after interventions (third assessment).

References

    1. Vogt L, Pfeifer K, Portscher And M, Banzer W. Influences of nonspecific low back pain on three-dimensional lumbar spine kinematics in locomotion. Spine(Phila Pa 1976). 2001;26(17):1910–1919.
    1. Mancin B, Bonvicine G, Gonçalves C, Barboza MAI. Análise da influência do sedentarismo sobre a qualidade de vida de pacientes portadores de dor lombar crônica. ConScientiae Saúde. 2008;7(4):441–447.
    1. Araújo RC, Pitangui,AC. A acupuntura e a reeducação postural global (rpg) no tratamento da lombalgia. Fisioterapia Ser. 2008;3(2):60–62.
    1. Kent PM, Keating JL. The epidemiology of low back pain in primary care. Chiropr Osteopat. 2005;13:13–13.
    1. Consenso Brasileiro sobre Lombalgias e Lombociatalgias. São Paulo: Sociedade Brasileira de Reumatologia. Comitê de coluna vertebral; 2000.
    1. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state"A practical method for grading the cognitive state of patients for the clinician". J Psychiatr Res. 1975;12(3):189–198.
    1. Alexandre NMC, Moraes MAA, Côrrea Filho HR, Jorge SA. Evaluation of program to reduce back pain in nursing. Rev Saúde Pública. . 2001;35(4):356–361.
    1. Ciconelli RM, Ferra, MB, Santos W, Meinão I, Quaresma MR. Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36) Rev Bras Reumatol. . 1999;39(3):143–150.
    1. Redondo B. Entrevista. Fisio & Terapia. 2001;5(27):34–38.
    1. Souchard PE. Apostila unificada do curso de base de R.P.G. Salvador: Instituto Philippe Souchard; 2008. Reeducação postural global.
    1. Carpes FP, Reinehr FB, Mota CB. Effects of a program for trunk strength and stability on pain, low back and pelvis kinematics, and body balance: a pilot study. J Bodyw Mov Ther. 2008;12(1):22–30.
    1. Scholten-Peeters GG, Verhagen AP, Neeleman-van der Steen CW, Hurkmans JC, et al. Randomized clinical trial of conservative treatment for patients with whiplash-associated disorders: considerations for the design and dynamic treatment protocol. J Manipulative Physiol Ther. 2003;26(7):412–420.
    1. Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plusgeneral exercise versus general exercise only: randomized controlled trial ofpatients with recurrent low back pain. Phys Ther. 2005;85(3):209–225.
    1. George SZ, Hirsh AT. Distinguishing patient satisfaction with treatment delivery from treatment effect: a preliminary investigation of patient satisfaction with symptoms after physical therapy treatment of low back pain. Arch Phys Med Rehabil. 2005;86(7):1338–1344.
    1. Weisel SW, Weinstein JN, Herkowitz HN, Dvorák J, Bell GR. The lumbar . 1996;1(3):235–251.
    1. Vitta A. Bem-estar físico e saúde percebida: um estudo comparativo entre homens e mulheres adultos e idosos, sedentários e ativos. Campinas, SP: Universidade Estadual de Campinas; 2001.
    1. Foss ML, Keteyian SJ. Bases fisiológicas do exercício e do esporte. Rio de Janeiro: Guanabara Koogan; 2000.
    1. Rasmussen-Barr E, Nilsson-Wikmar L, Arvidsson I. Stabilizing training comparedwith manual treatment in sub-acute and chronic low-back pain. Man Ther. 2003;8(4):233–241.
    1. O'Sullivan P. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005;10(4):242–255.
    1. Maul I, Läubli T, Oliveri M, Krueger H. Long-term effects of supervised physical training in secondary prevention of low back pain. Eur Spine J. 2005;14(6):599–611.
    1. Spirduso WW, Cronin DL. Exercise dose-response effects on quality of life and independent living in older adults. Med Sci Sports Exerc. 2001;33(6) Suppl:S598–S608.
    1. Martinez JE, Baraúna FIS, Kubokawa KM, Cevasco G, Pedreira IS, Machado LAM. Avaliação da qualidade de vida de pacientes com fibromialgia através do "Medical Outcome Survay 36 Item Short-form Study". Rev Bras Reumatol. 1999;39(6):312–316.
    1. Matsudo SM, Matsudo VKR, Barros Neto TL, Araújo TL. Evolução do perfil neuromotor e capacidade functional de mulheres fisicamente ativas de acordo com a idade cronológica. Rev Bras Med Esporte. 2003;9(6):365–376.
    1. Herrera JB. Estudo comparativo do limiar anaeróbico antes e depois de um programa de treinamento em sedentários de 40 a 50 anos de idade. Rev Bras Cien e Mov. 2001;9(3):53–58.
    1. Tsukimoto GR, Ribeiro M, Brito CA, ,Battistella LR. Avaliação longitudinal da Escola de Postura para dor lombar crônica através da aplicação dos questionários Roland Morris e Short Form Survey (SF-36) Acta Fisiatr. . 2006;13(2):63–66.

Source: PubMed

3
구독하다