medigraphic.com
ISSN 2078-7162 (Print)

2011, Number 2

<< Back Next >>

Rev Cub de Med Fis y Rehab 2011; 3 (2)

Update on acute mechanical low back pain

Pérez CD, Rojas CLH, Hernández TS, Bravo AT, Bravo HO

Language: Spanish
References: 34
Page:
PDF size: 84.30 Kb.


ABSTRACT

Introduction: the lumbalgia is a syndrome that is defined for the pain presence in the vertebral region or lumbar paravertebral, generally accompanied by spasm that commits the structures osteomusculares and ligamentarias of the rachis and it's a multiple etiology. From the clinical point of view, it understands from the inferior border of the costal grill until the inferior region of the lap. To carry out the diagnosis of the acute mechanical lumbalgias, it is necessary to keep in mind the clinical history, as well as an exhaustive physical exam that should be carried out with the patient lacking clothes, the painful area should be felt to look for stiff muscle or very selective painful points and an estimate affects to the grade of the mobility. Objective: to upgrade the existent knowledge on acute mechanical lumbalgias. Methods: it was carried out an exploratory study of the published literature and it was organized the existent knowledge about the acute mechanical lumbalgias and the entities that are more frequently caused, their etiology, the clinical signs that help to recognize it, as well as the rules for the rehabilitative treatment. Conclusions: the prevention of the lumbar pain is the fundamental pillar in the treatment of the acute mechanical lumbalgias.


REFERENCES

  1. Seguí DM, Gérvas J. El dolor lumbar. Semergen 2002; 28(1):21-41.

  2. Paulos A J. Boletín Dolor lumbar. Esc. de Medicina, P. Universidad Católica de Chile 1994; 23: 183-188.

  3. Moreside J, Vera-García F, Mcgill S. Trunk muscle activation patterns, Lumbar Compressive Forces, and Spine Stability When Using the Bodyblade. Physical Therapy, 2007;87 (2): 153-163.

  4. Kiesel K, Uhl T, Underwood F, Rodd D, Nitz A. Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging. Manual Therapy, 2006; 12: 161-166.

  5. George S, Childs J, Teyhen D, Wu S, Wright A, Dugan J, Robinson M. Rationale, design, and protocol for the prevention of low back pain in the military (POLM) trial (NCT00373009). BioMed Central Musculoskeletal Disorders, 8:Disponible en http://www.biomedcentral.com/ 2007;

  6. Suni J, Rinne M, Natri A, Statistisian M, Parkkari J, Alaranta H. Control of the lumbar neutral zone decreases low back pain and improves self-evaluated work ability. Spine, 2006; 31 (18): 611-620.

  7. Ferreria SH. Prostaglandins, aspirin-like drugs and analgesia. Nature 1972; 240: 200-3.

  8. Hokefelt T. Experimental immunohistochemical studies on the localization and distribution of substance P in cat primary sensory neurons. Brain Res. 1975;100: 235- 52.

  9. Swinkels-Meewisse IE, Roelofs J, Verbeek AL, Oostendorp RA, Vlaeyen JW. Fear - avoidance beliefs, disability, and participation in workers and nonworkers with acute low back pain. Clin J Pain. 2006; 22:45-54.

  10. Robaina A C, León Palenzuela IM, Sevilla Martínez D. Epidemiología de los trastornos osteomioarticulares en el ambiente laboral. Rev Cubana Med Gen Integr 2006; 16(6):531-39.

  11. Diez M.A. Lumbalgia y ciática: prevención. Farmacia profesional 2003; 17(9):50- 56.

  12. Vargas-Mendoza JE, Nogales-Osorio S. E. Lumbalgia inespecífica: condición emocional y calidad de vida. Centro Regional de Investigación en Psicología, 2011, 5(1): 41-7. Disponible en:http://www.conductitlan.net/centro_regional_investigacion_psicologia /61_lumbalgia_calidad_emocional_calidad_vida.pdf

  13. Bravo A T. Afecciones de la columna dorsolumbar En. Diagnóstico y rehabilitación en enfermedades ortopédicas. La Habana: Editorial Ciencias Médicas; 2006; 211- 262.

  14. Larrea G A, García López C. Artrosis de la columna vertebral. En J. Paulino Tévar. Reumatología en atención primaria. 2ª ed. Edit. Aula Medica, Madrid, 2006; 392-406.

  15. Serra G M R, Diaz Petit J, De Sande Carril ML. Patología mecánica y degenerativa del raquis, región lumbar. En. Fisioterapia en Traumatología, Ortopedia y Reumatología Cap.60. Madrid: Díaz de Santos, 2003. pp. 307-315.

  16. Russo RB. Diagnosis of low back pain: role of imaging studies. Clin Occup Environ Med. 2006; 5:571-89.

  17. Peña Jl, Brieva P, Peña C, Humbría A. Unidades de espalda: un modelo multidisciplinario. Rev Esp Reumatol. 2002; 29:499-502.

  18. Waddell G. Diagnostic triage. In: Churchill Livingstone, editor. The back pain revolution. London: Elsevier, 2006: 9-26.

  19. Waddell G. The clinical course of back pain. In: Churchill Livingstone, editor. Back pain revolution Waddell. London: Elsevier, 2006: 115-136.

  20. López R V, Oviedo Mota M, Guzmán González JM, Ayala García Z, Ricardez Santos G, Burillo Bauret E. Guía clínica para la atención del síndrome lumbar doloroso. Rev Med IMSS. 2003; 41(supl):S123-S130.

  21. Millán S J, Fuertes Fortea A. Radiología Columna Lumbar. En Guía de actuación en Atención Primaria. Espinas Boquete J. Barcelona 2006; 25-29.

  22. Guía de Práctica Clínica para la lumbalgia inespecífica. Grupo Español de Trabajo del Programa Europeo 2005. Disponible en: http://www.reide.org

  23. Hancock MJ, Maher CG, Latimer J, Spindler MF, McAuley JH, Laslett M, Bogduk N. Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain. Eur Spine J 2007; 16: 1539-1550.

  24. Wichman HJ. Discography: over 50 years of controversy. WMJ. 2007;106:27-9.(2) Russo RB. Diagnosis of low back pain: role of imaging studies. Clin Occup Environ Med. 2006; 5:571-89.

  25. Boos N, Aebi M. Spinal Disorders. Fundamentals of diagnosis and treatment. Berlin: Springer; 2008. p. 52-9.

  26. Pérez Irazusta I, Alcorta Michelena I. Guía de práctica clínica sobre Lumbalgia. Osakidetza. GPC 2007/1. Vitoria-Gasteiz.

  27. Mason L, Moore RA, Derry S, Edwards JE, McQuay HJ. Systematic review of topical capsaicin for the treatment of lumbar pain. BMJ 2004; 328(7446):991.

  28. French SD, Cameron M, Walker BF, Reggars JW, Esterman AJ. A cochrane review of superficial heat or cold for low back pain. Spine. 2006; 31:998-1006.

  29. Martín C JE: Electroterapia de media frecuencia en Agentes físicos terapeúticos. Editorial Ciencias Médicas, 2008; 323 - 32.

  30. Aliyev R. Clinical effects of the therapy method deep oscillation in treatment of sports injuries.Sportverletz Sportschaden. 2009 Mar; 23(1):31- 4. Epub 2009.

  31. Aliyev R. Hochsignifikante therapieerfolge mit deep-oscillation® in der orthopädischen rehabilitation. Orthopädische praxis 44:448-453 (2008).

  32. Furlan AD, Van Tulder MW, Cherkin DC, Tsukayama H, Lao L, Koes BW. Acupuncture and dry-needling for low back pain. Cochrane Database Syst Rev 2005;(1): CD001351.

  33. Urrútia G, Burton AK, Morral A, Bonfill X, Zanoli G. Neurorreflexoterapia para el tratamiento del dolor lumbar inespecífico En: La Biblioteca Cochrane Plus, 2006 Oxford: Disponible en: http://www.update.software.com

  34. D'Erme M, Scarchilli A, Artale AM, Pasquali LM. Ozone therapy in lumbar sciatic pain. Radiol Med (Torino) 1998; 95(1-2):21-24.




2020     |     www.medigraphic.com