Terapia manual na da dor lombar crônica: uma revisão de literatura

Abstract

Non-specific chronic low back pain affects about 60 to 80 percent of the world population causing a significant cost in the health system and work-related shortages. Physiotherapy works with several techniques to minimize the pain and disability caused by low back pain. Objectives: To verify the methods of manual therapy in chronic low back pain in order to better identify its efficacy in the treatment of pain low back pain. Methodology: A research was carried out in the PubMed, SciELO and MEDLINE databases with articles in English, Spanish and Portuguese being selected 72 articles for reading the summary according to the inclusion criteria being: randomized controlled, experimental, case studies, case control and publications in the period from 2010 to 2017. Results: 24 articles were selected to compose the work of which 3 correspond to the Maitland Method, 3 on McKenzie, 5 Segmental Stabilization, 3 references talk about Osteopathy and Chiropractic, and 7 discuss about therapeutic exercises. All are effective in the treatment of chronic low back pain, but they do not show superiority among themselves. Conclusion: The present study concludes that the most varied therapies exist for the treatment of chronic low back pain and that the results are positive for a certain period, but not definitive. The effectiveness of one method over another is still uncertain, many therapies are used together in many interventions, so it is difficult to analyze each method individually.