Effectiveness of a home-based therapeutic exercise program on lower back pain and functionality in Sickle Cell Disease (SCD) patients
Objective: To investigate the effectiveness of a home-based therapeutic exercise program on lower back pain and functionality of SCD patients. Setting: A Hematology and Transfusion Medicine Center, University of Campinas (HEMOCENTRO-UNICAMP). Methods: This was a prospective study, with a three-month...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-07-01
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| Series: | Hematology, Transfusion and Cell Therapy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2531137920300754 |
| _version_ | 1819112038275743744 |
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| author | Camila Tatiana Zanoni Fábio Galvão Renata Manzano Maria Roberto Zulli Janaina Bosso Ricciardi Alberto Cliquet, Junior Sara Teresinha Olalla Saad |
| author_facet | Camila Tatiana Zanoni Fábio Galvão Renata Manzano Maria Roberto Zulli Janaina Bosso Ricciardi Alberto Cliquet, Junior Sara Teresinha Olalla Saad |
| author_sort | Camila Tatiana Zanoni |
| collection | DOAJ |
| description | Objective: To investigate the effectiveness of a home-based therapeutic exercise program on lower back pain and functionality of SCD patients. Setting: A Hematology and Transfusion Medicine Center, University of Campinas (HEMOCENTRO-UNICAMP). Methods: This was a prospective study, with a three-month follow-up of SCD patients with lower back pain. The lumbar spine functionality was evaluated by questionnaires, trunk flexion and extension analyses by fiber-optic-electrogoniometry and measurements of muscle strength of trunk flexor and extensors. The Intervention Group (IG) comprised 18 volunteers, median age 44y (28–58) and the control group (CG) comprised 15 volunteers, median age 42y (19–58), who did not perform exercises. The protocol consisted of daily home-based exercises with two evaluations: at the beginning and end of a three-month program. In order to compare the groups at baseline, the Fisher´s exact test and Mann–Whitney test were used for categorical and numeric variables, respectively. The Wilcoxon test was used for related samples comparing numeric measures of each group over time with a 5% (p < 0.05) significance level. Results: After the intervention, patients demonstrated a significant improvement, according to the Visual-Analog-Scale (VAS; p = 0.01), Rolland Morris Disability questionnaire (RMDQ; p < 0.01) and trunk flexion and extension muscle strength (p < 0.01). No significant differences were found for the Start-Back-Screening-Tool-Brazil (SBST) and in measures of trunk flexion and extension range-of-motion (RoM). Conclusion: Results suggest that daily home-based exercises for a three-month period ameliorate pain and improve disability related to lower back pain and muscle strength. |
| first_indexed | 2024-12-22T04:07:09Z |
| format | Article |
| id | doaj.art-64a1ca5c0f404a36b2a44d0f3902f6e5 |
| institution | Directory Open Access Journal |
| issn | 2531-1379 |
| language | English |
| last_indexed | 2024-12-22T04:07:09Z |
| publishDate | 2021-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Hematology, Transfusion and Cell Therapy |
| spelling | doaj.art-64a1ca5c0f404a36b2a44d0f3902f6e52022-12-21T18:39:37ZengElsevierHematology, Transfusion and Cell Therapy2531-13792021-07-01433268279Effectiveness of a home-based therapeutic exercise program on lower back pain and functionality in Sickle Cell Disease (SCD) patientsCamila Tatiana Zanoni0Fábio Galvão1Renata Manzano Maria2Roberto Zulli3Janaina Bosso Ricciardi4Alberto Cliquet, Junior5Sara Teresinha Olalla Saad6Universidade Estadual de Campinas (Unicamp), Campinas, SP, BrazilUniversidade Estadual de Campinas (Unicamp), Campinas, SP, BrazilUniversidade Estadual de Campinas (Unicamp), Campinas, SP, BrazilUniversidade Estadual de Campinas (Unicamp), Campinas, SP, BrazilUniversidade Estadual de Campinas (Unicamp), Campinas, SP, BrazilUniversidade Estadual de Campinas (Unicamp), Campinas, SP, BrazilCorresponding author at: Hematology and Transfusion Medicine Center, Universidade Estadual de Campinas (Unicamp), Universitária Zeferino Vaz, Rua Carlos Chagas, 480, Cidade, Barão Geraldo, Campinas, SP, CEP: 13083-878, Brazil.; Universidade Estadual de Campinas (Unicamp), Campinas, SP, BrazilObjective: To investigate the effectiveness of a home-based therapeutic exercise program on lower back pain and functionality of SCD patients. Setting: A Hematology and Transfusion Medicine Center, University of Campinas (HEMOCENTRO-UNICAMP). Methods: This was a prospective study, with a three-month follow-up of SCD patients with lower back pain. The lumbar spine functionality was evaluated by questionnaires, trunk flexion and extension analyses by fiber-optic-electrogoniometry and measurements of muscle strength of trunk flexor and extensors. The Intervention Group (IG) comprised 18 volunteers, median age 44y (28–58) and the control group (CG) comprised 15 volunteers, median age 42y (19–58), who did not perform exercises. The protocol consisted of daily home-based exercises with two evaluations: at the beginning and end of a three-month program. In order to compare the groups at baseline, the Fisher´s exact test and Mann–Whitney test were used for categorical and numeric variables, respectively. The Wilcoxon test was used for related samples comparing numeric measures of each group over time with a 5% (p < 0.05) significance level. Results: After the intervention, patients demonstrated a significant improvement, according to the Visual-Analog-Scale (VAS; p = 0.01), Rolland Morris Disability questionnaire (RMDQ; p < 0.01) and trunk flexion and extension muscle strength (p < 0.01). No significant differences were found for the Start-Back-Screening-Tool-Brazil (SBST) and in measures of trunk flexion and extension range-of-motion (RoM). Conclusion: Results suggest that daily home-based exercises for a three-month period ameliorate pain and improve disability related to lower back pain and muscle strength.http://www.sciencedirect.com/science/article/pii/S2531137920300754Sickle Cell DiseaseExercise therapyExercisePhysical therapyBack pain |
| spellingShingle | Camila Tatiana Zanoni Fábio Galvão Renata Manzano Maria Roberto Zulli Janaina Bosso Ricciardi Alberto Cliquet, Junior Sara Teresinha Olalla Saad Effectiveness of a home-based therapeutic exercise program on lower back pain and functionality in Sickle Cell Disease (SCD) patients Hematology, Transfusion and Cell Therapy Sickle Cell Disease Exercise therapy Exercise Physical therapy Back pain |
| title | Effectiveness of a home-based therapeutic exercise program on lower back pain and functionality in Sickle Cell Disease (SCD) patients |
| title_full | Effectiveness of a home-based therapeutic exercise program on lower back pain and functionality in Sickle Cell Disease (SCD) patients |
| title_fullStr | Effectiveness of a home-based therapeutic exercise program on lower back pain and functionality in Sickle Cell Disease (SCD) patients |
| title_full_unstemmed | Effectiveness of a home-based therapeutic exercise program on lower back pain and functionality in Sickle Cell Disease (SCD) patients |
| title_short | Effectiveness of a home-based therapeutic exercise program on lower back pain and functionality in Sickle Cell Disease (SCD) patients |
| title_sort | effectiveness of a home based therapeutic exercise program on lower back pain and functionality in sickle cell disease scd patients |
| topic | Sickle Cell Disease Exercise therapy Exercise Physical therapy Back pain |
| url | http://www.sciencedirect.com/science/article/pii/S2531137920300754 |
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