Monografia (especialização)
Instrumentos para avaliação de capacidade funcional de pacientes com lombalgia: uma revisão bibliográfica
Fecha
2011-12-02Autor
Marcelle Rezende Gomes
Institución
Resumen
Low back pain is manifested by pain that can occur in region the lumbar, sacral or
lumbosacral. This dysfunction reveals a disability that restricts or limits an individual ability
to perform activities of daily living (ADL’s), physical activity and labor. The International
Classification of Functioning, Disability and Health (ICF) provides an understanding of all
the health-disease experienced by an individual in the fields related to the structure and
function of the body, activity and participation. In the latter two areas, the CIF has two
qualifiers (Performance and Capacity) aimed at characterizing the functional state of the
patient. Instruments for measuring functional capacity have been included in the evaluation
protocols, by allowing the clinician to determine the level of maximum capacity of the
patient. Moreover, these measures, simulate various ADL’s can be used to outline the
objectives to be achieved with functional rehabilitation. Therefore, the aim of this study was
to conduct a review of the functional tests used to assess the functional capacity of patients
with low back pain, identifying measures to have adequate psychometric properties of
reliability and validity for use in clinical practice. More functional tests described in the
literature that address the functional capacity of patients with low back pain include: Test five
minute walk, Flexion of the lumbar, Repeated Trunk Flexion, Fifty-Foot Walk, Repeated Sit to-Stand, Climb and descend a ladder for a minute, Loaded Reach, The Sorensen fatigue test,
Timed lying to stand test, Timed Up-and-Go, Unloaded Reach. There is no consensus in the
literature to indicate the best functional test for functional evaluation of patients with low
back pain. However, most testing has established reliability and validity, as assessed in
studies of the specific population of individuals with low back pain. However, when choosing
the test to be applied, the physiotherapist should choose the most appropriate, taking into
account the same psychometric properties and functional demands of each patient.