Efeitos das técnicas de mobilização articular na dor, incapacidade e flexibilidade em gestantes com lombalgia

Abstract

Introduction: Pregnancy has a profound effect on the pregnant woman's body, from the second trimester onwards, the overload on the muscles and ligaments of the spine is even more intense. Manual physiotherapy and, in this context, the Mulligan and Maitland concepts, aim to correct, relieve and recover musculoskeletal injuries and organ dysfunctions Objective: To describe the effects of joint mobilization techniques applied to the lumbar spine on pain, disability and flexibility in pregnant women with low back pain. Methodology: Study of quasi-experimental and quantitative nature, carried out with 15 pregnant women. Participants were submitted to the Visual Analog Scale to obtain pain intensity; Fleximeter to check lumbar flexibility and; to the Oswestry Disability Index to assess functional lumbar disability. The intervention consisted of a session, with the participants being evaluated before, after the intervention and 7 days after the intervention. In the statistical analysis, a significance level of 5% (p<0.05) was adopted. Results: Joint mobilization techniques showed an immediate/acute effect on pain (p<0.001), with maintenance of this improvement after 7 days of application of the protocol. There was a significant improvement in the flexibility of the lumbar spine (p=0.001) with the maintenance of this improvement after 7 days of the session. The intervention provided a significant improvement in the functional capacity of the lumbar spine of these pregnant women (p=0.001). Conclusion: We found that the application of the joint mobilization protocol provided significant improvement in all variables analyzed. These findings suggest the importance and necessity of including these techniques in the treatment plan for gestational low back pain.