Efetividade da técnica de liberação diafragmática na lombalgia inespecífica: análise da dor e limitação de movimento

Abstract

Introduction: the located pain below the last ribs margin and above the lower gluteal lines is named lumbar pain, it can be classified as specific or nonspecific. The Osteopathy, including the diaphragmatic release, is one of the most effective ways to the treatment of low back pain. Goal: Assess effectiveness of the diaphragmatic release technique on pain and movement limitation on adults with nonspecific low back pain. Method: Almost experimental, descriptive and quantitative study with 64 participants that presented nonspecific low back pain, assessed through Visual Analogue Scale (VAS) to pain measurement and Schöber Test to lumbar mobility. The participants were submitted to the diaphragmatic release technique, being immediately re-evaluated after the application of 1 session and 7 days subsequent to intervention. It was adopted in all analysis a significant level of 5% (p<0,05). Results: The diaphragmatic release technique reduced the pain and significantly improved the mobility (p<0,001 in both cases). The mentioned results were kept 7 days after the intervention. Conclusion: The diaphragmatic release technique in adults with nonspecific low back pain provided significantly positive results, with pain and limitation of lumbar movement improvements right after application, with maintenance of this result for 7 days. It is understood that the insertion of the diaphragmatic release technique is necessary in treatment protocols for patients with low back pain. It is suggested to carry out further clinical trials on the subject, in order to understand the physiological and therapeutic effects of manual techniques that integrate osteopathy against low back pain.