Intensidade e qualidades da dor lombar em idosas com e sem risco de sarcopenia: estudo original

Abstract

Introduction: Population aging is a global phenomenon and specifically in Brazil, it occurs at an accelerated rate, the Low Back Pain (DL) is a painful and disabling and therapeutically challenging condition that affects the elderly. The sarcopenia is a syndrome associated with aging defined by weight loss, muscle strength and function. The sarcopenia can be associated with pain. Objective: To compare the intensity and qualities of low back pain among older two groups: with and without risk of sarcopenia, classified according to EWGSOP in elderly with acute low back pain. Methodology: It is a type of observational and cross-sectional study. It is a subsample of BACE project. This project was approved by the Ethics Committee of UFMG Search ETIC 0100.0.203.000-11. Instruments of the measures used were: Gait speed, handgrip strength, numerical pain scale and McGill pain questionnaire. A descriptive statistical analysis of the sample analyzed by the Kolmogorov-Smirnov test was performed, and the Mann-Whitney U test were included women aged 65 years participants BACE, residents in the community of the metropolitan region of Belo Horizonte and who had a new (acute) DL episode. An episode is considered new if the elderly have not sought a health professional by reason of DL in the last six months, and the current DL is ongoing for up to 6 weeks. Exclusion criteria: The study excluded the elderly with cognitive disorders detectable by the Mini-Mental State Examination (MMSE); visual impairment and severe hearing; physical disabilities that prevented the achievement of mobility tests. Results: Pain intensity evaluated by the numerical pain scale (END) in the 24 hours prior to evaluation of 5.58 ± 3.36, and END in the previous 7 days evaluation was 6.78 ± 2.86 which indicates intensity moderate DL in the sample. The evaluation index of pain assessed by McGill ranged from 32.55 ± 11.26 ranging from 0 to 56. A score indicating the number of words chosen at McGill was 0-20 with a mean of 14.05 ± 4.29 . The intensity of this pain (McGill) was 0 to 5 with average 1.45 ± 1.27. The FPM ranged from 8 to 45 kgf with a mean of 20.87 ± 5.29 kgf. The comparison between the groups with and without the risk of sarcopenia indicated that the groups were similar with respect to clinical and socio-demographic variables. The intensity of back pain assessed by the END in the 7 days prior to evaluation was higher in patients at risk of sarcopenia in relation elderly at risk of sarcopenia, not sarcopenicas, indicating that elderly at risk of sarcopenia have more DL. There was no difference between the groups when considering the intensity of pain in the 24 hours prior to evaluation, or to consider the variables of DL qualities valued at McGill. Conclusion: that the intensity of back pain assessed by the END in the 7 days prior to evaluation was higher in patients at risk of sarcopenia in relation elderly without risk of sarcopenia and not sarcopenicas, indicating that elderly at risk of sarcopenia have more DL. The sarcopenia should be considered when assessing the DL in elderly women.