Reabilitação baseada em movimento para redução de dor e melhora de atividade em indivíduos com diagnóstico de espondilólise e espondilolistese: revisão sistemática

Abstract

Objective: To investigate the efficacy of non-invasive movement-based rehabilitation programs to reduce pain and improve activity in people with spondylolysis and spondylolisthesis. Research questions were: Is movement-based rehabilitation effective to reduce pain and improve activity in people with spondylolysis and spondylolisthesis? Is movement-based rehabilitation superior to the surgical treatment? Method: Systematic review of randomised clinical trials. Participants were adults with diagnosis of spondylolysis and spondylolisthesis, and the experimental intervention was a movement-based rehabilitation program. Outcome measures were pain and activity. Result: Five trials were included in this systematic review. Two trials examined the efficacy of movement-based rehabilitation on pain; one of these trials also examined the effects on activity. One trial indicated that movement-based rehabilitation significantly reduced pain intensity and improved activity. The second trial indicated that the movement-based rehabilitation did not significantly reduce pain. Three trials examined the efficacy of movement-based rehabilitation compared to a surgical treatment to reduce pain and improve activity. All trials reported that movement-based rehabilitation is less effective than surgical treatment for reducing pain and improving activity. Conclusion: The results are inconclusive regarding the efficacy of movement-based rehabilitation to reduce pain in people with spondylolysis and spondylolisthesis, and suggested that it is less effective than surgical treatments. Positively, in all trials that reported a reduction in pain intensity, the benefits were carried-over to activity.