Benefícios da educação associada à fisioterapia convencional na dor e função em indivíduos adultos com lombalgia crônica: uma revisão de literatura

Abstract

Introduction: Low back pain, or low back pain, is considered a serious health problem worldwide. Due to its high incidence in the working age population, it is a cause of high rates of disability and absences from work, generating high costs for health systems and society. It is estimated that the Brazilian government spent a total of $ 71.4 million on pathologies related to the spine in 2018, with low back pain representing approximately 67% of these costs. Exercise therapy has been the most specific tool for the management of chronic low back pain, however, in addition to exercise therapy, clinical clinics advocate the use of patient education as an essential component in treatment. Objective: The objective of this review was to investigate the benefits of adding an educational program to treatment with exercise, in the pain and disability of adult individuals with chronic low back pain. Methodology: The present study is a literature review. A literature search was performed on the following electronic databases: PubMed, PEDro and SCielo. Being considered as eligible randomized controlled trials or pilot randomized controlled trials written in English, Portuguese and Spanish, that have been published in the last ten years. Results: The electronic search resulted in 258 articles, these 6 were included in this review after being aware of the criteria defined for this study. All of them have positive results regarding the adherence of an educational program to treatment with exercises in the management of chronic low back pain in adults. Conclusion: The evidence obtained that the addition of an educational program brings beneficial effects when associated with physical therapy treatment with exercises on the outcomes of pain and disability. However, the results are insipient about its long-term effects.