A relação entre a lombalgia e os isquiotibias na literatura atual

Felipe Pedro  da Cruz; Camilla Pereira Bastos Zanzarini  Pio; Gabriel Felipe  Carmona; Rebeca Carriel de  Souza Neto; Leonardo Martin Berber; Ricardo Wilson de Pinho  Rodrigues

doi:10.36560/17120241853

Authors

Felipe Pedro da Cruz Universidade Federal de Mato Grosso - Campus de Sinop
Camilla Pereira Bastos Zanzarini Pio Universidade Federal de Rondonópolis
Gabriel Felipe Carmona Universidade Federal de Mato Grosso - Campus de Sinop
Rebeca Carriel de Souza Neto Universidade Federal de Mato Grosso - Campus de Sinop
Leonardo Martin Berber Pontifícia Universidade Católica do Paraná - Campus Curitiba
Ricardo Wilson de Pinho Rodrigues Universidade Federal de Mato Grosso - Campus de Sinop

DOI:

https://doi.org/10.36560/17120241853

Keywords:

Hamstring muscles, Lower back pain

Abstract

Low back pain can be defined as pain, a sensation of tension or stiffness located below the marginal ribs and above the lower gluteal fold or referred to at the level of the pelvic girdle. Its etiology can be varied, such as vascular abnormalities, irregularities in painful neuromodulation and psychosocial factors, with the possibility of the hamstring muscles, responsible for knee flexion and hip extension, contributing to its pathogenesis. Therefore, the objective of this article was to review the current literature on the association between low back pain and hamstring muscles. The review was based on studies published on the PubMed and VHL Regional Portal platforms in the last five years – a period between 2018 and 2023. Most of the studies found point to a positive correlation for the association, emphasizing the influence of its shortening and hamstring asymmetry, such as contributors to pathogenesis, pain intensity and functional limitations. With demonstration of the relationship in the most diverse groups, from children to athletes. Therapeutic modalities such as stretching and muscle strengthening had an impact on analgesia. The recent technique of dry needling is therapeutically promising, although more analyzes are needed to obtain a greater degree of evidence. Therefore, it is essential to evaluate interventional techniques in order to compare their impacts on low back pain and patients' daily lives, such as analgesia, quality of life and functionality.

References

AHN, J.-O. et al. Effectiveness of hamstring stretching using a pressure biofeedback unit for 4 weeks: A randomized controlled trial. Hong Kong Physiotherapy Journal, v. 40, n. 02, p. 99–107, 5 mar. 2020.

ALLAM, N. M. et al. Correlation between hamstring muscle tightness and incidence of low back pain in female students at Jouf University, Saudi Arabia. European Review for Medical and Pharmacological Sciences, v. 26, n. 21, p. 7779–7787, 1 nov. 2022.

AMIRI, B.; ZEMKOVÁ, E. Diaphragmatic breathing exercises in recovery from fatigue-induced changes in spinal mobility and postural stability: a study protocol. Frontiers in Physiology, v. 14, p. 1220464, 2023.

ASADA, F. et al. Effect of quick simple exercise on non-specific low back pain in Japanese workers: a randomized controlled trial. Environmental Health and Preventive Medicine, v. 28, n. 0, p. 36–36, 1 jan. 2023.

BAZZAZ-YAMACHI, M. et al. Dry Needling of Tight Hamstrings in the Treatment of Chronic Low Back Pain. Iranian Journal of Public Health, 5 jul. 2021.

BAZZAZ-YAMCHI, M. et al. Acute and Short-Term Effects of Dry Needling in Patients with Chronic Nonspecific Low Back Pain and Hamstring Tightness: A Pilot Study. The Scientific World Journal, v. 2021, p. 7259956, 20 nov. 2021.

BERNSTORFF, M. et al. An Analysis of Sport-Specific Pain Symptoms through Inter-Individual Training Differences in CrossFit. Sports, v. 9, n. 5, p. 68, 19 maio 2021.

CEJUDO, A.; CENTENERA-CENTENERA, J. M.; SANTONJA-MEDINA, F. The Potential Role of Hamstring Extensibility on Sagittal Pelvic Tilt, Sagittal Spinal Curves and Recurrent Low Back Pain in Team Sports Players: A Gender Perspective Analysis. International Journal of Environmental Research and Public Health, v. 18, n. 16, p. 8654, 16 ago. 2021.

CEJUDO, A. Lower-Limb Range of Motion Predicts Sagittal Spinal Misalignments in Children: A Case-Control Study. International Journal of Environmental Research and Public Health, v. 19, n. 9, p. 5193, 25 abr. 2022.

GONZÁLEZ-GÁLVEZ, N. et al. Back Pain Related with Age, Anthropometric Variables, Sagittal Spinal Curvatures, Hamstring Extensibility, Physical Activity and Health Related Quality of Life in Male and Female High School Students. International Journal of Environmental Research and Public Health, v. 17, n. 19, p. 7293, 6 out. 2020.

GULRANDHE, P.; YADAV, V.; NAQVI, W. M. Correlation Between Foot Posture and Hamstring Muscle Tightness. Cureus, v. 15, n. 7, p. e42046, 1 jul. 2023.

HERNANDEZ-LUCAS, P. et al. Prevention of Low Back Pain in Adults with a Back School-Based Intervention. Journal of Clinical Medicine, v. 10, n. 22, p. 5367, 18 nov. 2021.

HUANG, L. et al. The Effect of Exercise Intervention Based Upon the Selective Functional Movement Assessment in an Athlete With Non-specific Low Back Pain: A Case Report and Pilot Study. Frontiers in Psychology, v. 11, 21 ago. 2020.

IMAMURA, S. T.; KAZIYAMA, H. H. S.; IMAMURA, M. Lombalgia. Revista de Medicina, v. 80, p. 375–390, 20 dez. 2001.

KIM, B.; YIM, J. Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Non-Specific Low Back Pain: A Randomized Controlled Trial. The Tohoku Journal of Experimental Medicine, v. 251, n. 3, p. 193–206, 2020.

MIZOGUCHI, Y. et al. Efficacy of semi-customized exercises in preventing low back pain in high school volleyball players: A randomized controlled trial. Medicine, v. 101, n. 36, p. e30358, 9 set. 2022.

MOON, K. et al. Association Between Hamstring Shortness and Asymmetry, Pain Intensity, Disability Index, and Compensatory Lumbar Movement in 60 Patients with Nonspecific Chronic Low Back Pain. Medical Science Monitor, v. 29, 3 mar. 2023.

MUKKAMALA, N.; PARMAR, L.; KUMAR, P. Musculoskeletal disorders in tyre manufacturing workers. Indian Journal of Occupational and Environmental Medicine, v. 25, n. 3, p. 133, 2021.

NOORMOHAMMADPOUR, P. et al. COMPARISON OF LATERAL ABDOMINAL MUSCLE THICKNESS IN YOUNG MALE SOCCER PLAYERS WITH AND WITHOUT LOW BACK PAIN. International Journal of Sports Physical Therapy, v. 14, n. 2, p. 273–281, 1 abr. 2019.

OLIVEIRA, J. G. DE; SALGUEIRO, M. M. H. DE A. DE O.; ALFIERI, F. M. Lombalgia e Estilo de Vida. Journal of Health Sciences, v. 16, n. 4, 2014.

SHAMSI, M.; MIRZAEI, M.; KHABIRI, S. S. Universal goniometer and electro-goniometer intra-examiner reliability in measuring the knee range of motion during active knee extension test in patients with chronic low back pain with short hamstring muscle. BMC Sports Science, Medicine and Rehabilitation, v. 11, n. 1, 22 mar. 2019.

SHAMSI, M. et al. Modeling the effect of static stretching and strengthening exercise in lengthened position on balance in low back pain subject with shortened hamstring: a randomized controlled clinical trial. BMC Musculoskeletal Disorders, v. 21, n. 1, dez. 2020.

SHAW, J. E. et al. Understanding the Biering-Sørensen test: contributors to extensor endurance in young adults with and without low back pain. medRxiv (Cold Spring Harbor Laboratory), 12 jan. 2023.

TANTOT, M. et al. Effects of an Intensive 6-Week Rehabilitation Program with the HUBER Platform in the Treatment of Non-Specific Chronic Low Back Pain: A Pilot Study. Clinics and Practice, v. 12, n. 4, p. 609–618, 9 ago. 2022.

WATANABE, Y. et al. Associations between core stability and low back pain in high school baseball players: A cross-sectional study. Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association, v. 27, n. 5, p. 965–970, 1 set. 2022.