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Tratamento da Lombalgia Crônica Influenciada pela Discrepância dos Membros Inferiores: Um Estudo de Caso

DOI: http://dx.doi.org/10.15602/1983-9480/cmbs.v13n27p9-17



Nélio S. Souza1, Glória M. M. V. Rosa2, Glauco A. Gaban3, Dionis Machado4, Ana C. G. Martins5 & Victor H. Bastos6


Resumo: A coluna vertebral é sede de diversas doenças, sendo a lombalgia, a principal e mais frequente causa de absenteísmo. Diversos autores consideram a discrepância dos membros inferiores (DCMI) uma das causas de dor lombar, sendo a obliquidade pélvica a alteração mais comum. O objetivo deste estudo foi analisar e tratar a influência da discrepância dos membros inferiores no desenvolvimento de um quadro de lombalgia crônica. Para a descrição do paciente foram utilizados o índice de incapacidade de Oswestry e uma ficha de avaliação funcional da lombar, onde se observou desordens funcionais incluindo a obliqui¬dade pélvica. Para o resgate funcional deste indivíduo foram empregadas diversas abordagens terapêuti¬cas, bem como o nivelamento pélvico. Aproximadamente 40 a 70% da população apresenta obliquidade pélvica, contudo suas relações com a lombalgia, a discrepância dos membros inferiores e as desordens musculoesqueléticos são discutíveis. Deste modo, são necessários novos estudos a fim de desenvolver diagnósticos mais criteriosos.

Palavras-chave: Dor lombar – DCMI - Obliquidade pélvica e Fisioterapia


Abstract: The spine is headquarters of several diseases, narrow road the low back pain is the main and more frequent privations cause. Many authors consider the difference of length of the inferior member (DLIM) one of the causes low back pain, being the pelvic inclination the most common alteration. The objective of this study was to analyze and treat it influences of the difference of the length of the inferior members in the development of a picture of chronic low back pain. For the patient’s description they were used the index of inability of Oswestry and a record of functional evaluation of the lumbar, where it was observed functional disorders including the pelvic bias. For this individual’s functional ransom therapeutic several treatments was used as well as the pelvic equality. Approximately 40 to 70% of the population presents pelvic bias, however their relationships with the low back pain, the discrepancy of the inferior members and the disorders muscleskeleticon are debatable. This way, it is made new necessary studies in order to develop more discerning diagnoses.

Key words: Low Back Pain – DLIM - Pelvic Bias and Physiotherapy


1 Fisioterapeuta, UNIFESO; Mestrando em Ciências da Reabilitação, UNISUAM.
2 Fisioterapeuta, Mestre em Morfologia, UERJ e docente UGF, IBMR e UNIFESO - Teresópolis/RJ.
3 Fisioterapeuta, UGF; Mestre em Ciências Biológicas, UFRJ.
4 Professora Assistente do Departamento de Fisioterapia da Universidade Federal do Piauí (UFPI/Parnaíba).
5 Fisioterapeuta, UNIFESO; Mestranda em Atenção Integrada a Saúde da Mulher e da Criança, UFF.
6 Professor Adjunto do Departamento de Fisioterapia da Universidade Federal do Piauí (UFPI/Parnaíba).


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