Relationship of muscle strength and pressure pain threshold in patients with chronic low back pain
DOI:
https://doi.org/10.11606/issn.2317-0190.v26i3a166959Keywords:
Low Back Pain, Muscle Strength, Pain MeasurementAbstract
Relationships of pain, disability and muscle strength may be associated with chronic low back pain. Objective: To evaluate the association between muscle strength of the gluteus medius muscle and handgrip strength, pressure pain threshold (PPT) and level of disability in patients with chronic low back pain. Methods: This is a cross-sectional observational study involving 50 individuals of both sexes. Level of disability was assessed using Roland-Morris (RMQ) questionnaire. PPT was assessed by algometry in the gluteus medius muscle. The evaluation of muscle strength was conducted with the manual force test (MFT) at gluteus medius. Handgrip strength was assessed by a portable dynamometer. Correlations were established using Pearson or Spearman correlation coefficients. Results: There was a moderate association between the strenght of the gluteus medius muscle and hangrip strength (r=0.44), between hangrip strength and the PPT of gluteus medius (r=0.45), and between gluteus medius strength and disability (r=-0.44). Other correlations investigated were weak or very weak. Conclusion: Data from this study suggest that, in individuals with chronic low back pain, the higher the handgrip strength, the higher the strength and the PPT at gluteus medius. Still, the higher the strength of gluteus medius, the lower the pain in these patients.
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