Asociación entre distancia de los bordes mediales del recto abdominal y dolor lumbar en estudiantes universitarios
Texto completo:
PDFResumen
Introducción: El dolor lumbar crónico en los universitarios oscila entre un 12,4 y 75 %. Se evidenció inicialmente que la alteración de la musculatura del recto abdominal puede estar asociada al dolor lumbar.
Objetivo: Evaluar la asociación entre la distancia de los bordes mediales del músculo recto abdominal y la presencia de dolor lumbar.
Métodos: Se realizó un estudio de casos y controles en estudiantes de una universidad privada de la ciudad de Lima. Se valoraron el dolor lumbar y la distancia entre los bordes mediales del músculo recto abdominal mediante la escala numérica de dolor, índice cintura cadera, el cuestionario nórdico y la escala de Oswestry. Se midió la distancia los bordes mediales del músculo recto abdominal con un Caliper digital.
Resultados: La media y desviación estándar de la distancia de los bordes mediales del músculo recto abdominal fue 21,9 ± 3,5. Esta y la diástasis abdominal se asociaron con el dolor lumbar.
Conclusiones: Se demostró que la distancia de los rectos abdominales y el dolor lumbar en los estudiantes universitarios guardan relación.
Palabras clave
Referencias
Abdulaziz A, Althaqafi A, Hindi A, Khan S, Atalla A, Hendi O. Prevalence of musculoskeletal disorders and its correlation to physical activity among health specialty students. Int J Prev Med. 2019;10(1):48. DOI: https://doi.org/10.4103/ijpvm.ijpvm_436_18
Tavares C, Salvi CS, Nisihara R, Skare T. Low back pain in Brazilian medical students: a cross-sectional study in 629 individuals. Clin Rheumatol. 2018;38:939-42. DOI: https://doi.org/10.1007/s10067-018-4323-8
Vujcic I, Stojilovic N, Dubljanin E, Ladjevic N, Ladjevic I, Sipetic S. Low back pain among medical students in Belgrade (Serbia): A cross-sectional study. Pain Res Manag. 2018;2018. DOI: https://doi.org/10.1155/2018/8317906
Crawford RJ, Volken T, Schaffert R, Bucher T. Higher low back and neck pain in final year swiss health professions’ students: Worrying susceptibilities identified in a multi-centre comparison to the national population. BMC. 2018;18. DOI: https://doi.org/10.1186/s12889-018-6105-2
Fatoye F, Gebrye T, Odeyemi I. Real-world incidence and prevalence of low back pain using routinely collected data. Rheumatol Int. 2019;39:619-26. DOI: https://doi.org/10.1007/s00296-019-04273-0
Curotto DA, Becerra G, Bravo S. Asociación entre el nivel de actividad física, sedentarismo y dolor de espalda en estudiantes de nutrición y dietética de una universidad de Lima en contexto de Pandemia por COVID-19. Association between the level of physical activity, sedentary lifestyl. Retos. 2022;45:1019-30. DOI: https://doi.org/10.47197/retos.v45i0.90979
Ilic I, Milicic V, Grujicic S, Zivanovic I, Kocic S, Ilic MD. Prevalence and correlates of low back pain among undergraduate medical students in Serbia, a cross-sectional study. PeerJ. 2021. DOI: https://doi.org/10.7717/peerj.11055
Ben N, Korn L. Associations between backache and stress among undergraduate students. J Am College Health. 2018;68(1):61-7. DOI: https://doi.org/10.1080/07448481.2018.1515753
Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V, et al. Low back pain, a comprehensive review: pathophysiology, diagnosis, and treatment. Curr Pain and Headache Rep. 2019;23:23. DOI: https://doi.org/10.1007/s11916-019-0757-1
Leocadio M, Oliveira VK, Nunes JM. Prevalence of low back pain and associated factors among physiotherapy students. Bras J Pain. 2018;1(3). DOI: https://doi.org/10.5935/2595-0118.20180047
Ge M, Onoda K, Maruyama H, Huo M, Li D, Huang Q, et al. Analysis of the relationship between the transversus abdominis and lower back pain using an ultrasound. J Phys Ther Sci. 2021;33(11):845-9. DOI: https://doi.org/10.1589/jpts.33.845
Unsgaard M, Lound TI, Magnussen J, Vasseljen O. Is activation of transversus abdominis and obliquus internus abdominis associated with long-term changes in chronic low back pain? A prospective study with 1-year follow-up. Br J Sports Med. 2012;46(10):729-34. DOI: https://doi.org/10.1136/bjsm.2011.085506
Hofste A, Soer R, Groen GJ, van der J, Geerdink FJB, Oosterveld FGJ, et al. Functional and morphological lumbar multifidus characteristics in subgroups with low back pain in primary care. Musculosk Sci Pract. 2021;55:102429. DOI: https://doi.org/10.1016/j.msksp.2021.102429
Whittaker JL, Warner MB, Stokes M. Comparison of the sonographic features of the abdominal wall muscles and connective tissues in individuals with and without lumbopelvic pain. J Orthop Sports Phys Ther. 2013;43(1):11-9. DOI: https://doi.org/10.2519/jospt.2013.4450
Puri J, Sharma S, Samuel AJ, Chahal A. Investigate Correlation between diastasis of rectus abdominis muscle and low back pain in obese women. JLM. 2021;11:38-42. DOI: https://doi.org/10.15280/jlm.2021.11.1.38
Hernández P, Henriksen NA, Berrevoet F, Cuccurullo D, López M, Nienhuijs S, et al. European Hernia Society guidelines on management of rectus diastasis. BJS. 2021;108(10):1189-91. DOI: https://doi.org/10.1093/bjs/znab128
Cavalli M, Aiolfi A, Bruni PG, Manfredini L, Lombardo F, Bonfanti MT, et al. Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation. Hernia. 2021;25:883-90. DOI: https://doi.org/10.1007/s10029-021-02468-8
Doubkova L, Andel R, Palascakova-Springrova I, Kolar P, Kriz J, Kobesova A. Diastasis of rectus abdominis muscles in low back pain patients. J Back Musculosk Rehabil. 2018;31(1):107-12. DOI: https://doi.org/10.3233/bmr-169687
Barbosa S, Moreira RA, Coca LG. Diastasis of rectus abdominis in the immediate puerperium: Correlation between imaging diagnosis and clinical examination. Arch Gynecol Obstetrics. 2013;288:299-303. DOI: https://doi.org/10.1007/s00404-013-2725-z
Dalal K, Kaur A, Mitra M. Correlation between diastasis rectus abdominis and lumbopelvic pain and dysfunction. Indian J Physiother Occup Ther. 2014;8(1):210-4. DOI: https://doi.org/10.5958/j.0973-5674.8.1.040
van de Water M, Benjamin R. Measurement methods to assess diastasis of the rectus abdominis muscle (DRAM): A systematic review of their measurement properties and meta-analytic reliability generalisation. Manual Ther. 2016;21:41-53. DOI: https://doi.org/10.1016/j.math.2015.09.013
Gonçalves P, Gil A, Andrade AI, Bø K. Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain. Manual Ther. 2015;20(1):200-5. DOI: https://doi.org/10.1016/j.math.2014.09.002
Chiarello CM, McAuley JA. Concurrent validity of calipers and ultrasound imaging to measure interrecti distance. J Orthop Sports Phys Ther. 2013;43(7):495-503. DOI: https://doi.org/10.2519/jospt.2013.4449
Bakken J, Kolberg M, Hilde G, Ellström M, Bø K. Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain. Br J Sports Med. 2016;50(17):1092-6. DOI: https://doi.org/10.1136/bjsports-2016-096065
Spitznagle TM, Leong FC, Van Dillen LR. Prevalence of diastasis recti abdominis in a urogynecological patient population. Int Urogynecol J. 2007;18:321-8. DOI: https://doi.org/10.1007/s00192-006-0143-5
Gitta S, Magyar Z, Tardi P, Füge I, Járomi M, Ács P, et al. A rectus diastasis prevalenciája, lehetséges rizikófaktorai és szövődményei. Orvosi Het. 2017;158(12):454-60. DOI: https://doi.org/10.1556/650.2017.30703
Whittaker JL, Warner MB, Stokes M. Comparison of the sonographic features of the abdominal wall muscles and connective tissues in individuals with and without lumbopelvic pain. J Orthop Sports Phys Ther. 2013;43(1):11-9. DOI: https://doi.org/10.2519/jospt.2013.4450
Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. JCN. 2005;14(7):798-804. DOI: https://doi.org/10.1111/j.1365-2702.2005.01121.x
Martínez MM, Alvarado R. Validación del Cuestionario Nórdico Estandarizado de Síntomas Musculoesqueléticos para la población trabajadora chilena, adicionando una escala de dolor. Rev Salud Púb. 2017;21(2). DOI: https://doi.org/10.31052/1853.1180.v21.n2.16889
Alcántara S, Flórez MT, Echávarri C, García F. Escala de incapacidad por dolor lumbar de Oswestry. Rehabil. 2006;40(3):150-8. DOI: https://doi.org/10.1016/S0048-7120(06)74881-2
Berdasco A, Romero JM, Jimenez JM. Valores del índice de cintura/cadera en población adulta de Ciudad de La Habana. Rev Cub Aliment Nutr. 2002 [acceso 19/11/2021];16(1):42-7. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/lil-330012
Bravo S, Saavedra M, Sierra LA. Certificado de caliper digital. Mend Data. 2022. https://doi.org/10.17632/9vm8rw7z97.1
Romero C, Almazán J, Rodríguez D, López D, Vázquez S, Arias JL, et al. Ultrasonography features of abdominal perimuscular connective tissue in elite and amateur basketball players: an observational study. Rev Assoc Med Bras. 2018;64(10). DOI: https://doi.org/10.1590/1806-9282.64.10.936
Enlaces refback
Copyright (c) 2023 Sergio Bravo-Cucci
Esta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial 4.0 Internacional.
La revista está: Certificada por el CITMA
La revista es de acceso abierto y gratuito.