Programa estruturado de exercícios físicos: impacto na qualidade de vida de pacientes com síndrome dolorosa pós-laminectomia

Abstract

The FBSS - Failed Back Surgery Pain Syndrome is characterized as continuing or settling back pain after surgical interventions performed for the treatment of herniated disc, and which may or may not be associated with irradiated or reported pain. FBSS is a complex syndrome of multifactorial origin. Objective: To analyze the effects of a regular and supervised physical exercise program on quality of life, level of physical activity and pain intensity in patients with FBSS. Method: This was a pilot study with patients with FBSS accompanying at the Specialty Outpatient Clinic in Neurology and Orthopedics of Hospital de Base in São José do Rio Preto (SP). The patients were divided into two groups: the intervention group (which underwent the program of regular and supervised physical exercises) and the control group, on which there was no specific intervention of this program. Both patient´s group answered of the instruments: IPAQ, SF-36, EVN and the Borg Effort Subjective Perception Scale. Results: Patients in the intervention group obtained an increase in the score in all domains of quality of life, decreased pain and improvement in patient demand. The comparision at the end of study with the control group revealed significant differences in pain intensity and quality of life, in the domains of pain, general health status, vitality, social aspects and mental health. Conclusions: There was an improvement in quality of life, level of physical activity and decreased pain perception in patients with FBSS submitted to the supervised physical exercise program.