Analysis of Pain Symptoms, Flexibility and Hydroxyproline Concentration in Individuals with Low Back Pain Submitted to Global Postural Re-education and Stretching

Abstract

Aim: To evaluate pain, flexibility and hydroxyproline (HP) urinary levels in patients with nonspecific low back pain submitted to Global Postural Re-education (GPR) and stretching. Materials & methods: 39 individuals who reported low back pain were randomly assigned to a group submitted to GPR (GPRG) or stretching exercises (SG) for 8 weeks. Pain and flexibility were assessed using the Borg CR10 scale and goniometry, respectively. Results: The GPR group showed a significant reduction in the HP levels and significant improvements in flexibility after the intervention when compared with SG. Both groups presented a significant reduction in HP and pain after the intervention. Conclusion: Both interventions were effective in the treatment of low back pain. However, the GPR method presented better responses than stretching.

Keywords::

• exercise
• flexibility
• hydroxyproline
• low back pain
• rehabilitation
• spine

Author contributions

Each author contributed individually and significantly to the development of the manuscript. FP Matos: writing, intellectual concept and preparation of the entire research project, final approval of the manuscript version to be published. EHM Dantas: writing, data analysis, final approval of manuscript version to be published and writing. FB de Oliveira: writing, data analysis, final approval of manuscript version to be published and writing. JBP de Castro: writing, data analysis, interpretation of data for the paper, review, formatting and final approval of the manuscript version to be published. MCSC Conceição: writing, intellectual concept and preparation of the entire research project, final approval of the manuscript version to be published. RAM Nunes: writing, intellectual concept and preparation of the entire research project, final approval of the manuscript version to be published. RGS Vale: writing, statistical analysis, data analysis, review and final approval of the manuscript version to be published.

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

Ethical conduct of research

The Research Ethics Committee involving human beings of the Estácio de Sá University approved the present study under no. 2.623.026. In addition, informed consent has been obtained from the participants involved.