Treatment-Based Classification System (TBC) in low back pain in a patient with discopathy and spondyloarthrosis: case report
DOI:
https://doi.org/10.25194/rebrasf.v12i2.1565Keywords:
low back pain, subgroups, TBC, ODI, SF36Abstract
Introduction: Low back pain (LBP) is considered as a heterogeneous group of musculoskeletal disorders, affecting approximately 65-85% of the world population. There are four classification systems for primary LBP that attempt to combine treatments for subgroups of patients. Only TBC proved to be more effective for the classification system in subgroups of patients with LBP. The aim of this case report was to explore the efficacy of treatment in subgroups, according to TBC, for a patient with LBP and the symptoms generated by herniated discs and spondyloarthrosis. Case report: male, 54 years old, black, married, sedentary, construction foreman. She was diagnosed with lumbar spondyloarthrosis and degenerative lumbar discopathy with disc bulges in T12-L1, L3-L4 and L4-L5, in August 2021. The main complaint was: LPB. Results: strength (initial MRC: 4, final: 5); increased ROM for lumbar spine movements; pain intensity (VAS: initial: 8, final: 0); Schober's test (initial: 13cm, final: 16cm); improvement in all aspects assessed by the SF-36 questionnaire; ODI (initial: 58%, final: 18%). Discussion: Subgroup-compatible treatment approaches showed better results compared to non-compatible alternative methods, corroborating the results of this study. Conclusion: it was found that an approach based on TBC and individualized in patients with LBP, presents effective results in improving pain, functional disability and quality of life.
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