Effects in Short and Long Term of Global Postural Reeducation (GPR) on Chronic Low Back Pain: A Controlled Study with One‐Year Follow‐Up

Abstract

Objective. Comparing global postural reeducation (GPR) to a standard physiotherapy treatment (PT) based on active exercises, stretching, and massaging for improving pain and function in chronic low back pain (CLBP) patients. Design. Prospective controlled study. Setting. Outpatient rehabilitation facility. Participants. Adult patients with diagnosis of nonspecific, chronic (>6 months) low back pain. Interventions. Both treatments consisted of 15 sessions of one hour each, twice a week including patient education. Measures. Roland Morris Disability Questionnaire to evaluate disability, and Numeric Analog Scale for pain. A score change >30% was considered clinically significant. Past treatments, use of medications, smoking habits, height, weight, profession, and physical activity were also recorded on baseline, on discharge, and 1 year after discharge (resp., T0, T1, and T2). Results. At T0 103 patients with cLBP (51 cases and 52 controls) were recruited. The treatment (T1) has been completed by 79 (T1) of which 60 then carried out the 1-year follow-up (T2). Both GPR and PT at T1 were associated with a significant statistical and clinical improvement in pain and function, compared to T0. At T2, only pain in GPR still registered a statistically significant improvement.

Effectiveness of Global Postural Re-education in Patients With Chronic Nonspecific Neck Pain: Randomized Controlled Trial

“…Appropriate postures are then selected to correct the identified muscle imbalances. 22 All muscles of the same chain are simultaneously stretched during a posture, avoiding any compensation. 23 Some studies support GPR's clinical effectiveness in treating patient with different musculoskeletal disorders and impairments.…”

Magnitude of physiological curvatures of the spine and the incidence of contractures of selected muscle groups in students

“…Here, the postural muscles must be active enough to oppose the force of gravity, but not so active as to generate an excessive energy cost. The structure of the human body is such that the postural tension is distributed globally, rather than being focused locally [5,6,8,23,29].…”

“…Disorders related to the distribution of the tension in the postural muscles can also restrict the mobility of the joints. In adult persons, muscle dystonia results in excessive strain on the musculoskeletal system, and frequently pain [2,6,13,14]. Due to the above, maintaining the appropriate degree of muscle flexibility and the optimal physiological ranges of motion in the joints will determine the correct functioning of the body and the correct musculoskeletal fitness [4].…”

Efeitos Da Reeducação Postural Global (Rpg) Sobre a Hipercifose Torácica: Um Estudo De Caso

“…Estudos têm investigado o efeito dessa técnica sobre diversas alterações, como por exemplo, no tratamento da disfunção temporomandibular (MONTEIRO et al, 2013;MALUF et al, 2010), no tratamento da dor lombar crônica (CASTAGNOLI et al, 2015;LAWAND et al, 2015; LA-WAND et al, 2013), no tratamento da dor e da função em pacientes com hérnia de disco lombar (DI CIACCIO et al, 2012), no tratamento da dor, rigidez matinal e mobilidade da coluna vertebral e tórax em pacientes com espondilite anquilosante (SILVA; ANDRADE; VILAR; 2012), no alinhamento espino-pélvico em paciente com espondilolistese (BAR-ROQUEIRO; MORAIS, 2014) e no tratamento da discinesia escapular associada à dor cervical (AMORIM et al, 2015).…”