Paulo Henrique Muniz Ferreira

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Practice guidelines recommend various types of exercise and manipulative therapy for chronic back pain but there have been few head-to-head comparisons of these interventions. We conducted a randomized controlled trial to compare effects of general exercise, motor control exercise and manipulative therapy on function and perceived effect of intervention in(More)
OBJECTIVE To investigate the efficacy and safety of paracetamol (acetaminophen) in the management of spinal pain and osteoarthritis of the hip or knee. DESIGN Systematic review and meta-analysis. DATA SOURCES Medline, Embase, AMED, CINAHL, Web of Science, LILACS, International Pharmaceutical Abstracts, and Cochrane Central Register of Controlled Trials(More)
BACKGROUND Most research on risk factors for low back pain has focused on long term exposures rather than factors immediately preceding the onset of low back pain. The aim of this study is to quantify the transient increase in risk of a sudden episode of low back pain associated with acute exposure to a range of common physical and psychological factors. (More)
Spinal manipulative therapy (SMT) is common in the management of low back pain (LBP) and has been associated with changes in muscle activity, but evidence is conflicting. This study investigated the effect of SMT on trunk muscle activity in postural tasks in people with and without LBP. In 20 subjects (10 with LBP and 10 controls), EMG recordings were made(More)
OBJECTIVE To investigate the efficacy and tolerability of analgesic and adjuvant pain drugs typically administered in primary care for the management of patients with sciatica. DESIGN Systematic review. Data source International Pharmaceutical Abstracts, PsycINFO, Medline, Embase, Cochrane Central Register of Clinical Trials (CENTRAL), CINAHL, and LILACS.(More)
BACKGROUND/OBJECTIVES The impact of pain on the physical performance of patients in aged care rehabilitation is not known. The study sought to assess 1) the prevalence of pain in older people being discharged from inpatient rehabilitation; 2) the association between self-reported pain and physical performance in people being discharged from inpatient(More)
OBJECTIVE The present study investigated the effect of 2 different lumbar spine postures, neutral and flexed lumbar postures, on transversus abdominis (TrA) muscle function during a voluntary contraction (hollowing and draw-in maneuver) in people with and without low back pain (LBP). METHODS Thirty participants with LBP and 30 healthy participants were(More)
Although the co-occurrence of low back pain (LBP) and depression is common, the nature of this association remains unclear. We aimed to investigate whether symptoms of depression are associated with LBP after adjusting for various confounders, including genetics. We used cross-sectional data from 2148 twins from the Murcia Twin Registry, Spain. All twins(More)
A primary goal of healthcare is to understand the boundaries of health and normality and identify when abnormalities are harmful. Diagnosis of disease or impairment is often made by comparing results from clinical measures with healthy reference values. At present there is a great need for comprehensive lower limb reference data representing the healthy(More)
BACKGROUND The overall aim of this study was to determine to what extent objectively measured physical activity in a school-based sample aged 11-13 years predicted incident cases of spinal pain (neck pain, mid back pain or low back pain) over the following 2 years. METHODS Data were collected at baseline (2010) and 2 years later in a school-based(More)