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Introdução: A quantidade de queixas de dor lombar, diagnóstico de hérnia de disco e muitas vezes encaminhamento para intervenções cirúrgicas desnecessárias evidencia a necessidade de uma melhor avaliação dos pacientes com esse tipo de queixa. O atual paradigma lança a construção de corpo de conhecimentos de intervenções para identificar o melhor tratamento conservador na dor lombar. É nesta dialética ­ práxis clínica e evidência científica ­ que foi ancorado o desenvolvimento de um software como ferramenta para a avaliação da dor lombar visando um melhor diagnóstico e direcionando o tratamento conservador mais eficiente e conduta Fisioterapêutica. Objetivo: Criar um Software como ferramenta para a avaliação e decisão da conduta terapêutica nos casos de dor lombar. Tipologia/Estratificação do produto: caracteriza-se pelo desenvolvimento um produto tecnológico do tipo software, classificado no estrato T1. Método: Trata-se de um estudo de desenvolvimento de software em 3 etapas iniciais, sendo a primeira, a criação de um fluxograma com as etapas a serem seguidas na avaliação do paciente com dor lombar; a segunda etapa, seleção de testes clínicos, neurológicos e ortopédicos e questionários para avaliação funcional da dor lombar; e a terceira etapa onde foi criado um software para avaliação da dor Lombar com estrutura em formulários e algoritmo em dois formatos, software e página da internet. Resultados: Foi desenvolvido um software denominado SADL ­ Software para avaliação da dor lombar, com base na última edição das Diretrizes de Prática Clínica, ligada à Classificação Internacional de Funcionalidade, Incapacidade e Saúde da Seção Ortopédica da Associação Americana de Fisioterapia, que descreve e faz recomendações relacionadas ao tratamento por subgrupo de dor lombar. Tais tratamentos têm evidências para tratar e prevenir a recorrência de lombalgia, além de influenciar a diminuição da progressão de dor lombar de incapacidade aguda para a crônica. Conclusão, aplicabilidade e impacto: O Software para avaliação da dor Lombar foi criado com o objetivo de auxiliar no diagnóstico da dor lombar e orientar na melhor conduta terapêutica para cada paciente. O produto potencial apresenta potencial inovador por oferecer aos serviços de saúde (médico e fisioterapêutico) a possibilidade de melhorar a avaliação do paciente com dor lombar, evitando erros de conduta, auxiliando na indicação do melhor caminho a ser traçado para cada paciente e objetivando evitar cirurgias desnecessárias, quebrando padrões de condutas, desmistificando a dor. Tem impacto tecnológico por se tratar de uma nova ferramenta importante na administração do tratamento do paciente

Introduction: The number of complaints of low back pain, diagnosis of herniated disc and often referral for unnecessary surgical interventions highlights the need for a better assessment of patients with this type of complaint. The current paradigm launches the construction of a knowledge body of interventions to identify the best conservative treatment for low back pain. It is in this dialectic - clinical praxis and scientific evidence - that it was anchored in the development of software as a tool for the evaluation of low back pain aiming at a better diagnosis, and directing the most efficient conservative treatment in Physiotherapy. Objective: To create an Application as a tool for the assessment and decision of therapeutic conduct in cases of low back pain. Typology / Stratification of the product: characterized by the development of a technological product of the application type, classified in stratum T1. Method: This is an application development study in 3 initial steps, the first being the creation of a flowchart with the steps to be followed in the evaluation of the patient with low back pain; the second stage, selection of clinical, neurological and orthopedic tests and questionnaires for functional evaluation of low back pain; and the third stage, where an application was developed to assess low back pain with structure in forms and an algorithm in two formats, application and website. Results: An application called SADL - Software for evaluating low back pain was developed, based on the latest edition of the Clinical Practice Guidelines linked to the International Classification of Functionality, Disability and Health of the Orthopedic Section of the American Physical Therapy Association, which describes and makes recommendations related to treatment by subgroup of low back pain.These treatments have evidence to treat and prevent the recurrence of low back pain, in addition to influencing the slow progression of low back pain from acute to chronic. Conclusion, applicability and impact: The Application for low back pain assessment was created with the objective of assisting in the diagnosis of low back pain and guiding the best therapeutic approach for each patient. The potential product presents an innovative potential for offering health services the possibility of improving the evaluation of patients with low back pain, avoiding conduct errors, helping to indicate the best path to be traced for each patient and aiming to avoid unnecessary surgery, breaking standards of conducts, demystifying pain. It has a technological impact because it is an important new tool in the administration of patient treatment

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Background: Dogs are frequently affected by intervertebral disc degeneration, a structural failure associated with changesaccelerated by aging. Disc degeneration may occur in the presence or absence of clinical signs, which are variable andcommon to other spinal cord diseases and therefore early diagnosis is crucial to a successful outcome. Treatment may beconservative or surgical according to severity of the clinical signs and should be combined with a rehabilitation protocol.Prognosis depends on the location of the spinal cord compression, volume and velocity of the disc material herniation andtime between initial clinical signs, definitive diagnosis and therapeutic approach.Case: A nonchondrodystrophic 14-year-old dog with acute clinical manifestation of paraparesis and proprioceptive deficitin hind limbs was submitted to myelography examination. There was contrast column deviation in the T13-L1 region,determining spinal compression, and spondyloses were also noted in several thoracolumbar vertebrae. Hemilaminectomywas performed with complete removal of the compressor fragment. Histological analysis confirmed the presence of fibrocartilaginous material that corresponds to the part of the annulus fibrosus. The kidnap of the fragment was characterizedby loss of continuity with the remaining disk. In these cases, magnetic resonance imaging does provides the definitivediagnosis, since neoplasm, arachnoid cysts and abscesses may be remaining differential diagnosis. Therefore, surgical approach followed by histopathological analysis of the obtained material are necessary to confirm the diagnosis.Discussion: The present report differs from most cases of disc herniation because it is a thoracolumbar lesion with an acutemanifestation of significant neurological deficit in an elderly dog of non-chondrodystophic...(AU)

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RESUMO

Background: Dogs are frequently affected by intervertebral disc degeneration, a structural failure associated with changesaccelerated by aging. Disc degeneration may occur in the presence or absence of clinical signs, which are variable andcommon to other spinal cord diseases and therefore early diagnosis is crucial to a successful outcome. Treatment may beconservative or surgical according to severity of the clinical signs and should be combined with a rehabilitation protocol.Prognosis depends on the location of the spinal cord compression, volume and velocity of the disc material herniation andtime between initial clinical signs, definitive diagnosis and therapeutic approach.Case: A nonchondrodystrophic 14-year-old dog with acute clinical manifestation of paraparesis and proprioceptive deficitin hind limbs was submitted to myelography examination. There was contrast column deviation in the T13-L1 region,determining spinal compression, and spondyloses were also noted in several thoracolumbar vertebrae. Hemilaminectomywas performed with complete removal of the compressor fragment. Histological analysis confirmed the presence of fibrocartilaginous material that corresponds to the part of the annulus fibrosus. The kidnap of the fragment was characterizedby loss of continuity with the remaining disk. In these cases, magnetic resonance imaging does provides the definitivediagnosis, since neoplasm, arachnoid cysts and abscesses may be remaining differential diagnosis. Therefore, surgical approach followed by histopathological analysis of the obtained material are necessary to confirm the diagnosis.Discussion: The present report differs from most cases of disc herniation because it is a thoracolumbar lesion with an acutemanifestation of significant neurological deficit in an elderly dog of non-chondrodystophic...

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