Leonardo Oliveira Pena Costa

Leonardo Oliveira Pena Costa
Universidade Cidade de São Paulo | UNICID · Programa em Fisioterapia

PhD, Associate Professor, Research fellow, Dr

About

222
Publications
126,345
Reads
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8,058
Citations
Citations since 2016
79 Research Items
6361 Citations
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201620172018201920202021202202004006008001,0001,200
201620172018201920202021202202004006008001,0001,200
Introduction
I am an associate professor from Universidade Cidade de São Paulo, my research preferences are related to non-pharmacological interventions for low back pain patients and research methodology in general.
Additional affiliations
November 2009 - present
Universidade Cidade de São Paulo
Position
  • Professor (Associate)
January 2008 - present
The George Institute for Global Health
January 2006 - December 2011
The University of Sydney
Education
August 2005 - April 2009
The University of Sydney
Field of study
  • Physiotherapy
March 2001 - March 2003
Federal University of Minas Gerais
Field of study
  • Sports Sciences

Publications

Publications (222)
Article
Background Psychosomatic symptoms seem to influence both the onset and development of pain. There is lack of Brazilian-Portuguese questionnaires that measure psychosomatic symptoms in children and adolescents. Objective To translate and cross-culturally adapt the Psychosomatic Questionnaire for Children and Adolescents into Brazilian-Portuguese an...
Article
Objectives We aim to determine the effectiveness of meditation for adults with non-specific low back pain. Methods We searched PubMed, EMBASE, PEDro, Scopus, Web of Science, Cochrane Library, and PsycINFO databases for randomized controlled trials that investigated the effectiveness of meditation in adults with non-specific low back pain. Two revi...
Article
Background Low back pain (LBP) is the leading cause of disability worldwide, and the burden of LBP is expected to increase in coming decades, particularly in middle-income countries. There is a lack of large and high-quality studies investigating the prevalence of LBP in Brazil. Objective To estimate the point, one-year, and lifetime prevalence of...
Article
Background Pain catastrophizing underpins several psychosocial theories of pain, but there is limited evidence to support the proposal that changes in pain catastrophizing cause changes in pain. Results from mediation analyses have conflicting results, and one reason for these might be the timing of the assessment of pain catastrophizing. This stud...
Article
Objective To summarize the reporting quality of healthcare abstracts and inconsistencies between abstracts and full texts. Study design and Setting This systematic review included overviews of randomized controlled trials (RCTs) and systematic reviews (SRs) that summarized data of healthcare abstracts on reporting of abstracts and consistency of a...
Article
Full-text available
Background: Chronic musculoskeletal pain is one of the main causes of years lived with disability and generates the highest cost of health care among chronic pain conditions. Internet-based treatments have been shown to be an alternative for the treatment of musculoskeletal conditions, in addition to reducing barriers such as travel, high demands...
Article
Full-text available
Background and Objectives Non‐specific low back pain (LBP) is responsible for triggering increased biomarkers levels. In this way, photobiomodulation therapy (PBMT) may be an interesting alternative to treat these patients. One of the possible biological mechanisms of PBMT involved to decrease pain intensity in patients with musculoskeletal disorde...
Article
Full-text available
Purpose To analyze the association of impact factor of the journals publishing low back pain systematic reviews with whether these journals endorsed the PRISMA recommendations and the reviews methodological quality. Methods We searched the Physiotherapy Evidence Database on January 2018 for all low back pain systematic reviews, published between 2...
Article
Study design: Cross-sectional study. Background: Although Altmetric has been widely used by researchers to monitor the audience of their articles, there are no studies that have analysed factors associated with Altmetric score for systematic reviews and clinical practice guidelines. Objectives: 1) To analyse factors that could be associated wi...
Article
Full-text available
Background Low back pain is one of the leading causes of disability worldwide. Exercise therapy is widely recommended to treat persistent non-specific low back pain. While evidence suggests exercise is, on average, moderately effective, there remains uncertainty about which individuals might benefit the most from exercise. Methods In parallel with...
Article
Objective: The objective was to explore for universal prognostic variables, or predictors, across three different outcome measures in patients with chronic low back pain (LBP). We hypothesized that selected prognostic variables would be 'universal' prognostic variables, regardless of the outcome measures used. Methods: This study was a secondary an...
Article
Full-text available
Study design: A cross-sectional study. Objective: The aim of this study is to describe the profile of patients with acute low back pain (LBP) who sought emergency departments (EDs) in Brazilian public hospitals. We also described the profile of these patients according to the STarT Back Screening Tool (SBST). Summary of background data: LBP is...
Article
Low back pain (LBP) is extremely common and causes an enormous burden on the society. This perspective article aims to provide an evidence-based summary in the field of LBP. More specifically, we aimed to present epidemiological data on cost, diagnosis, prognosis, prevention and interventions for patients with LBP. It is critical that both clinicia...
Article
Study design: Overview study. Background: Abstracts of systematic reviews have presented 'spin' (i.e. overstated interpretation of study results) and inconsistency with the full text. Objectives: 1. Do abstracts of low back pain reviews contain spin? 2. Do these abstracts consistently represent the full text? 3. Is abstract spin associated wit...
Article
Study design: Measurement property study. Background: The STarT (Screening and Targeted Treatment) Back Screening Tool (SBST) was developed to stratify patients with low back pain. After screening, patients are directed to receive different levels of physical therapy treatment. The SBST has also been tested to monitor changes in a range of modif...
Article
Full-text available
Study design: Modified Delphi study. Background: Despite the fact that a large volume of research in the area has been conducted, there is no coordinated agenda to identify and address high-priority research questions. Objective: To identify and rank the neck pain research priorities identified by neck pain researchers. Methods: A total of 4...
Article
Objective: To evaluate if allocation concealment and intention-to-treat (ITT) analysis influence the treatment effects of physical therapy interventions in low back pain (LBP) trials. Data sources: We searched on PubMed, Embase, Cochrane Database of Systematic Reviews, Physiotherapy Evidence Database (PEDro), and CINAHL up to February 2017. Stu...
Article
Study design: Secondary analysis of data from a randomized controlled trial. Background: Treatment based on the Movement System Impairment-Based classification for chronic low back pain results in the same benefit when compared to other forms of exercise. It is possible that participant's characteristics measured at baseline can identify people...
Article
Objective: To investigate trials abstracts evaluating treatments for low back pain with regards to completeness of reporting, spin (i.e., interpretation of study results that overemphasizes the beneficial effects of the intervention), and inconsistencies in data with the full text. Data sources: The search was performed on Physiotherapy Evidence...
Preprint
Background Upper limb disabilities after a stroke compromise the activities of daily living. Several approaches to improve motor control and reduce disability are proposed, including specific unilateral training of the contralesional limb or bilateral training with appropriate equipment and/or robotic assistance. These approaches can be used with r...
Article
Objective: To evaluate the overall confidence in the results of systematic reviews of exercise therapy for chronic non-specific low back pain using the AMSTAR 2 tool. Methods: PubMed, Embase, Cochrane Database of Systematic Reviews, PEDro and CINAHL was searched up to February 2017. Two independent reviewers selected systematic reviews of random...
Article
Full-text available
Introduction Aerobic exercise programs have been used for various health conditions, including musculoskeletal disorders. However, the literature is still limited regarding the effect of aerobic exercise on pain and disability in patients with chronic non-specific low back pain. Methods Search strategies will be performed in the following database...
Article
Full-text available
Introduction: Low back pain (LBP) is ranked as one of the most prevalent health conditions. It is likely that some inflammatory mediators could be associated with pain and disability in these patients. Photobiomodulation therapy (PBMT) is a non-pharmacological therapy often used in patients with LBP and one of the possible mechanisms of action of...
Article
Low back pain (LBP)varies over time. Consumers, clinicians, and researchers use various terms to describe LBP fluctuations, such as episodes, recurrences and flares. Although “flare” is use commonly, there is no consensus on how it is defined. This study aimed to obtain consensus for a LBP flare definition using a mixed-method approach. Step 1 invo...
Article
Full-text available
Purpose: (1) To analyse the clinical utility of the STarT Back Screening Tool (SBST) in emergency departments by describing changes in classification over time and; (2) to identify what would be the best time to use the SBST to predict long-term clinical outcomes in patients with acute nonspecific low back pain (LBP) seeking emergency care. Metho...
Article
Objectives: Systematically review the literature about all available interventions to manage non-specific low back pain (NSLBP) in older adults (≥60 years). Design: We searched the Medline, EMBASE, CINAHL, LILACS, PEDro, and Cochrane CENTRAL databases reference lists for randomized controlled trials (RCTs) testing interventions for NSLBP. Two in...
Article
Objective: To describe the main characteristics of low back pain randomized controlled trials on the Physiotherapy Evidence Database, and to rank the journals where these trials were published according to their Impact Factor. Methods: This is a cross sectional study based on a collection of randomized controlled trials. A random sample of 200 l...
Article
Objectives: To compare the responsiveness of disability measures with physical activity measures in patients with chronic low back pain (CLBP) undergoing a course of physical therapy treatment. Design: This is a prospective cohort study with two-month follow-up. Subjects: A total of 106 patients presenting with non-specific CLBP of more than t...
Article
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To summarise the benefits and harms of the strengthening exercises for the treatment of people with patellar tendinopathy.
Article
Background: An updated summary of the evidence for the reliability of the Mechanical Diagnosis and Therapy (MDT) system in patients with spinal pain is needed. Objective: To investigate the evidence on the intrarater and interrater reliability of MDT in patients with spinal pain. Methods: Searches in MEDLINE, CINAHL, Embase, PEDro, and Scopus...
Article
Full-text available
Study Design. Systematic review. Objectives. To investigate the effects of Kinesio Taping (KT) in patients with nonspecific low back pain. Summary of Background Data. KT is widely used in patients with low back pain. Methods. We conducted searches on PubMed, EMBASE, PEDro, SciELO, and LILACS up to February 26, 2018. We included only randomized co...
Article
Objective: To identify potential prognostic factors that may predict clinical improvement of patients treated with different physical therapy interventions in the short-term. Methods: This is a prospective cohort study. A total of 616 patients with chronic non-specific low back pain treated with interventions commonly used by physical therapists...
Article
Background: There is interest from authors and publishers in sharing the results of their studies over the Internet in order to increase their readership. In this way, articles tend to be discussed and the impact of these articles tends to be increased. In order to measure this type of impact, a new score (named Altmetric) was created. Altmetric a...
Article
The potential benefits of combining pain education (PE) with clinical hypnosis (CH) has not yet been investigated in individuals with chronic pain. A total of 100 patients with chronic non-specific low back pain were randomized to receive either (1) PE alone or (2) PE plus CH. Outcomes were collected by a blinded assessor at 2 weeks and 3 months af...
Article
Full-text available
Researches have been performed to investigate the effects of phototherapy on improving performance and reduction of muscular fatigue. However, a great variability in the light parameters and protocols of the trials are a concern to establish the efficacy of this therapy to be used in sports or clinic. The aim of this study is to investigate the eff...
Article
Full-text available
To standardize outcome reporting in clinical trials of patients with non-specific low back pain (LBP), an international multidisciplinary panel recommended physical functioning, pain intensity, and health-related quality of life (HRQoL) as core outcome domains. Given the lack of consensus on measurement instruments for these three domains in patien...
Article
Full-text available
Introduction Low back pain (LBP) is one of the largest and most frequent public health problems worldwide. Photobiomodulation therapy (PBMT) is a frequently used non-pharmacological therapy for the treatment of musculoskeletal disorders. However, there is little high-quality scientific evidence that demonstrates the effectiveness of PBMT in the tre...
Conference Paper
Full-text available
Background: The global burden of disease 2010 study revealed that the prevalence and burden of low back pain (LBP) increase with age. Older adults experience more severe episodes of LBP compared with younger adults, which is likely explained by the fact that recurrent episodes are worse and the high probability of an older adult having experienced...
Article
Background: Treatment for chronic low back pain (LBP) includes different forms of exercises, that to date, have resulted in only small to moderate treatment effects. To enhance the treatment effects, different classification systems have been developed to classify people with LBP into more homogenous subgroups leading to specific treatments for ea...
Article
Objectives: To investigate the methodological quality and statistical reporting of reports of trials indexed on the Physiotherapy Evidence Database (PEDro) classified in the musculoskeletal subdiscipline, and to analyse the characteristics of the trials that can predict trial report quality. Design: Cross-sectional study based on a collection of...
Article
Full-text available
Introduction Meta-epidemiological studies examining the influence of methodological characteristics, such as allocation concealment and intention-to-treat analysis have been performed in a large number of healthcare areas. However, there are no studies investigating these characteristics in physical therapy interventions for patients with low back...
Article
Design: Randomized controlled trial. Background: Patients with Patellofemoral pain (PFP) usually present muscular weakness, pain and impaired motor control. Muscle strengthening is an effective treatment strategy for PFP, but the additional benefits of movement control training remain unknown. Therefore, the aim of this study was to compare the...
Article
Full-text available
Objective To describe the pattern of injuries and illnesses sustained during the Games of the XXXI Olympiad, hosted by Rio de Janeiro from 5 to 21 August 2016. Methods We recorded the daily incidence of athlete injuries and illnesses (1) through the reporting of all National Olympic Committee (NOC) medical teams and (2) in the polyclinic and medic...
Article
Background The McKenzie Method of Mechanical Diagnosis and Therapy (MDT) is one of the exercise approaches recommended by low back pain (LBP) guidelines. We investigated the efficacy of MDT compared with placebo in patients with chronic LBP. Methods This was a prospectively registered, two-arm randomised placebo controlled trial, with a blinded as...
Article
Full-text available
Context: Strength/resistance training volume has historically been supported in the American College of Sports Medicine recommendations. However, for the back muscles, exercise prescription related to the number of sets, such as single vs. multiple, is not well established in the literature. Objective: The purpose of this study was to compare th...
Article
Study design: This was a cross-sectional observational study. Objectives: 1) To investigate whether Brazilian physical therapists make clinical decisions for patients with low back pain based upon clinical practice guidelines. 2) To determine whether the physical therapists are able to recognize differential diagnoses of low back pain associated...
Article
Study Design Pre-planned secondary analysis of a randomized clinical trial. Background The STarT Back Screening Tool (SBST) was developed to screen and to classify patients with low back pain (LBP) into subgroups for the risk of having a poor prognosis. However, this classification at baseline does not take into account variables that can influence...
Article
Full-text available
We recently read a recent clinical trial published in Spine on the effects of Kinesio Taping (KT) against placebo in patients with chronic low back pain[1]. Although this trial was quite similar to a number of previous trials (including larger trials) on the same subject[2, 3], the results of this particular trial is completely different in favor o...
Article
Background: Kinesio taping is a commonly used intervention for patients with chronic low back pain. However, the medium term effects of kinesio taping in these patients are unknown. Objective: To investigate the effectiveness of kinesio taping in patients with chronic low back pain after 6 months from randomization. Methods: This was a randomi...
Article
Study design: Cross-cultural adaptation and analysis of measurement properties. Objective: To translate and cross-culturally adapt the Lumbar Spine Instability Questionnaire (LSIQ) into Brazilian-Portuguese and to test its measurement properties in Brazilian patients with low back pain. Summary of background data: The selection of subgroup of...
Article
Full-text available
BACKGROUND: Non-specific low back pain is a major health problem worldwide. Interventions based on exercises have been the most commonly used treatments for patients with this condition. Over the past few years, the Pilates method has been one of the most popular exercise programmes used in clinical practice. OBJECTIVES: To determine the effects o...