Fisioterapia en la inhibición muscular iatrogénica. Revisión de literatura / Physiotherapy in arthrogenic muscle inhibition: literature review

Resumen El objetivo de este estudio fue investigar la efectividad de la Fisioterapia en la inhibición muscular artrogénica. Se realizaron búsquedas en las bases PEDro, Embase, Scielo y PubMed para identificar ensayos controlados aleatorios (ECA) de intervenciones de Fisioterapia en la inhibición muscular artrogénica. La literatura incluyo referencias en inglés, español y portugués, publicados entre Enero de 2000 y Junio de 2017. Se identificaron 7 ensayos clínicos que se incluyeron en esta revisión y 4 Revisiones Sistemáticas/Meta-análisis. Se realizó una evaluación crítica de la literatura y se procesó una descripción narrativa debido al pequeño número de ECA. La evidencia muestra que la intervención fisioterapéutica puede ser beneficiosa para el manejo de la inhibición muscular artrogénica, sin embargo, el resultado de baja calidad de la evaluación crítica y el pequeño número de ensayos sugieren que se requieren ECA de alta calidad para examinar más a fondo los efectos de la intervención fisioterapéutica en el control de la inhibición muscular artrogénica.

Abstract The aim of this study was to investigate the effectiveness of physiotherapy in arthrogenic muscle inhibition. We searched the PEDro, Embase, Scielo and PubMed databases to identify randomized controlled trials (RCTs) of physiotherapy interventions in arthrogenic muscle inhibition. The literature included references in English, Spanish and Portuguese, published between January 2000 and June 2017. We identified 7 clinical trials and 4 Systematic Review/Meta-analysis that were included in this review. A critical evaluation of the literature was made and a narrative description was processed due to the small number of RCTs. Evidence shows that physiotherapeutic intervention may be beneficial for the management of arthrogenic muscle inhibition, however, the low quality result of the critical evaluation and the small number of trials suggest that high quality RCTs are required to further examine the effects of physiotherapeutic intervention in the control of arthrogenic muscle inhibition.

A Study To Compare Retro-Walking (BACKWARD Walking) And Suboccipital Muscle Inhibition Technique In Hamstring Muscle Flexibility In Collegiate Students: An Experimental Study

Background: Tightness of hamstring is observed in a majority of the students. long duration sitting can be a contributory factor in hamstring tightness. Shortening of the hamstring has a negative impact on the posture of the pelvic region. The increase in stiffness of the hamstring may serve as a cause of low back pain and it is also a common characteristic of back pain patients. The increase in stiffness of the hamstring produces more burdens on the back and causes improper motion patterns in the lumbo-pelvic region. Methodology: For the study Total number of 30 subjects were randomly taken from The School of Physiotherapy at R.K.University and assigned to either group -A [suboccipital inhibition] or group-B [retro -walking (backward walking)] and there was given a treatment for 5 day with one session per day. Result: Data was analyzed by using SPSS software. For evaluation paired and unpaired T test used for analysis. Conclusion: It can conclude that has both techniques where improve hamstring muscles flexibility suboccipital muscles inhibition technique is more effective than the retro walking technique.

Inibição muscular dos extensores do joelho em sujeitos acometidos por condromalácia patelar e osteoartrite do joelho - um estudo de revisão sistemática / Knee extensor muscle inhibition in subjects with chondromalacia patellae and knee osteoarthritis - a systematic review

A inibição muscular (IM) tem sido reportada como um dos fatores associados à fraqueza muscular presente na osteoartrite (OA) e condromalácia patelar (CP), sendo inclusive associada com a etiologia e a progressão. Entretanto, parece existir uma lacuna na literatura em relação a estudos de revisão que avaliaram o grau de IM de sujeitos acometidos por CP e OA. O objetivo do estudo foi reunir os resultados de estudos que investigaram o grau de IM na OA e CP e identificar possíveis diferenças na IM que estejam associadas aos estágios do processo degenerativo. Foram incluídos nesta revisão sistemática estudos transversais e/ou experimentais publicados nas bases de dados PubMed, Scopus, SciELO e Cochrane entre 1990 e 2010 que avaliaram a IM por meio da técnica de interpolação de abalo publicados. Os dados referentes à população, protocolo de IM, qualidade dos estudos e resultados de IM foram sumariados e apresentados em Tabelas. Para análise da qualidade, utilizou-se a escala de PEDro. Após a aplicação dos critérios de inclusão, 13 artigos foram incluídos na revisão sistemática (OA=9 e CP=4). A partir da análise dos dados, observou-se uma IM maior na CP em comparação à OA. Contudo, a variabilidade metodológica e a falta de informações sobre os protocolos de IM indicam a necessidade de novos estudos experimentais a fim de que se possa determinar com maior precisão a relação entre a IM e as doenças degenerativas articulares.

Muscle inhibition (MI) has been reported as one of the factors associated with muscle weakness present in osteoarthritis (OA) and chondromalacia patellae (CP), including being associated with the etiology and progression. However, there seems to be a gap in the literature regarding the review studies that assessed the degree of IM subjects affected by CP and OA. The main objective of study was bringing together the results of studies that investigated the degree of OA in the MI and CP and to identify possible differences in IM which are linked to stages of the degenerative process. We included cross-sectional and/or experimental studies published in the databases PubMed, Scopus, SciELO and Cochrane between 1990 and 2010 that evaluated the MI through interpolation twitch techniques. Data on population characteristics, MI protocol, quality of studies and MI results were summarized and presented in Tables. For quality analysis, it was used the scale PEDro. After applying the inclusion criteria, 13 articles were included in the systematic review (OA=9 and CP=4). Based on the analysis of the data, there MI>CP compared to OA. However, the variability of protocols, as well as the lack of information about the IM protocols, indicates the need for further experimental studies in order that we can determine more precisely the relationship between IM and degenerative joint diseases.