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Humans , Rehabilitation/methods , Coronavirus Infections/therapy , Physical Therapy Specialty , Aftercare , Evidence-Based Practice , Publication BiasABSTRACT
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Humans , Systematic Reviews as Topic , Guillain-Barre Syndrome/virology , Coronavirus Infections/complications , Pneumonia, Viral/complications , Pandemics , Betacoronavirus , Publication BiasABSTRACT
OBJECTIVE: To evaluate the short term and 1-year follow-up functional effects of a physiotherapy programme in patients over 60 years of age with massive and irreparable Rotator Cuff (RC) tear. METHODS: A total of 96 patients with massive and irreparable RC tear were prospectively recruited. All patients were treated with a 12-week physiotherapy programme. Three evaluations were performed, at the beginning, at the end of the treatment and at one year of follow-up. The Constant-Murley questionnaire was used to assess shoulder function, the DASH questionnaire for upper limb function, and the Visual Analogue Scale (VAS) for pain intensity. RESULTS: At the end of the treatment, all the variables showed a clinically and statistically significant difference (p<.05). At one year of follow-up, the Constant-Murley showed an increase of 26.5 points (Cohen's d=1.7; 95% CI: 23.5-29.5; p<.001), DASH showed a decrease of 31.4 points (Cohen's d=2.2; 95% CI: 28.5-34.3; p<.001), and the VAS showed a decrease of 3.9cm (Cohen's d=3.6; 95% CI: 3.6-4.1; p<.001). CONCLUSION: In the short term and 1-year follow-up, a physiotherapy programme showed clinically and statistically significant results in all functional variables in patients older than 60 years with massive and irreparable RC tear.
ABSTRACT
The aim of this study was to determine the effectiveness of early versus delayed motion on the functional outcomes in patients with distal radius fracture (DRF) treated with a volar locking plate. A systematic review and meta-analysis of randomized clinical trials was performed. An electronic search was performed in the Medline, Central, Embase, PEDro, Lilacs, Cinahl, SPORTDiscus, and Web of Science databases. The eligibility criteria included randomized clinical trials that compared the effect of early versus delayed motion on wrist and/or upper limb function, pain, grip strength, and wrist range of motion in subjects older than 18 years with DRF treated with a volar locking plate. Five clinical trials were included that met the eligibility criteria for the quantitative synthesis. At 6 weeks, the PRWE questionnaire showed a mean difference (MD) of -10.6 points (p < 0.001), the MD was -11.1 points for the DASH questionnaire (p < 0.001), -0.56 cm for pain on VAS (p = 0.01), 5.0 kg for grip strength (p = 0.01), 12.5 degrees for wrist flexion (p = 0.07), and 12.8 degrees for wrist extension (p = 0.05). All differences favored the early motion treatment. At 3 months of follow-up, only the DASH, pain on VAS, and grip strength showed significant differences in favor of early motion. At 1 year of follow-up, none of the variables studied were different between groups. In the short term, there was moderate to high evidence of clinically and statistically significant differences in the functional outcomes in favor of early versus delayed motion in patients with DRF treated with a volar locking plate. But these differences were not observed at 1 year of follow-up. PROSPERO registration no.: CRD42020158706.
Subject(s)
Radius Fractures , Bone Plates , Fracture Fixation, Internal , Humans , Radius Fractures/surgery , Range of Motion, Articular , Wrist Joint/surgeryABSTRACT
INTRODUCCIÓN: La enfermedad de Alzheimer (EA) es una patología neurodegenerativa caracterizada por demencia de carácter progresivo asociada a una perdida global de funciones cognitivas. MÉTODOS: Se realizó una síntesis de evidencia a través de una revisión sistemática con metaanálisis de ensayos clínicos que hayan evaluado la suplementación de omega-3 en pacientes con EA. OBJETIVO: Determinar si existe evidencia científica que avale la efectividad de la suplementación omega-3 en la mejoría de la función cognitiva de pacientes con EA. Estrategia de búsqueda: La estrategia de búsqueda incluyó solo ensayos clínicos aleatorizados (ECA). Las bases de datos usadas fueron: Medline, Cochrane Central, Cinahl y Lilacs. Además, se realizó una búsqueda electrónica en Google Scholar. Selección de estudios: Se obtuvieron 6 artículos que cumplían con nuestros criterios de elegibilidad. Se evaluó el riesgo de sesgo según el método Cochrane. CONCLUSIÓN: No hay evidencia consistente que avale la suplementación de omega-3 versus placebo en la mejoría de la función cognitiva de pacientes con EA a corto y mediano plazo
INTRODUCTION: Alzheimer disease (AD) is a neurodegenerative disease characterised by progressive dementia associated with global cognitive dysfunction. METHODS: We conducted a systematic review and meta-analysis of clinical trials evaluating omega-3 supplementation in patients with AD. OBJECTIVE: To determine if there is scientific evidence of the effectiveness of omega-3 supplementation in improving cognitive function in patients with AD. Search strategy: We included only randomised controlled trials (RCTs) from the following databases: Medline, Cochrane Central, Cinahl, and LILACS. An electronic search was also conducted using Google Scholar. Study selection: Six articles met the eligibility criteria. The risk of bias was assessed following the Cochrane method. CONCLUSION: There is no consistent evidence to support the effectiveness of omega-3 supplementation in improving cognitive function in AD patients in the short and medium term
Subject(s)
Humans , Alzheimer Disease/drug therapy , Cognitive Dysfunction/drug therapy , Dietary Supplements , Fatty Acids, Omega-3/administration & dosage , Randomized Controlled Trials as TopicABSTRACT
INTRODUCTION: Alzheimer disease (AD) is a neurodegenerative disease characterised by progressive dementia associated with global cognitive dysfunction. METHODS: We conducted a systematic review and meta-analysis of clinical trials evaluating omega-3 supplementation in patients with AD. OBJECTIVE: To determine if there is scientific evidence of the effectiveness of omega-3 supplementation in improving cognitive function in patients with AD. SEARCH STRATEGY: We included only randomised controlled trials (RCTs) from the following databases: Medline, Cochrane Central, Cinahl, and LILACS. An electronic search was also conducted using Google Scholar. STUDY SELECTION: Six articles met the eligibility criteria. The risk of bias was assessed following the Cochrane method. CONCLUSION: There is no consistent evidence to support the effectiveness of omega-3 supplementation in improving cognitive function in AD patients in the short and medium term.
Subject(s)
Alzheimer Disease/drug therapy , Cognitive Dysfunction/drug therapy , Dietary Supplements , Fatty Acids, Omega-3/administration & dosage , Humans , Randomized Controlled Trials as TopicABSTRACT
Actualmente existen diversos estudios que explican los eventos de plasticidad neuronal generados en condiciones normales, patológicas, así como también las existentes durante el periodo de neurorrehabilitación. El aprendizaje motor juega un gran rol durante toda la etapa de rehabilitación motora, el cual se ha fundamentado mediante diferentes técnicas de evaluación, donde la gran mayoría de los resultados se refieren a personas con alteraciones neurológicas y en sujetos asintomáticos. El presente estudio revisa los conceptos y bases del aprendizaje motor en condiciones normales para posteriormente fundamentar la creación de nuevas estrategias de rehabilitación motora en alteraciones del dolor crónico musculoesquelético
Currently, there are several studies that explain the neuronal plasticity events generated in normal and pathological conditions, as well as during the neuro-rehabilitation period. Motor learning plays a major role throughout the process of motor rehabilitation, based on different evaluation techniques, and the vast majority of the results have been reported in people with neurological disorders and in asymptomatic individuals. The present study reviews the concepts and basic principles of motor learning in normal conditions and provides support for the creation of new strategies of motor rehabilitation in chronic musculoskeletal pain disorders
Subject(s)
Humans , Neuronal Plasticity/physiology , Chronic Pain/rehabilitation , Pain Management/methods , Low Back Pain/rehabilitation , Musculoskeletal Pain/rehabilitation , Physical Therapy Modalities , Motor Skills/physiologyABSTRACT
Antecedentes: El síndrome de dolor lumbar crónico (SDLC) es una patología caracterizada por impotencia funcional, dolor y alteraciones psicológicas. Diseño: Se realizó una síntesis de evidencia a través de una revisión sistemática con metaanálisis de ensayos clínicos que hayan evaluado la efectividad de la educación basada en neurociencias (EBN) en pacientes con SDLC. Objetivo: El objetivo es determinar si existe evidencia científica que avale la efectividad de la EBN en la mejoría del dolor y función de pacientes con SDLC. Métodos: Se seleccionaron solo ensayos clínicos aleatorizados (ECA). Las bases de datos usadas fueron: Medline, Cochrane Central, Cinahl, Lilacs, SportDiscus y PEDro. Resultados: Se obtuvieron 13 artículos que cumplían con nuestros criterios de elegibilidad; en cinco de ellos fue posible realizar un análisis cuantitativo. Se evaluó el riesgo de sesgo según el método Cochrane. Conclusión: Se concluye que existen algunas pruebas a favor de la EBN en la mejoría de la intensidad de dolor, funcionalidad y aspectos afectivos del dolor en pacientes con SDLC a medio plazo
Background: Chronic low back pain syndrome (CLBPS) is a pathology characterised by functional impotence, pain, and psychological alterations. Design: A synthesis of evidence was made using a systematic review with a meta-analysis of clinical trials that have evaluated the effectiveness of education based on neurosciences (EBN) in patients with CLBPS. Objective: The aim of the article is to determine if there is scientific evidence to support the effectiveness of EBN in the improvement of pain and function of patients with CLBPS. Methods: Only randomised clinical trials (RCTs) were selected. The databases used were: Medline, Cochrane Central, Cinahl, Lilacs, SportDiscus, and PEDro. Results: A total of 13 articles were obtained that met the eligibility criteria, five of which made it possible to perform a quantitative analysis. The risk of bias was evaluated according to the Cochrane method. Conclusion: It is concluded that there is some evidence in favour of EBN in the improvement of pain intensity, functionality, and affective aspects of pain in patients with CLBPS, in the medium term
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Humans , Male , Female , Adult , Middle Aged , Aged , Low Back Pain/therapy , Chronic Pain/therapy , Neurosciences/methods , Low Back Pain/physiopathology , Randomized Controlled Trials as Topic/methods , Neurosciences/educationABSTRACT
Introducción: El desgarro masivo del maguito rotador (DMMR) es una condición clínica degenerativa que corresponde a una ruptura de 5 cm, o una que compromete a dos o más tendones del manguito rotador (MR), generando pérdida de funcionalidad y dolor incapacitante. Objetivo: Describir los cambios en el dolor y función de hombro posterior a un programa de 6 semanas de terapia de juicio de lateralidad e imaginería de movimiento y ejercicios de activación selectiva glenohumerales en sujetos con rotura masiva del manguito rotador. Métodos: Este estudio es una investigación descriptiva y diseño serie de casos, con una muestra de 50 participantes con diagnóstico de ruptura masiva de manguito rotador. Los pacientes realizaron un programa de ejercicios selectivos glenohumerales más terapia de juicio de lateralidad e imaginería de movimiento durante 6 semanas. Se midieron las variables de función, dolor, ROM de abducción y flexión de hombro, a la sexta semana y al sexto mes de evolución. Resultados: Existen diferencias significativas en la intensidad del dolor, función de hombro, AROM de flexión y AROM de abducción de hombro, posterior a la intervención (p < 0,05). Existen diferencias estadísticamente significativas para todas las medidas de resultados entre la intervención y el sexto mes de seguimiento (p < 0,05). Solo el dolor presentó diferencias estadísticamente significativas entre la sexta semana y el sexto mes de seguimiento (p = 0,01). Conclusión: La aplicación de la terapia de juicio de lateralidad e imaginería de movimiento adicionada a un programa de ejercicios selectivos estabilizadores glenohumerales durante 6 semanas podría mejorar la función de hombro, disminuir el dolor y aumentar los AROM de flexión y abducción de hombro en pacientes con ruptura masiva del manguito rotador
Introduction: Massive tear of the rotator cuff (DMMR) is a degenerative clinical condition, which corresponds to a 5 cm rupture, or one that compromises two or more tendons of the rotator cuff (MR), generating loss of functionality and disabling pain. Objective: To describe changes in pain and shoulder function following a 6-week program of lateral-imaging and motion imaging therapy and selective glenohumeral activation exercises in subjects with massive rotator cuff tears. Methods: This study is a descriptive research and design of a series of cases, with a sample of 50 participants with diagnosis of rotator cuff mastication. Patients underwent a glenohumeral selective exercise program plus laterality and motion imaging therapy for 6 weeks. The variables of function, pain, abduction ROM and shoulder flexion were measured at sixth week and sixth month of evolution. Results: There were significant differences in pain intensity, shoulder function, AROM flexion and shoulder abduction AROM, after the intervention (p > 0.05). Statistically significant differences were found for all outcome measures between the intervention and the sixth follow-up month (p < 0.05). Only the pain of the statistically significant differences between the sixth week and the sixth month of follow-up (p = 0.01). Conclusion: The application of laterality trial therapy and motion imaging added to a program of selective exercises stabilizadores glenohumerales during 6 weeks, could improve shoulder function, decrease pain and increase AROM flexion and shoulder abduction in patients with massive rupture of the rotator cuff
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Rotator Cuff Injuries/rehabilitation , Exercise Movement Techniques/methods , Shoulder Pain/therapy , Imagery, Psychotherapy/methods , Chronic Pain/drug therapy , Pain Management/methods , Physical Therapy Modalities , Functional Laterality/physiologyABSTRACT
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Humans , Chronic Pain/drug therapy , Pain Management/methods , Decision Support Techniques , Clinical Decision-Making/methods , Evidence-Based Medicine/trendsABSTRACT
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Humans , Musculoskeletal Pain/drug therapy , Chronic Pain/drug therapy , Nociceptive Pain/drug therapy , Neuromuscular Agents/administration & dosage , Musculoskeletal Pain/physiopathologyABSTRACT
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Humans , Clinical Decision-Making/methods , Evidence-Based Medicine/methods , Health Personnel , Evidence-Based Medicine/trendsABSTRACT
El síndrome del túnel del carpo (STC) es la neuropatía periférica más común y de mayor porcentaje, afectando principalmente más a mujeres que a hombres. La técnica de movilización neural es una intervención que está dirigida a las estructuras neurales mediante el posicionamiento y el movimiento de múltiples articulaciones, para descomprimir la zona y liberar la presión del nervio afectado. Se realizará una síntesis de la evidencia a través de una revisión sistemática de ensayos clínicos aleatorizados que hayan comparado la técnica de movilización neural por sí sola con otros tipos de intervenciones. Nuestro objetivo es determinar si existe evidencia científica que avale la efectividad de la técnica de movilización neurodinámica en pacientes diagnosticados con síndrome del túnel carpiano. La estrategia de búsqueda incluyó ensayos clínicos aleatorizados y ensayos clínicos controlados. Las bases de datos usadas fueron: Medline, LILACS, Central, CINAHL, SPORTDiscus y PEDro. Se obtuvieron cuatro artículos que cumplían con los criterios de elegibilidad. Se concluye que existe moderada evidencia, que la técnica de movilización neural en comparación con placebo, cuidados estándar y agentes físicos podría ayudar a disminuir el dolor y mejorar la funcionalidad a sujetos con síndrome del túnel del carpo. La decisión de aplicar este tipo de tratamientos también debe basarse en costos, preferencias y seguridad del tratamiento (AU)
Carpal Tunnel Syndrome (STC) is the most common peripheral neuropathy with a higher percentage, affecting mainly women than men. The technique of neural mobilization is an intervention that is directed at neural structures by positioning and moving multiple joints, to decompress the area and release the pressure of the affected nerve. A synthesis of the evidence was done through a systematic review of randomized clinical trials that was compared with the technique of neural mobilization with other types of interventions. Our objective is to determine if there is scientific evidence to support the effectiveness of the neurodynamic mobilization technique in patients diagnosed with carpal tunnel syndrome. The search strategy included randomized clinical trials and controlled clinical trials. The databases used were: Medline, LILACS, Central, CINAHL, SPORTDiscus and PEDro. Four items were obtained that met the eligibility criteria. We conclude that there is moderate evidence that the neural mobilization technique compared with placebo, standard care and physical agents, could help decrease pain and improve the functionality of subjects with carpal tunnel syndrome. The decision to apply this type of treatment should also be based on costs, preferences and treatment safety (AU)
Subject(s)
Humans , Carpal Tunnel Syndrome/rehabilitation , Nerve Compression Syndromes/rehabilitation , Exercise Movement Techniques/methods , Pain Management/methods , Evaluation of Results of Therapeutic InterventionsABSTRACT
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Humans , Patella , Transdermal Patch , Chronic Pain/therapy , Osteoarthritis, Knee/therapy , Knee Injuries/therapy , Pain Management/methodsABSTRACT
Introducción: La artritis reumatoide tiene un significativo impacto negativo en la capacidad para realizar labores diarias, incluyendo el trabajo, las tareas del hogar y la calidad de vida. Los hallazgos experimentales y clínicos sugieren que el reentrenamiento de la habilidad motora puede proporcionar mejoras en pacientes con dolor crónico de muñeca y mano. Objetivo: Describir los cambios en la función manual, en la fuerza de puño y en el dolor, a la sexta semana y al tercer mes tras la aplicación de ejercicios enfocados en la habilidad motora manual en adultos con artritis reumatoide. Método: Estudio de diseño no experimental, descriptivo serie de casos, muestra 17 participantes con diagnóstico de artritis reumatoide. Los pacientes realizaron un programa de ejercicios enfocados en la habilidad motora manual durante 6 semanas. Se midieron las variables de función, dolor, fuerza de puño y pinza, a la sexta semana y al tercer mes. Resultados: No existe diferencia significativa en la intensidad del dolor, función y fuerza de puño, postintervención p > 0,05. Existe diferencia significativa a la sexta semana en la fuerza de pinza p = 0,002. Durante el seguimiento al tercer mes solo hubo diferencia significativa en la fuerza de puño p = 0,01. Conclusión: La aplicación de un programa de ejercicios enfocados en la habilidad motora manual generó cambios a nivel de la fuerza de puño y pinza. Con respecto a la funcionalidad e intensidad del dolor no se apreciaron diferencias significativas (AU)
Introduction: Rheumatoid arthritis has a significant negative impact on the ability to perform daily tasks, including work, household chores and quality of life. Experimental and clinical findings suggest that retraining of motor skills may provide improvements in patients with chronic pain the wrist and hand. Objective: To describe the changes in the manual function, the grip strength and pain, to the sixth week and to the third month after the application of exercises focused on manual motor skills, in adults with rheumatoid arthritis. Method: Non-experimental design study, descriptive case series, sample 17 participants with diagnosis of rheumatoid arthritis. The patients performed a program of exercises focused on manual motor skill for 6 weeks. Were measured at the variables of function, the grip strength , digtal clamp and pain, the sixth week and at the third month. Results: There was no significant difference in pain intensity, function and the grip strength, post intervention p > 0,05. There was significant difference at the sixth week in the digital clamp p = 0.002. During follow-up at the third month, there was only significant difference in the grip strength p = 0.01. Conclusion: The application of a program of exercises focused on the manual motor skill, generated changes a level of the grip strength and clamp. Regarding the functionality and intensity of pain, there were no significant differences (AU)
Subject(s)
Humans , Adult , Arthritis, Rheumatoid/rehabilitation , Motor Activity/physiology , Exercise Therapy/methods , Motor Skills/physiology , Physical Therapy Modalities , Chronic Pain/rehabilitation , Pain Management/methods , Recovery of FunctionABSTRACT
No disponible
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Humans , Sleep Initiation and Maintenance Disorders/therapy , Acupuncture Analgesia/methods , Acupuncture Therapy/methods , Decision Making/physiology , Anxiety/complications , Anxiety/therapy , Bibliometrics , Scientific Communication and Diffusion , Evaluation of the Efficacy-Effectiveness of InterventionsABSTRACT
INTRODUCTION: Epilepsy is a brain disorder that affects both children and adults. From the 1920s the ketogenic diet has gained prestige as another treatment option for patients with refractory epilepsy. SUBJECTS AND METHODS: A summary of the evidence will be made through a systematic review of randomized clinical trials that have compared a single ketogenic diet with other diet for the management of these patients. AIM: To determine the effectiveness of the ketogenic diet in reducing episodes of seizures in patients with refractory epilepsy. The search strategy included randomized controlled trials and controlled clinical trials. Databases used were Medline, LILACS, Central and CINAHL. RESULTS: Six articles that met our elegibility criteria. CONCLUSIONS: There is limited evidence that the ketogenic diet compared to the medium-chain triglyceride diet is more effective in reducing the frequency of seizures. There is also moderate evidence that classical ketogenic diet compared to the gradual diet (2.5:1 and 3:1) is more effective in reducing seizures. There is moderate evidence that classical ketogenic diet compared to Atkins diet is more effective in reducing the frequency of seizure. The decision to apply this type of diet should also be based on costs, preferences and safety of treatment. It should also take into account the likelihood that studies have indexing problems have been left out of the review.
TITLE: Efectividad de la dieta cetogenica en niños con epilepsia refractaria: revision sistematica.Introduccion. La epilepsia es una patologia cerebral que afecta tanto a niños como a adultos. Desde los años veinte, la dieta cetogenica ha ganado prestigio como otra opcion de tratamiento en pacientes con epilepsia refractaria. Sujetos y metodos. Se realiza una sintesis de la evidencia a traves de una revision sistematica de ensayos clinicos aleatorizados que hayan comparado una dieta cetogenica sola con otros tipos de dieta para el tratamiento de estos pacientes. Objetivo. Determinar la efectividad de la dieta cetogenica en la disminucion de los episodios de convulsiones en pacientes con epilepsia refractaria. La estrategia de busqueda incluyo ensayos clinicos aleatorizados y ensayos clinicos controlados. Las bases de datos usadas fueron: Medline, LILACS, Central y CINAHL. Resultados. Se obtuvieron seis articulos que cumplian con los criterios de elegibilidad. Conclusiones. Existe evidencia limitada de que la dieta cetogenica en comparacion con la dieta de trigliceridos de cadena media es mas efectiva en disminuir la frecuencia de las convulsiones. Existe evidencia moderada de que la dieta cetogenica clasica en comparacion con la dieta gradual (2,5:1 y 3:1) es mas efectiva para disminuir las crisis epilepticas. Existe evidencia moderada de que la dieta cetogenica clasica en comparacion con la dieta Atkins es mas efectiva para disminuir la frecuencia de convulsiones en tres meses. La decision de aplicar este tipo de dietas tambien debe basarse en costes, preferencias y seguridad del tratamiento. Ademas, debe considerarse la probabilidad de que algunos estudios, por problemas de indizacion, hayan quedado fuera de la revision.
Subject(s)
Diet, Ketogenic , Drug Resistant Epilepsy/diet therapy , Seizures/diet therapy , Child , Controlled Clinical Trials as Topic , Diet, High-Protein Low-Carbohydrate , Humans , Randomized Controlled Trials as TopicABSTRACT
La epicondilalgia lateral es una de las lesiones más comunes del brazo, siendo el músculo extensor radial corto del carpo (ERCB) la estructura más afectada, por movimientos repetitivos, rápidos y monótonos, principalmente afecta entre 1-3% de la población general, siendo más común en mujeres. El ejercicio terapéutico, es uno de los elementos claves en los programas diseñados para el manejo de esta condición. Se realizará una búsqueda de la evidencia a través de una revisión sistemática de ensayos clínicos aleatorizados que hayan determinado la efectividad del ejercicio terapéutico para el manejo de estos pacientes. El objetivo de esta Revisión es determinar si existe evidencia científica que avale la efectividad clínica del ejercicio terapéutico sólo o dentro de un programa de tratamiento en pacientes adultos con epicondilalgia lateral. La estrategia de búsqueda incluyó ensayos clínicos aleatorizados (ECA) y ensayos clínicos controlados (ECC); las bases de datos usadas fueron: Medline, Cinahl, PEDro, Central, Lilacs. Los resultados obtenidos fueron de treinta y seis artículos que cumplían con nuestros criterios de elegibilidad. Se concluye que existe evidencia moderada que el ejercicio terapéutico comparado con una intervención única, disminuye el dolor, mejora la funcionalidad y aumenta la fuerza libre de dolor en corto, medio y largo plazo. Existe evidencia de que el ejercicio terapéutico disminuye el dolor, y aumenta la fuerza sin dolor a corto plazo. Existe evidencia fuerte de que el ejercicio terapéutico disminuye el dolor, aumenta la fuerza y mejora la funcionalidad a corto, medio y largo plazo (AU)
The lateral epicondylalgia is one of the most common injuries of the arm; with the muscle extensor carpi radialis brevis (ERCB) affected the structure, repetitive motion, rapids and monotonous, mainly affects between 1-3% of the general population, being more common in women. Therapeutic exercise is one of the key elements in programs designed for the management of this condition. There will be a synthesis of evidence through a systematic review of randomized clinical trials that established the effectiveness of exercise therapy in the management of these patients. The aim of this review is to determine whether there is scientific evidence to support the clinical effectiveness of exercise therapy alone or in a treatment program for adult patients with LE. The search strategy included randomized clinical trials (RCTs) and controlled clinical trials (CCTs) databases were used: Medline, CINAHL, PEDro, Central, Lilacs. The results obtained were thirty-six articles that met our eligibility criteria. We conclude that there is moderate evidence shows that therapeutic exercise alone compared with a single intervention, decreases pain, improves function and increases strength pain free in short, medium and long term. There is strong evidence that exercise therapy reduces pain, increases strength and free from short-term pain. There is strong evidence that exercise therapy reduces pain, increases strength and improves functionality in the short, medium and long term (AU)
Subject(s)
Humans , Male , Female , Exercise Movement Techniques/psychology , Exercise Movement Techniques/standards , Tennis Elbow/metabolism , Tennis Elbow/pathology , Databases, Bibliographic/classification , Databases, Bibliographic/standards , Therapeutics/methods , Dosage/analysis , Dosage/prevention & control , Exercise Movement Techniques/methods , Exercise Movement Techniques , Tennis Elbow/complications , Tennis Elbow/diagnosis , Databases, Bibliographic/trends , Databases, Bibliographic , Therapeutics , Dosage/classification , Dosage/methodsABSTRACT
La tendinopatía patelar crónica afecta principalmente a deportistas con sobrecarga del mecanismo extensor de rodilla. En las últimas décadas el ejercicio excéntrico se ha transformado en una indicación de rutina para el manejo de esta condición clínica. Se realizará una síntesis de la evidencia a través de una revisión sistemática de ensayos clínicos aleatorizados que hayan comparado un programa de ejercicio excéntrico declinado con uno estándar para el manejo de estos pacientes. El objetivo de esta revisión es determinar si existe evidencia científica que avale que el ejercicio excéntrico declinado es más efectivo que el ejercicio excéntrico estándar en el tratamiento de pacientes con tendinopatía patelar crónica. La estrategia de búsqueda incluyó ensayos clínicos aleatorizados (ECA) y ensayos clínicos controlados (ECC); las bases de datos usadas fueron: Medline, Cinahl, Pedro, Central, Lilacs. Los resultados obtenidos fueron de cuatro artículos que cumplían con nuestros criterios de elegibilidad. Se concluye que existe evidencia contradictoria sobre que el ejercicio excéntrico declinado sea más efectivo que el ejercicio excéntrico estándar en el manejo del dolor y la mejora de la funcionalidad, a corto, medio y largo plazo en pacientes con tendinopatía patelar crónica (AU)
Chronic patellar tendinopathy affects mainly overhead athletes with knee extensor mechanism. In recent decades eccentric exercise has become an indication for routine clinical management of this condition. There will be a synthesis of evidence through a systematic review of randomized clinical trials that have compared an eccentric exercise program declined versus a standard for the management of these patients. The aim of this review is to determine whether there is scientific evidence that proves that declined eccentric exercise is more effective than standard eccentric exercise in the treatment of chronic patellar tendinopathy patients. The search strategy included randomized controlled trials (RCTs) and controlled clinical trials (CCTs); the databases used were MEDLINE, CINAHL, PEDro, CENTRAL, LILACS. The results were four articles that met our eligibility criteria. We conclude that there is conflicting evidence that eccentric exercise declined to be more effective than standard eccentric exercise in pain management and improved functionality, the short, medium and long term in patients with chronic patellar tendinopathy (AU)
